All states › North Carolina › North Wilkesboro › Wilkesboro Health and Rehabilitation
204 Old Brickyard Road North Wilkesboro, NC 28659 · Wilkes County
All 2 nursing homes in North Wilkesboro, NC (2 take Medicaid)
CMS certification number 345401 · See this home on Medicare Care Compare
Is Wilkesboro Health 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 Wilkesboro Health and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0.
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
28.8% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team.
About this nursing home
Paying for care at Wilkesboro Health and Rehabilitation: Medicare and Medicaid
Wilkesboro Health 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 December 11, 2025 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 16 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 16 citations at Wilkesboro Health and Rehabilitation across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 16 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (5) and resident rights (5). The most serious was cited under the CMS rule to "give residents notice of Medicaid/Medicare coverage and potential liability for services not covered" (tag F0582, level E, September 11, 2024).
July 30, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 11, 2025 · 3 citations · includes complaint inspection
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
September 11, 2024 · 6 citations
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
DProvide and implement an infection prevention and control program.
June 15, 2023 · 6 citations
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Wilkesboro Health and Rehabilitation
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
| August 2026 | 3/5 | 4/5 | 1/5 | 3/5 |
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Location
Hospitals near Wilkesboro Health 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.
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0.9 mi
Wilkes Regional Medical Center North WilkesboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 44m for patients treated and sent home
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20.1 mi
Hugh Chatham Memorial Hospital ElkinEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 48m for patients treated and sent home
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24.3 mi
Ashe Memorial Hospital JeffersonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 58m 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
More nursing homes near Wilkesboro Health and Rehabilitation › All nursing homes in North Wilkesboro ›
Compare Wilkesboro Health and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Wilkes Regional Medical Center SN · North Wilkesboro · 4 stars · 0.9 mi
Other Sanstone Health & Rehabilitation nursing homes in North Carolina
- Village Green Health and Rehabilitation · Fayetteville · 5 stars
- Carolina Care Health and Rehabilitation · Cherryville · 5 stars
- College Pines Health and Rehabilitation · Connelly Springs · 5 stars
- Camden Health and Rehabilitation · Greensboro · 5 stars
- The Lodge at Mills River · Mills River · 5 stars
- Ashton Health and Rehabilitation · McLeansville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 18 Sanstone Health & Rehabilitation 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.