Walnut Cove Health and RehabilitationCMS ratings, inspections and fines
- Address
- 511 Windmill Street, Walnut Cove, NC 27052
- CCN
- 345089
- Ownership type
- For-profit, limited liability company
- Certified beds
- 90
- Chain
- Avardis Health
- Residents per day
- 88
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Walnut Cove Health and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 21 Aug 2025. The latest survey cycle has 4 health citations. The median for nursing homes in North Carolina is 3. CMS lists 3 fines with a total of $40,149 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Stokes County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Aug 2025 | 4 | 3 |
| Cycle 2 | 15 Jul 2024 | 13 | 5 |
| Cycle 3 | No date | 6 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Aug 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 18 Sep 2025 |
| 21 Aug 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 18 Sep 2025 |
| 21 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Sep 2025 |
| 21 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Sep 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Oct 2024 |
| 15 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 29 Jul 2024 |
| 15 Jul 2024 | F0585 | 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. | D | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint investigation | 29 Jul 2024 |
| 15 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Jul 2024 |
| 15 Jul 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Jul 2024 |
| 15 Jul 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Jul 2024 |
| 15 Jul 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 29 Jul 2024 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 7 Dec 2023 |
| 14 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jan 2024 |
| 30 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Apr 2023 |
| 30 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Apr 2023 |
| 30 Mar 2023 | F0761 | 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. | D | Standard survey | 26 Apr 2023 |
| 30 Mar 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 26 Apr 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 18 Dec 2024 | Fine | $16,801 | |
| 15 Jul 2024 | Fine | $8,827 | |
| 14 Dec 2023 | Fine | $14,521 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 2.96 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.42 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.71 | 0.89 | |
| Nurse aides | 1.83 | 2.34 | |
| All nurse staff, weekends | 2.65 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 43.5%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 58.3%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.1% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.9% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- 511 Windmill Street Opco LLC
- Chain
- Avardis Health (38 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Walnut Cove Parentco LLC | Direct ownership interest | 1 Jun 2025 | |
| Ncop Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| SNF Care Centers LLC | Indirect ownership interest | 1 Jun 2025 | |
| Stokes Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| Zenith Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| Cse Walnut Cove LP | 5% or greater security interest | 1 May 2025 | |
| SNF Mgr LLC | Operational/managerial control | 1 May 2025 | |
| Cse Walnut Cove LP | Adp of the snf | 1 May 2025 | |
| SNF Mgr LLC | Adp of the snf | 18 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Stokes County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Stokes County Nursing Home | Danbury | 3 of 5 | 7 | $0 | 21 Nov 2025 | |
| King Health and Rehabilitation Center | King | 3 of 5 | 1 | $0 | 24 Jun 2026 | |
| Village Care of King | King | 1 of 5 | 3 | $110,113 | 8 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Walnut Cove Health and Rehabilitation (CCN 345089). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/walnut-cove-health-and-rehabilitation-walnut-cove-nc-345089/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Walnut Cove Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 21 Aug 2025. It was a standard survey and a complaint investigation. It gave 4 citations. The standard survey before the last one was on 15 Jul 2024.
- Who operates Walnut Cove Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avardis Health. The CMS ownership file names SNF Mgr LLC for operational or managerial control. This site does not show the names of persons.
- Is Walnut Cove Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.