PlainNursing
CMS Nursing Home Compare · August 2026

Walnut Cove Health and Rehabilitation

511 Windmill Street, Walnut Cove, NC 27052

Walnut Cove Health and Rehabilitation, a 90-bed for profit - limited liability company nursing facility in Walnut Cove, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #308 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 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: 3365914353

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2 / 5
Below average · CMS overall · nat'l 3.0
#308 of 415
In-state rank among rated NC homes
2.96
Well below average · nurse hrs/day · nat'l 3.86
23
Inspection findings · 3 serious

The verdict

Walnut Cove Health and Rehabilitation, a 90-bed for profit - limited liability company nursing facility in Walnut Cove, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #308 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#308 of 415
In-state rank among rated NC homes
2.96
Nurse hrs/resident-day · national 3.86
23
Inspection findings · 3 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

2/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345089
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
90
Residents
88
In Hospital
No
County
Stokes
Last Inspection
Aug 21, 2025

Staffing Data

How the 2.96 total nursing hours per resident-day are staffed:

RN Hours
0.42 (nat'l avg: 0.69)
LPN Hours
0.71
CNA Hours
1.83
Total Nursing Hours
2.96 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
43.5%
RN Turnover
58.3%

What the CMS Record Reveals About Walnut Cove Health and Rehabilitation

According to CMS Nursing Home Compare, Walnut Cove Health and Rehabilitation ranks #308 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Walnut Cove Health and Rehabilitation operates 90 certified beds in Walnut Cove, NC with approximately 88 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 3★).

The inspection file contains 23 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 3 penalties totaling $40K levied against this facility. Reported nurse staffing runs 2.96 total hours per resident day (national average 3.86); RN hours specifically are 0.42 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Walnut Cove Health and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 43.5% (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 (23 most recent)

B - Pattern - No harm Aug 21, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 18, 2025

D - Isolated - Minimal harm Aug 21, 2025 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: Sep 18, 2025

D - Isolated - Minimal harm Aug 21, 2025 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: Sep 18, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 18, 2025

J - Isolated - Jeopardy Dec 18, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 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: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 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: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Jul 15, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jul 29, 2024

F - Widespread - Minimal harm Jul 15, 2024 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: Jul 29, 2024

J - Isolated - Jeopardy Jul 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm Dec 14, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 5, 2024

J - Isolated - Jeopardy Dec 14, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2023

D - Isolated - Minimal harm Mar 30, 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: Apr 26, 2023

D - Isolated - Minimal harm Mar 30, 2023 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: Apr 26, 2023

D - Isolated - Minimal harm Mar 30, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 26, 2023

D - Isolated - Minimal harm Mar 30, 2023 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: Apr 26, 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 13.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 95.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 33.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 86.4% No

Penalty History 3 penalties totaling $40K

Date Type Amount
Dec 18, 2024 Fine $17K
Jul 15, 2024 Fine $9K
Dec 14, 2023 Fine $15K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Walnut Cove Health and Rehabilitation, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Walnut Cove Health 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 90 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 Walnut Cove Health and Rehabilitation?
Walnut Cove Health and Rehabilitation has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (3★).
Where does Walnut Cove Health 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), Walnut Cove Health and Rehabilitation ranks 308th among 415 rated nursing homes in NC (#308 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 Walnut Cove Health and Rehabilitation?
Walnut Cove Health and Rehabilitation reports 2.96 total nursing hours per resident day (national average: 3.86). RN hours are 0.42 per resident day (national average: 0.69). Nursing staff turnover is 43.5%.
How many beds does Walnut Cove Health and Rehabilitation have?
Walnut Cove Health and Rehabilitation has 90 certified beds with approximately 88 residents. The facility is located at 511 Windmill Street, Walnut Cove, NC 27052.
Does Walnut Cove Health and Rehabilitation have any deficiencies on record?
Yes, Walnut Cove Health and Rehabilitation has 23 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Walnut Cove Health and Rehabilitation received any fines or penalties?
Yes, Walnut Cove Health and Rehabilitation has received 3 penalties totaling $40K.
Who owns Walnut Cove Health and Rehabilitation?
Walnut Cove Health and Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Walnut Cove Health and Rehabilitation last inspected?
The most recent health inspection for Walnut Cove Health and Rehabilitation was on Aug 21, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Walnut Cove Health and Rehabilitation?
Walnut Cove Health 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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