Ridge Valley Center for Nursing and Rehabilitation
1000 College Street · Wilkesboro, NC · 28697 · 3368384141
120 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Potential for harm · E December 4, 2025
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.
Corrected December 23, 2025 · Pharmacy Service
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Potential for harm · D July 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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No harm found · B July 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2025 · found via complaint
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.
Corrected January 22, 2025 · Pharmacy Service
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Potential for harm · D September 11, 2024
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 October 5, 2024 · Resident Rights
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Potential for harm · D September 11, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected October 5, 2024 · Quality of Life and Care
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Potential for harm · D September 11, 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.
Corrected October 5, 2024 · Pharmacy Service
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Potential for harm · D September 11, 2024
Provide and implement an infection prevention and control program.
Corrected October 5, 2024 · Infection Control
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Potential for harm · D September 11, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 5, 2024 · Resident Rights
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Potential for harm · D September 11, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 5, 2024 · Quality of Life and Care
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Potential for harm · D September 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 5, 2024 · Quality of Life and Care
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Potential for harm · D September 11, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 5, 2024 · Quality of Life and Care
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Immediate jeopardy · J June 20, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 15, 2023 · Pharmacy Service
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Immediate jeopardy · J June 20, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 7, 2023 · Infection Control
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Potential for harm · D June 20, 2023
Ensure each resident receives an accurate assessment.
Corrected August 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 7, 2023 · Quality of Life and Care
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Potential for harm · E June 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 7, 2023 · Nutrition and Dietary
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Potential for harm · D June 20, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 7, 2023 · Resident Rights
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Potential for harm · E June 20, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 7, 2023 · Quality of Life and Care
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Potential for harm · E June 20, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 7, 2023 · Administration
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No harm found · B June 20, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 25, 2023 · Resident Assessment and Care Planning
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No harm found · B June 20, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected June 25, 2023 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345133 · certified since December 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.