Walnut Cove Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 40 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 (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (54%)
- High RN turnover (54%)
Below average in NC · Below recommended RN staffing · Significantly below average staffing · $40,149 in fines
What this means for your family
While some families report positive outcomes from the rehabilitation therapy team, the recurring reports of neglect and slow response times are significant red flags. If you consider this facility, we strongly recommend unannounced visits during weekends or evenings to observe staffing levels and response times firsthand.
Google Reviews
Google Reviews
40 reviews on Google“Walnut Cove Health and Rehabilitation receives highly polarized feedback, with some families praising the dedicated therapy team and individual staff members, while others report severe neglect and systemic operational failures. Common criticisms include significant delays in call button response times, poor hygiene standards, and inconsistent medication administration. Families considering this facility should be aware of the stark contrast between reports of compassionate care and serious allegations of resident neglect.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy services
- Select dedicated and compassionate nursing staff
- Friendly community atmosphere
- Responsive to some individual resident needs
Concerns
- Significant delays in call button response and lack of staff availability (mentioned by 5 reviewers)
- Poor hygiene and lack of basic personal care (bathing/incontinence) (mentioned by 4 reviewers)
- Inconsistent or missed medication administration (mentioned by 2 reviewers)
- Unprofessional staff behavior and lack of supervision (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 43 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that the facility has a dedicated physical therapy team; how do you coordinate those sessions with daily nursing care to ensure residents stay active and comfortable?
- 2Given the current staffing levels, what is your protocol for ensuring that call buttons are answered promptly and that residents receive timely assistance with personal care like bathing and hygiene?
- 3I see that you are very active in responding to feedback online; what specific steps is the leadership team currently taking to improve communication and medication management protocols for residents?
- 4Could you walk me through the process for ensuring medication is administered consistently and accurately, especially for residents who require strict scheduling?
- 5What does a typical day look like for residents in terms of social engagement and activities, and how do you ensure that even those with higher care needs are included?
- 6In the event of an urgent medical concern, what is the process for notifying family members and ensuring that the nursing staff is immediately available to provide support?
Personalized based on this facility's data
Key Review Excerpts
“The therapy nurse didn't even know my mom was her patient. She got no therapy and I wouldn't send my love one there for nothimg!!!!!!!!”
“My friend is a patient there and she messed on herself twice and had to clean herself by herself. She rang her call button and it was on for hours and no one came.”
“The Physical Therapy they recieve is life saving.”
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
9
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed multiple complaints that revealed concerning patterns including accident hazards, abuse protection failures, and theft reporting issues, with families continuing to report safety concerns as recently as December 2024. The facility repeatedly struggles with resident safety and protection from abuse, care planning, and building safety systems. While most deficiencies show correction dates, the recurring complaint-triggered safety violations suggest ongoing supervision and protection problems that warrant careful family evaluation before placement.
Aug 21, 2025Routine3
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.
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.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Aug 21, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Dec 18, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 15, 2024Routine19
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Environmental Deficiencies
Keep all essential equipment working safely.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Jul 15, 2024Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 14, 2023Complaint2
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Dec 18, 2024
$16,801
Fine
Jul 15, 2024
$8,827
Fine
Dec 14, 2023
$14,521
Ownership & Operations
Who Operates This Facility
Walnut Cove Health and Rehabilitation
for profit
Chain Affiliation
Avardis Health
38 facilities nationwide
Chain avg rating: 2.3/5 · Rank 18 of 35
Ownership & Management
Owners
Walnut Cove Parentco LLC
Owner · Organization
Ncop Holdco LLC
Owner (parent company) · Organization
Nu C II Irrevocable Trust
Owner (parent company) · Organization
Nu C Irrevocable Trust
Owner (parent company) · Organization
Snf Care Centers LLC
Owner (parent company) · Organization
Stokes Holdco LLC
Owner (parent company) · Organization
Zenith Holdco II LLC
Owner (parent company) · Organization
Zenith Holdco LLC
Owner (parent company) · Organization
Key personnel
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
40 reviews from families & visitors
Official Website
Visit walnutcovehealthcare.com
Medicare data downloads
Original nursing home datasets
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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.
Walnut Ridge Assisted Living
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Creekside Manor
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Oak Forest Health and Rehabilitation
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Tranquility Care
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Salemtowne
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