Home›North Carolina›Wilkes County›Westwood Hills Nursing and Rehabilitation Center
D
Poor

Westwood Hills Nursing and Rehabilitation Center

1016 Fletcher Street · Wilkesboro, NC 28697

3366679261 · For profit - Limited Liability company

176 beds118.5 residents159 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Westwood Hills Nursing and Rehabilitation Center receives an overall staffing grade of D (Poor). With 2.9598 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7226 HPRD, below the recommended 0.75. It is 0.94 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.87% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9598 HPRD — needs 0.52 more hours per resident per day.
⚠️RN staffing (0.7226 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.9598hrs/resident/day▼ 0.94
CMS benchmark: 3.48
RN HPRD
0.7226hrs/resident/day▲ 0.04
Recommended: 0.75
Weekend Drop-off
20.87%
3.1453 weekday → 2.4887 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7109hrs/resident/day
Direct care aides
LPN HPRD
0.3389hrs/resident/day
Licensed practical nurses
Consistency
0.3717std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Wilkes County Average-1.70 HPRD
4.66
02.96 HPRD
vs. North Carolina State Average-0.81 HPRD
3.77
02.96 HPRD
vs. National Average-0.94 HPRD
3.90
02.96 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Westwood Hills Nursing and Rehabilitation Center ★
Wilkesboro · This facility
—
D
2.95980.7226★★★★☆
Ridge Valley Center for Nursing and Rehabilitation
Wilkesboro
0.4 mi
D
3.39410.3844★☆☆☆☆
Valley Nursing and Rehabilitation Center
Taylorsville
18.4 mi
B
4.30670.5955★☆☆☆☆
PruittHealth-Elkin
Elkin
20.4 mi
B
3.94290.9182★★★☆☆
Chatham Nursing & Rehabilitation
Elkin
23 mi
C
3.30940.5803★★★★★
Lenoir Health and Rehabilitation Center
Lenoir
24.6 mi
F
3.20920.237★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
11
Total Deficiencies
$8,648
Fines Assessed
Nov 19, 2025Health
2 deficiencies cited
▼
Aug 21, 2024Health
3 deficiencies cited
▼
Jul 25, 2023Health
6 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 25, 2023Fine
$8,648
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.