Deficiency Index

Willow Ridge Of NC

Rutherfordton, North Carolina · CCN 345197

25 surveys since 2011, 13 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
128
Surveys
25
Harm or worse
13
Immediate jeopardy
12
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy12

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file21/25

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

The facility

Certified beds
150
Ownership
For profit - Corporation
Chain
CCH HEALTHCARE
County
Rutherford · rural
Medicare-certified since
1980

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
4

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

Mar 19, 2026

235 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 day3.883.49
Registered-nurse hours per resident day0.33—
Annual nurse turnover56.5%52.4%

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

Enforcement

Fines
$146,939 across 4 penalties
Payment denials
1

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 jeopardyJ311.1%K—L—
Actual harmG13.7%H—I—
No harm, potential for more than minimalD1659.3%E622.2%F—
No harm, potential for minimalA—B—C13.7%
CMS’s current file: 27 of the 128 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 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.

  • F8672×

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • F5511×

    Give the resident's representative the ability to exercise the resident's rights.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

In the surveyor’s words

From the most serious findings on record at Willow Ridge Of NC, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Feb 4, 2025

    Based on record review, observations, and interviews with residents, facility staff, the Medical Director, the Lieutenant from the Police Department, resident's family friend, and the resident's responsible person (RP), the facility failed to protect the resident's right to be free from resident-to-resident abuse for 2 of 3 residents reviewed for abuse (Resident #15 and Resident #57). On 4/12/24 while completing morning rounds, Nurse Aide (NA) #6 found Resident #366 in Resident #15's room, lying on top Resident #15 while she was asleep in her bed, with his brief pulled down and his penis exposed. Resident #15's brief appeared to be sideways, undone on the left side, but was in place between her legs. […]

  • Immediate jeopardy, isolatedF689Jan 16, 2024

    Based on observations, record review and resident, family member (RP), staff and Medical Director (MD) interviews, the facility failed to ensure safe securement per manufacturer recommendations of a resident during a van transport. Resident #1 flipped backwards in his wheelchair, hitting the van floor while being transported in the facility's transportation van when the transportation van drove over a speedbump located along the steep driveway leading to the facility. Resident #1 sustained a hematoma to the back of his head, a skin tear to his right hand and skin tear to his right wrist. This practice had the high likelihood of causing serious injury for 1 of 3 residents reviewed for accidents (Resident #1). […]

  • Immediate jeopardy, isolatedF689Nov 3, 2023

    Based on observation, record review, staff and physician assistant interviews, the facility failed to safely assist a resident without causing injury to 1 of 5 residents (Resident #86) reviewed for accidents. Resident #86 was left standing without assistance in her room and fell . Resident #86 sustained a laceration to the head and a right fractured hip. The findings included: Resident #86 was admitted to the facility on [DATE] with diagnoses that included Alzheimer ' s, hypertension, anxiety, age related osteoporosis, muscle weakness, and adult failure to thrive. […]

  • Immediate jeopardy, isolatedF600Oct 28, 2022

    Based on observations, record review, resident and facility staff interviews, the facility failed to protect a cognitively impaired resident from physical abuse from an employee when a nurse aide (NA #5) put her hands on the resident's shoulders to get her to a seated position and slapped the resident on the side of her shoulder for 1 of 2 residents reviewed for abuse (Resident #57). NA #5 slapped Resident #57 in response to Resident #57 slapping at NA #5 resulting in Resident #57 holding her left arm as NA #5 walked away stating, I'm not going to take this off anyone. Immediate Jeopardy began on 08/11/22 when Resident #57, who had severe cognitive impairment, was physically abused by NA #5. […]

  • Immediate jeopardy, isolatedF607Oct 28, 2022

    Based on record review and staff interview the facility failed to implement their abuse policies and procedures when a housekeeper observed physical abuse of a resident by nurse aide (NA) #5 and did not immediately report the abuse to a supervisor or any member of the administrative team, failed to protect the residents by allowing NA #5 to work the remainder of that shift and the following day, failed to complete a thorough of investigation of an allegation of abuse, and failed to report the allegation of abuse to the State Agency, local law enforcement, and adult protective services within the required timeframe for 1 of 2 residents reviewed for abuse (Resident #57). […]

Read 29 findings in full →The most serious and the most recent: 29 of 128 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 19, 2026Standard and complaint5 findings
  • Feb 4, 2025Standard and complaint12 findings · 2 harm
  • Jan 16, 2024Complaint2 findings · 1 harm
  • Nov 3, 2023Standard and complaint8 findings · 1 harm
  • Oct 28, 2022Standard and complaint12 findings · 3 harm
  • May 25, 2022Complaint1 finding
  • Nov 12, 2021Standard and complaint9 findings
  • Oct 22, 2020Complaint2 findings
Show the 17 earlier surveys
  • Oct 2, 2020Complaint1 finding · 1 harm
  • Oct 1, 2020Complaint2 findings
  • Aug 26, 2020Complaint1 finding · 1 harm
  • Jul 24, 2020Complaint2 findings
  • Oct 29, 2019Complaint2 findings
  • Aug 22, 2019Standard4 findings
  • Nov 29, 2018Standard3 findings
  • Dec 15, 2017Standard and complaint12 findings
  • Mar 2, 2017Complaint7 findings
  • Nov 4, 2016Standard and complaint14 findings
  • Mar 1, 2016Complaint1 finding
  • Oct 1, 2015Standard1 finding
  • Sep 24, 2014Standard and complaint11 findings · 1 harm
  • Jun 14, 2013Standard8 findings
  • Dec 6, 2012—4 findings
  • Feb 10, 2012—3 findings · 3 harm
  • Oct 19, 2011—1 finding

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.

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