Federal inspection record · CMS data as of October 1, 2026
Valley Nursing and Rehabilitation Center
581 NC Highway 16 South, Taylorsville, NC · (828) 632-8146
- Cited for abuse (CMS abuse icon)
- Certified beds
- 183
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Cch Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 6, 1986
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among North Carolina homes
Valley Nursing and Rehabilitation Center carries 162.5 inspection points. That is fewer than 5% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (9)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
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G
Provide safe, appropriate pain management for a resident who requires such services.
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J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service4E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Quality of Life and Care4D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspection history
2026-01-08
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-10-08
22 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-08-02
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 34 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
4 h 34 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 59% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$108,157 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-26 | Fine | $19,600 |
| 2025-08-26 | Fine | $5,122 |
| 2025-01-13 | Fine | $48,380 |
| 2024-10-08 | Fine | $35,055 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts worse | 92.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 98.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 1.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts better | 6.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts worse | 9.4% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18.3 pts worse | 39.4% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts worse | 16.1% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.8 pts better | 8.8% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better | 12.1% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.1% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse | 23.6% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts worse | 9.8% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts worse | 73.1% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts worse | 15.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.1 pts worse | 81.0% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 21.6% | 22.2% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Valley Holdings Nc LLC | 5% Or Greater Direct Ownership Interest · Organization | 12% | 1 facilities |
| Horizon Healthcare Group LLC | 5% Or Greater Direct Ownership Interest · Organization | 10% | 3 facilities |
| Loftin, Sandra | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stern, Jacob | Corporate Director · Individual | 0% | 37 facilities |
| Stern, Jacob | Corporate Officer · Individual | 0% | 37 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Have exits that are accessible at all times.
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Other homes nearby
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Trinity Village
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★★★★★- Worst citation, 3 yrs
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-
The Greens at Viewmont
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-
The Greens at Hickory
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