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Nursing HomeMedicaid

Wilkesboro Health and Rehabilitation

Strong Medicare quality ratings; families often praise effective therapy department. Still worth an in-person visit.

204 Old Brickyard Road, North Wilkesboro, NC 28659111 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 10 Google reviews

5
4
3
2
1
Wilkesboro Health and Rehabilitation Nursing Home in North Wilkesboro, NC — Street View
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What this means for your family

While the facility is praised for its therapy services and general resident comfort, the reported incident regarding medical monitoring is a significant red flag. When touring, we strongly recommend asking the administration about their protocols for monitoring new admissions and how they handle acute medical changes.

Google Reviews

Google Reviews

10 reviews analyzed
Wilkesboro Health and Rehabilitation receives praise for its therapy department and the attentive care provided to residents, with some long-term residents reporting feeling safe and well-supported. However, there are serious concerns regarding medical oversight, specifically regarding a report of a resident's oxygen levels dropping significantly shortly after admission.

Quality Themes

Tap a score for details
Food10.0Staff8.0CleanN/AActivitiesN/AMeds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Effective therapy department
  • Attentive nursing and care staff
  • Safe and comfortable environment for long-term residents

Concerns

  • Serious lapses in medical monitoring and patient safety (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.82021(4)3.02022(2)3.02023(2)5.02025(2)

Distribution

5
7
4
1
3
0
2
0
1
2

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the therapy department here; could you tell us more about how the therapists work with residents to maintain their mobility?
  • 2Since we want to ensure everything is handled precisely, what specific protocols do you have in place for medication administration and monitoring?
  • 3How does the nursing team stay updated on changes in a resident's condition, especially during the overnight hours?
  • 4What is the process for ensuring resident safety and preventing falls during the night or when staff are busy with other tasks?
  • 5Could you describe what a typical day looks like for a long-term resident in terms of social activities and communal meals?
  • 6How do the caregivers foster a sense of community and comfort for residents who are staying with you long-term?

Personalized based on this facility's data


Key Review Excerpts

I’m a resident here. I have been here for a little over a year. I’m looked after very well. This facility makes me feel safe and comfortable. The staff here is wonderful.

Long-term resident · 2021★★★★

This place let my Nana’s oxygen go down to 60 had not even been there for 24 hours do not recommend please don’t let your loved one go here

Family member · 2022☆☆☆☆

Beautiful place.. everyone so great ...my dad well taking care of don't have to worry about him there and he loves it there.

Family member · 2022★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
4.90hrs
OK
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
21%
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
2/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.1%
Worse than Avg
Here
32.1%
US
15.3%
NC
20.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.4%
NC
14.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NC
91.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
14.4%
NC
16.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NC
94.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.5%
Mixed vs Avgs
Here
10.5%
US
12.1%
NC
5.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
79.7%
NC
78.1%
Wilkes
71.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
81.8%
NC
80.1%
Wilkes
73.7%
💊

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
1.2%
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)
1 complaint-triggered

This facility shows a concerning pattern of recurring deficiencies in resident rights, quality of care, and infection control across multiple surveys from 2021 to 2024, with all issues reportedly corrected but reappearing in later inspections. A family filed a complaint about respiratory care that triggered an investigation. The facility has struggled with consistent compliance in protecting resident privacy, medication management, and wound care, suggesting potential gaps in sustained quality improvement despite correction efforts.

Dec 11, 2025Routine
2
0554MinorCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

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.

Dec 11, 2025Complaint
1
0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Sep 11, 2024Routine
7
0582ModerateCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0585MinorCorrected

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.

0847MinorCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

Jun 15, 2023Routine
9
0690ModerateCorrected

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.

0561MinorCorrected

Resident Rights Deficiencies

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

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0686MinorCorrected

Quality of Life and Care Deficiencies

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

0867MinorCorrected

Administration Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351MinorCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0521MinorCorrected

Services Deficiencies

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

0911MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Dec 2, 2021Routine
1
0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Wilkesboro Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Sanstone Health & Rehabilitation

Chain Size

17 facilities nationwide

Chain avg rating: 4.1/5 · Rank 8 of 17

Ownership & Management

Owners

Sprenger, Christopher

Owner

100%

Key personnel

Sprenger, ChristopherOfficer / DirectorWilkesboro Health and Rehabilitation LLCManagerSprenger, ChristopherManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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