Nursing home
Ridge Valley Center for Nursing and Rehabilitation
1000 College Street, Wilkesboro, NC 28697 · Map
For profit - Limited Liability company · Part of Simcha Hyman & Naftali Zanziper (94 facilities) · 120 certified beds
Ridge Valley Center for Nursing and Rehabilitation is a Medicare-certified nursing home in Wilkesboro, North Carolina. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.39 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Dec 4, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Ridge Valley Center for Nursing and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.39 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.70 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 40.8% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 4, 2025 inspection was corrected by December 23, 2025
What inspectors found at Ridge Valley Center for Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2025 · Full report (PDF) - Minimal
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Sep 11, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1000 College Street
Wilkesboro, NC 28697 - CMS certification #
- 345133
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 91.0
- Provider type
- Medicare and Medicaid
- First certified
- 1974-12-01
- Chain
- Simcha Hyman & Naftali Zanziper (94 facilities)
- Setting
- Rural
Part of Simcha Hyman & Naftali Zanziper
Simcha Hyman & Naftali Zanziper operates 94 nursing facilities across the United States. View all Simcha Hyman & Naftali Zanziper facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Ridge Valley Center for Nursing and Rehabilitation using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, 2 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 2, 2020: complaint inspection, partial (health). Case closed Apr 12, 2021. 2 violations cited (2 serious). Penalties: $7,000 proposed, $7,000 now. OSHA record. OSHA recorded the employer as 146911 - Accordius Health at Wilkesboro LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $7,000 proposed, $7,000 now. To be fixed by Feb 11, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Feb 11, 2021.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Wilkes Regional Medical Center, North Wilkesboro. 1.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Westwood Hills Nursing and Rehabilitation Center, Wilkesboro. 0.4 miles away, straight line.
- Nearest home health agency office
- Wake Forest Baptist Health Care At Home, LLC, Wilkesboro. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28697 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Wilkes Dialysis Center Of Wake Forest University, North Wilkesboro, 0.9 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 28697.
Wake Forest Baptist Health Care At Home Hospice-Wi, office in Wilkesboro, 0.4 miles away, straight line - Nearest geriatric medicine practice
- Wake Forest University Health Sciences, N Wilkesboro. 0.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Ridge Valley Center for Nursing and Rehabilitation a good nursing home?
CMS gives Ridge Valley Center for Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Ridge Valley Center for Nursing and Rehabilitation staffed?
Ridge Valley Center for Nursing and Rehabilitation reports 3.39 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Ridge Valley Center for Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Ridge Valley Center for Nursing and Rehabilitation have?
Ridge Valley Center for Nursing and Rehabilitation is certified for 120 beds.