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Nursing HomeMedicaid Investigative

Walnut Cove Health and Rehabilitation

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

511 Windmill Street, Walnut Cove, NC 2705290 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 40 Google reviews

5
4
3
2
1
Walnut Cove Health and Rehabilitation Nursing Home in Walnut Cove, NC — Street View
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5/ 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 (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

Source: Medicare data

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 details
Food4.0Staff5.0Clean3.0Activities6.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • 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

234'15(1)'18(1)'20(4)'22(1)'24(12)'26(1)

Distribution · 43 analyzed

5
24
4
2
3
0
2
1
1
16

How They Respond to Reviews

97%response rate

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!!!!!!!!

Family member · 2023☆☆☆☆

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.

Friend of resident · 2024☆☆☆☆

The Physical Therapy they recieve is life saving.

Friend of resident · 2025★★★★★
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
2.75hrs
67%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
64%
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
4/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
19.5%
NC
21.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%

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

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.4%
NC
21.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.5%
Better than Avg
Here
13.5%
US
15.3%
NC
20.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
14.4%
NC
16.4%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
4.9%
NC
5.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.8%
Better than Avg
Here
94.8%
US
81.8%
NC
80.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.4%
Better than Avg
Here
86.4%
US
79.8%
NC
78.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
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

4deficiencies
3penalties
Near state avg (5.6)
8 complaint-triggered
$40,149 in fines

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, 2025Routine
3
0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0640Minimal · Pattern

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, 2025Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Dec 18, 2024Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

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, 2024Routine
19
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0585Potential for harm · IsolatedCorrected

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.

0636Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0657Potential for harm · IsolatedCorrected

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jul 15, 2024Complaint
4
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0606Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · IsolatedCorrected

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, 2023Complaint
2
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0609Potential for harm · IsolatedCorrected

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

Owner / Operator

Walnut Cove Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

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

Cse Walnut Cove Lp5% or Greater Security InterestHoback, TiffanyManaging Control - Governing BodySnf Mgr LLCManagerHoback, TiffanyManagerJones, TequillaManager
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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