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Data / Nursing homes / North Carolina / Willow Valley Center for Nursing and Rehabilitatio

Willow Valley Center for Nursing and Rehabilitatio, Winston-Salem, NC: 1 star rating, fined $43,838 across 4 fines

Willow Valley Center for Nursing and Rehabilitatio in Winston-Salem, NC is owned by Alignment HOLDCO LLC, is rated 1 of 5 stars by Medicare, and was fined $43,838 across 4 fines in the three years to October 1, 2026. CMS lists 40 health citations from inspections in that time, the latest survey on February 20, 2026, and 4 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in North Carolina
Address
1900 W 1st Street, Winston-Salem, NC 27104
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
1 of 5
Certified beds
230
Residents per day
218 on average
Ownership type
For profit, corporation
Legal business name
West First Street Operating Company LLC
Chain
Alliance Health Group, 13 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$43,838 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
40, of which 4 with actual harm or immediate jeopardy
Latest survey
February 20, 2026
CMS Certification Number
345092
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 25, 2025Fine$14,508Not listeddata.cms.gov
November 22, 2024Fine$12,529Not listeddata.cms.gov
July 2, 2024Fine$8,783Not listeddata.cms.gov
July 2, 2024Fine$8,018Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 20, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
February 20, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
February 20, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
August 29, 2025F880Provide and implement an infection prevention and control program.J: isolated, immediate jeopardyCorrectedSeptember 24, 2025data.cms.gov
August 29, 2025F814Dispose of garbage and refuse properly.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
August 29, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
August 29, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 24, 2025data.cms.gov
August 29, 2025F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 24, 2025data.cms.gov
August 29, 2025F585Honor 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.B: pattern, minimal harm potentialNo revisit neededSeptember 23, 2025data.cms.gov
August 29, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 24, 2025data.cms.gov
June 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2025data.cms.gov
June 25, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2025data.cms.gov
November 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceOctober 2, 2024data.cms.gov
July 2, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F924Put firmly secured handrails on each side of hallways.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
July 2, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.C: widespread, minimal harm potentialPlan of correctionJuly 17, 2024data.cms.gov
July 2, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.B: pattern, minimal harm potentialPlan of correctionJuly 17, 2024data.cms.gov
July 2, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
November 21, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2023data.cms.gov
November 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceAugust 29, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (1 owners, 1 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Alignment HOLDCO LLCDirect ownerNot listedAugust 1, 2024data.cms.gov
Coalition Group LLCIndirect ownerNot listedAugust 1, 2024data.cms.gov
Alliance Health Group LLCOperational or managerial controlNot listedAugust 1, 2024data.cms.gov
Alliance Health Group LLCAdditional disclosable partyNot listedFebruary 20, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.