Nursing home
Wilkesboro Health and Rehabilitation
204 Old Brickyard Road, North Wilkesboro, NC 28659 · Map
For profit - Corporation · Part of Sanstone Health & Rehabilitation (17 facilities) · 111 certified beds
Wilkesboro Health and Rehabilitation is a Medicare-certified nursing home in North Wilkesboro, North Carolina. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.90 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Dec 11, 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 Wilkesboro Health 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) | 4.90 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.84 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 33.3% | 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.
What inspectors found at Wilkesboro Health 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
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 11, 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 · Dec 11, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Dec 11, 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 · Sep 11, 2024 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Sep 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Honor 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 Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Sep 11, 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 · Jun 15, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 15, 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 · Jun 15, 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
- 204 Old Brickyard Road
North Wilkesboro, NC 28659 - CMS certification #
- 345401
- Ownership
- For profit - Corporation
- Certified beds
- 111
- Avg residents/day
- 99.8
- Provider type
- Medicare and Medicaid
- First certified
- 1991-09-12
- Chain
- Sanstone Health & Rehabilitation (17 facilities)
- Setting
- Rural
Part of Sanstone Health & Rehabilitation
Sanstone Health & Rehabilitation operates 17 nursing facilities across the United States. View all Sanstone Health & Rehabilitation facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Wilkesboro Health and Rehabilitation using Google Maps.
Other public records
- Website says Transportation, pets allowed, couples welcome
Full public records, with dates and sources
Care and services
From the community’s website
What Wilkesboro Health and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation services to get you to a doctor’s visit
(page, checked Oct 12, 2026) - Pets allowed.
Yes, we allow pets to visit with prior approval of the facility administrator.
(page, checked Oct 12, 2026) - Couples welcome.
SanStone also accommodates couples by offering care in the same room.
(page, checked Oct 12, 2026) - Apartment types named: private room.
Wilkes provides private rooms, a fully equipped gym, and rehabilitation services, including physical, occupational, and speech therapy, wound care, and more.
(page, checked Oct 12, 2026) - Smoke-free.
No, we are a tobacco-free facility.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Wilkes Regional Medical Center, North Wilkesboro. 1.0 mile away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Wilkes Regional Medical CTR SN, North Wilkesboro. 0.9 miles away, straight line.
- Nearest home health agency office
- Wake Forest Baptist Health Care At Home, LLC, Wilkesboro. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28659 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Wilkes Dialysis Center Of Wake Forest University, North Wilkesboro, 0.6 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 28659.
Wake Forest Baptist Health Care At Home Hospice-Wi, office in Wilkesboro, 1.5 miles away, straight line - Nearest geriatric medicine practice
- Wake Forest University Health Sciences, N Wilkesboro. 0.6 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 relatively 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 relatively 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 | See above |
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Frequently asked questions
Is Wilkesboro Health and Rehabilitation a good nursing home?
CMS gives Wilkesboro Health and Rehabilitation an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Wilkesboro Health and Rehabilitation staffed?
Wilkesboro Health and Rehabilitation reports 4.90 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Wilkesboro Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Wilkesboro Health and Rehabilitation have?
Wilkesboro Health and Rehabilitation is certified for 111 beds.