Wilkes Regional Medical Ctr Sn
1370 West D Street · North Wilkesboro, NC · 28659 · 3366518100
10 certified beds Non profit - Other Chain: Atrium Health Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 7.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 4.02 | 0.55–0.75 |
| Weekend hours / resident-day | 6.22 | ≈ weekday level |
| Nursing turnover / year | 18% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D April 23, 2025
Ensure each resident receives an accurate assessment.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 23, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · D April 23, 2025
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 May 22, 2025 · Pharmacy Service
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Potential for harm · F April 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · E April 23, 2025
Dispose of garbage and refuse properly.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · E April 23, 2025
Provide and implement an infection prevention and control program.
Corrected May 22, 2025 · Infection Control
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Potential for harm · E April 23, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 22, 2025 · Infection Control
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Potential for harm · E April 23, 2025
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 May 22, 2025 · Infection Control
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Potential for harm · D April 10, 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 May 6, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 6, 2024 · Administration
Better-scoring options nearby
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 345386 · certified since July 9, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.