Nursing homes across Wilkes County, North Carolina, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Wilkes Regional Medical Ctr Sn runs just 10 beds inside a hospital in North Wilkesboro, and its nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, but turnover of 30.8% is well under the 45.8% national figure, so the people caring for residents tend to stay. The state inspection history is thinner: 14 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent visit in April 2025. A 2-out-of-5 inspection rating paired with a 5-out-of-5 quality measure score tells you the care itself measures well even where paperwork and process have drawn scrutiny.
Wilkesboro Health and Rehabilitation runs on 4.57 nurse hours per resident per day, which is about 18 percent above the national average, and its staff turnover sits at 28.2 percent against a national rate of 45.8 percent, a signal that caregivers tend to stay. Weekend staffing dips roughly 10 percent below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 15 deficiencies on its current record, but none at the harm or jeopardy level and none related to abuse, and its last inspection was in December 2025, so the picture is recent. Corporate for-profit ownership, 111 certified beds.
Ridge Valley runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends dip slightly below its own weekday staffing. That shortfall shows up in the federal staffing rating, and so does the quality measure side, which sits at the bottom of the scale despite a middling inspection history. Turnover is the one place this home beats the norm: 33.8% versus 45.8% nationally, meaning aides and nurses stick around longer than at the typical facility. Then there are the 25 deficiencies on record, two involving harm or jeopardy and one tied to abuse, with the most recent inspection in December 2025.
Westwood Hills runs a 176-bed for-profit operation in Wilkesboro, and the staffing picture is mixed in a way worth understanding. Its 3.09 nurse hours per resident day sits about 20% under the national average of 3.86, and weekends drop roughly another 20% below its own weekday levels. Turnover, though, is 29%, well under the national 45.8%, so the people who are there tend to stay. What pulls the record down is inspection history: 12 deficiencies, three at harm or jeopardy level, four abuse-related, and a $8,648 fine, with the most recent inspection in November 2025. Ask about weekend coverage and how those abuse-related findings were resolved.