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Nursing home report

Willow Valley Center for Nursing and Rehabilitation

Registered name: Willow Valley Center for Nursing and Rehabilitatio

Winston-Salem, NC · Medicare-certified · 230 beds

Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

Willow Valley Center for Nursing and Rehabilitation in Winston-Salem has a 1 out of 5 overall rating, with 1-star health inspections, 2-star staffing, and 3-star quality measures. It has $43,838 in fines in the last 24 months, a recent abuse citation, and reported nurse staffing of 3.49 hours per resident per day compared with the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.4882 hrs/resident/day

Quality measures

Last inspection: February 20, 2026Penalties, last 24 months: $43,838recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4882.

Staffing detail

Registered nurses
0.30
Licensed practical nurses
0.61
Nurse aides
2.57
Weekend nursing
3.20

Hours per resident per day.

Total staff turnover: 54%
Registered nurse turnover: 53%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

22.1%20.5%Improving

Residents with a fall causing major injury

1.9%1.5%No change

Residents with pressure ulcers (bedsores)

3.7%6.5%Worsening

Residents with a urinary tract infection

0%1%Worsening

Residents who lost too much weight

3.8%6.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

35.3%9.7%Improving

Residents whose ability to walk got worse

34.7%15.6%Improving

Long-stay residents on antianxiety or sleep medication

12.6%10.3%Improving

Short-stay residents newly given an antipsychotic

0%3.6%Worsening

Residents with a long-term catheter

1.5%0%Improving

Residents with new or worsening incontinence

28.6%21.4%Improving

Residents with depressive symptoms

2.6%3.4%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

72.8%

Long-stay residents given the pneumonia vaccine

83.6%77.2%Worsening

Short-stay residents given the seasonal flu vaccine

34%

Short-stay residents given the pneumonia vaccine

40.9%57.9%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: J

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to provide enough food and fluids to keep residents healthy. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $14,508 was recorded.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $12,529 was recorded.

  7. PENALTY

    A federal fine of $8,783 was recorded.

  8. PENALTY

    A federal fine of $8,018 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $275,518 in total fines.

  • Federal fine

    Jun 25, 2025

    $14,508
  • Federal fine

    Nov 22, 2024

    $12,529
  • Federal fine

    Jul 2, 2024

    $8,783
  • Federal fine

    Jul 2, 2024

    $8,018
  • Federal fine

    Aug 7, 2023

    $231,680

Operator & ownership

Recent ownership change · Aug 1, 2024

Now operated by West First Street Operating Company LLC, previously Citadel at Winston Salem LLC.

Ownership
For profit - Corporation
Chain
Part of ALLIANCE HEALTH GROUP · 12 homes · 1.3 stars avg
Occupancy
217.6 residents on an average day (95% of 230 beds)
Resident voice
Resident council
Medicare history
Certified for 53 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.