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Nursing HomeMedicaid Investigative

Ridge Valley Center for Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1000 College Street, Wilkesboro, NC 28697120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 113 Google reviews

5
4
3
2
1
Ridge Valley Center for Nursing and Rehabilitation Nursing Home in Wilkesboro, NC — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 details
Food6.0Staff5.0Clean5.0Activities8.0Meds2.0MemoryN/AComms7.0ValueN/A

Strengths

  • 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

2345.02020(1)1.82021(5)4.52022(15)2.82023(11)4.72024(54)3.62025(25)4.72026(7)

Distribution

5
85
4
3
3
0
2
1
1
23
17 reviews posted between Sep 3, 2024Sep 4, 2024 · 17 were 5-star
15 reviews posted between Jul 30, 2024Aug 3, 2024 · 13 were 5-star
11 reviews posted between Aug 11, 2024Aug 16, 2024 · 10 were 5-star

How They Respond to Reviews

63%response rate

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.

Family member · 2024★★★★★

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.

Long-term resident's family · 2024★★★★★

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!.

Family member · 2025☆☆☆☆
Source: 113 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
3.39hrs
83%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
54%
Lower is better (< 30% = good)

Both 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

Medicare Rating
1/ 5
Better Than Avg

2

measures

Worse Than Avg

13

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility35.5%
Worse than Avg
Here
35.5%
US
93.4%
NC
91.7%
Wilkes
93.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility41.2%
Worse than Avg
Here
41.2%
US
19.5%
NC
21.5%
Wilkes
23.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility74.7%
Worse than Avg
Here
74.7%
US
95.5%
NC
94.1%
Wilkes
90.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
15.4%
NC
14.1%
Wilkes
9.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
19.4%
NC
21.0%
Wilkes
15.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility14.3%
Worse than Avg
Here
14.3%
US
5.3%
NC
7.2%
Wilkes
7.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility17.2%
Worse than Avg
Here
17.2%
US
79.7%
NC
78.1%
Wilkes
93.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility16.7%
Worse than Avg
Here
16.7%
US
81.8%
NC
80.1%
Wilkes
91.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
NC
1.5%
Wilkes
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Near state avg (5.6)
27 complaint-triggered

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, 2025Routine
1
0761ModerateCorrected

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, 2025Complaint
2
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0842MinorCorrected

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, 2025Complaint
1
0761MinorCorrected

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, 2024Routine
10
0001ModerateCorrected

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

0578MinorCorrected

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.

0604MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656MinorCorrected

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.

0692MinorCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0758MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

0712MinorCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Sep 11, 2024Complaint
4
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0697MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Jun 20, 2023Complaint
6
0760Severe

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880SevereCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0657ModerateCorrected

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.

0867ModerateCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0580MinorCorrected

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.

0690MinorCorrected

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

Owner / Operator

Ridge Valley Center for Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Simcha Hyman & Naftali Zanziper

Chain Size

94 facilities nationwide

Chain avg rating: 2.3/5 · Rank 89 of 94 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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