North Wilkesboro, NC

Wilkes Regional Medical Ctr Sn

4-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1370 West D Street, North Wilkesboro, NC

(336) 651-8100

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

10

Certified beds

Average residents

8

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Atrium Health

Operator or chain grouping

Approved since

1991-07-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

3.81

Registered nurse staffing · state 0.59 · national 0.68

LPN hours / resident day

0.53

Licensed practical nurse staffing · state 0.87 · national 0.87

Aide hours / resident day

2.81

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

7.15

All reported nurse hours · state 3.78 · national 3.89

Licensed hours

4.34

RN + LPN hours · state 1.45 · national 1.54

Weekend hours

6.30

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

2.81

Weekend registered nurse coverage · state 0.38 · national 0.47

Physical therapist

0.78

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

3.70

CMS adjusted RN staffing hours

Adjusted total hours

6.94

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,096

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

51.78

Composite VBP score used to determine payment impact.

Payment multiplier

1.0062

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.03

Baseline 22.00% · Performance 21.73% · Measure score 0.03 · Achievement 0 · Improvement 0.03

Healthcare-associated infections

5.5

Baseline 5.56% · Performance 6.19% · Measure score 5.5 · Achievement 5.5 · Improvement 0

Total nurse turnover

10

Baseline 33.33% · Performance 7.69% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.58%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 98 · Observed rate 9.18% · Lower 95% interval 7.17%
Discharge to community	69.08%	50.57% 18.5 pts better	Better than the National Rate · Eligible stays 91 · Observed rate 73.63% · Lower 95% interval 60.35%
Medicare spending per beneficiary	0.77	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 58 · Denominator 58
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 58
Discharge self-care score	64.58%	53.69% 10.9 pts better	Numerator 31 · Denominator 48
Discharge mobility score	58.33%	50.94% 7.4 pts better	Numerator 28 · Denominator 48
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 58 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.19%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 52 · Observed rate 1.92% · Lower 95% interval 3.36%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 20
Staff flu vaccination coverage	94.44%	42% 52.4 pts better	Numerator 17 · Denominator 18
Discharge function score	58.33%	56.45% 1.9 pts better	Numerator 28 · Denominator 48
Transfer of health information to provider	96.3%	95.95% 0.3 pts better	Numerator 52 · Denominator 54
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	7.41%	25.2% 17.8 pts worse	Numerator 2 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.2%	79.9% 14.3 pts better	81.7% 12.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 92.1% · Q3 93.7% · Q4 95.1% · 4Q avg 94.2%
Percentage of short-stay residents who had an outpatient emergency department visit	4.7%	13.2% 8.5 pts better	12.0% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.3% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.5% 0.1 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 4.4% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	78.1% 21.9 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.9%	22.9% About the same	23.9% 1 pts better	Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 17.4% · Expected 18.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-23 · Fire 2025-04-23

11 health deficiencies

Top issue: Infection Control (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-04-10 · Fire 2024-04-10

3 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-01-18 · Fire 2023-01-18

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-23

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2025-05-22

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-23

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-23

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-23

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-05-22