PlainNursing
CMS Nursing Home Compare · August 2026

Westwood Hills Nursing and Rehabilitation Center

1016 Fletcher Street, Wilkesboro, NC 28697

Westwood Hills Nursing and Rehabilitation Center, a 176-bed for profit - limited liability company nursing facility in Wilkesboro, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #245 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: 3366679261

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2 / 5
Below average · CMS overall · nat'l 3.0
#245 of 415
In-state rank among rated NC homes
3.09
Well below average · nurse hrs/day · nat'l 3.86
12
Inspection findings · 3 serious

The verdict

Westwood Hills Nursing and Rehabilitation Center, a 176-bed for profit - limited liability company nursing facility in Wilkesboro, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #245 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
#245 of 415
In-state rank among rated NC homes
3.09
Nurse hrs/resident-day · national 3.86
12
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

4/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
345205
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
176
Residents
114
In Hospital
No
County
Wilkes
Last Inspection
Nov 19, 2025
Abuse citation on record

Staffing Data

How the 3.09 total nursing hours per resident-day are staffed:

RN Hours
0.80 (nat'l avg: 0.69)
LPN Hours
0.35
CNA Hours
1.94
Total Nursing Hours
3.09 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
29.0%
RN Turnover
18.2%

What the CMS Record Reveals About Westwood Hills Nursing and Rehabilitation Center

According to CMS Nursing Home Compare, Westwood Hills Nursing and Rehabilitation Center ranks #245 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Westwood Hills Nursing and Rehabilitation Center operates 176 certified beds in Wilkesboro, NC with approximately 114 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 3★).

The inspection file contains 12 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 3.09 total hours per resident day (national average 3.86); RN hours specifically are 0.80 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Westwood Hills Nursing and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 29.0% (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 (12 most recent)

G - Isolated - Actual harm May 27, 2026 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: May 6, 2026

D - Isolated - Minimal harm Nov 19, 2025 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: Dec 10, 2025

D - Isolated - Minimal harm Nov 19, 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 16, 2025

D - Isolated - Minimal harm Aug 21, 2024 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: Sep 18, 2024

D - Isolated - Minimal harm Aug 21, 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: Sep 18, 2024

F - Widespread - Minimal harm Aug 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 18, 2024

D - Isolated - Minimal harm Jul 25, 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 22, 2023

D - Isolated - Minimal harm Jul 25, 2023 Tag: 0837

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Category: Administration Deficiencies

Corrected: Aug 22, 2023

D - Isolated - Minimal harm Jul 25, 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: Aug 22, 2023

D - Isolated - Minimal harm Jul 25, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 22, 2023

G - Isolated - Actual harm Jul 25, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 22, 2023

G - Isolated - Actual harm Jul 25, 2023 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: Aug 22, 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 11.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.0% 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 36.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.5% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 78.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 69.7% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Westwood Hills Nursing and Rehabilitation Center

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 176 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 Westwood Hills Nursing and Rehabilitation Center?
Westwood Hills Nursing and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
Where does Westwood Hills Nursing and Rehabilitation Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Westwood Hills Nursing and Rehabilitation Center ranks 245th among 415 rated nursing homes in NC (#245 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 Westwood Hills Nursing and Rehabilitation Center?
Westwood Hills Nursing and Rehabilitation Center reports 3.09 total nursing hours per resident day (national average: 3.86). RN hours are 0.80 per resident day (national average: 0.69). Nursing staff turnover is 29.0%.
How many beds does Westwood Hills Nursing and Rehabilitation Center have?
Westwood Hills Nursing and Rehabilitation Center has 176 certified beds with approximately 114 residents. The facility is located at 1016 Fletcher Street, Wilkesboro, NC 28697.
Does Westwood Hills Nursing and Rehabilitation Center have any deficiencies on record?
Yes, Westwood Hills Nursing and Rehabilitation Center has 12 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Westwood Hills Nursing and Rehabilitation Center received any fines or penalties?
No, Westwood Hills Nursing and Rehabilitation Center has no fines or penalties on record.
Who owns Westwood Hills Nursing and Rehabilitation Center?
Westwood Hills Nursing and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Westwood Hills Nursing and Rehabilitation Center last inspected?
The most recent health inspection for Westwood Hills Nursing and Rehabilitation Center was on Nov 19, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Westwood Hills Nursing and Rehabilitation Center?
Westwood Hills Nursing and Rehabilitation Center 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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