Federal inspection record · CMS data as of October 1, 2026
Valley View Care and Rehabilitation
551 Kent Street, Andrews, NC · (828) 321-3075
- Certified beds
- 76
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 15, 1992
1
How this home got 2 stars
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
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Valley View Care and Rehabilitation carries 73 inspection points. That is fewer than 20% 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
31 health citations on record since 2023. 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 (4)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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G
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Everything else, by area of care
Pharmacy Service6E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights6E
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning4E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care4E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Administration1C
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2026-04-30
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-03-14
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-02
14 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 7 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
3 h 7 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 47% 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
$45,395 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-17 | Fine | $20,440 |
| 2026-04-30 | Fine | $15,185 |
| 2023-11-02 | Fine | $3,465 |
| 2023-11-02 | Fine | $6,305 |
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 days0.7 pts better | 1.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 94.9% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 98.2% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.9 pts better | 1.9% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.8 pts worse | 11.9% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts worse | 23.9% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts worse | 17.7% | 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 worsened2.2 pts worse | 18.8% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better | 13.2% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts better | 18.8% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 5.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.5 pts worse | 70.0% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts worse | 17.1% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine47 pts worse | 34.1% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts worse | 23.5% | 22.2% | 23.4% |
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Who owns and runs it
26 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 |
|---|---|---|---|
| Andrews Parentco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Fc Encore Andrews, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Fc Encore Andrews, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hedden, Audrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hedden, Audrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Ncop Holdco LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Nu C Ii Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Nu C Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Semones, Brandi | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Semones, Brandi | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Semones, Brandi | Adp Of The SNF · Individual | 0% | 11 facilities |
| Snf Care Centers LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Stanley, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stanley, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stover, Lani | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stover, Lani | Adp Of The SNF · Individual | 0% | 2 facilities |
| Westcar Holdco LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Zenith Holdco Ii LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Zenith Holdco LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
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Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems5D
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Services3F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Construction1D
- D
Use approved construction type or materials.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Graham Healthcare and Rehabilitation Center
Robbinsville, NC · Principle Long Term Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $13,870
-
Clay County Health and Rehabilitation
Hayesville, NC · Avardis Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
Chatuge Regional Nursing Home
Hiawassee, GA
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 36 min
- Fines
- $64,214