Nursing HomeInspections

Willow Valley Center for Nursing and Rehabilitatio

Nursing home in Winston-Salem, NC

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (336) 724-2821Send a messageMap ↗

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

CMS certification number 345092. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Feb 20, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 20, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 20, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 29, 2025Honor 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.
Resident Rights · complaint inspection
B
Potential for minimal harm, pattern
Aug 29, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 29, 2025Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 29, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 29, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Aug 29, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Aug 29, 2025Provide and implement an infection prevention and control program.
Infection Control
J
Immediate jeopardy, isolated
Jun 25, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 25, 2025Honor 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.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 51. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $43,838 in the last three years.

Jun 25, 2025Fine: $14,508
Nov 22, 2024Fine: $12,529
Jul 2, 2024Fine: $8,018
Jul 2, 2024Fine: $8,783

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Winston-Salem

Brookridge Retirement Community1199 Hayes Forest Drive · Winston-Salem, NC 27106 · (336) 759-1044 · Nonprofit5 health citations in 3 inspection cycles · last standard inspection Aug 1, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Arbor Acres United Methodist Retirement Community1250 Arbor Road · Winston Salem, NC 27104 · (336) 724-7921 · Nonprofit1 health citation in 3 inspection cycles · last standard inspection Mar 17, 2026 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)Homestead Hills2101 Homestead Hills Drive · Winston-Salem, NC 27103 · (336) 659-0386 · For-profit7 health citations in 3 inspection cycles · last standard inspection May 8, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Salemtowne1550 Babcock Drive · Winston-Salem, NC 27106 · (336) 767-8130 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection Dec 19, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Silas Creek Rehabilitation Center3350 Silas Creek Parkway · Winston Salem, NC 27103 · (336) 765-0550 · For-profit3 health citations in 3 inspection cycles · last standard inspection Jun 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Trinity Glen849 Waterworks Road · Winston-Salem, NC 27101 · (336) 595-2166 · Nonprofit2 health citations in 3 inspection cycles · last standard inspection Apr 2, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Mill Creek Center for Nursing and Rehabilitation4911 Brian Center Lane · Winston-Salem, NC 27106 · (336) 744-5674 · For-profit30 health citations in 3 inspection cycles · last standard inspection May 28, 2026 · $29,876 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)The Oaks901 Bethesda Road · Winston-Salem, NC 27103 · (336) 768-2211 · For-profit24 health citations in 3 inspection cycles · last standard inspection Aug 22, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 10 in Winston-Salem →