We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
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.
This home is ranked 87th out of 90 homes in North Carolina. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
| 2h 26m per day |
Higher than the North Carolina average: 76.4%Key information about the people who lead and staff this community.
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, citation, 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
| 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 year
Average deficiencies per year since 2015.
| 3 | 4.2 | This facility has 29% fewer deficiencies per year than a typical North Carolina nursing home (3 vs. NC avg 4.2).↓ 29% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.7 | 2.2 | This facility has 23% fewer deficiencies per inspection than a typical North Carolina nursing home (1.7 vs. NC avg 2.2).↓ 23% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 19 | 21 | This facility has 10% fewer total inspections than a typical North Carolina nursing home (19 vs. NC avg 21).↓ 10% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 9 | 19 | This facility has 53% fewer inspections with deficiencies than a typical North Carolina nursing home (9 vs. NC avg 19).↓ 53% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 47% | 90% | This facility has 43 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (47% vs. NC avg 90%).↓ 43% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 29, 2025, found that previously identified deficiencies had been corrected and no further action was needed. Earlier inspections cited recurring issues primarily related to fire safety components, including malfunctioning fire doors, unsecured oxygen cylinders, and compromised fire-rated walls and ceilings. Prior reports also noted problems with building maintenance such as obstructed exits, unclean conditions, and improper storage practices. Complaint investigations were not listed in the available reports. The trend shows improvement over time, with the latest follow-up confirming resolution of earlier deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNorth Carolina average 4
Last Health inspection on Aug 2025
North Carolina average 20.9
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 23 citations resulted from standard inspections; 3 of 23 resulted from complaint investigations; and 6 of 23 came from combined inspections (standard and complaint).
131% worse than North Carolina averageNorth Carolina average: 1.3
100% better than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% worse than North Carolina average
0% compared with North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,805 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Includes penalties issued in 2023-2024
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)
47% lower than North Carolina averageNorth Carolina average: $76K
28% more fines than North Carolina averageNorth Carolina average: 2.3
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 averageNorth Carolina average: 0.4
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
43% better than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
24% better than North Carolina averageNorth Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
47% better than North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
10.4%
55% better than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
27% worse than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
14% worse than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.5%
77% better than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.4%
47% better than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
7.3%
In line with North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
22.0%
64% worse than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
In line with North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with North Carolina averageNorth Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
In line with North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
56% better than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
11% better than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
17% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Walnut Ridge based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #90 / 97Payroll — State benchmarkedThis home is ranked 90th out of 97 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / Suite
Building Type: Single-story
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.3 mile from city center
Add your location
Walnut Ridge is located in Walnut Cove, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Walnut Ridge is in the Windmill Street neighborhood of Walnut Cove.
Walnut Ridge has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NC state health department records, Walnut Ridge's license number is HAL-085-015.
Walnut Ridge's occupancy is 100%.
Walnut Ridge has 63 beds.
Walnut Ridge is located at 411 Windmill St, Walnut Cove, NC 27052, United States.
(336) 591-7790 will put you in contact with the team at Walnut Ridge.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
