Willow Valley Center for Nursing and Rehabilitatio
Nursing home in Winston-Salem, NC
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 1900 W 1st Street, Winston-Salem, NC 27104
- Phone
- (336) 724-2821
- Listed under
- For-profit
- Medicare CCN
- 345092
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 230
- Average residents per day
- 218
- Ownership
- For-profit, corporation
- Legal business name
- West First Street Operating Company LLC
- Chain
- Alliance Health Group (12 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 1, 1973
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 29, 2025. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 7, 2023 to Feb 20, 2026): 31 from complaint inspections, 7 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 20, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| Feb 20, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| Feb 20, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Aug 29, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | B |
| Aug 29, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D |
| Aug 29, 2025 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D |
| Aug 29, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Aug 29, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Aug 29, 2025 | Dispose of garbage and refuse properly. | F |
| Aug 29, 2025 | Provide and implement an infection prevention and control program. | J |
| Jun 25, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Jun 25, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E |
Fines and payment denials
CMS records 4 fines totalling $43,838 in the last three years.
| Jun 25, 2025 | Fine: $14,508 |
| Nov 22, 2024 | Fine: $12,529 |
| Jul 2, 2024 | Fine: $8,018 |
| Jul 2, 2024 | Fine: $8,783 |
Staffing
- Total nurse staffing per resident per day
- 3.49 hours
- Registered nurse (RN) time per resident per day
- 0.30 hours
- Nurse aide time per resident per day
- 2.57 hours
- Total nurse staffing on weekends
- 3.20 hours
- Nursing staff turnover (yearly)
- 54%
- RN turnover (yearly)
- 53%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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