Wilkesboro Health and Rehabilitation

Name: Wilkesboro Health and Rehabilitation
Address: 204 Old Brickyard Road, North Wilkesboro, NC, 28659, US
Telephone: 3366672020

204 Old Brickyard Road, North Wilkesboro, NC 28659 · Wilkes County · 111 certified beds · avg 104 residents/day · certified since Sep 12, 1991

Part of chain: SANSTONE HEALTH & REHABILITATION (18 facilities, chain avg rating 4.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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 (15)

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
Dec 11, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Dec 11, 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. · from a complaint
Dec 11, 2025	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.
Sep 11, 2024	E · Potential for harm, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 11, 2024	E · Potential for harm, repeated	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.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Sep 11, 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.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Sep 11, 2024	D · Potential for harm, one-off	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.
Jun 15, 2023	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 15, 2023	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.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 15, 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.
Jun 15, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2023	6	E
2024	6	E
2025	3	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)

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)	0.00	4.01	3.95	—
Registered Nurse hours	0.00	0.64	0.69	—
Weekend total nurse staffing	0.00	3.56	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.41	0.48	—
Total nursing staff turnover (%)	28.2	49.0	45.8	top 8% in North Carolina; top 11% in the U.S.
RN turnover (%)	37.5	45.7	42.9	top 36% in North Carolina; top 42% 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 0.00, RN 0.00, weekend 0.00. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Sprenger, Christopher	Individual	5% or Greater Direct Ownership Interest	100%	02/01/2020
Sprenger, Christopher	Individual	Corporate Officer	NOT APPLICABLE	02/01/2020
Sprenger, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Wilkesboro Health and Rehabilitation LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
"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
Wilkes Regional Medical Ctr SN	0.9 mi	North Wilkesboro, NC	★★☆☆☆	2/5
Ridge Valley Center for Nursing and Rehabilitation	1.1 mi	Wilkesboro, NC	★☆☆☆☆	3/5
Westwood Hills Nursing and Rehabilitation Center	1.5 mi	Wilkesboro, NC	★★☆☆☆	2/5	abuse
Valley Nursing and Rehabilitation Center	19.7 mi	Taylorsville, NC	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in North Wilkesboro →

Facility data as of CMS processing date 2026-08-01. CCN 345401.

The Care File

Visit checklist — Wilkesboro Health and Rehabilitation

204 Old Brickyard Road, North Wilkesboro, NC 28659 · 3366672020

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345401 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)