Willow Valley Center for Nursing and Rehabilitation
Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Winston-salem, NC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Willow Valley Center for Nursing and Rehabilitation

Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Winston-salem, NC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Willow Valley Center for Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 64.2% Below NC avg. ▼ 64.2% Below NC avg.NC average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 64.6% Below NC avg. ▼ 64.6% Below NC avg.NC average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 24.8% Below NC avg. ▼ 24.8% Below NC avg.NC average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 37.0% Below NC avg. ▼ 37.0% Below NC avg.NC average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs North Carolina averages

Rank #57 / 81Nurse hours — State benchmarkedThis home is ranked 57th out of 81 homes we track in North Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 81 North Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 57th out of 81 homes we track in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 43m

7% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
15m
−56% State avg: 35m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
38m
−27% State avg: 52m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 29m
+7% State avg: 2h 19m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 20m
Avg State avg: 3h 20m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
−63% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
15m
−36% State avg: 23m per day · National avg: 29m per day

4 of 6 metrics below state avg

Capacity and availability

This home usually has limited availability

Higher occupancy than the North Carolina average: 68%
Occupancy rate
93.5% Rank #45 / 240Occupancy rate — State benchmarkedThis home is ranked 45th out of 240 homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 240. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
215
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
121 days
Bed community size
230-bed community Rank #1 / 387Bed count — State benchmarkedThis home is ranked 1st out of 387 homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 62 / 100 Rank #58 / 536Walk Score — State benchmarkedThis home is ranked 58th out of 536 homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

2 services
Orthopedic Rehab
Post-Acute Care

Contact Willow Valley Center for Nursing and Rehabilitation

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 260
Employees 260
Contractors 0
Staff to resident ratio 1.19 : 1
34% fewer staff per resident than North Carolina average
North Carolina average ratio: 1.80 : 1 North Carolina average ratio: 1.80 : 1See full North Carolina ranking
Avg staff/day 104
Average shift 8.4 hours
5% better than North Carolina average
North Carolina average: 8 hours North Carolina average shift: 8 hoursSee full North Carolina ranking
Total staff hours (quarter) 80,764

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 16 RN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 25 LPN Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 120 CNA Staff are full-time employees. No contractors work on this role. 120
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant120012038,68992100%8.7
Licensed Practical Nurse2502511,63192100%9.1
Medication Aide/Technician3003010,38492100%9.4
Physical Therapist200205,47092100%7.5
Registered Nurse160162,79292100%7.3
Clinical Nurse Specialist6061,8658896%8.2
Other Dietary Services Staff7071,62392100%7.3
Physical Therapy Aide7071,1819199%6.7
Dental Services Staff4041,1306571%8.1
Qualified Social Worker3031,1086672%7.5
Speech Language Pathologist4049166975%7.1
RN Director of Nursing2028806065%8
Respiratory Therapy Technician5056086773%6.3
Administrator2025526470%8
Qualified Activities Professional5055376368%6
Physical Therapy Assistant2025046166%8
Dietitian1015046368%8
Nurse Practitioner1013924953%8
120 Certified Nursing Assistant
% of Days 100%
25 Licensed Practical Nurse
% of Days 100%
30 Medication Aide/Technician
% of Days 100%
20 Physical Therapist
% of Days 100%

Penalties and fines

Includes penalties issued in 2023-2025

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $286K Rank #86 / 89Federal fines — State benchmarkedThis home is ranked 86th out of 89 homes we track in North Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the North Carolina average among facilities with fines, and where it ranks among 89 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
277% higher than North Carolina average

North Carolina average: $76K

Number of fines 6
156% more fines than North Carolina average

North Carolina average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than North Carolina average

North Carolina average: 0.4

Fines amount comparison
Fines amount comparison
This facility $286K
North Carolina average $76K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

5 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 25, 2025
$22K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 22, 2024
$13K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 2, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 2, 2024
$9K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.9
30% worse than North Carolina average

North Carolina average: 11.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.5
43% worse than North Carolina average

North Carolina average: 20.6

Long-stay resident measures
Below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 31.9%
82% worse than North Carolina average

North Carolina average: 17.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.1%
25% worse than North Carolina average

North Carolina average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.4%
28% worse than North Carolina average

North Carolina average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.5%
In line with North Carolina average

North Carolina average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
7% better than North Carolina average

North Carolina average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
21% better than North Carolina average

North Carolina average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
46% better than North Carolina average

North Carolina average: 7.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
82% better than North Carolina average

North Carolina average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.1%
72% worse than North Carolina average

North Carolina average: 13.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.5%
11% worse than North Carolina average

North Carolina average: 91.6%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 72.8%
23% worse than North Carolina average

North Carolina average: 94.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.47
17% better than North Carolina average

North Carolina average: 1.77

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.23
32% better than North Carolina average

North Carolina average: 1.82

Short-stay resident measures
Significantly below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.0%
47% worse than North Carolina average

North Carolina average: 79.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
56% better than North Carolina average

North Carolina average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 34.0%
56% worse than North Carolina average

North Carolina average: 78.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.1%
10% worse than North Carolina average

North Carolina average: 22.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.3%
In line with North Carolina average

North Carolina average: 13.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.1%
177% worse than North Carolina average

North Carolina average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 30.4%
43% worse than North Carolina average

North Carolina average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 25.1%
50% worse than North Carolina average

North Carolina average: 50.6%

Breakdown by payment type

Medicare

7% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

19% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

74% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 218
Medicare
14
6.4% of residents
Medicaid
174
79.8% of residents
Private pay or other
30
13.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$62.5K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.0M Rank #14 / 84Net patient revenue — State benchmarkedThis home is ranked 14th out of 84 homes we track in North Carolina. Shows this facility's net patient revenue compared to the North Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$62.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
-$10.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #54 / 84Payroll costs — State benchmarkedThis home is ranked 54th out of 84 homes we track in North Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$5.5M 24.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #83 / 84Payroll % of net patient revenue — State benchmarkedThis home is ranked 83rd out of 84 homes we track in North Carolina. Shows payroll as a percentage of net patient revenue versus the North Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$16.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$22.0M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (74% of admissions), and a typical Medicaid stay runs around 4 - 5 months.

Admissions
617 total

Coverage residents most often arrive under.

Medicare 7%
Private pay 19%
Medicaid 74%
Discharges
606 total

Coverage residents most often leave under.

Medicare 4%
Private pay 19%
Medicaid 78%
Reviews (2)

Willow Valley Center for Nursing and Rehabilitation Reviews

Leigh Costner
Do your research. Willow Valley has almost $900,000 in fines in the past 3 years. My mom died in 2025 from an untested and untreated, very common infection that all nursing homes are aware of. Nursing staff, nursing manager, and nursing director should lose their jobs. The state should quit fining this place and shut them down.

Rating Their Experiences

What do you like most about living here?

My Mom Died, what do you think

Are there enough caregivers to handle the residents' needs, especially during emergencies?

No

Are the common areas pleasant and comfortable for socializing or relaxing?

No

How do you feel about the level of social interaction available with other residents?

NA

How was the units offered in this community?

NA

Do you feel safe living in this community?

No

How well do you think the community handles emergencies or unexpected events?

My Mother died from a UTI that she had for DAYS. They didn't test or treat her. I even spoke to the nursing director and asked that the test her right away.

How would you rate the quality and variety of the meals? (1-5)

1

Are special diets handled well?

No

Is the dining schedule flexible enough to meet your preferences?

No

Are there any hidden fees or unexpected charges?

NA

Would you recommend this community to others looking for senior living options?

No. Absolutely not

Is there anything you wish you knew before moving in?

Believe what your eyes tell you

Jhonnifer Abarao
I highly recommend Willow Valley Center for Nursing and Rehabilitation under Alliance Health Group. I currently work here as the Assistant Director of Nursing and have been with the facility for about eight months. Like anyone starting in a new role, I was initially anxious as I adjusted to my colleagues, leadership, and the overall culture. However, within my first three months, I truly felt welcomed by the administrative team, nurses, and CNAs. That sense of belonging made a real difference. I have seen meaningful and positive changes since the facility has been led by Ms. Lily, our Nursing Home Administrator, and Ms. Dana, our Director of Nursing. Their leadership style is open, compassionate, and respectful. They genuinely listen to staff concerns, residents, and families, and they take action promptly and fairly. Decisions are made without bias and are guided by established processes, corporate standards, and state and federal regulations. What stands out most to me is the culture of respect. At Willow Valley, respect is practiced daily through open communication and professionalism. Staff members are encouraged to share their perspectives, and conversations happen without judgment. Leadership is approachable, and when challenges arise, they are addressed through dialogue rather than harsh or reactive measures. There is no such thing as a perfect nursing home, and that is a reality in healthcare. As an immigrant Filipino nurse, I can honestly say I have not experienced difficulty adjusting to the workplace culture here. People are respectful, professional, and supportive in their own ways. When frustrations occur, the DON and administrator are always available to talk openly with staff, reinforcing teamwork and harmony. Compensation matters, but it is not the only reason people stay. Strong working relationships, mutual respect, and supportive leadership are just as important. Salary structures and increases here are transparent and performance-based.

Rating Their Experiences

What do you like most about living here?

Diversity

Are there enough caregivers to handle the residents' needs, especially during emergencies?

Yes

Are the common areas pleasant and comfortable for socializing or relaxing?

Yes

How do you feel about the level of social interaction available with other residents?

I believe social interactions is so vague and will really based on persons experiences and how they see the facility for them selves. What is quality to you might not be quality to me but What I see its nice here is the heart that is compassionate and the ears that listens to family and staffs.

How was the units offered in this community?

good as per availability and request.

Do you feel safe living in this community?

Yes

How well do you think the community handles emergencies or unexpected events?

Handles with teamwork with Nurses, CNAs, NPs and the community through EMS.

How would you rate the quality and variety of the meals? (1-5)

4

Are special diets handled well?

Yes

Is the dining schedule flexible enough to meet your preferences?

Yes

Are there any hidden fees or unexpected charges?

none

Would you recommend this community to others looking for senior living options?

yes

Is there anything you wish you knew before moving in?

none

Places of interest near Willow Valley Center for Nursing and Rehabilitation

Address 1.9 miles from city center Info Estimated distance in miles from Winston-Salem's city center to Willow Valley Center for Nursing and Rehabilitation's address, calculated via Google Maps.

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Compare Nursing Homes around Winston-salem

Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Homestead Hills Assisted Living
NH
AL
IL
MC
SNF
Winston-Salem
66
Facility 66
NC AVG 72
Rank #198 / 387
30.3%
Facility 30.3%
NC AVG 68
Rank #210 / 240
-55%
5.28
Facility 5.28
NC AVG 3.98
Rank #19 / 81
+32%+33%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
6
Facility 6
NC AVG 20.9
Rank #22 / 85
3.0
Facility 3.0
NC AVG 5.0
Rank #32 / 85
-20-
20
Facility 20
NC AVG 36
Rank #377 / 536
Kapson Gp, LLC
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
NC AVG $15.7M
Rank #82 / 84
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
NC AVG $8.2M
Rank #38 / 84
131.8%Fiscal year ending 12/2023
Facility 131.8%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #7 / 84
345559
Arbor Acres
NH
AL
IL
MC
SNF
Winston-Salem
6
Facility 6
NC AVG 72
Rank #335 / 387
--
9.31
Facility 9.31
NC AVG 3.98
Rank #2 / 81
-100%+134%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
1
Facility 1
NC AVG 20.9
Rank #1 / 85
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 85
-10-
20
Facility 20
NC AVG 36
Rank #377 / 536
Pamela Ball
$41.8MFiscal year ending 12/2023
Facility $41.8MFiscal year ending 12/2023
NC AVG $15.7M
Rank #4 / 84
$21.0MFiscal year ending 12/2023
Facility $21.0MFiscal year ending 12/2023
NC AVG $8.2M
Rank #2 / 84
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #35 / 84
345573
Oak Forest Health and Rehabilitation Center
NH
AL
HOS
PC
RC
SNF
Winston-Salem
170
Facility 170
NC AVG 72
Rank #7 / 387
91.9%
Facility 91.9%
NC AVG 68
Rank #50 / 240
+35%
3.44
Facility 3.44
NC AVG 3.98
Rank #67 / 81
+8%-13%
$43.0k
Facility $43.0k
NC AVG $74.6k
Rank #68 / 89
34
Facility 34
NC AVG 20.9
Rank #71 / 85
3.8
Facility 3.8
NC AVG 5.0
Rank #44 / 85
4156-
5
Facility 5
NC AVG 36
Rank #496 / 536
-
$17.9MFiscal year ending 09/2023
Facility $17.9MFiscal year ending 09/2023
NC AVG $15.7M
Rank #20 / 84
$7.4MFiscal year ending 09/2023
Facility $7.4MFiscal year ending 09/2023
NC AVG $8.2M
Rank #31 / 84
41.7%Fiscal year ending 09/2023
Facility 41.7%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #57 / 84
345443
Willow Valley Center for Nursing and Rehabilitation
NH
AL
HOS
MC
RC
SNF
Winston-Salem (West Highlands)
230
Facility 230
NC AVG 72
Rank #1 / 387
93.5%
Facility 93.5%
NC AVG 68
Rank #45 / 240
+38%
3.71
Facility 3.71
NC AVG 3.98
Rank #57 / 81
-32%-7%
$275.5k
Facility $275.5k
NC AVG $74.6k
Rank #86 / 89
51
Facility 51
NC AVG 20.9
Rank #84 / 85
6.4
Facility 6.4
NC AVG 5.0
Rank #73 / 85
7215-
62
Facility 62
NC AVG 36
Rank #58 / 536
Citadel At Winston Salem LLC
$22.0MFiscal year ending 12/2023
Facility $22.0MFiscal year ending 12/2023
NC AVG $15.7M
Rank #14 / 84
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
NC AVG $8.2M
Rank #54 / 84
24.8%Fiscal year ending 12/2023
Facility 24.8%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #83 / 84
345092
Mill Creek Center for Nursing & Rehabilitation
NH
AL
HOS
MC
RC
SNF
Winston-Salem (Oldtown)
66
Facility 66
NC AVG 72
Rank #198 / 387
--
3.64
Facility 3.64
NC AVG 3.98
Rank #61 / 81
-45%-8%
$29.9k
Facility $29.9k
NC AVG $74.6k
Rank #63 / 89
45
Facility 45
NC AVG 20.9
Rank #80 / 85
7.5
Facility 7.5
NC AVG 5.0
Rank #77 / 85
367-
24
Facility 24
NC AVG 36
Rank #349 / 536
Brittany Bailey
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
NC AVG $15.7M
Rank #74 / 84
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
NC AVG $8.2M
Rank #78 / 84
42%Fiscal year ending 12/2023
Facility 42%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #56 / 84
345149

Financial Assistance for
Nursing Home in North Carolina

Willow Valley Center for Nursing and Rehabilitation is located in Winston-Salem, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Frequently Asked Questions about Willow Valley Center for Nursing and Rehabilitation

What neighborhood is Willow Valley Center for Nursing and Rehabilitation in?

Willow Valley Center for Nursing and Rehabilitation is in the West Highlands neighborhood of Winston-Salem.

Is Willow Valley Center for Nursing and Rehabilitation in a walkable area?

Willow Valley Center for Nursing and Rehabilitation has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Willow Valley Center for Nursing and Rehabilitation?

Willow Valley Center for Nursing and Rehabilitation's occupancy is 87.6%.

Are pets allowed at Willow Valley Center for Nursing and Rehabilitation?

No, Willow Valley Center for Nursing and Rehabilitation has a no-pet policy.

Does Willow Valley Center for Nursing and Rehabilitation operate as a for-profit or non-profit?

Willow Valley Center for Nursing and Rehabilitation is registered as a for-profit.

Are there photos of Willow Valley Center for Nursing and Rehabilitation?

Yes — there are 4 photos of Willow Valley Center for Nursing and Rehabilitation in the photo gallery on this page.

What is the address of Willow Valley Center for Nursing and Rehabilitation?

Willow Valley Center for Nursing and Rehabilitation is located at 1900 W 1St St, Winston-Salem, NC 27104.

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