Willow Valley Center for Nursing and RehabilitatioCMS ratings, inspections and fines
- Address
- 1900 W 1st Street, Winston-Salem, NC 27104
- CCN
- 345092
- Ownership type
- For-profit, corporation
- Certified beds
- 230
- Residents per day
- 218
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
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 Willow Valley Center for Nursing and Rehabilitatio an overall rating of 1 of 5 stars. The last standard survey was on 29 Aug 2025. The latest survey cycle has 10 health citations. The median for nursing homes in North Carolina is 3. CMS lists 4 fines with a total of $43,838 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 | Forsyth County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 14 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) | 29 Aug 2025 | 10 | 3 |
| Cycle 2 | 2 Jul 2024 | 28 | 5 |
| Cycle 3 | No date | 13 | 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 | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Feb 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 4 Mar 2026 |
| 20 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 4 Mar 2026 |
| 20 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Mar 2026 |
| 29 Aug 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 24 Sep 2025 |
| 29 Aug 2025 | 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. | B | Complaint investigation | 23 Sep 2025 |
| 29 Aug 2025 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 24 Sep 2025 |
| 29 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 24 Sep 2025 |
| 29 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Sep 2025 |
| 29 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 23 Sep 2025 |
| 29 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | J | Standard survey | 24 Sep 2025 |
Survey cycle 2: 28 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 17 Jul 2025 |
| 25 Jun 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 17 Jul 2025 |
| 22 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 2 Oct 2024 |
| 2 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 17 Jul 2024 |
| 2 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 | 17 Jul 2024 |
| 2 Jul 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 17 Jul 2024 |
| 2 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 | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 17 Jul 2024 |
| 2 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 | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0758 | 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. | D | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | 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. | E | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 17 Jul 2024 |
| 2 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 | 17 Jul 2024 |
| 2 Jul 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Jul 2024 |
| 2 Jul 2024 | F0924 | Put firmly secured handrails on each side of hallways. | E | Complaint investigation | 17 Jul 2024 |
Survey cycle 3: 13 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 |
|---|---|---|---|---|---|
| 21 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Aug 2023 |
| 21 Nov 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 19 Dec 2023 |
| 7 Aug 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 6 Sep 2023 |
| 7 Aug 2023 | F0578 | 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. | D | Standard survey | 6 Sep 2023 |
| 7 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 7 Aug 2023 |
| 7 Aug 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 6 Sep 2023 |
| 7 Aug 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard survey | 6 Sep 2023 |
| 7 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Sep 2023 |
| 7 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 7 Aug 2023 |
| 7 Aug 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | J | Complaint investigation | 7 Aug 2023 |
| 7 Aug 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 6 Sep 2023 |
| 7 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 6 Sep 2023 |
| 7 Aug 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 6 Sep 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 |
|---|---|---|---|
| 25 Jun 2025 | Fine | $14,508 | |
| 22 Nov 2024 | Fine | $12,529 | |
| 2 Jul 2024 | Fine | $8,783 | |
| 2 Jul 2024 | Fine | $8,018 |
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 | 3.49 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.30 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.61 | 0.89 | |
| Nurse aides | 2.57 | 2.34 | |
| All nurse staff, weekends | 3.20 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 54.2%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 52.9%
- Administrators who left in a year
- 0
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 | 28.4% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 34.8% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.4% | 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, corporation
- Legal business name
- West First Street Operating Company LLC
- Chain
- Alliance Health Group (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alignment Holdco LLC | Direct ownership interest | 1 Aug 2024 | |
| Coalition Group LLC | Indirect ownership interest | 1 Aug 2024 | |
| Alliance Health Group LLC | Operational/managerial control | 1 Aug 2024 | |
| Alliance Health Group LLC | Adp of the snf | 20 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Forsyth County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Arbor Acres United Methodist Retirement Community | Winston Salem | 4 of 5 | 1 | $0 | 17 Mar 2026 | |
| The Oaks | Winston-Salem | 2 of 5 | 11 | $0 | 22 Aug 2025 | |
| Silas Creek Rehabilitation Center | Winston Salem | 4 of 5 | 3 | $0 | 12 Jun 2026 | |
| Homestead Hills | Winston-Salem | 4 of 5 | 1 | $0 | 8 May 2025 | |
| Brookridge Retirement Community | Winston-Salem | 5 of 5 | 1 | $0 | 1 Aug 2025 | |
| Trinity Glen | Winston-Salem | 4 of 5 | 2 | $0 | 2 Apr 2026 | |
| Mill Creek Center for Nursing and Rehabilitation | Winston-Salem | 2 of 5 | 1 | $29,876 | 28 May 2026 | |
| Salemtowne | Winston-Salem | 4 of 5 | 2 | $0 | 19 Dec 2025 | |
| Oak Forest Health and Rehabilitation | Winston Salem | 1 of 5 | 9 | $38,527 | 12 Jun 2025 | |
| Trinity Elms | Clemmons | 2 of 5 | 5 | $15,646 | 19 Mar 2026 | |
| North Carolina State Veterans Home Kernersville | Kernersville | 5 of 5 | 0 | $0 | 5 Dec 2025 | |
| Summerstone Health and Rehabilitation Center | Kernersville | 3 of 5 | 5 | $14,511 | 19 Mar 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 Willow Valley Center for Nursing and Rehabilitatio (CCN 345092). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/willow-valley-center-for-nursing-and-rehabilitatio-winston-salem-nc-345092/
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 Willow Valley Center for Nursing and Rehabilitatio last inspected?
- The latest inspection with a citation in the CMS record was on 20 Feb 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 2 Jul 2024.
- Who operates Willow Valley Center for Nursing and Rehabilitatio?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Alliance Health Group. The CMS ownership file names Alliance Health Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Willow Valley Center for Nursing and Rehabilitatio 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.