Wilkesboro · 28697
Westwood Hills Nursing and Rehabilitation Center
1016 Fletcher Street
Wilkesboro, NC 28697
Ridge Valley Center for Nursing and Rehabilitation
⌖ Wilkesboro, NC · Wilkes County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds120
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Ridge Valley Center for Nursing and Rehabilitation
Ridge Valley Center for Nursing and Rehabilitation is a 120-bed for-profit nursing home in Wilkesboro, NC. Medicare rates it 1 out of 5 stars overall (much below average); the average in North Carolina is 2.9. At its last full inspection (Dec 2025), inspectors found 1 problem, fewer than the North Carolina average of 4.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 11 min a day with each resident, less than the North Carolina average of 3 hr 51 min. About 34% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (1 of 5) and long-term care (1 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameRidge Valley Center For Nursing And Rehabilitation
LocationWilkes County, North Carolina
Phone(336) 838-4141
Address1000 College Street, Wilkesboro, NC 28697 · Wilkes County
CMS provider number345133
Ownership typeFor-profit (limited liability company)
Operating companyAlliance Health Group · 13 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 1, 1974 (51 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 6 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection1 (Dec 2025)North Carolina average: 4.7. Most citations are minor and corrected within weeks.Strength
- Nursing staff turnover34% a yearNorth Carolina average: 49%Strength
Things to ask about
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- Nurse staffing per resident3 hr 11 min a dayNorth Carolina average: 3 hr 51 minWorse than state average
- Registered nurse time per resident13 min a dayNorth Carolina average: 37 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Carolina average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital34.2%State average: 22.9%Worse than average
- Needed an emergency room visit21.7%State average: 12.9%Worse than average
- Newly given antipsychotic drugs0.5%State average: 1.4%Better than average
Physical therapist time: about 3 minutes per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury7.6%State average: 3.5%Worse than average
- Pressure sores (bedsores)8.2%State average: 5.5%Worse than average
- Given antipsychotic drugs22.3%State average: 14.0%Worse than average
- Hospital stays per 1,000 resident days2.7State average: 1.8Worse than average
Source: Medicare (CMS) quality measures, compared with the North Carolina average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In North Carolina, Medicaid pays for 64% of resident days at a typical home.
- 69% Medicaid
- 5% Medicare
- 26% Private pay, insurance and other
Beds in use, on average71%North Carolina typical: 82%
Cost of care per resident day$398North Carolina typical: $346
Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 2 stars and changed 3 times.
Overall rating1★
Health inspections3★
Staffing1★
Quality of care1★
Nurse hours per resident per day3.2
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 3 | 2 | 3.3 |
| Jan 2020 | 1 | 1 | 3 | 3 | 3.3 |
| Jan 2021 | 1 | 1 | 3 | 2 | 3.2 |
| Jan 2022 | 1 | 1 | 2 | 3 | 2.9 |
| Jan 2023 | 1 | 1 | 2 | 2 | 4.0 |
| Jan 2024 | 1 | 1 | 3 | 1 | 5.5 |
| Feb 2025 | 1 | 1 | 2 | 1 | 3.4 |
| Feb 2026 | 1 | 1 | 2 | 1 | 3.4 |
| Sep 2026 | 1 | 3 | 1 | 1 | 3.2 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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