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Nursing HomeMedicaid Investigative

Valley Nursing and Rehabilitation Center

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

581 Nc Highway 16 South, Taylorsville, NC 28681183 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 46 Google reviews

5
4
3
2
1

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6/ 10
high 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 (1/5 stars)
  • Above-median deficiencies (5 vs median 4.0)
  • High staff turnover (66%)
  • High RN turnover (54%)

Bottom 25% in NC · Below recommended RN staffing · Above recommended total nurse staffing · Worst in CCH HEALTHCARE chain · $91,315 in fines

Source: Medicare data

What this means for your family

While the facility is praised for its cleanliness and food, the recent surge in reports regarding neglect and severe understaffing is a major red flag. If you are considering this facility, we strongly recommend conducting an unannounced visit during a weekend or evening shift to observe staffing levels and response times firsthand.

Google Reviews

Google Reviews

46 reviews analyzed
Valley Nursing and Rehabilitation Center receives polarized feedback, with some families praising the facility's cleanliness, food quality, and dedicated rehab team. However, multiple recent reviews raise serious concerns regarding chronic understaffing, neglect of basic patient needs like medication administration and bathroom assistance, and poor administrative responsiveness.

Quality Themes

Tap a score for details
Food9.0Staff5.0Clean9.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • High-quality food options
  • Effective physical and wound therapy teams
  • Compassionate frontline nursing staff

Concerns

  • Chronic understaffing leading to delayed care (mentioned by 4 reviewers)
  • Neglect of basic needs (medication, bathroom assistance) (mentioned by 3 reviewers)
  • Poor administrative communication and responsiveness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(2)'19(2)'22(6)'24(16)'25(12)

Distribution

5
33
4
1
3
2
2
1
1
9

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given that some families have noted challenges with timely assistance, could you walk me through the specific process for how a resident alerts staff when they need help with bathroom visits or medication?
  • 2I noticed the facility has a strong reputation for physical and wound therapy; how do you ensure that the therapy team coordinates effectively with the nursing staff to maintain consistent care?
  • 3How does your administrative team handle communication with families when there are changes in a resident's care plan or health status?
  • 4With the current staffing levels, what specific protocols do you have in place to ensure that basic daily needs, like hydration and timely medication administration, are consistently met for every resident?
  • 5I see that the facility is well-maintained and offers high-quality meal options; how do you incorporate resident preferences and social activities into the daily schedule to ensure they feel engaged and comfortable?
  • 6In the event of a medical emergency, what is the exact chain of command and communication protocol to ensure that family members are notified immediately?

Personalized based on this facility's data


Key Review Excerpts

The support and training that I received from the Valley team of professionals on how to care for my son at home is priceless.

Memory care family member · 2025★★★★★

Never have I seen such care, precision, effort, dedication, empathy displayed, and the food is absolutely restaurant quality.

Long-term resident · 2022★★★★★

I have a couple issues: my mom went 15 hours without any of her medication, and they slapped a diaper on her first thing, so they didn’t have to take time to let her use a bed pan.

Long-term resident's family · 2025☆☆☆☆
Source: 46 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
79%
Registered nurses for medical care
Total Nursing
4.31hrs
OK
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.0%
Worse than Avg
Here
39.0%
US
19.5%
NC
21.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Worse than Avg
Here
77.8%
US
95.5%
NC
94.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.2%
Worse than Avg
Here
13.2%
US
5.3%
NC
7.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
12.1%
NC
5.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
19.4%
NC
21.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
15.4%
NC
14.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility47.4%
Worse than Avg
Here
47.4%
US
79.7%
NC
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility65.6%
Worse than Avg
Here
65.6%
US
81.8%
NC
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
US
1.6%
NC
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
3penalties
Near state avg (5.6)
19 complaint-triggered
$91,315 in fines

This facility has concerning patterns of deficiencies with 19 of 29 violations triggered by family complaints, indicating multiple families have filed reports about care problems. The main recurring issues involve medication management, resident protection from abuse and neglect, and care planning. While all deficiencies show correction dates, several problems have persisted across multiple surveys, including medication errors and failure to protect residents from harm, suggesting ongoing challenges with fundamental care standards.

Jan 8, 2026Routine
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 8, 2026Complaint
3
0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

Aug 26, 2025Complaint
1
0627MinorCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Jan 13, 2025Complaint
6
0580SevereCorrected

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.

0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684SevereCorrected

Quality of Life and Care Deficiencies

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

0714SevereCorrected

Nursing and Physician Services Deficiencies

Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.

0697ModerateCorrected

Quality of Life and Care Deficiencies

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

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 8, 2024Routine
8
0726SevereCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0661MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0692MinorCorrected

Quality of Life and Care Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Oct 8, 2024Complaint
8
0678SevereCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0684SevereCorrected

Quality of Life and Care Deficiencies

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

0607ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0606MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0623MinorCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Minor

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Aug 26, 2025

$5,122

Fine

Jan 13, 2025

$48,380

Fine

Oct 8, 2024

$35,055

Ownership & Operations

Who Operates This Facility

Owner / Operator

Valley Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cch Healthcare

Chain Size

32 facilities nationwide

Chain avg rating: 2.5/5 · Rank 26 of 32 (Worst)

Ownership & Management

Owners

1026 Enterprises II, LLC

Owner · Organization

39%

Horizon Healthcare Group LLC

Owner · Organization

10%

Starlight Healthcare LLC

Owner · Organization

39%

Valley Holdings Nc LLC

Owner · Organization

12%

Capital Holdings Trust

Owner (parent company) · Organization

37%

Jeremias, Samuel

Owner (parent company)

10%

Key personnel

Loftin, SandraW-2 Managing EmployeeStern, JacobOfficer / DirectorStern, JacobOfficer / Director
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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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