F

Walnut Cove Health and Rehabilitation

511 Windmill Street, Walnut Cove, NC 27052
Score: 24 / 100

With a score of 24/100, Walnut Cove Health And Rehabilitation ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Walnut Cove Health And Rehabilitation, with 2.81 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 23 deficiencies at Walnut Cove Health And Rehabilitation, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.81 3.8 Below Average
Registered Nurses (RN) 0.41 0.7 Below Average
Licensed Practical Nurses (LPN) 0.69 0.7 Average
Certified Nursing Assistants (CNA) 1.71 2.4 Below Average
Weekend Total Nursing 2.39 3.8 Below Average
Weekend RN Hours 0.25 0.7 Below Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Aug 20, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 19 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Aug 20, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Aug 20, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0602 Severity D
    Protect each resident from the wrongful use of the resident's belongings or money.
    Aug 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 17, 2024 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 14, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.2% 4.5% Better
Falls with major injury 3.8% 3.0% Worse
On antipsychotic medication 24.6% 14.5% Worse
Urinary tract infections 1.8% 2.5% Better
ADL decline (daily activities) 12.0% 14.0% Better
Excessive weight loss 8.9% 7.5% Worse
New/worsened incontinence 24.9% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $40,149

How This Grade Was Calculated

This facility's grade of F is based on a score of 24 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 20, 2025
Deficiencies (Cycle 1)
4