Deficiency Index

Valley Nursing and Rehabilitation Center

Taylorsville, North Carolina · CCN 345247

20 surveys since 2011, 15 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
79
Surveys
20
Harm or worse
15
Immediate jeopardy
11
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
183
Ownership
For profit - Corporation
Chain
CCH HEALTHCARE
County
Alexander
Medicare-certified since
1986

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 92 for-profit facilities with 128 or more beds in North Carolina.

Last survey on record

May 26, 2026

167 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.423.49
Registered-nurse hours per resident day0.82—
Annual nurse turnover67.6%52.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$108,157 across 4 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ725.0%K—L—
Actual harmG27.1%H—I—
No harm, potential for more than minimalD1657.1%E310.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 79 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F7612×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Valley Nursing and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF580Jan 13, 2025

    Based on record review, and Resident, Resident Responsible Party (RP), facility staff, Nurse Practitioner (NP), and Medical Director interviews the facility failed to notify the Medical Director of Resident #1's documented allergy to aspirin with a history of a gastrointestinal bleed, recent fall with fracture, and new immobility for further orders regarding anticoagulation. Resident #1's family had expressed concerns to the Director of Nursing (DON) on 12/11/2024 regarding Resident #1 not receiving an anticoagulant after falling at home and sustaining multiple fractures of her pelvis and lumbar spine. Resident #1 had a documented allergy to aspirin and the NP instructed the Assistant Director of Nursing (ADON) to reach out to the MD for further direction. […]

  • Immediate jeopardy, isolatedF600Jan 13, 2025

    Based on record review, and staff, Resident, Responsible Party (RP), Nurse Practitioner, and Medical Director interviews, the facility failed to protect a resident's right to be free from neglect when they failed to notify the Medical Director that Resident #1 had a documented allergy to aspirin with a history of gastrointestinal bleed, recent fall with fracture, and new immobility on 12/11/24 when Resident #1's family expressed concerns to the Director of Nursing (DON) that Resident #1 was not receiving anticoagulant. The Nurse Practitioner instructed the Assistant Director of Nursing to reach out the Medical Director for guidance an anticoagulation and failed to communicate or collaborate with the Medical Director herself. […]

  • Immediate jeopardy, isolatedF684Jan 13, 2025

    Based on record review, and Resident, Resident Responsible Party (RP), facility staff, Nurse Practitioner (NP), and Medical Director interviews, the facility failed to seek emergent medical attention when Resident #1 who had a recent history of spine and pelvic fractures and anticoagulation therapy prior to admission, experienced increased leg swelling, pain and an ordered venous doppler study (a non-invasive diagnostic procedure that uses sound waves to examine the circulation in the body's veins and arteries) could not be scheduled for at least three days after it was ordered. […]

  • Immediate jeopardy, isolatedF714Jan 13, 2025

    Based on record review, and staff, Resident, Resident Responsible Party (RP), Nurse Practitioner, and Medical Director interview the facility Nurse Practitioner (NP) failed to communicate and collaborate with the Medical Director after Resident #1's RP voiced concerns on 12/11/2024 that Resident #1 was not receiving an anticoagulant (blood thinning medication, used to prevent blood clots) after having a fall at home and sustaining multiple fractures of the pelvis and lumbar (lower back) spine, and was not as mobile as she had been prior to admission to the facility. The Assistant Director of Nursing (ADON) contacted the NP on 12/11/2024 at which time the NP ordered aspirin which was later discontinued due to a listed allergy due to a history of gastrointestinal bleeding. […]

  • Immediate jeopardy, isolatedF678Oct 8, 2024

    Based on record review, observation, crash cart checklist, and staff, Respiratory Therapist, and Medical Director (MD) interviews the facility failed to immediately initiate Cardiopulmonary Resuscitation (CPR) when Resident #103, who was a full code had agonal breathing (a state of breathing of gasping for air due to the brain receiving insufficient oxygen) and went pulseless, failed to immediately utilize the overhead paging system to call staff to Resident #103's room (code blue), and failed to immediately active Emergency Medical [NAME] (EMS). […]

Read 26 findings in full →The most serious and the most recent: 26 of 79 on record.

Every survey on record

FindingsAt actual harm or above

  • May 26, 2026Complaint1 finding · 1 harm
  • Jan 8, 2026Standard and complaint4 findings
  • Aug 26, 2025Complaint1 finding
  • Jan 13, 2025Complaint6 findings · 5 harm
  • Oct 8, 2024Standard and complaint15 findings · 3 harm
  • Jun 14, 2024Complaint1 finding
  • Feb 18, 2022Standard2 findings · 2 harm
  • Jun 9, 2020Infection control1 finding
Show the 12 earlier surveys
  • Aug 9, 2019Standard and complaint2 findings
  • Aug 8, 2018Standard2 findings
  • Aug 17, 2017Standard and complaint5 findings
  • Mar 15, 2017Complaint3 findings
  • Jul 29, 2016Standard and complaint5 findings
  • Oct 7, 2015Complaint4 findings · 1 harm
  • Jul 24, 2015Standard and complaint8 findings · 2 harm
  • Aug 21, 2014Standard2 findings
  • May 23, 2013—6 findings
  • Mar 18, 2013—1 finding · 1 harm
  • Mar 30, 2012—3 findings
  • Feb 10, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction