All states › North Carolina › Wilkesboro › Westwood Hills Nursing and Rehabilitation Center
1016 Fletcher Street Wilkesboro, NC 28697 · Wilkes County
All 2 nursing homes in Wilkesboro, NC (2 take Medicaid)
CMS certification number 345205 · See this home on Medicare Care Compare
Is Westwood Hills Nursing and Rehabilitation Center 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 Westwood Hills Nursing and Rehabilitation Center 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
Nursing staff spend about 3.10 hours per resident per day at Westwood Hills Nursing and Rehabilitation Center, below the North Carolina median of 3.57 (US median: 3.72). About 0.75 of those hours are from registered nurses. On weekends it falls to 2.47 hours, 20% below its all-week average. Ask how weekends are staffed. 30.4% 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 Westwood Hills Nursing and Rehabilitation Center: Medicare and Medicaid
Westwood Hills Nursing and Rehabilitation Center 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 November 19, 2025 and found 1 deficiency, plus 2 from complaint inspections in the same period. In total, inspectors issued 12 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 12 citations at Westwood Hills Nursing and Rehabilitation Center across 4 inspection dates, 3 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on May 27, 2026. The most common areas cited were freedom from abuse, neglect, and exploitation (4) and administration (2). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, May 27, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
May 27, 2026 · 1 citation · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 19, 2025 · 2 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 21, 2024 · 3 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
July 25, 2023 · 6 citations, includes actual harm
GEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
GDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DEnsure each resident receives an accurate assessment.
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.
DEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Questions to ask on a tour of Westwood Hills Nursing and Rehabilitation Center
- Inspectors cited the home at the actual-harm level on May 27, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 27, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- 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
1 penalty in the last three years, including $15,185 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 27, 2026 | Fine | $15,185 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 3/5 |
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Location
Hospitals near Westwood Hills Nursing and Rehabilitation Center
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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1.6 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
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 Westwood Hills Nursing and Rehabilitation Center › All nursing homes in Wilkesboro ›
Compare Westwood Hills Nursing and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Wilkes Regional Medical Center SN · North Wilkesboro · 4 stars · 1.6 mi
Other Principle Long Term Care nursing homes in North Carolina
- Jacob's Creek Nursing and Rehabilitation Center · Madison · 5 stars
- Carolina Rivers Nursing and Rehabilitation Center · Jacksonville · 5 stars
- Maple Grove Health and Rehabilitation Center · Greensboro · 5 stars
- Grantsbrook Nursing and Rehabilitation Center · Grantsboro · 5 stars
- Kerr Lake Nursing and Rehabilitation Center · Henderson · 4 stars
- Lake Park Nursing and Rehabilitation Center · Indian Trail · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care 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.