Federal inspection record · CMS data as of October 1, 2026
Westwood Hills Nursing and Rehabilitation Center
1016 Fletcher Street, Wilkesboro, NC · (336) 667-9261
- Cited for abuse (CMS abuse icon)
- Certified beds
- 176
- Residents per day
- 116
- Ownership
- For-Profit
- Chain
- Principle Long Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 30, 1981
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
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.
-
Overall
★★★★★2 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
Westwood Hills Nursing and Rehabilitation Center carries 27 inspection points. That is fewer than 49% 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
12 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 (3)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
-
G
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Administration2D
- D
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care1D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service1D
- 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.
Inspection history
2025-11-19
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-08-21
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-07-25
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 6 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
3 h 6 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 29% 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
$15,185 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-27 | Fine | $15,185 |
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 days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 97.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 96.5% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse | 8.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 3.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts worse | 8.8% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.5 pts worse | 37.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 15.4% | 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 worsened7.9 pts better | 8.7% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts better | 12.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts worse | 2.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts better | 10.4% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 5.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts worse | 74.0% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.6 pts better | 5.1% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.4 pts worse | 69.7% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 25.9% | 22.2% | 23.4% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Boice, Gale | Corporate Officer · Individual | 0% | 38 facilities |
| Boice, Gale | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 38 facilities |
| Boice, Gale | Adp Of The SNF · Individual | 0% | 38 facilities |
| Corder, John | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hill, Raymond | Adp Of The SNF · Individual | 0% | 30 facilities |
| Hill, Robert | Adp Of The SNF · Individual | 0% | 30 facilities |
| Hill, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hill, Roger | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hill, Stephen | Adp Of The SNF · Individual | 0% | 29 facilities |
| Johnson, Dianne | Corporate Officer · Individual | 0% | 37 facilities |
| Principle Long Term Care, Inc. | Operational/Managerial Control · Organization | 0% | 37 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1D
- D
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Ridge Valley Center for Nursing and Rehabilitation
Wilkesboro, NC · Alliance Health Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0
-
Wilkesboro Health and Rehabilitation
North Wilkesboro, NC · Sanstone Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- —
- Fines
- $0
-
Wilkes Regional Medical Ctr Sn
North Wilkesboro, NC · Atrium Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 7 h 54 min
- Fines
- $0