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Wilkesboro Health and Rehabilitation

204 Old Brickyard Road, North Wilkesboro, NC 28659 · For profit - Corporation · 111 certified beds · (336) 667-2020 Medicare & Medicaid certified

Call the home — (336) 667-2020 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • about 33% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
112 Boone Trl · (336) 667-8241 · Call to confirm hours
Pharmacy
1920 W Park Dr · (336) 838-8988 · Call to confirm hours
Grocery
1207 Central St · (336) 667-1708 · Call to confirm hours
Park
Yadkin River Grwy · (336) 651-8967 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased19.0%15.6%15.4%worse
Long-stay residents who lose too much weight6.1%7.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection5.6%2.3%2.0%worse
Long-stay residents with depressive symptoms7.1%5.9%6.5%typical
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.1%3.5%3.3%worse
Long-stay residents whose ability to walk worsened28.3%18.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication24.2%21.3%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.1%95.3%typical
Long-stay residents with pressure ulcers3.5%5.5%4.7%better
Long-stay residents with worsening bladder/bowel control15.8%20.7%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table4.5%14.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine99.5%78.1%79.4%better
Short-stay residents rehospitalized after admission22.4%22.9%22.6%typical
Short-stay residents with an outpatient ER visit16.6%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.231.781.67worse
Long-stay outpatient ER visits per 1,000 resident days1.491.801.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 244 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.1%U.S. median 51.5%
Got home and stayed home
14.8%U.S. median 10.7%
Went back to hospital
50.0%U.S. median 56.6%
Met the expected recovery
0.52U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.20hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 108 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.52 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 32% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF61.1%CMS range 55.8–66.851.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF14.8%CMS range 11.2–18.310.7%Oct 2022–Sep 2024worse than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge50.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge47.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge36.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.8%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.3%CMS range 5.8–11.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.231.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

RN hours/ resident / day
LPN hours/ resident / day
Aide hours/ resident / day
Total nurse hours/ resident / day
RN hoursweekends
28.2%
Total nursing turnover
37.5%
RN turnover

How full it usually is: this home is certified for 111 beds and averages 103.6 residents a day — about 93% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 4.12 hrs/resident/day on weekends vs 4.75 on weekdays — 13% thinner on weekends. RN hours go from 0.85 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

3
deficiencies at the latest standard inspection (2025-12-11)
6
at the previous standard inspection (2024-09-11)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · D2025-12-11 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and resident and staff interviews, the facility failed to assess a resident's ability to keep over the counter lubricating eye drops for self-administration in the residents' room for 1 of 1 resident reviewed for self administration (Resident #28).The findings included:Resident #28 was admitted to the facility on [DATE] with diagnoses that included coronary artery disease and diabetes.Resident #28's admission Minimum Data Set (MDS) assessment dated [DATE] showed she was cognitively intact.A review of Resident #28's medical record revealed she had not been assessed for self administration of medication. On 12/08/25 at 1:52 PM, observation and interview with Resident #28 revealed a 10 milliliter bottle of over the counter lubricating eye drops containing .5% povidone (lubricant) on her overbed table, within reach as she sat in her wheelchair. She stated she had brought the eye drops from home when she moved into the facility and used them once a day or so when her eyes felt…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff and resident interviews, the facility failed to remove petroleum based jelly from a resident's room who received oxygen for 1 of 2 residents reviewed for respiratory care (Resident #96).The findings included:Resident #96 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease and chronic bronchitis.Resident #96 had a physician's order dated 11/17/25 for oxygen via nasal cannula at 1 to 5 liters per minute continuously.Resident #96's admission Minimum Data Set (MDS) assessment dated [DATE] revealed he was cognitively intact and coded for continuous oxygen therapy.A review of Resident #96's care plan dated 11/17/25 revealed a risk for potential breathing problems with interventions including assessing for signs and symptoms of respiratory distress and administering medications as ordered.An observation on 12/08/25 at 2:38 PM revealed Resident #96 sitting in his wheelchair in his room with oxygen being administered via…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-11 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, resident and staff interviews, the facility failed to store medicated powder in a secure locked storage area for 1 of 1 resident observed with medication at bedside (Resident #15). Findings included:Resident # 15 was admitted to the facility 09/01/21. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #15 was moderately cognitively impaired. Review of Resident #15's medical record revealed no order for miconazole nitrate 2% powder (an anti-fungal medication). An observation of Resident #15's room on 12/09/25 at 9:57 AM revealed a 3-ounce bottle of miconazole nitrate 2% powder sitting beside her bed on top of a dresser.An interview with Resident #15 was attempted on 12/09/25 at 9:57 AM but the resident did not answer when asked about the anti-fungal powder. Additional observations of Resident #15's room on 12/09/25 at 1:23 PM, 12/10/25 at 9:38 AM, 12/10/25 at 1:05 PM, and 12/11/25 at 10:10 AM revealed a 3-ounce bottle of miconazole nitrate 2%…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-11 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to provide a complete Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) by omitting the estimated out of pocket cost for care for 4 of 4 residents reviewed for beneficiary notices (Residents #4, #151, #45, #11). The findings included: a. Resident #4 was admitted to the facility on [DATE]. The medical record revealed a CMS-10123 Notice of Medicare Non-Coverage letter (NOMNC) was relayed by phone on 8/21/24 to Resident #4's representative. The notice indicated that Medicare coverage for skilled services was to end on 8/23/24. Resident #4 remained in the facility when Medicare coverage ended. Review of Resident #4's record indicated the SNF ABN dated 8/21/2024 had no estimated cost for care documented on the form. b. Resident #151 was admitted to the facility on [DATE]. The medical record revealed a CMS-10123 NOMNC was relayed to Resident #151's representative on 8/16/24. The notice indicated that Medicare coverage for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to discard expired food and food items with signs of spoilage stored for use in 1 of 1 walk-in cooler. The facility also failed to label and date food items in 1 of 1 walk in cooler and in 1 of 2 nourishment room freezers (Hall 100). Additionally, the facility failed to store a dry ingredient scoop in a manner to prevent cross-contamination of food. These practices had the potential to affect food served to residents. The findings included: a. An initial tour of the kitchen was made on 09/08/24 at 11:13 AM. The following food items were observed in the walk-in-cooler: • soy sauce 3.79 Liters (L) opened: 8/21with no use by or best before date • salsa 8 pounds (lbs.) opened: 8/23 with no use by or best before date • egg salad with the manufacturer use by date 8/13/24 • ricotta cheese 3 lbs. unopened - Use by date: 8/26/24 • 1 piece of egg on top of a cracked eggshell that was stuck on the egg carton noted to have fuzzy, black specks of dirt formed surrounding the cracked eggshell A follow up observation of the walk-in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to maintain the privacy of a resident's record by leaving a medication cart laptop unattended with resident information exposed in an area accessible and visible to the public on 1 of 6 medication carts (Medication cart #3). The findings included: During an observation of 200 hall on 09/09/24 at 4:04 PM, medication cart #3 was observed unattended. The laptop screen was open and displayed resident names, medications, and diagnoses. Staff were observed in the area and the treatment nurse passed by while the residents' information was visible on the open laptop screen at 4:06 PM. On 09/09/24 at 4:07 PM, a resident passed by the open laptop screen on the medication cart #3 while residents' information remained visible. Medication Aide (MA) #2 was observed returning to the 200 hall with medication cart #2 at 4:10 PM. An interview with MA #2 was completed on 09/09/24 at 4:10 PM. She stated she was assigned to two medication carts (cart #2 and cart #3). She verbalized that she usually clicked the walkaway tab when she left the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0585 — failed to handle grievances — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident, and staff interviews, the facility failed to ensure a prompt resolution to a grievance and failed to provide a written summary about a grievance for 1 of 1 resident reviewed for grievances (Resident #43). The findings included: Facility Grievance/Complaint filing policy stated resident or any family member of the resident could file a grievance/ complaint orally or in writing. Upon reciept of a grievance /complaint the Grievance Officer would review and investigate the allegations and submit a written report of such findings to the Administrator within 5 working days of having received the grievance/ complaint. The Grievance officer, Administrator and Staff would take immediate action to prevent further potential violations of resident rights while the alleged violation was being investigated. The Administrator would review the findings with the Grievance Officer to determine what corrective actions, if any, needed to be taken. The Resident or person filing the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0847 — isolated
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident, resident representative, and staff interviews the facility failed to explain the arbitration agreement to a resident, or the resident's representative, prior to having them sign the agreement This occurred for 1 of 3 residents (Resident #296) reviewed for arbitration. The findings included: Review of the facility's Agreement for Arbitration which was not dated, revealed by signing the Agreement for Arbitration, the resident and/or resident's representative acknowledged they had read and understood the agreement. Resident # 296 was admitted to the facility on [DATE]. Review of Resident # 296's Agreement for Arbitration revealed the resident had signed the agreement on 09/05/2024 along with the rest of the admission paperwork. An attempt was made to interview Resident #296 on 09/10/2024 at 10:15 am. The resident was not able to understand or remember having been informed about an arbitration agreement. At the time of the interview, the resident was only oriented to person, and was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-11 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interviews the facility failed to follow their infection control policy when the Medical Records Assistant delivered a lunch tray to a resident on Enhanced Droplet Precautions without donning a mask, gloves, gown, and/or eye protection for 1 of 1 resident who required Enhanced Droplet Precautions (Resident #19). The findings included The facility's COVID-19 Infection Control Practices policy was updated on May 8, 2023. The policy stated that staff should wear an N 95 mask, gown, gloves, and eye protection. The resident was diagnosed with COVID on September 7, 2024. On September 8, 2024, at 1:28pm, an observation was made of the lunch meal trays being delivered to residents. During the observation, the Medical Records Assistant was observed to remove Resident #19's lunch tray from the meal cart and enter the resident's room. The door to Resident #19's room was observed to have an Enhanced Droplet precaution sign that stated staff were to wear gown, an N95 mask, gloves and either face shield or goggles. Resident #19's door also had a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-15 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and staff interviews, the facility failed to anchor a Resident's indwelling urinary catheter tubing (Resident #53) to prevent pulling and trauma and failed to change the drainage sponge as ordered around a Resident's suprapubic stoma (an artificial opening in the skin) where the suprapubic urinary catheter was inserted (Resident #19). This was for 2 of 3 residents (Resident #53 and #19) who were reviewed for urinary catheters. The findings include: 1. Resident #53 was admitted to the facility on [DATE] with diagnoses that included obstructive uropathy requiring a urinary catheter. Review of Resident #53's care plan dated 04/16/23 indicated the resident required an indwelling urinary catheter related to obstructive uropathy. The goal to manage the catheter appropriately as to not exhibit signs of urinary tract infection and urethral trauma would be attained by utilizing interventions such as: avoiding obstructions in the drainage system, position catheter bag below the level…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · D2023-06-15 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and resident and staff interviews the facility failed to honor a resident's request to be assisted out of bed for 1 of 1 resident reviewed for choices (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE]. Review of Resident #1's annual Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact and required extensive assistance of two staff for bed mobility, transfers, dressing and personal hygiene. The MDS indicated it was very important for Resident #1 to do her favorite activities. Review of a form dated 05/09/23 titled 200 Hall Rounds indicated 300/Float hall to assist with getting Resident #1 out of the bed. There was no specific time recorded. The care plan dated 05/10/23 revealed Resident #1 preferred activities that identified with her prior lifestyle. The goal was that Resident #1 would express satisfaction with her daily routine and leisure activities. The interventions included informing the resident of upcoming…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, resident, and staff interviews the facility failed to provide routine incontinence care to a resident before his breakfast meal was served to him for 1 of 2 residents reviewed for activities of daily living (Resident #143). The findings included: Resident #143 was admitted to the facility on [DATE] with diagnoses that included paraplegia, neurogenic bladder, and others. Review of a comprehensive admission Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #143 was cognitively intact, required extensive assistance with bed mobility was frequently incontinent of bowel and had an indwelling catheter during the assessment reference period. An observation and interview were conducted with Resident #143 on 06/12/23 at 8:30 AM. Resident #143 was resting on an air mattress, covered with a sheet and was alert and verbal. Resident #143 proceeded to grab the right-side grab bar on his bed and turn over, pulled the sheet back. His brief was not in place and was stuck…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, resident, staff, and Wound Provider interviews the facility failed to keep a Stage 4 pressure ulcer covered and free from contamination of fecal matter for 1 of 4 residents reviewed for pressure ulcers (Resident #143). The findings included: Resident #143 was admitted to the facility on [DATE] with diagnoses that included paraplegia, open wound of left buttock and others. Review of an admission skin assessment dated [DATE] written by the Wound Nurse read in part, pressure ulcer noted to left ischium (8.5x5.2 with undermining of 4.4cm @12 o'clock and 2.3 cm @ 6 o'clock). Orders in place to clean left ischium (hip area) with soap and water, apply barrier cream to peri wound, pack wound bed with Dakin's (bleach substance used to clean wounds) moistened gauze and cover with padded dressing twice a day. Review of a comprehensive admission Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #143 was cognitively intact, required extensive assistance with bed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews, and staff interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following a focused infection control survey on 11/12/20 a focused infection control and complaint survey on 1/29/21, and the recertification and complaint survey conducted on 12/02/21. This failure was for two deficiencies originally cited in the area of Infection Control (F880) and Quality of Care (F686) that were subsequently recited on the current recertification survey of 06/15/23. The repeat deficiencies during two federal surveys of record showed a pattern of the facility's inability to sustain an effective QA program. The findings included: This tag is cross referred to: F880: Based on observation, record review and interviews the facility failed to perform hand hygiene and change gloves after removing a soiled dressing and before cleansing a resident's suprapubic stoma (an artificial opening through the abdomen to the bladder) site for 1 of 1 resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-15 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interviews the facility failed to perform hand hygiene and change gloves after removing a soiled dressing and before cleansing a resident's suprapubic stoma (an artificial opening through the abdomen to the bladder) site for 1 of 1 resident (Resident #19) reviewed for dressing change. The finding included: Review of an undated policy titled Wound Care revealed Policy: Provide wound care for the purpose of healing and decreasing the potential for nosocomial infections. Procedure: 9. Put on exam glove and loosen tape and remove dressing. 10. Pull glove over dressing and discard. 11. Perform hand hygiene. 12. Wear gloves for new or deep wounds, wounds which bleed, when physically touching the wound 13. Cleanse wounds with saline unless otherwise indicated. On 06/13/23 at 2:20 PM a treatment observation was made of a dressing change on Resident #19's suprapubic catheter stoma by the Wound Nurse. The Nurse assembled the supplies for the ordered dressing change and explained the procedure to Resident #19 who responded that she was glad because it…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SANSTONE HEALTH & REHABILITATION — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 54.2-1.2 vs chain
Health inspection 4 of 53.9+0.1 vs chain
Staffing 1 of 52.7-1.7 vs chain
Quality measures 3 of 54.3-1.3 vs chain
The other 17 homes this chain runs (chain average 4.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
SPRENGER, CHRISTOPHERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL100%since 02/01/2020
WILKESBORO HEALTH AND REHABILITATION LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2020

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$16.5M
Net patient revenuemost recent cost report
+4.3%
Operating marginrevenue minus expenses
$5.2M
Related-party expense33% of expenses
Who pays — share of resident-days
Medicaid 58%Medicare 15%Other / private 27%

This home reported $5.2M paid to related parties — landlords or management companies under common ownership — equal to about 33% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$403per resident / day
operating cost
$12,239per month
≈ monthly operating cost
$421per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the North Carolina Medicaid page.

Typical monthly cost in North Carolina
$9,733/mo
Nursing home (semi-private)
$10,798/mo
Nursing home (private)
$6,496/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 345401. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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