Willow Valley Center for Nursing and Rehabilitatio
1900 W 1st Street · Winston-Salem, NC · 27104 · 3367242821
230 certified beds For profit - Corporation Chain: Alliance Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $27,037 in fines in the last 24 months.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 5 · $275,518 |
Inspection citations (51 in the current record)
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Potential for harm · D February 20, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 24, 2025 · Infection Control
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Potential for harm · D August 29, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 24, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected September 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · F August 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2025 · Nutrition and Dietary
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Potential for harm · F August 29, 2025
Dispose of garbage and refuse properly.
Corrected September 23, 2025 · Nutrition and Dietary
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Potential for harm · D August 29, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 24, 2025 · Quality of Life and Care
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No harm found · B August 29, 2025 · found via complaint
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.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · E June 25, 2025 · found via complaint
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.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · D June 25, 2025 · 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 July 17, 2025 · Quality of Life and Care
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Actual harm · G November 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2024 · Quality of Life and Care
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Actual harm · G July 2, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 17, 2024 · Resident Rights
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Actual harm · G July 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 2, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 17, 2024 · Resident Rights
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Potential for harm · D July 2, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 17, 2024 · Resident Rights
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Potential for harm · D July 2, 2024
Ensure each resident receives an accurate assessment.
Corrected July 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 2, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 2, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 17, 2024 · Quality of Life and Care
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Potential for harm · E July 2, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 17, 2024 · Pharmacy Service
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Potential for harm · D July 2, 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 July 17, 2024 · Pharmacy Service
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Potential for harm · E July 2, 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.
Corrected July 17, 2024 · Pharmacy Service
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Potential for harm · F July 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 17, 2024 · Nutrition and Dietary
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Potential for harm · D July 2, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 17, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2025 | Fine | $14,508 |
| November 22, 2024 | Fine | $12,529 |
| July 2, 2024 | Fine | $8,018 |
| July 2, 2024 | Fine | $8,783 |
| August 7, 2023 | Fine | $231,680 |
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 345092 · certified since July 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.