Home / North Carolina / North Wilkesboro
Wilkes Regional Medical Ctr Sn
1370 West D Street, North Wilkesboro, NC 28659 · Wilkes County · (336) 651-8100
10 certified beds, about 8 residents a day · Non profit - Other · Medicare and Medicaid since 1991
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345386 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 16, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
None of its 15 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.78 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.80 of those hours.
30.8% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
Health inspections
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.
304/24
1104/25
107/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
4E
1F
Potential for minimal harm
0A
0B
0C
July 16, 2026Standard inspection · 1 citation
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, resident and staff interviews, the facility failed to maintain a resident's privacy by not placing a cover over his urine collection bag exposing his urine which was visible to other residents, staff and visitors. This occurred for 1 of 1 resident reviewed for privacy (Resident #6).
April 23, 2025Standard inspection · 11 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, the facility failed to: (1) remove expired items from 1 of 1 reach in cooler; (2) provide an open/ use by date for food available for use in 1 of 1 walk in refrigerators and 2 of 2 walk in freezers; (3) maintain dishware that was stacked wet and available for use; and (4) keep dishes free from dried debris available for use. This deficient practice had the potential to affect eight (8) of eight (8) residents.
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and staff interviews, the facility failed to keep the area around the garbage compactor free of accumulated trash and debris for 1 of 1 garbage compactor observed.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and staff interviews, the facility failed to implement an infection surveillance plan for monitoring and tracking infections in the facility. This practice had the potential to affect 8 of 8 residents in the facility.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and staff interviews, the facility failed to document education was provided in the medical record regarding the benefits and potential side effects of the influenza and pneumonia vaccines. This occurred for 3 of 5 residents (Resident #210, Resident #110, and Resident #159) reviewed for vaccines.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record review, resident, and staff interviews, the facility failed to document that education was provided in the medical record regarding the benefits and potential side effects of the COVID-19 vaccines. This occurred for 4 of 5 residents reviewed for immunizations (Resident #210, Resident #110, Resident #159, Resident #4).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment for the use of oxygen for 1 of 8 residents (Resident #109) whose MDS assessments were reviewed.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record reviews and staff interviews, the facility failed to develop a baseline care plan that addressed a resident's oxygen and respiratory care for 2 of 3 residents reviewed for baseline care plans (Resident #109 and Resident #110).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to follow physician orders for 1 of 1 resident (Resident #209) reviewed for professional standards of practice.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to post cautionary and safety signage outside resident rooms that indicated the use of oxygen and failed to follow Physicians orders related to oxygen use for 2 of 2 residents reviewed for respiratory care (Resident #109, and Resident #110).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record reviews and Consultant Pharmacist interviews, the Consultant Pharmacist failed to communicate to the facility the need to limit the use of a psychotropic drug (drug that affects the mental state) ordered as needed to 14 days for 1 of 5 residents reviewed for unnecessary medications (Resident #2).
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record reviews, staff, Consultant Pharmacist, and Nurse Practitioner interviews, the facility failed to correctly enter an as needed psychotropic (drug that affects the mental state) medication order to include the 14 day stop date for 1 of 5 residents reviewed for unnecessary medications (Resident #2).
April 10, 2024Standard inspection · 3 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on observations, record review and staff, and Nurse Practitioner interviews the facility failed to complete an advance directive when the resident elected Do Not Attempt Resuscitate (DNAR) status with limited scope of treatment for 1 of 8 residents reviewed for advance directives (Resident #11).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and staff and resident interviews, the facility failed to post cautionary and safety signs that indicated the use of oxygen for 1 of 1 resident reviewed for respiratory care (Resident #14).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record reviews, resident, staff, and Nurse Practitioner 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 recertification survey conducted on [DATE]. This failure was for one deficiency that was originally cited in the area of Resident Rights (F578) that was subsequently recited on the current recertification survey of [DATE]. The repeat deficiency during two federal surveys of record showed a pattern of the facility's inability to sustain an effective QA program.
Fire safety inspections
3 fire safety citations on file: 2 on July 16, 2026, 1 on April 23, 2025.
Every fire safety citation3 citations
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Install noncombustible or limited-combustible interior walls.
- F Establish an Emergency Preparedness Program (EP).
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 4.78 | 3.85 | 3.86 |
| Registered nurses | 1.80 | 0.62 | 0.69 |
| All nursing staff on weekends | 4.44 | 3.42 | 3.42 |
| Nurse aides | 2.80 | ||
| Licensed practical nurses | 0.19 | ||
| Nursing staff turnover (share who left in a year) | 30.8% | 49.0% | 45.8% |
| Registered nurse turnover | 28.6% | 45.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.92 on weekdays and 4.44 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.98 in April to June 2025 to 4.78 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 | 4.78 | 1.80 | 4.92 | 4.44 | 0.0% | 14 of 90 | 8 |
| Oct to Dec 2025 | 7.11 | 4.02 | 7.45 | 6.22 | 0.0% | 0 of 92 | 7 |
| Jul to Sep 2025 | 7.15 | 3.81 | 7.48 | 6.30 | 0.0% | 0 of 92 | 8 |
| Apr to Jun 2025 | 6.98 | 3.86 | 7.41 | 5.90 | 0.0% | 0 of 91 | 8 |
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.4 | 1.6 |
| 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 | 10.7 | 12.9 | 12.0 |
Owners and operators
Legal business name: WRMC HOSPITAL OPERATING CORPORATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wake Forest University Baptist Medical Center | 5% or greater direct ownership interest | Organization | 100% | 07/01/2017 |
| Atrium Health Inc | 5% or greater indirect ownership interest | Organization | 20% | 10/09/2020 |
| North Carolina Baptist Hospital | 5% or greater indirect ownership interest | Organization | 40% | 07/01/2017 |
| Wake Forest University | 5% or greater indirect ownership interest | Organization | 40% | 07/01/2017 |
| Brown, Chad | Corporate director | Individual | 02/01/2019 | |
| Brown, Chad | Corporate officer | Individual | 02/01/2019 | |
| Edwards, Matthew | Corporate officer | Individual | 03/27/2026 | |
| Folger, Jena | Corporate officer | Individual | 02/02/2026 | |
| Richardson, Kara | Corporate officer | Individual | 02/02/2026 | |
| Waid, Michael | Corporate officer | Individual | 02/02/2026 | |
| Advocate Health Inc | Operational/managerial control | Organization | 12/01/2022 | |
| Atrium Health Inc | Operational/managerial control | Organization | 10/09/2020 | |
| Wake Forest University Baptist Medical Center | Operational/managerial control | Organization | 07/01/2017 | |
| Richardson, Kara | Operational/managerial control | Individual | 02/02/2026 | |
| Advocate Health Inc | Trustee of the SNF | Organization | 12/02/2022 | |
| Atrium Health Inc | Trustee of the SNF | Organization | 10/09/2020 | |
| Wake Forest University Baptist Medical Center | Trustee of the SNF | Organization | 07/01/2017 | |
| Edwards, Matthew | Trustee of the SNF | Individual | 03/27/2026 | |
| Folger, Jena | Trustee of the SNF | Individual | 02/02/2026 | |
| Waid, Michael | Trustee of the SNF | Individual | 02/02/2026 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 23, 2025: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 23, 2025: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 16, 2026: "Keep residents' personal and medical records private and confidential."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 23, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Wilkesboro Health and Rehabilitation North Wilkesboro, 0.9 mi · 3 of 5 stars · 16 citations
- Ridge Valley Center for Nursing and Rehabilitation Wilkesboro, 1.2 mi · 1 of 5 stars · 25 citations
- Westwood Hills Nursing and Rehabilitation Center Wilkesboro, 1.6 mi · 2 of 5 stars · 12 citations
- Pruitthealth-Elkin Elkin, 19.5 mi · 3 of 5 stars · 6 citations
- Valley Nursing and Rehabilitation Center Taylorsville, 20 mi · 1 of 5 stars · 28 citations
- Chatham Nursing & Rehabilitation Elkin, 21.9 mi · 5 of 5 stars · 1 citation
- Lotus Village Center for Nursing and Rehabilitatio Sparta, 24 mi · 1 of 5 stars · 52 citations
- Margate Health and Rehabilitation, LLC Jefferson, 24.7 mi · 3 of 5 stars · 23 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Wilkes Regional Medical Ctr Sn's Medicare star rating?
- CMS rates Wilkes Regional Medical Ctr Sn 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wilkes Regional Medical Ctr Sn get at its last inspection?
- 1 health deficiency at the standard inspection on July 16, 2026. The North Carolina average is 4.7.
- Has Wilkes Regional Medical Ctr Sn been fined?
- CMS lists no fines in the last three years.
- Does Wilkes Regional Medical Ctr Sn accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Wilkes Regional Medical Ctr Sn?
- CMS lists 20 owners and managers. Legal business name: WRMC HOSPITAL OPERATING CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.