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Complaint Investigation

Walnut Cove Health And Rehabilitation

August 21, 2025 · Walnut Cove, NC · 511 Windmill Street
Citations 4
CMS Rating 2/5
Beds 90
Provider ID 345089
Healthcare Facility
Walnut Cove Health And Rehabilitation
Walnut Cove, NC  ·  View full profile →
Inspection Summary

Walnut Cove Health and Rehabilitation in Walnut Cove, NC — inspection on August 21, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0602
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview with Nurse #4 on 8/19/25 at 4:53 PM she stated she was informed by another NA on the unit on 6/25/25 that Resident #23 had made a complaint about missing money from her debit card.

She was unable to recall which NA informed her of this.

Nurse #4 stated she went to speak with Resident #23, and she reported that someone had made an unauthorized charge to her debit card.

Nurse #4 stated she immediately reported the information to the Director of Nursing via phone.

Nurse #4 stated the Director of Nursing came in and went to interview Resident #23.

During an interview with the Director of Nursing on 8/19/25 at 3:45 PM she stated she learned about the unauthorized charge when Resident #23 came to her and stated she had received a call from her RP the morning of 6/25/25.

The Director of Nursing stated she asked Resident #23 if she had loaned her card out or given it to any of the staff. Resident #23 denied she had given the debit card to anyone else, and Resident #23 stated she always kept the card in her purse located in the top dresser drawer located at the bedside.

The Director of Nursing revealed the facility had never seen Resident #23's debit card.

The Director of Nursing stated that the facility offered all residents a place to keep their valuables upon admission and Resident #23 declined.

During an interview with the Administrator on 8/20/25 he stated that he became aware of the unauthorized charges to Resident #23's debit card on 6/25/25 by the Director of Nursing.

The Administrator stated Resident #23 reported she had unauthorized charges on her debit card.

The Administrator indicated he notified local law enforcement on 6/25/25.

The facility provided a plan of correction that was not acceptable to the State Agency.

When identifying other residents who had the potential to be affected by the same deficient practice the facility interviewed cognitively intact residents, but they did not comprehensively assess if any non-interviewable residents were affected.

The interventions used to identify if non-interviewable residents were affected were skin assessments and the fact that no new allegations of misappropriation were made by family members during the 5-day investigation period.

Additionally, the facility's monitoring procedures only addressed interviewable residents.

Facility ID:

Federal health inspectors cited Walnut Cove Health and Rehabilitation in Walnut Cove, NC for a deficiency under regulatory tag F-F0640 during a standard health inspection conducted on 2025-08-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of Walnut Cove Health and Rehabilitation.

Correction Status: No revisit needed.

The facility reported correction as of 2025-09-18.

Federal health inspectors cited Walnut Cove Health and Rehabilitation in Walnut Cove, NC for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of Walnut Cove Health and Rehabilitation.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-18.

Federal health inspectors cited Walnut Cove Health and Rehabilitation in Walnut Cove, NC for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of Walnut Cove Health and Rehabilitation.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-18.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Walnut Cove, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Walnut Cove Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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