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)
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
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
Staffing
Hours and turnover
RN hours / resident day
3.81
Registered nurse staffing
LPN hours / resident day
0.53
Licensed practical nurse staffing
Aide hours / resident day
2.81
Nurse aide staffing
Weekend hours
6.30
Weekend nurse staffing
RN turnover
25%
Annual RN turnover
Total nurse turnover
31%
Annual nurse turnover
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 |
| 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 |
| 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 |
| 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 |
| 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 |
Survey summary
Recent inspection cycles
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
D · Potential for more than minimal harm
2025-04-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-22
D · Potential for more than minimal harm
2025-04-23
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-05-22
D · Potential for more than minimal harm
2025-04-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-22
D · Potential for more than minimal harm
2025-04-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-22
D · Potential for more than minimal harm
2025-04-23
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-22
D · Potential for more than minimal harm
2025-04-23
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-05-22
D · Potential for more than minimal harm
2024-04-10
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-04-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-04-10
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-06
Penalties and ownership
What sits behind the stars
Ownership
Wake Forest University Baptist Medical Center
5% Or Greater Direct Ownership Interest · Organization
North Carolina Baptist Hospital
5% Or Greater Indirect Ownership Interest · Organization
Wake Forest University
5% Or Greater Indirect Ownership Interest · Organization
Atrium Health Inc
5% Or Greater Indirect Ownership Interest · Organization
Advocate Health Inc
Operational/Managerial Control · Organization
Atrium Health Inc
Operational/Managerial Control · Organization
Brown, Chad
Corporate Director · Individual
Brown, Chad
Corporate Officer · Individual
Parvathareddy, Suneel
Operational/Managerial Control · Individual
Wake Forest University Baptist Medical Center
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Wilkesboro Health and Rehabilitation
North Wilkesboro, NC
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Ridge Valley Center for Nursing and Rehabilitation
Wilkesboro, NC
1-star overall rating with 1-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Westwood Hills Nursing and Rehabilitation Center
Wilkesboro, NC
4-star overall rating with 4-star inspections with $8,648 in total fines with 2 recent health deficiencies
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