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Nursing HomeMedicaid Investigative

Willow Valley Center for Nursing and Rehabilitatio

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

1900 W 1st Street, Winston-Salem, NC 27104230 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 178 Google reviews

5
4
3
2
1
Willow Valley Center for Nursing and Rehabilitatio Nursing Home in Winston-Salem, NC — Street View
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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 (9 vs median 4.0)
  • High staff turnover (61%)
  • High RN turnover (59%)

Bottom 25% in NC · Critically understaffed (RN) · Worst in ALLIANCE HEALTH GROUP chain · $283,330 in fines

Source: Medicare data

What this means for your family

Willow Valley has a strong rehabilitation and activities team, but families should be cautious regarding nursing care consistency. We strongly recommend that you visit during off-hours or weekends to observe staffing levels and response times, and ask for a clear plan on how the facility handles medical emergencies and family communication.

Google Reviews

Google Reviews

178 reviews on Google
Willow Valley Center for Nursing and Rehabilitation receives highly polarized feedback, with recent reviews highlighting significant improvements in facility aesthetics and administrative leadership, particularly regarding the admissions and social work departments. However, long-term concerns persist regarding inconsistent nursing care, reports of neglect, and poor communication during off-hours. Families should be aware that while some departments are praised for their professionalism, others face recurring complaints about hygiene and responsiveness.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean3.0Activities9.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and helpful social work and admissions staff
  • Engaging and dedicated activities department
  • Recent facility renovations and lobby updates
  • Effective and professional rehabilitation therapy team

Concerns

  • Inconsistent nursing care and neglect of basic hygiene (mentioned by 12 reviewers)
  • Poor communication and difficulty reaching staff/management (mentioned by 8 reviewers)
  • Slow response times to call bells (mentioned by 5 reviewers)
  • Inadequate staffing levels or lack of staff accountability (mentioned by 7 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'20(5)'22(9)'24(38)'26(31)

Distribution · 183 analyzed

5
104
4
9
3
3
2
3
1
64
10 reviews posted between Jun 22, 2025Jun 26, 2025 · 8 were 5-star

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the facility has recently undergone some beautiful lobby and interior renovations; how have these updates impacted the daily environment for the residents?
  • 2The activities department seems very dedicated and engaging; could you walk me through a typical week of programming and how you encourage residents to participate?
  • 3With a facility of this size, what specific systems do you have in place to ensure that call bells are answered promptly and that staff remain accountable for resident needs throughout the day?
  • 4I understand that clear communication is vital for families; what is the best way for us to stay in touch with the nursing team and management regarding our loved one's daily care and health status?
  • 5Given the importance of hygiene and comfort, what is your process for monitoring daily personal care needs to ensure that every resident receives consistent, high-quality attention?
  • 6I see that you actively engage with feedback online; how do you use that input from families to make tangible improvements to the quality of care and dining experiences here?

Personalized based on this facility's data


Key Review Excerpts

My father was at Willow Valley for 20 days for rehab. I found the facility clean and the staff attentive and caring. I appreciated the meeting to determine his treatment plan and how the nursing staff treated him with kindness and great care.

Rehab patient's family · 2025☆☆☆☆

The physical and occupational therapists were above reproach. I went in unable to stand and left there able to walk on a cane. After a week or two in, I felt more like they were more my friends than my therapists.

Rehab patient · 2026★★★★★

The nursing home never called to inform us or Hospice about the state he was in. We had asked for an oxygen mask since they had only put oxygen tubes in. We waited on a mask for an hour and only got it after my mother ran down the hall

Long-term resident's family · 2024☆☆☆☆
Source: 178 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
34%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
53%
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
2/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility72.8%
Worse than Avg
Here
72.8%
US
95.5%
NC
94.1%
Forsyth
95.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.9%
Worse than Avg
Here
35.9%
US
15.3%
NC
20.2%
Forsyth
22.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.9%
Worse than Avg
Here
32.9%
US
14.4%
NC
16.4%
Forsyth
15.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.1%
Worse than Avg
Here
78.1%
US
93.4%
NC
91.7%
Forsyth
94.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.0%
Worse than Avg
Here
30.0%
US
19.4%
NC
21.0%
Forsyth
20.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
12.1%
NC
5.4%
Forsyth
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility34.0%
Worse than Avg
Here
34.0%
US
79.7%
NC
78.1%
Forsyth
75.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility39.7%
Worse than Avg
Here
39.7%
US
81.8%
NC
80.1%
Forsyth
81.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
NC
1.5%
Forsyth
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
5penalties
Well above state avg (5.6)
31 complaint-triggered
$283,330 in fines

This facility has concerning patterns with families filing 28 complaint-triggered deficiencies across multiple surveys, indicating ongoing resident or family dissatisfaction. The most recurring issues involve resident rights violations, medication management problems, and food service deficiencies. While most deficiencies show correction dates, the facility continues experiencing new problems in the same care areas, suggesting systemic challenges in maintaining consistent quality standards.

Feb 20, 2026Complaint
3
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.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0842Potential for harm · IsolatedCorrected

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.

Aug 29, 2025Routine
5
0880Immediate jeopardy · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Aug 29, 2025Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0585Minimal · Pattern

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.

Jun 25, 2025Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0690Potential for harm · IsolatedCorrected

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.

Nov 22, 2024Complaint
1
0689Actual harm · 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 2, 2024Complaint
15
0550Actual harm · IsolatedCorrected

Resident Rights Deficiencies

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

0600Actual harm · IsolatedCorrected

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.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0924Potential for harm · PatternCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

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.

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.

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.

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0576Minimal · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0569Minimal · PatternCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Federal Penalties

Fine

Jun 25, 2025

$14,508

Fine

Nov 22, 2024

$12,529

Fine

Jul 2, 2024

$8,018

Fine

Jul 2, 2024

$8,783

Fine

Aug 7, 2023

$231,680

Ownership & Operations

Who Operates This Facility

Owner / Operator

Willow Valley Center for Nursing and Rehabilitatio

Organization Type

for profit

Chain Affiliation

Chain Name

Alliance Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 1.3/5 · Rank 4 of 10 (Worst)

Ownership & Management

Owners

Alignment Holdco LLC

Owner · Organization

Coalition Group LLC

Owner (parent company) · Organization

Emanuel, Yosef

Owner (parent company)

Key personnel

Emanuel, YosefOfficer / DirectorAlliance Health Group LLCManagerClark, ArelysManagerAlliance Health Group LLCAdp of the SnfClark, ArelysAdp of the Snf
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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