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Ridge Valley Center for Nursing and Rehabilitation

All states › North Carolina › Wilkesboro › Ridge Valley Center for Nursing and Rehabilitation

1000 College Street Wilkesboro, NC 28697 · Wilkes County

(336) 838-4141

All 2 nursing homes in Wilkesboro, NC (2 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 345133 · 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 Ridge Valley Center for Nursing 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 Ridge Valley Center for Nursing and Rehabilitation as of October 2026.

CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 25 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 1 out of 5.

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 3.31 hours per resident per day at Ridge Valley Center for Nursing and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.26 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 36.6% 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.

Nursing care per resident per day 3.31 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.26 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.15 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 36.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 80% 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 beds120
Residents per day 83 About 69% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1974
Part of a chainAlliance Health Group
Legal business nameCOLLEGE STREET OPERATING COMPANY, LLC

Paying for care at Ridge Valley Center for Nursing and Rehabilitation: Medicare and Medicaid

Ridge Valley Center for Nursing 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 4, 2025 and found 1 deficiency. In total, inspectors issued 25 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 25 citations at Ridge Valley Center for Nursing and Rehabilitation across 5 inspection dates, 7 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 20, 2023. The most common areas cited were quality of life and care (6) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level J, June 20, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

December 4, 2025 · 1 citation

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 23, 2025)

July 17, 2025 · 2 citations · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2025)

BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2025)

January 8, 2025 · 1 citation · includes complaint inspection

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Jan 22, 2025)

September 11, 2024 · 10 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Oct 5, 2024)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Oct 5, 2024)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Oct 5, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Oct 5, 2024)

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 · Complaint inspection · Deficient, Provider has date of correction (Oct 5, 2024)

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 · Complaint inspection · Deficient, Provider has date of correction (Oct 5, 2024)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Oct 5, 2024)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Oct 5, 2024)

DImplement 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 (Oct 5, 2024)

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 (Oct 5, 2024)

June 20, 2023 · 11 citations, includes immediate jeopardy

JEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Past Non-Compliance (May 15, 2023)

JProvide and implement an infection prevention and control program.

Immediate jeopardy · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 7, 2023)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Aug 7, 2023)

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 (Aug 7, 2023)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Aug 7, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Aug 7, 2023)

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 (Aug 7, 2023)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Aug 7, 2023)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Aug 7, 2023)

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

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has plan of correction (Jun 25, 2023)

BAssure that each resident’s assessment is updated at least once every 3 months.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has plan of correction (Jun 25, 2023)

Questions to ask on a tour of Ridge Valley Center for Nursing and Rehabilitation

  1. Inspectors cited the home at the immediate-jeopardy level on June 20, 2023 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on September 11, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. 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?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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 monthOverallInspectionStaffingQuality
October 2026 1/5 3/5 1/5 1/5
August 2026 1/5 3/5 1/5 1/5
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Location

Hospitals near Ridge Valley Center for Nursing 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.

  • 1.3 mi
    Wilkes Regional Medical Center North Wilkesboro
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 44m for patients treated and sent home
  • 20.0 mi
    Hugh Chatham Memorial Hospital Elkin
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 48m 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

Westwood Hills Nursing and Rehabilitation Center Wilkesboro · 0.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 176 beds · Medicaid
Wilkesboro Health and Rehabilitation North Wilkesboro · 1.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 111 beds · Medicaid
Wilkes Regional Medical Center SN North Wilkesboro · 1.2 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 10 beds · Medicaid
Valley Nursing and Rehabilitation Center Taylorsville · 18.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 183 beds · Medicaid
PruittHealth-Elkin Elkin · 20.3 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 100 beds · Medicaid

More nursing homes near Ridge Valley Center for Nursing and Rehabilitation ›   All nursing homes in Wilkesboro ›

Compare Ridge Valley Center for Nursing and Rehabilitation with the 3 closest homes side by side ›

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Other Alliance Health Group nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Alliance Health Group 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/wilkesboro/ridge-valley-center-for-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.