Willow Valley Center For Nursing And Rehabilitatio
Willow Valley Center for Nursing and Rehabilitatio in Winston-Salem, NC — inspection on February 20, 2026.
Found 3 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.
Inspection Findings
investigated the missing Hydrocodone-Acetaminophen that began on 10/3/2025, but all the
regarding the missing Hydrocodone-Acetaminophen.
The DON revealed Nurse #1 arrived for her
suspended and needed to come into the facility in the morning to submit a statement.
The DON explained Nurse #1 did not come to the facility for several days to write a statement.
The DON indicated Nurse #1 was interviewed, and she had no recollection of what happened to the missing Hydrocodone-Acetaminophen or where she may have put the missing narcotic.
The DON said that Nurse #1 had her employment terminated due to a lack of stewardship of the narcotics.
The Administrator stated the situation did not appear to involve diversion and was unclear.
The Administrator recalled a hospice nurse stating the missing medication belonged to hospice and that hospice would conduct its own investigation and report to the proper authorities.
The DON stated that the facility was informed by a hospice nurse that Resident #2 was missing 30 tablets of Hydrocodone-Acetaminophen, and she thought it was connected to the missing Hydrocodone-Acetaminophen reported on 10/3/2025.
The DON confirmed she did not have any evidence of an investigation into Resident #2's missing Hydrocodone-Acetaminophen, but suspected Nurse #1 misplaced Resident #2's medication.An attempt was made to contact Nurse #1 on 2/17/2026 at 4:56 PM via the telephone; however, current contact information was not available, as her phone number was no longer active.
345092 02/20/2026
Willow Valley Center for Nursing and Rehabilitatio 1900 W 1st Street Winston-Salem, NC 27104
Based on this understanding, the Administrator believed the misappropriation was not reportable and assumed hospice would conduct its own investigation and reporting.
The Administrator noted that Nurse #1 had been employed at the facility for five months at the time of the incident and had previously struggled with recalling information in an unrelated circumstance.
She added that the facility was in the process of relocating offices, and documentation of the investigation into the missing Hydrocodone-Acetaminophen in October 2025 was lost.
Without documentation, the Administrator declined to speculate on what occurred or what further actions were taken by the facility.
345092 02/20/2026
Willow Valley Center for Nursing and Rehabilitatio 1900 W 1st Street Winston-Salem, NC 27104
According to the DON, Nurse #1 could not recall whether the medication had been administered or explain the discrepancies in the documentation.
The DON acknowledged that the documentation on the medication monitoring/control record should match the documentation on the MAR for a clear accounting of the narcotic medication.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.