Skilled Nursing

Willow Valley Center for Nursing and Rehabilitatio

1900 W 1st Street, Winston-Salem, NC 27104

230beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

3.2h

Hrs/resident · weekday

Expected: 3.6h

3.4h

Hrs/resident · weekend

vs 3.2h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
53%
LPNs
CNAs
55%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0880Severity JAug 29, 2025

Provide and implement an infection prevention and control program.

Corrected: Sep 24, 2025

SeriousImmediate Jeopardy0692Severity JAug 7, 2023

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

Corrected: Aug 7, 2023

SeriousImmediate Jeopardy0684Severity JAug 7, 2023

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

Corrected: Aug 7, 2023

SeriousImmediate Jeopardy0580Severity JAug 7, 2023

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

Corrected: Aug 7, 2023

47 standard deficiencies in the last 3 years

View all
0842Severity DFeb 20, 2026

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

0607Severity DFeb 20, 2026

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

0602Severity DFeb 20, 2026

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

0814Severity FAug 29, 2025

Dispose of garbage and refuse properly.

0812Severity FAug 29, 2025

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

0677Severity DAug 29, 2025

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

0646Severity DAug 29, 2025

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0585Severity BAug 29, 2025

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.

0565Severity DAug 29, 2025

Honor the resident's right to organize and participate in resident/family groups in the facility.

0690Severity DJun 25, 2025

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

0584Severity EJun 25, 2025

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.

0689Severity GNov 22, 2024

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

0924Severity EJul 2, 2024

Put firmly secured handrails on each side of hallways.

0883Severity DJul 2, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0812Severity FJul 2, 2024

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

0804Severity EJul 2, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0761Severity EJul 2, 2024

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.

0759Severity DJul 2, 2024

Ensure medication error rates are not 5 percent or greater.

0758Severity DJul 2, 2024

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.

0756Severity EJul 2, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0755Severity DJul 2, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0745Severity DJul 2, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0695Severity DJul 2, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0677Severity DJul 2, 2024

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

0657Severity DJul 2, 2024

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

0644Severity EJul 2, 2024

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

0641Severity DJul 2, 2024

Ensure each resident receives an accurate assessment.

0623Severity DJul 2, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0609Severity DJul 2, 2024

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

0600Severity GJul 2, 2024

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

0585Severity DJul 2, 2024

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.

0584Severity EJul 2, 2024

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.

0583Severity DJul 2, 2024

Keep residents' personal and medical records private and confidential.

0576Severity CJul 2, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

0569Severity BJul 2, 2024

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0561Severity DJul 2, 2024

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

0550Severity GJul 2, 2024

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

0867Severity DNov 21, 2023

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

0689Severity DNov 21, 2023

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

0867Severity EAug 7, 2023

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

0804Severity EAug 7, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0803Severity EAug 7, 2023

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.

0641Severity DAug 7, 2023

Ensure each resident receives an accurate assessment.

0638Severity BAug 7, 2023

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

0637Severity DAug 7, 2023

Assess the resident when there is a significant change in condition

0578Severity DAug 7, 2023

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.

0565Severity EAug 7, 2023

Honor the resident's right to organize and participate in resident/family groups in the facility.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

WEST FIRST STREET OPERATING COMPANY LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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