Walnut Cove Health and Rehabilitation
511 Windmill Street, Walnut Cove, NC 27052 · Stokes County · 90 certified beds · avg 88 residents/day · certified since May 1, 1974
Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 18, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 29, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jul 15, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 14, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 7, 2023 (Past Non-Compliance)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 21, 2025 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Dec 18, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 15, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 15, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · from a complaint |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 14, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | J ▲ |
| 2024 | 13 | 2 | J ▲ |
| 2025 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $40,149.
| Date | Type | Amount / length |
|---|---|---|
| Dec 18, 2024 | Fine | $16,801 |
| Jul 15, 2024 | Fine | $8,827 |
| Dec 14, 2023 | Fine | $14,521 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.50 | 4.01 | 3.95 | bottom 37% in North Carolina; bottom 37% in the U.S. |
| Registered Nurse hours | 0.50 | 0.64 | 0.69 | bottom 45% in North Carolina; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.56 | 3.50 | bottom 40% in North Carolina; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.41 | 0.48 | bottom 41% in North Carolina; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 43.5 | 49.0 | 45.8 | top 37% in North Carolina; top 46% in the U.S. |
| RN turnover (%) | 58.3 | 45.7 | 42.9 | bottom 31% in North Carolina; bottom 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.96, RN 0.42, weekend 2.65. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ncop Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Nu C II Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Nu C Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| SNF Care Centers LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Stokes Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Walnut Cove Parentco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Zenith Holdco II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Zenith Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Cse Walnut Cove LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2025 |
| Cse Walnut Cove LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Hoback, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Jones, Tequilla | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Patel, Sandeep | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Patel, Sandeep | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Semones, Brandi | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Semones, Brandi | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Stokes County Nursing Home | 9.4 mi | Danbury, NC | ★★★☆☆ | 3/5 | |
| Oak Forest Health and Rehabilitation | 9.7 mi | Winston Salem, NC | ★☆☆☆☆ | 2/5 | |
| Countryside | 11.0 mi | Stokesdale, NC | ★★★★☆ | 4/5 | |
| Piney Grove Nursing and Rehabilitation Center | 11.9 mi | Kernersville, NC | ★★★☆☆ | 3/5 | |
| King Health and Rehabilitation Center | 12.7 mi | King, NC | ★★★☆☆ | 4/5 | |
| Mill Creek Center for Nursing and Rehabilitation | 12.7 mi | Winston-Salem, NC | ★★☆☆☆ | 2/5 | |
| Summerstone Health and Rehabilitation Center | 12.9 mi | Kernersville, NC | ★★★☆☆ | 3/5 | |
| North Carolina State Veterans Home Kernersville | 12.9 mi | Kernersville, NC | ★★★★★ | 5/5 | |
| Village Care of King | 12.9 mi | King, NC | ★☆☆☆☆ | 2/5 | |
| Trinity Glen | 13.3 mi | Winston-Salem, NC | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
All facilities in Walnut Cove →
Facility data as of CMS processing date 2026-08-01. CCN 345089.