North Carolina ›North Wilkesboro
Wilkes Regional Medical Ctr SN
1370 West D Street, North Wilkesboro, NC 28659 · Wilkes County · 10 certified beds · avg 8 residents/day · certified since Jul 9, 1991
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.
All citations in the current public record (14)
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 |
|---|---|---|
| Apr 23, 2025 | 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. |
| Apr 23, 2025 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Apr 23, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 23, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 23, 2025 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Apr 23, 2025 | 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. |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 10, 2024 | 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 increased between the last two inspection cycles (3 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 11 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 4.95 | 4.01 | 3.95 | top 13% in North Carolina; top 14% in the U.S. |
| Registered Nurse hours | 1.86 | 0.64 | 0.69 | top 3% in North Carolina; top 2% in the U.S. |
| Weekend total nurse staffing | 4.59 | 3.56 | 3.50 | top 10% in North Carolina; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.32 | 0.41 | 0.48 | top 3% in North Carolina; top 3% in the U.S. |
| Total nursing staff turnover (%) | 30.8 | 49.0 | 45.8 | top 11% in North Carolina; top 16% in the U.S. |
| RN turnover (%) | 28.6 | 45.7 | 42.9 | top 21% in North Carolina; top 26% 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 4.78, RN 1.80, weekend 4.44. Staffing rating: 1/5.
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: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Atrium Health INC | Organization | 5% or Greater Indirect Ownership Interest | 20% | 10/09/2020 |
| North Carolina Baptist Hospital | Organization | 5% or Greater Indirect Ownership Interest | 40% | 07/01/2017 |
| Wake Forest University | Organization | 5% or Greater Indirect Ownership Interest | 40% | 07/01/2017 |
| Wake Forest University Baptist Medical Center | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2017 |
| Advocate Health INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2022 |
| Advocate Health INC | Organization | Trustee of the SNF | NOT APPLICABLE | 12/02/2022 |
| Atrium Health INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/09/2020 |
| Atrium Health INC | Organization | Trustee of the SNF | NOT APPLICABLE | 10/09/2020 |
| Brown, Chad | Individual | Corporate Director | NOT APPLICABLE | 02/01/2019 |
| Brown, Chad | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2019 |
| Edwards, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 03/27/2026 |
| Edwards, Matthew | Individual | Trustee of the SNF | NOT APPLICABLE | 03/27/2026 |
| Folger, Jena | Individual | Corporate Officer | NOT APPLICABLE | 02/02/2026 |
| Folger, Jena | Individual | Trustee of the SNF | NOT APPLICABLE | 02/02/2026 |
| Richardson, Kara | Individual | Corporate Officer | NOT APPLICABLE | 02/02/2026 |
| Richardson, Kara | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/02/2026 |
| Waid, Michael | Individual | Corporate Officer | NOT APPLICABLE | 02/02/2026 |
| Waid, Michael | Individual | Trustee of the SNF | NOT APPLICABLE | 02/02/2026 |
| Wake Forest University Baptist Medical Center | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Wake Forest University Baptist Medical Center | Organization | Trustee of the SNF | NOT APPLICABLE | 07/01/2017 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Wilkesboro Health and Rehabilitation | 0.9 mi | North Wilkesboro, NC | ★★★☆☆ | 4/5 | |
| Ridge Valley Center for Nursing and Rehabilitation | 1.2 mi | Wilkesboro, NC | ★☆☆☆☆ | 3/5 | |
| Westwood Hills Nursing and Rehabilitation Center | 1.6 mi | Wilkesboro, NC | ★★☆☆☆ | 2/5 | abuse |
| Pruitthealth-Elkin | 19.5 mi | Elkin, NC | ★★★☆☆ | 3/5 | |
| Valley Nursing and Rehabilitation Center | 20.0 mi | Taylorsville, NC | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 345386.