Nursing homeActive
Valley Nursing and Rehabilitation Center
581 NC Highway 16 South, Taylorsville, NC 286818286328146183 certified beds · 116 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
28
● 0● 19● 9
Penalties · 3 yrs
$88,557
3 fines
Last survey
2026-05-26
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-01-08 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-08-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-13 | Complaint | 015 | CMS-2567 (Care Compare) | — |
| 2024-10-08 | Standard | 0123 | CMS-2567 (Care Compare) | — |
| 2024-06-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-02 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-27Record 345247-20260526-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 345247-20260108-F658
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 345247-20260108-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 345247-20260108-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 345247-20260108-F880
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 345247-20250826-F627
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-14Record 345247-20250113-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-14Record 345247-20250113-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-14Record 345247-20250113-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-14Record 345247-20250113-F697
F714Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-14Record 345247-20250113-F714
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-14Record 345247-20250113-F609
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-10-09Record 345247-20241008-F678
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-10-09Record 345247-20241008-F684
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-10-09Record 345247-20241008-F726
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F606
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F607
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F623
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F655
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F661
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 345247-20241008-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 345247-20241008-F880
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 345247-20240614-F693
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-26 | Civil money penalty | $5,122 | CMS · Penalties |
| 2025-01-13 | Civil money penalty | $48,380 | CMS · Penalties |
| 2024-10-08 | Civil money penalty | $35,055 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.82
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day4.42
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours4.04
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover68%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover50%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.4% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.1% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.5% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.9% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.9% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 10.7% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 39.1% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Horizon Healthcare Group LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Valley Holdings Nc LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | — | — |
| Loftin, Sandra Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stern, Jacob Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stern, Jacob Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Cch Healthcare — 33 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Alexander.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Trinity Village Hickory | 10.3 mi | 2026-03-11 | 041 |
| The Greens at Hickory Hickory | 11.1 mi | 2026-01-28 | 1160 |
| Conover Nursing And Rehabilitation Center Conover | 11.7 mi | 2026-04-15 | 040 |
| The Greens at Viewmont Hickory | 11.1 mi | 2026-04-20 | 0144 |
| Abernathy Laurels Newton | 15.8 mi | 2025-09-05 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |