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Nursing homeFAID #8907

Willow Valley Center for Nursing and Rehabilitation

1900 W 1ST STREET, WINSTON-SALEM, NC, 27104
(336) 724-2821
230 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Bed capacity
230
CMS facility ID
345092
Care type
Nursing home
County
Forsyth
Facility name
Willow Valley Center for Nursing and Rehabilitation
Street address
1900 W 1ST STREET
City / state / ZIP
Winston-salem, NC 27104
Phone
(336) 724-2821

Willow Valley Center for Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Winston-salem, North Carolina. It is licensed for 230 beds — well above the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 14 senior care facilities in Winston-salem and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Willow Valley Center for Nursing and Rehabilitation 71 times across 13 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $43,838 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Alliance Health Group
Ownership type
For profit - Corporation

Registered owners & officers

Alignment Holdco Llc
Direct owner — since 2024
Alliance Health Group Llc
Operational control · Additional disclosable party — since 2024
Clark, Arelys
Operational control · Additional disclosable party — since 2024
Coalition Group Llc
Indirect owner — since 2024
Emanuel, Yosef
Indirect owner · Officer — since 2024
Turbett, Timothy
Additional disclosable party — since 2024

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1973-07-01
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
$43,838 total
Last standard inspection
2025-08-29
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$305 per day (≈ $9,270/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
86% Medicaid · 2% Medicare · 12% private/other
Occupancy
88% (fiscal year 2023)
Vs. state median
18% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
230
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-20Health inspectionComplaint-triggered3 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-03-04
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-03-04
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-04
2025-08-29Health inspectionComplaint-triggered7 citations
F-0565
D · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-09-24
F-0585
B · No harm foundFrom a complaint
Honor 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.
Corrected 2025-09-23
F-0646
D · No harm found
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2025-09-24
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-24
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-23
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-09-23
F-0880
J · Immediate jeopardy
Provide and implement an infection prevention and control program.
Corrected 2025-09-24
8 earlier / fire-safety inspections (61 citations)
2025-06-25Health inspectionComplaint-triggered2 citations
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-07-17
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-07-17
2024-11-22Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-02
2024-07-02Health inspectionComplaint-triggered25 citations
F-0550
G · Actual harmFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-17
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-07-17
F-0569
B · No harm foundFrom a complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-07-17
F-0576
C · No harm foundFrom a complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-07-17
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-17
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-07-17
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2024-07-17
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-17
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-17
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-17
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-07-17
F-0644
E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-17
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-17
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-17
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-17
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-07-17
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-17
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-17
F-0758
D · No harm found
Implement 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.
Corrected 2024-07-17
F-0759
D · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-17
F-0761
E · No harm found
Ensure 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.
Corrected 2024-07-17
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-17
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-17
F-0924
E · No harm foundFrom a complaint
Put firmly secured handrails on each side of hallways.
Corrected 2024-07-17
2023-11-21Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-29
F-0867
D · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-12-19
2023-08-07Health inspectionComplaint-triggered11 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-09-06
F-0578
D · No harm found
Honor 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.
Corrected 2023-09-06
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-07
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2023-09-06
F-0638
B · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-09-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-09-06
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-07
F-0692
J · Immediate jeopardyFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-07
F-0803
E · No harm foundFood safetyFrom a complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-09-06
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-09-06
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-06
2024-07-02Fire-safety inspection10 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-27
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-27
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-27
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-10-27
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-10-27
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-27
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-10-27
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-27
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-27
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-10-27
2023-08-07Fire-safety inspection4 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-01
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-12-01
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-01
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-01
2022-05-24Fire-safety inspection6 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2022-07-22
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-07-22
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-07-22
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-07-22
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-22
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2022-07-22

Federal penalties

2025-06-25Fine$14,508
2024-11-22Fine$12,529
2024-07-02Fine$8,018
2024-07-02Fine$8,783
Total fines$43,838
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345092.
What people say on Google.
3.5193 ratings on Google
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 71 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered