PlainNursing
CMS Nursing Home Compare · August 2026

Ridge Valley Center for Nursing and Rehabilitation

1000 College Street, Wilkesboro, NC 28697

Ridge Valley Center for Nursing and Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Wilkesboro, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #364 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3368384141

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1 / 5
Much below average · CMS overall · nat'l 3.0
#364 of 415
In-state rank among rated NC homes
3.18
Well below average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 2 serious

The verdict

Ridge Valley Center for Nursing and Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Wilkesboro, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #364 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#364 of 415
In-state rank among rated NC homes
3.18
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
345133
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
84
In Hospital
No
County
Wilkes
Last Inspection
Dec 4, 2025

Staffing Data

How the 3.18 total nursing hours per resident-day are staffed:

RN Hours
0.21 (nat'l avg: 0.69)
LPN Hours
0.44
CNA Hours
2.52
Total Nursing Hours
3.18 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
33.8%
RN Turnover
72.7%

What the CMS Record Reveals About Ridge Valley Center for Nursing and Rehabilitation

According to CMS Nursing Home Compare, Ridge Valley Center for Nursing and Rehabilitation ranks #364 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Ridge Valley Center for Nursing and Rehabilitation operates 120 certified beds in Wilkesboro, NC with approximately 84 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 3★ · staffing 1★ · quality 1★).

The inspection file contains 25 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.18 total hours per resident day (national average 3.86); RN hours specifically are 0.21 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Ridge Valley Center for Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 33.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

E - Pattern - Minimal harm Dec 4, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 23, 2025

B - Pattern - No harm Jul 17, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Jul 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Jan 8, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 22, 2025

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Oct 5, 2024

D - Isolated - Minimal harm Sep 11, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 5, 2024

B - Pattern - No harm Jun 20, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 25, 2023

B - Pattern - No harm Jun 20, 2023 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 25, 2023

D - Isolated - Minimal harm Jun 20, 2023 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2023

D - Isolated - Minimal harm Jun 20, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2023

D - Isolated - Minimal harm Jun 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 7, 2023

D - Isolated - Minimal harm Jun 20, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 7, 2023

E - Pattern - Minimal harm Jun 20, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Aug 7, 2023

E - Pattern - Minimal harm Jun 20, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 7, 2023

E - Pattern - Minimal harm Jun 20, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 7, 2023

J - Isolated - Jeopardy Jun 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 7, 2023

J - Isolated - Jeopardy Jun 20, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 13.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 10.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 35.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 41.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 74.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 22.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 17.2% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Ridge Valley Center for Nursing and Rehabilitation, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Ridge Valley Center for Nursing and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Ridge Valley Center for Nursing and Rehabilitation?
Ridge Valley Center for Nursing and Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (1★).
Where does Ridge Valley Center for Nursing and Rehabilitation rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Ridge Valley Center for Nursing and Rehabilitation ranks 364th among 415 rated nursing homes in NC (#364 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Ridge Valley Center for Nursing and Rehabilitation?
Ridge Valley Center for Nursing and Rehabilitation reports 3.18 total nursing hours per resident day (national average: 3.86). RN hours are 0.21 per resident day (national average: 0.69). Nursing staff turnover is 33.8%.
How many beds does Ridge Valley Center for Nursing and Rehabilitation have?
Ridge Valley Center for Nursing and Rehabilitation has 120 certified beds with approximately 84 residents. The facility is located at 1000 College Street, Wilkesboro, NC 28697.
Does Ridge Valley Center for Nursing and Rehabilitation have any deficiencies on record?
Yes, Ridge Valley Center for Nursing and Rehabilitation has 25 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Ridge Valley Center for Nursing and Rehabilitation received any fines or penalties?
No, Ridge Valley Center for Nursing and Rehabilitation has no fines or penalties on record.
Who owns Ridge Valley Center for Nursing and Rehabilitation?
Ridge Valley Center for Nursing and Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Ridge Valley Center for Nursing and Rehabilitation last inspected?
The most recent health inspection for Ridge Valley Center for Nursing and Rehabilitation was on Dec 4, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Ridge Valley Center for Nursing and Rehabilitation?
Ridge Valley Center for Nursing and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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