Walnut Ridge

Q: Is Walnut Ridge in a walkable area?

Walnut Ridge has a walk score of 50. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Q: What is the license number of Walnut Ridge?

According to NC state health department records, Walnut Ridge's license number is HAL-085-015.

Q: What is the occupancy rate at Walnut Ridge?

Walnut Ridge's occupancy is 100%.

Q: How long has Walnut Ridge been in business?

Walnut Ridge has been operating for approximately 27 years, based on available licensing and registration records.

Q: Are pets allowed at Walnut Ridge?

No, Walnut Ridge has a no-pet policy.

Q: Does Walnut Ridge operate as a for-profit or non-profit?

Walnut Ridge is registered as a for-profit in NC.

Q: What is the overall rating for Walnut Ridge?

Walnut Ridge received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

Nursing Home, Assisted Living & Memory Care · Walnut Cove, NC

CMS overall rating

411 Windmill St, Walnut Cove, NC 27052 View map

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Walnut Ridge accepts Medicare, Medicaid, and private pay.

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Walnut Ridge accepts Medicare, Medicaid, and private pay.

Overview of Walnut Ridge

Located in Multnomah County, Walnut Cove, NC, Walnut Ridge is a blissful senior living community that offers assisted living and memory care services. Overlooking the scenic views of Walnut Cove’s rolling hills and picturesque cliffs, the community provides a relaxing retirement environment with access to excellent care and compassionate team. Residents here are able to maintain their independence and autonomy while benefiting from personalized care services, including assistance with daily living activities and medication management.

At Walnut Ridge, residents are free from the tiring hassles of chores with housekeeping, laundry, and in-house maintenance services offered. With more free time on their hands, residents are available to enjoy the community’s varied daily social activities planned by a full-time social director, including wellness programs, fun games, and excursions. Three restaurant-style meals are served daily in the elegant dining room with seasonal menus curated by dietitians. Here, residents are able to live worry-free with an extensive array of services, amenities, and activities that fosters a comfortable and meaningful lifestyle.

Facility Direct Line (336) 591-7790

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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

Total nursing care This nursing home is ranked 69th out of 83 nursing 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 30m

12% below state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

30m

LPN / LVN

50m

Nurse Aide

2h 10m

Weekend Total Nursing

3h 9m

Physical Therapist

Weekend RN

17m

All 6 underlying metrics fall below the state average

By The Numbers

Community insights.

Bed count 63

Smaller home · May offer a more intimate, personalized care environment.

Years of operating

27 years

Walk Score

50 / 100

Occupancy rate

100% This home is often near full

Higher than the North Carolina average: 81.3%

Occupied beds

63 / 63

Avg. Length of Stay

135 days

BBB Rating

A+ Not Accredited

How BBB ratings work

About this community

StatusActive

CountyStokes

License NumberHAL-085-015

ContactJulia Steingass, Director of Corporate Compliance (per state records, record updated Jul 2026)

Ratings

Division Of Health Service Rating

4/4

Scores

DHSR Score

103.50 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Since 2015 · 11 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 33 deficiencies 5 inspections 0 penalties 9 inspections with deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2015 vs. North Carolina state average

Overall vs. NC average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NC Average	vs. NC Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	33	46	This facility has 28% fewer total deficiencies than a typical North Carolina nursing home (33 vs. NC avg 46).↓ 28% better
Deficiencies per inspection Average deficiencies per inspection.	6.6	5.01	This facility has 32% more deficiencies per inspection than a typical North Carolina nursing home (6.6 vs. NC avg 5.01).↑ 32% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NC Average	vs. NC Avg
Total inspections Combined count of all inspections conducted at this facility.	5	21	This facility has had 76% fewer total inspections than the North Carolina average (5 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 76% fewer
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	4	19	This facility has 79% fewer inspections with deficiencies than a typical North Carolina nursing home (4 vs. NC avg 19).↓ 79% better
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	80%	92%	This facility has 12 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (80% vs. NC avg 92%).↓ 12% better

Show Inspection Reports

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 5

North Carolina average 3.9

Last Health inspection on Aug 2025

Total health citations

North Carolina average 19.3

Citations per inspection

4.6

North Carolina average 4.68

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

15 of 23 citations resulted from standard inspections; 3 of 23 resulted from complaint investigations; and 5 of 23 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

173% worse than North Carolina average

North Carolina average: 1.1

Serious health citations

100% better than North Carolina average

North Carolina average: 0.9

3 critical citations North Carolina average: 1.1

0 serious citations North Carolina average: 0.9

19 moderate citations North Carolina average: 15.9

1 minor citation North Carolina average: 1.5

Citations history (last 3 years)

Abuse/Neglect moderate citation Aug 21, 2025

Corrected

Care Planning minor citation Aug 21, 2025

Corrected

Care Planning moderate citation Aug 21, 2025

Corrected

Care Planning moderate citation Aug 21, 2025

Corrected

Total staff 109

Employees 80

Contractors 29

Staff to resident ratio 1.35 : 1

24% fewer staff per resident than North Carolina average

Avg staff/day 34

Average shift 8.3 hours

0% compared with North Carolina average

Total staff hours (quarter) 25,819

Nursing staff breakdown

11.4 hours

9.6 hours

9.1 hours

Contractor staffing

2,805 contractor hours this quarter

Physical Therapy Assistant: 5 Respiratory Therapy Technician: 5 Occupational Therapy Assistant: 5 Speech Language Pathologist: 4 Qualified Social Worker: 4 Physical Therapy Aide: 3 Occupational Therapy Aide: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	45	0	45	12,496	92	100%	9.1
Licensed Practical Nurse	16	0	16	5,536	92	100%	9.6
Registered Nurse	5	0	5	1,998	90	98%	11.4
Speech Language Pathologist	0	4	4	821	70	76%	6.7
Physical Therapy Aide	0	3	3	783	67	73%	7
Clinical Nurse Specialist	2	0	2	549	66	72%	7.4
Administrator	1	0	1	512	64	70%	8
Respiratory Therapy Technician	0	5	5	480	67	73%	6.7
Dental Services Staff	2	0	2	460	53	58%	6.8
Medication Aide/Technician	3	0	3	441	50	54%	8
Nurse Practitioner	1	0	1	440	55	60%	8
Dietitian	1	0	1	434	61	66%	7.1
Qualified Social Worker	0	4	4	360	66	72%	5.3
Physical Therapy Assistant	0	5	5	246	54	59%	3.8
Mental Health Service Worker	1	0	1	76	13	14%	5.8
Occupational Therapy Aide	0	2	2	49	12	13%	3.5
RN Director of Nursing	1	0	1	38	10	11%	3.8
Occupational Therapy Assistant	0	5	5	36	42	46%	0.9
Other Dietary Services Staff	2	0	2	35	5	5%	7
Medical Director	0	1	1	30	66	72%	0.5

45 Certified Nursing Assistant

% of Days 100%

16 Licensed Practical Nurse

% of Days 100%

5 Registered Nurse

% of Days 98%

4 Speech Language Pathologist

% of Days 76%

View All Staffing Data in Walnut Cove

Total fines amount $40K

47% lower than North Carolina average

North Carolina average: $76K

Number of fines 3

28% more fines than North Carolina average

North Carolina average: 2.3

Payment Denials 0

100% fewer payment denials than North Carolina average

North Carolina average: 0.4

Fines amount comparison

This facility $40K

North Carolina average $76K

Penalty History

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

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Dec 18, 2024

$17K

Civil Money Penalty Jul 15, 2024

$9K

Civil Money Penalty Dec 14, 2023

$15K

Last updated: Jan 2026

High-risk clinical events score 6.5

43% better than North Carolina average

North Carolina average: 11.5

Functional decline score 15.6

24% better than North Carolina average

North Carolina average: 20.6

Long-stay resident measures

Average

Need for Help with Daily Activities Increased 9.3%

47% better than North Carolina average

North Carolina average: 17.5%

Walking Ability Worsened 10.4%

55% better than North Carolina average

North Carolina average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence 27.1%

27% worse than North Carolina average

North Carolina average: 21.4%

Falls with Major Injury 4.2%

14% worse than North Carolina average

North Carolina average: 3.6%

High Risk Residents with Pressure Ulcers 1.5%

77% better than North Carolina average

North Carolina average: 6.3%

Urinary Tract Infection 1.4%

47% better than North Carolina average

North Carolina average: 2.6%

Lost Too Much Weight 7.3%

In line with North Carolina average

North Carolina average: 7.4%

Depressive Symptoms 0.0%

100% better than North Carolina average

North Carolina average: 4.4%

Antipsychotic Use 22.0%

64% worse than North Carolina average

North Carolina average: 13.4%

Pneumococcal Vaccine 92.4%

In line with North Carolina average

North Carolina average: 91.6%

Influenza Vaccine 93.8%

In line with North Carolina average

North Carolina average: 94.1%

Short-stay resident measures

Pneumococcal Vaccine 81.1%

In line with North Carolina average

North Carolina average: 79.9%

Antipsychotic medication increase 0.7%

56% better than North Carolina average

North Carolina average: 1.5%

Influenza Vaccine 86.4%

11% better than North Carolina average

North Carolina average: 78.1%

Breakdown by payment type

Medicare

17% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

51% of new residents, often for short stays.

Typical stay 27 days

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 81

Medicare

6.2% of residents

Medicaid

88.9% of residents

Private pay or other

4.9% 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.

Financial Trends

Historical financial and operational data for Walnut Ridge from 2011–2023, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.

Key figures below are for fiscal year ending in 12/2023.

Net Patient Income $2.0M ↓ ~$877.3K vs 2022

Payroll Costs $3.9M ↑ ~$430.7K vs 2022

Operating Margin 19.0% ↓ 7.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.0%	91.5%	94.0%	91.8%	86.6%	84.3%	78.4%	80.1%	87.2%	87.0%	86.3%	86.8%	91.5%
Beds	100	99	99	99	99	99	99	99	90	90	90	90	90
Net Income	$365,718	-$135	$151,698	-$292,554	-$1,271,911	-$496,977	-$964,393	-$377,578	$44,271	$1,536,911	$3,374,699	$2,899,582	$2,023,523
Gross Revenue	$8,334,422	$8,547,934	$9,568,362	$9,142,646	$8,910,682	$9,248,396	$8,682,998	$9,603,446	$10,008,460	$10,668,485	$11,307,973	$12,818,118	$12,846,504
Operating Expenses	$6,977,422	$7,158,563	$7,311,984	$7,327,146	$7,708,750	$7,170,633	$7,471,252	$7,549,159	$7,116,425	$6,964,872	$6,966,600	$7,767,092	$8,448,820
Net Patient Income	$357,855	-$3,164	$138,829	-$297,694	-$1,272,756	-$499,058	-$972,839	-$379,374	$45,760	$1,253,384	$2,843,519	$2,857,763	$1,980,488
Net Patient Revenue	$7,335,277	$7,155,399	$7,450,813	$7,029,452	$6,435,994	$6,671,575	$6,498,413	$7,169,785	$7,162,185	$8,218,256	$9,810,119	$10,624,855	$10,429,308
Payroll Costs	$2,749,436	$2,713,054	$2,712,331	$2,617,033	$2,644,933	$2,539,201	$2,578,237	$2,787,565	$2,834,420	$2,934,949	$3,101,422	$3,428,268	$3,858,929
Operating Margin %	4.9%	0.0%	1.9%	-4.2%	-19.8%	-7.5%	-15.0%	-5.3%	0.6%	15.3%	29.0%	26.9%	19.0%
Medicare %	11.1%	9.6%	11.6%	8.2%	6.6%	7.3%	10.7%	14.0%	10.7%	9.1%	13.6%	12.3%	6.5%
Medicaid %	67.4%	68.0%	68.5%	68.7%	71.5%	75.2%	71.2%	71.9%	70.1%	75.5%	74.6%	75.7%	83.3%
Private %	21.5%	22.4%	19.9%	23.2%	21.9%	17.5%	18.1%	14.1%	19.2%	15.4%	11.8%	12.0%	10.2%
Net Patient Revenue/Day	$223	$216	$219	$212	$206	$219	$229	$248	$250	$287	$346	$373	$347
Cost/Day	$212	$216	$215	$221	$246	$235	$264	$261	$249	$243	$246	$272	$281
Avg Length of Stay	155.2 days	190.8 days	160.0 days	309.1 days	174.8 days	156.8 days	140.6 days	110.7 days	113.6 days	129.1 days	138.3 days	147.0 days	134.7 days

Finances and operations

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

Net patient revenue

$10.4M

Net patient income

$2.0M

For-profit Operated by a limited liability company.

Net patient revenue

$10.4M

Net patient income

$2.0M

Other income

$43.0K

Payroll costs

$3.9M 37% of net patient revenue

Other operating costs

$4.6M

Total costs

$8.4M

What does this home offer?

No pets allowed

Housing Options: Studio / Suite

Building Type: Single-story

Transportation Services

Fitness and Recreation

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 27 days.

Coverage residents most often arrive under.

Medicare 17%

Private pay 51%

Medicaid 32%

Coverage residents most often leave under.

Medicare 13%

Private pay 55%

Medicaid 32%

Calculate Travel Distance to Walnut Ridge

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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).

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.

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.

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.

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).

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

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.

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

Covers assisted living; counties supplement state funds.

Benefits

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

Is Walnut Ridge in a walkable area?

Walnut Ridge has a walk score of 50. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Walnut Ridge?

According to NC state health department records, Walnut Ridge's license number is HAL-085-015.

What is the occupancy rate at Walnut Ridge?

Walnut Ridge's occupancy is 100%.

How long has Walnut Ridge been in business?

Walnut Ridge has been operating for approximately 27 years, based on available licensing and registration records.

Are pets allowed at Walnut Ridge?

No, Walnut Ridge has a no-pet policy.

Does Walnut Ridge operate as a for-profit or non-profit?

Walnut Ridge is registered as a for-profit in NC.

What is the overall rating for Walnut Ridge?

Walnut Ridge received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

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Walnut Ridge

Overview of Walnut Ridge

Quality ratings

Community insights.

About this community

License Details

Leadership

Performance summary

Ratings

Scores

Contact Walnut Ridge

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

CMS Health Inspection History

Inspections Since 2023 · 3 years of data

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

45 Certified Nursing Assistant

16 Licensed Practical Nurse

5 Registered Nurse

4 Speech Language Pathologist

3 Physical Therapy Aide

2 Clinical Nurse Specialist

1 Administrator

5 Respiratory Therapy Technician

2 Dental Services Staff

3 Medication Aide/Technician

1 Nurse Practitioner

1 Dietitian

4 Qualified Social Worker

5 Physical Therapy Assistant

1 Mental Health Service Worker

2 Occupational Therapy Aide

1 RN Director of Nursing

5 Occupational Therapy Assistant

2 Other Dietary Services Staff

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Walnut Ridge

Calculate Travel Distance to Walnut Ridge

Financial Assistance for Assisted Living in North Carolina

Community Alternatives Program for Disabled Adults

North Carolina Senior Care Options

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

In-Home Aide Services

Medicare Savings Program (MSP)

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

Financial Assistance for
Assisted Living in North Carolina