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C
Below Standard

Yadkin Nursing and Care Center

903 W Main Street · Yadkinville, NC 27055

3366798863 · For profit - Limited Liability company

147 beds111 residents196 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Yadkin Nursing and Care Center receives an overall staffing grade of C (Below Standard). With 3.2735 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4088 HPRD, below the recommended 0.75. It is 0.62 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.63% compared to weekdays. The facility relies heavily on temporary agency staff (31.53% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2735 HPRD — needs 0.21 more hours per resident per day.
⚠️RN staffing (0.4088 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️31.53% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.2735hrs/resident/day▼ 0.62
CMS benchmark: 3.48
RN HPRD
0.4088hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
17.63%
3.4451 weekday → 2.8378 weekend
Agency Staff
31.53%
24.22% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.929hrs/resident/day
Direct care aides
LPN HPRD
0.7806hrs/resident/day
Licensed practical nurses
Consistency
0.3426std 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. Yadkin County Average+0.07 HPRD
3.20
03.27 HPRD
vs. North Carolina State Average-0.49 HPRD
3.77
03.27 HPRD
vs. National Average-0.62 HPRD
3.90
03.27 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
Yadkin Nursing and Care Center ★
Yadkinville · This facility
—
C
3.27350.4088★★★★☆
PruittHealth-Elkin
Elkin
12.4 mi
B
3.94290.9182★★★☆☆
Chatham Nursing & Rehabilitation
Elkin
14.7 mi
C
3.30940.5803★★★★★
Davie Nursing and Rehabilitation Center
Mocksville
15.7 mi
D
3.37790.38★★★☆☆
Cedar Hills Center for Nursing and Rehabilitation
Clemmons
17.8 mi
F
3.62880.1954★☆☆☆☆
Mill Creek Center for Nursing and Rehabilitation
Winston-Salem
21.4 mi
C
3.450.5638★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
16
Total Deficiencies
$8,018
Fines Assessed
Dec 19, 2024Health
1 deficiency cited· Includes actual harm
▼
Mar 17, 2022Health
15 deficiencies cited
▼

Penalty History

Dec 19, 2024Fine
$8,018
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.