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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.
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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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 27th out of 90 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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.
| 4h 19m per day | ▲ 29% State avg: 3h 21m per day · National avg: 3h 25m per day |
Lower than the North Carolina average: 76.4%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.
| 25 | 46 | This facility has 46% fewer total deficiencies than a typical North Carolina nursing home (25 vs. NC avg 46).↓ 46% better |
|
Deficiencies per year
Average deficiencies per year since 2016.
| 2.5 | 4.6 | This facility has 46% fewer deficiencies per year than a typical North Carolina nursing home (2.5 vs. NC avg 4.6).↓ 46% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.6 | 2.2 | This facility has 27% fewer deficiencies per inspection than a typical North Carolina nursing home (1.6 vs. NC avg 2.2).↓ 27% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 21 | This facility has 24% fewer total inspections than a typical North Carolina nursing home (16 vs. NC avg 21).↓ 24% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 11 | 19 | This facility has 42% fewer inspections with deficiencies than a typical North Carolina nursing home (11 vs. NC avg 19).↓ 42% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 69% | 90% | This facility has 21 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (69% vs. NC avg 90%).↓ 21% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
North Carolina average 4
Last Health inspection on Sep 2024
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.
All 17 citations resulted from standard inspections.
100% better 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.
20% more staff per resident than North Carolina average
6% worse than 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.
16 total: 15 full-time employees and 1 contractor.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 128 CNA Staff are full-time employees. No contractors work on this role.
128
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,719 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 128 | 0 | 128 | 34,812 | 92 | 100% | 7.5 |
| Registered Nurse | 15 | 1 | 16 | 3,964 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,940 | 92 | 100% | 8.9 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,647 | 88 | 96% | 6.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,392 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,068 | 75 | 82% | 6.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 881 | 84 | 91% | 7.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 609 | 89 | 97% | 4.5 |
| Physical Therapy Assistant | 0 | 6 | 6 | 561 | 82 | 89% | 5.9 |
| Qualified Social Worker | 0 | 4 | 4 | 554 | 71 | 77% | 6.2 |
| Dietitian | 1 | 0 | 1 | 509 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 269 | 30 | 33% | 9 |
| RN Director of Nursing | 1 | 0 | 1 | 238 | 15 | 16% | 15.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 141 | 25 | 27% | 5.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 112 | 15 | 16% | 7.5 |
| Medical Director | 0 | 1 | 1 | 9 | 9 | 10% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
14.0
22% worse than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
20% worse than North Carolina averageNorth Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
22.4%
28% worse than North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
33.6%
44% worse than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
14% better than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
60% worse than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.2%
33% better than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.9%
12% worse than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
4.1%
44% better than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
13.2%
200% worse than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
3.5%
74% better than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina averageNorth Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
24% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
18% better than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
27% 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.
44% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents 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 Wilkesboro Assisted Living Center 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 #34 / 97Payroll — State benchmarkedThis home is ranked 34th out of 97 homes in North Carolina for payroll. 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.1 miles from city center
Estimated distance in miles from North Wilkesboro's city center to Wilkesboro Assisted Living Center's address, calculated via Google Maps.
Add your location
Wilkesboro Assisted Living Center is located in North Wilkesboro, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 119
Facility
119
NC AVG
76
Rank
#60 / 390 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | - |
13
Facility
13
NC AVG
33
Rank
#432 / 572 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
| Wilkesboro Assisted Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | North Wilkesboro | 102
Facility
102
NC AVG
76
Rank
#89 / 390 | 70.6% | -8% | 4.53 | -10% | +14% | $0 | 17 | 5.7 | - | 72 | - |
61
Facility
61
NC AVG
33
Rank
#66 / 572 | Wilkesboro Health And Rehabilitation LLC | $16.8M | $8.3M | 49.6% | 345401 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
76
Rank
#180 / 390 | - | - | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ |
12
Facility
12
NC AVG
33
Rank
#440 / 572 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106
Facility
106
NC AVG
76
Rank
#80 / 390 | - | - | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ |
25
Facility
25
NC AVG
33
Rank
#346 / 572 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63
Facility
63
NC AVG
76
Rank
#233 / 390 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ |
50
Facility
50
NC AVG
33
Rank
#149 / 572 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
Wilkesboro Assisted Living Center has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NC state health department records, Wilkesboro Assisted Living Center's license number is HAL-097-016.
Wilkesboro Assisted Living Center's occupancy is 71%.
Wilkesboro Assisted Living Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Wilkesboro Assisted Living Center has 102 beds.
Yes — there are 4 photos of Wilkesboro Assisted Living Center in the photo gallery on this page.
Wilkesboro Assisted Living Center is located at 206 Old Brickyard Road North Wilkesboro, NC 28659.
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