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Medicare-certifiedSkilled Nursing

Willow Valley Center for Nursing and Rehabilitatio

Winston-Salem, North CarolinaMedicare inspection record
(336) 724-2821

About Willow Valley Center for Nursing and Rehabilitatio

Willow Valley Center for Nursing and Rehabilitation brings together compassionate care and clinical expertise in Winston-Salem, North Carolina. Our skilled nursing and rehabilitation team focuses on recovery and comfort, helping residents regain independence after surgery or illness with personalized treatment plans.

Community at a glance

Capacity

230 residents

Location

Winston-Salem, NC

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1900 W 1st Street, Winston-Salem, North Carolina 27104

(336) 724-2821

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Willow Valley Center for Nursing and Rehabilitatio for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on August 29, 2025, state inspectors cited 10 health deficiencies (the North Carolina average is 4.7).

Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.

Medicare fined Willow Valley Center for Nursing and Rehabilitatio 4 times in the last three years, $43,838 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 29 minutesBelow the North Carolina average
Registered nurse time per resident, per day18 minutesBelow the North Carolina average
Nursing staff who left in the past year54%Above the North Carolina average

Inspections

40 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

February 20, 2026 · Complaint investigation · 3 citations

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 4, 2026
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 4, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 4, 2026

August 29, 2025 · Standard inspection · 7 citations

  • Provide and implement an infection prevention and control program.

    Immediate danger to residents, a few residents (level J)Infection ControlCorrected Sep 24, 2025
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 23, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 23, 2025
  • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 24, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 24, 2025
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 24, 2025
  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Minimal harm or risk, a pattern (level B)Resident RightsFrom a complaintNo revisit needed
June 25, 2025 · Complaint investigation · 2 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 17, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2025
November 22, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Oct 2, 2024
July 2, 2024 · Standard inspection · 25 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 17, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Residents were harmed, a few residents (level G)Resident RightsFrom a complaintCorrected Jul 17, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 17, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 17, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 17, 2024
  • Put firmly secured handrails on each side of hallways.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jul 17, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 17, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 17, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 17, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 17, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 17, 2024
  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 17, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 17, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 17, 2024
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 17, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 17, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 17, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 17, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 17, 2024
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 17, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 17, 2024
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2024
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Minimal harm or risk, widespread (level C)Resident RightsFrom a complaintPlan to fix it accepted
  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Minimal harm or risk, a pattern (level B)Resident RightsFrom a complaintPlan to fix it accepted
November 21, 2023 · Complaint investigation · 2 citations+
  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Dec 19, 2023
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Aug 29, 2023

Fines and payment denials

4 fines totaling $43,838 in the last three years.

  • June 25, 2025Fine: $14,508
  • November 22, 2024Fine: $12,529
  • July 2, 2024Fine: $8,783
  • July 2, 2024Fine: $8,018

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
West First Street Operating Company LLC
Medicare-certified beds
230
Average residents per day
218
Accepts
Medicare and Medicaid
First certified
July 1, 1973
Part of a chain
Alliance Health Group, 13 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
345092

Location

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1900 W 1st StreetWinston-Salem, NC 27104

12 other communities within 10 miles

Senior living near Winston-Salem

Questions about Willow Valley Center for Nursing and Rehabilitatio

How did Willow Valley Center for Nursing and Rehabilitatio do on its last inspection?+

State inspectors visited on August 29, 2025 and cited 10 health deficiencies, 5 of them from complaint investigations. The North Carolina average is 4.7.

How much nursing care does each resident get at Willow Valley Center for Nursing and Rehabilitatio?+

Nurses and aides spend 3 hours 29 minutes with each resident per day, including 18 minutes from registered nurses. 54% of nursing staff left over the past year.

Has Willow Valley Center for Nursing and Rehabilitatio been fined by Medicare?+

Yes. Medicare fined Willow Valley Center for Nursing and Rehabilitatio 4 times in the last three years, totaling $43,838.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Winston-Salem Skilled Nursing in North Carolina Skilled Nursing guide Information last updated October 2026