Home / North Carolina / Wilkesboro
1016 Fletcher Street, Wilkesboro, NC 28697 · Wilkes County · (336) 667-9261
176 certified beds, about 114 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345205 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 19, 2025, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 12 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $15,185 in the last three years; the largest was $15,185, and the latest is dated May 27, 2026.
Nurses and nurse aides worked 3.09 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
29.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Inspectors wroteBased on record review, observations, and interviews with residents, facility staff, the Nurse Practitioner, and Psychiatric Provider, the facility failed to protect the resident's right to be free from resident-to-resident abuse for 1 of 3 residents reviewed for abuse (Resident #2) on 4/30/26. Resident #2 sustained a left hip fracture and a left olecranon (elbow) fracture.
Inspectors wroteBased on record reviews and interviews with resident, staff, Pharmacy Manager and the Medical Director, the facility failed to implement effective systems to safeguard a resident's controlled medication from misappropriation (30 tablets of oxycodone 15 milligrams) for 1 of 1 resident reviewed for misappropriation of property (Resident #22).
Inspectors wroteBased on observations and staff interviews, the facility failed to remove 63 expired nutritional shakes from their dry storage area which resulted in 3 of the expired nutritional shakes making it to the service line and prepared for service to residents.
Inspectors wroteBased on record reviews, facility policy, Center for Disease Control guidance, Statewide Program for Infection Control and Epidemiology (SPICE) representative, local health department, and staff interviews the facility failed to identify the need for and implement broad based testing during a Covid-19 outbreak when the interventions implemented failed to halt transmission of Covid-19 which spread to 2 of 5 hallways (100 and 200) and affected 11 residents on the 100 hall and 1 resident on the 200 hall (Resident #97).
Inspectors wroteBased on record review and staff interviews the facility failed to ensure a residents (Resident #92) code status election was accurate throughout the medical record for 1 of 1 residents reviewed for advance directives.
Inspectors wroteBased on record review, family, staff, and Nurse Practitioner interviews the facility failed to prescribe an antibiotic that would effectively treat a urinary tract infection (Resident #29) for 1 of 5 residents reviewed for unnecessary medications.
Inspectors wroteBased on record review and staff interviews, the facility failed to protect Resident #87 from physical restraint from Nurse Aide (NA #1). NA #1 grabbed Resident #87's wrists when the resident became combative during incontinent care and Resident #87 hit NA #1. Resident #87 was cognitively impaired and resided on the dementia care unit. Resident #87 had three skin tears the size of a half dollars to the left wrist, right elbow, and right arm and two bruises the size of tennis balls to bilateral lower forearms and wrists. This deficient practice affected 1 of 3 residents reviewed for abuse (Resident #87).
Inspectors wroteBased on observations, record reviews, staff and resident interviews the facility failed to remove Nurse Aide (NA) #1 from a resident care assignment after Nurse #1 witnessed the NA holding both of Resident #87's wrists to prevent the resident from hitting him when the resident became combative during care. In addition, the facility failed to identify, thoroughly investigate, and to report abuse to the state agency, Adult Protective Services, and local law enforcement for 1 of 3 residents (Resident #87) reviewed for abuse.
Inspectors wroteBased on observation, record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of medications (Resident #85), discharge (Resident #101) and restraints (Resident #27) for 3 of 21 residents reviewed for MDS accuracy.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to remove expired medications from 2 of 5 medications carts reviewed for medication storage (Yellow Hall and Orange Hall).
Inspectors wroteBased on observations, record review, and staff interviews, the administration, and governing body failed to ensure the facility followed their abuse policies and procedures when a corporate nurse consultant stated the facility did not need to complete a 24 hour or 5 working day report to the state agency after a nurse aide grabbed a resident (Resident #87) by the wrists during incontinence care resulting in three skin tears the size of a half dollars to the left wrist, right elbow, and right arm and two bruises the size of tennis balls to bilateral lower forearms and wrists.
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the annual recertification survey that occurred on 12/16/21. This failure was for 1 deficiency originally cited in the area of Resident Assessment (F641). The repeat deficiency during two surveys of record showed a pattern of the facility's inability to sustain an effective QA program.
2 fire safety citations on file: 1 on July 25, 2023, 1 on December 22, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| May 27, 2026 | Fine | $15,185 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.09 | 3.85 | 3.86 |
| Registered nurses | 0.80 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.48 | 3.42 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.35 | ||
| Nursing staff turnover (share who left in a year) | 29.0% | 49.0% | 45.8% |
| Registered nurse turnover | 18.2% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.30 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.34 on weekdays and 2.48 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.84 in April to June 2025 to 3.09 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.09 | 0.80 | 3.34 | 2.48 | 0.1% | 0 of 90 | 114 |
| Oct to Dec 2025 | 2.99 | 0.71 | 3.21 | 2.44 | 0.3% | 0 of 92 | 119 |
| Jul to Sep 2025 | 2.96 | 0.72 | 3.14 | 2.49 | 0.0% | 0 of 92 | 119 |
| Apr to Jun 2025 | 2.84 | 0.62 | 3.03 | 2.37 | 0.0% | 0 of 91 | 114 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Westwood Hills Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (40.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
40.1% this home
Worse than the national rate
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 69 eligible stays.
10.2% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 72 eligible stays.
7.4% this home
No different from the national rate
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 42 eligible stays.
60.0% this home
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 30 residents counted.
0.0% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 42 residents counted.
8.5% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 42 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EAGLE PEAK LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Hill, Roger | Operational/managerial control | Individual | 01/01/2011 | |
| Boice, Gale | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 11/21/2025 | |
| Boice, Gale | Adp of the SNF | Individual | 03/05/2018 | |
| Corder, John | Adp of the SNF | Individual | 07/02/2025 | |
| Hill, Raymond | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Robert | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Roger | Adp of the SNF | Individual | 07/02/2025 | |
| Hill, Stephen | Adp of the SNF | Individual | 01/01/2011 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.