Nursing home
Westwood Hills Nursing and Rehabilitation Center
1016 Fletcher Street, Wilkesboro, NC 28697 · Map
For profit - Limited Liability company · Part of Principle Long Term Care (44 facilities) · 176 certified beds
Westwood Hills Nursing and Rehabilitation Center is a Medicare-certified nursing home in Wilkesboro, North Carolina. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.96 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Nov 19, 2025 cited 2 deficiencies.
- 1 fine totaling $8,648In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Westwood Hills Nursing and Rehabilitation Center 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) | 2.96 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.72 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.90 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 36.8% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 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.
Penalties in CMS records: 1 fine totaling $8,648, 1 total penalty.
What inspectors found at Westwood Hills Nursing and Rehabilitation Center
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
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 21, 2024 · Full report (PDF) - Potential for harm
Provide 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 Deficiencies · Aug 21, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Aug 21, 2024 · Full report (PDF)
Show all 11 deficiencies
- Actual harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 25, 2023 - Actual harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 25, 2023 - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jul 25, 2023 - Potential for harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · Jul 25, 2023 - 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 · Jul 25, 2023 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2023
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
- 1016 Fletcher Street
Wilkesboro, NC 28697 - CMS certification #
- 345205
- Ownership
- For profit - Limited Liability company
- Certified beds
- 176
- Avg residents/day
- 118.5
- Provider type
- Medicare and Medicaid
- First certified
- 1981-07-30
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Rural
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Westwood Hills Nursing and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Wilkes Regional Medical Center, North Wilkesboro. 1.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Ridge Valley Center for Nursing and Rehabilitation, Wilkesboro. 0.4 miles away, straight line.
- Nearest home health agency office
- Wake Forest Baptist Health Care At Home, LLC, Wilkesboro. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.6 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, 1.3 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, 0.1 miles away, straight line - Nearest geriatric medicine practice
- Wake Forest University Health Sciences, N Wilkesboro. 1.3 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 | Nothing on record |
| 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 |
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Frequently asked questions
Is Westwood Hills Nursing and Rehabilitation Center a good nursing home?
CMS gives Westwood Hills Nursing and Rehabilitation Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Westwood Hills Nursing and Rehabilitation Center staffed?
Westwood Hills Nursing and Rehabilitation Center reports 2.96 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Westwood Hills Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Westwood Hills Nursing and Rehabilitation Center have?
Westwood Hills Nursing and Rehabilitation Center is certified for 176 beds.