facebook tracking Valley View Care and Rehabilitation, Andrews NC: CMS Ratings
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Valley View Care and Rehabilitation

All states › North Carolina › Andrews › Valley View Care and Rehabilitation

551 Kent Street Andrews, NC 28901 · Cherokee County

(828) 321-3075

Accepts Medicare Accepts Medicaid 76 certified beds For profit

CMS certification number 345426 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Valley View Care and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Valley View Care and Rehabilitation as of October 2026.

CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 31 citations in the last three years. CMS imposed 4 penalties, including $45,395 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.11 hours per resident per day at Valley View Care and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.85 of those hours are from registered nurses. On weekends it falls to 2.44 hours, 22% below its all-week average. Ask how weekends are staffed. 58.1% of nursing staff left within a year (North Carolina median 48.5%).

Nursing care per resident per day 3.11 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.85 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.44 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 58.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 46.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds76
Residents per day 62 About 82% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1992
Part of a chainAvardis Health
Legal business name551 KENT STREET OPCO LLC

Paying for care at Valley View Care and Rehabilitation: Medicare and Medicaid

Valley View Care and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 30, 2026 and found 6 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 31 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 31 citations at Valley View Care and Rehabilitation across 5 inspection dates, 9 of them from complaint investigations. 4 were at the actual-harm level (G–I), most recently on July 17, 2026. The most common areas cited were resident rights (7) and pharmacy service (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 17, 2026).

July 17, 2026 · 1 citation · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Aug 5, 2026)

June 4, 2026 · 4 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 23, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jun 23, 2026)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Complaint inspection · Deficient, Provider has date of correction (Jun 23, 2026)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jun 23, 2026)

April 30, 2026 · 6 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 4, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 4, 2026)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Jun 4, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jun 4, 2026)

DProvide bedrooms that don't allow residents to see each other when privacy is needed.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0914 · Deficient, Provider has date of correction (Jun 4, 2026)

CConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Potential for minimal harm · Administration Deficiencies · Tag F0838 · No revisit needed (May 25, 2026)

March 14, 2025 · 6 citations · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2025)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 10, 2025)

EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 10, 2025)

EProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Apr 10, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 10, 2025)

November 2, 2023 · 14 citations, includes actual harm · includes complaint inspection

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

Actual harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Nov 27, 2023)

GProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Actual harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Nov 27, 2023)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 27, 2023)

FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (Nov 27, 2023)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Nov 27, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Nov 27, 2023)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Nov 27, 2023)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Nov 27, 2023)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Nov 27, 2023)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Nov 27, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Nov 27, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Nov 27, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Nov 27, 2023)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Nov 27, 2023)

Questions to ask on a tour of Valley View Care and Rehabilitation

  1. Inspectors cited the home at the actual-harm level on July 17, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $45,395 in fines.

DateTypeAmount or length
Jul 17, 2026 Fine $20,440
Apr 30, 2026 Fine $15,185
Nov 2, 2023 Fine $3,465
Nov 2, 2023 Fine $6,305

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 3/5 2/5
August 2026 2/5 2/5 4/5 3/5
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Location

Hospitals near Valley View Care and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 11.1 mi
    Erlanger Murphy Medical Center Murphy
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 57m for patients treated and sent home
  • 17.9 mi
    Chatuge Regional Hospital Hiawassee
    Emergency room
    Median ER visit 2h 36m for patients treated and sent home
  • 22.5 mi
    Union General Hospital Blairsville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 45m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Graham Healthcare and Rehabilitation Center Robbinsville · 8.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 80 beds · Medicaid
Clay County Health and Rehabilitation Hayesville · 10.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 90 beds · Medicaid
Murphy Rehabilitation & Nursing Murphy · 18.5 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 134 beds · Medicaid
Macon Valley Nursing and Rehabilitation Center Franklin · 23.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 200 beds · Medicaid
Mountain View Manor Nursing Center Bryson City · 26.0 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Valley View Care and Rehabilitation ›   All nursing homes in Andrews ›

Compare Valley View Care and Rehabilitation with the 3 closest homes side by side ›

Other Avardis Health nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Avardis Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/andrews/valley-view-care-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.