Valley Nursing and Rehabilitation: Femur Fracture - NC
The resident at Valley Nursing and Rehabilitation Center had fractured their femur. The medical director, after learning of the injury, said he began investigating and found what he believed was an explanation, though not a reassuring one. The resident appeared to have osteopenia, a degradation of bone density, and the medical director said that condition may have developed from medications the resident had been taking while living at the facility.
He did not say the fracture was unavoidable.
What he said was more specific than that: he believed the resident's bones had become soft enough that a femur could break more easily than it otherwise would. He said he did not believe the bone would have fractured simply by touching the area. But he also said it was quite possible that if the resident kicked someone and made contact, the femur could have broken from that alone.
The resident had cognitive deficits. The medical director acknowledged this directly, and said he was familiar with the resident. There had been instances, he told inspectors, where the resident was resistive or aggressive with him and his team during care. For a resident with that profile, he said, the standard approach would be to try to redirect them, or to stop what you were doing and come back 10 to 15 minutes later.
Whether that happened before the fracture, the inspection report does not say.
What the report does say is that the state agency reviewed the facility's corrective action plan and did not accept it. The plan was rejected. The inspection, filed as a complaint, found that actual harm had occurred, affecting a small number of residents.
The fracture of a femur, the longest and strongest bone in the human body, is a serious injury at any age. In elderly residents, and particularly those whose bones have already been weakened by osteopenia, it can mean surgery, prolonged immobility, and a recovery that never fully arrives. The medical director's own account acknowledged that the resident's bone density had degraded, and that medications administered at the facility may have contributed to that degradation. He stopped short of drawing a direct line between the facility's care and the fracture itself, but the line was there in the details he provided.
He said the femur would not have broken simply by touching it. He said it could have broken if the resident kicked someone. What happened in the room, and who was present, and what was being done to the resident at the moment the bone broke, is not described in the portion of the inspection report available.
The facility submitted a corrective action plan. The state said no.
That rejection is not a minor procedural note. When a state agency declines to accept a corrective action plan, it means inspectors reviewed what the facility proposed to do differently and found it insufficient. It means the agency was not satisfied that the conditions that led to the injury would be addressed. It means the case remained open.
Valley Nursing and Rehabilitation Center is in Taylorsville, a small city in the foothills of western North Carolina. The inspection was conducted in May 2026 in response to a complaint.
The medical director's account, as recorded by inspectors, reads as the account of someone trying to make sense of an injury that surprised him. He was shocked, he said. He investigated. He found the osteopenia, noted the medications, acknowledged the resident's history of resistance during care. He offered a theory about how a femur could break without anyone intending to break it.
But the state agency, after reviewing everything the facility put forward, decided that what had been proposed to prevent the next fracture was not enough.
The resident whose femur broke is identified in the report only as Resident 1.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Valley Nursing and Rehabilitation Center from 2026-05-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 13, 2026 · Our methodology
Valley Nursing and Rehabilitation Center in Taylorsville, NC was cited for violations during a health inspection on May 26, 2026.
The resident at Valley Nursing and Rehabilitation Center had fractured their femur.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.