Ridge Valley Center for Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 113 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- High RN turnover (54%)
Bottom 25% in NC · Below recommended RN staffing · Worst in SIMCHA HYMAN & NAFTALI ZANZIPER chain · No penalties on record · Very few deficiencies
What this means for your family
While Ridge Valley has a highly praised social services team that excels at facilitating admissions and transitions, the facility faces recurring, serious allegations regarding nursing responsiveness and basic hygiene. If you consider this facility, we strongly recommend conducting an unannounced visit during evening or weekend hours to observe staffing levels and response times firsthand.
Google Reviews
Google Reviews
113 reviews analyzed“Ridge Valley Center for Nursing and Rehabilitation receives highly polarized feedback, with many families praising the admissions and social services teams for their support during transitions, while others report severe concerns regarding neglect, hygiene, and staffing. While some visitors describe a clean, welcoming environment with attentive staff, multiple families have documented critical failures in basic care, including unanswered call lights, medication errors, and the development of preventable infections or bedsores.”
Quality Themes
Tap a score for detailsStrengths
- Helpful and supportive social services and admissions staff
- Clean and well-maintained facility environment
- Effective rehabilitation therapy programs
- Welcoming and professional administrative team
Concerns
- Unanswered call lights and slow response times (mentioned by 6 reviewers)
- Neglect regarding hygiene, showers, and basic care (mentioned by 5 reviewers)
- Medication management errors and delays (mentioned by 4 reviewers)
- Understaffing leading to poor resident outcomes (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that resident and family input to improve daily operations?
- 2Given the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly and that residents receive timely assistance?
- 3Could you walk me through your process for medication management and how you ensure accuracy and prevent delays for residents with complex needs?
- 4What steps are being taken to ensure that consistent, high-quality hygiene and personal care are provided to every resident throughout the day?
- 5Since rehabilitation therapy is a noted strength here, how do you integrate those therapy goals into the resident's daily routine and social life?
- 6In the event of a medical change or emergency, what is your communication protocol for keeping family members informed and involved?
Personalized based on this facility's data
Key Review Excerpts
“The staff here is amazing. This place gives you a family oriented feel. They take good care of their residents.”
“My mom went here for long term care and had to transfer to another facility to be closer to home. Mike the social worker made the transition so much smoother and easier on me, communicating every step of the way.”
“The day we took him out he called us to call the nurse bc none would answer his call button. When we actually got there they had put this man in a diaper and left him laying there !!! The place is nasty and the workers are UNPROFESSIONAL!.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
2
measures
13
measures
2
measures
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 27 complaint-triggered deficiencies out of 48 total, indicating families have filed reports about care problems. The most recurring issues involve medication management, resident assessments and care planning, and infection control. While the facility reports correcting deficiencies, problems persist across multiple surveys, with medication errors and infection control violations appearing repeatedly from 2023 through 2025, suggesting ongoing systemic challenges.
Dec 4, 2025Routine1
Pharmacy Service Deficiencies
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.
Jul 17, 2025Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 8, 2025Complaint1
Pharmacy Service Deficiencies
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.
Sep 11, 2024Routine10
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Sep 11, 2024Complaint4
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Jun 20, 2023Complaint6
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ownership & Operations
Who Operates This Facility
Ridge Valley Center for Nursing and Rehabilitation
for profit
Chain Affiliation
Simcha Hyman & Naftali Zanziper
94 facilities nationwide
Chain avg rating: 2.3/5 · Rank 89 of 94 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
113 reviews from families & visitors
Official Website
Visit ridgevalleycnr.com
Medicare data downloads
Original nursing home datasets
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