Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willowbrook Rehabilitation And Care during CMS and state inspections, most recent first.
A resident with a recent femur fracture missed a scheduled orthopedic appointment for stitch removal after the DON failed to transcribe a physician's telephone order and communicate it to nursing staff, resulting in the appointment not being scheduled. The error was discovered when the physician's office contacted the facility, and subsequent staff interviews confirmed the lapse in documentation and communication.
Two residents experienced medication errors: one did not receive a prescribed glaucoma medication due to its unavailability, and another with COPD received an inhaled medication without the required shaking between puffs. These incidents resulted in a medication error rate above 5%, as observed during medication passes and confirmed by staff interviews.
Missed Physician Appointment Due to Failure to Transcribe Order
Penalty
Summary
A deficiency occurred when a resident, admitted with a displaced subtrochanteric fracture of the right femur and anxiety, missed a scheduled orthopedic appointment to have stitches removed. The failure was due to the Director of Nursing (DON) not transcribing a telephone order received from the resident's physician into the Treatment Administration Record (TAR) and not communicating the order to the nursing staff. As a result, the resident's appointment for stitch removal was not scheduled, and the resident did not attend the appointment as planned. The error was discovered when the doctor's office contacted the facility about the missed appointment. Upon review, it was found that the admitting nurse also failed to obtain wound care orders during the initial assessment. The DON acknowledged responsibility for not transcribing the order and for the lack of communication, which directly led to the missed appointment. Interviews with facility staff, including the Unit Manager and the prior Administrator, confirmed that the lack of documentation in the TAR and the failure to schedule transportation for the appointment were the primary causes of the deficiency. The resident was later assessed and found to have no signs of infection or harm as a result of the missed appointment.
Medication Error Rate Exceeds 5% Due to Missed Dose and Improper Inhaler Administration
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as evidenced by 2 medication errors out of 31 observed medication administration opportunities, resulting in a 6.45% error rate. In one instance, a resident with glaucoma did not receive a prescribed dose of Dorzolamide HCL-Timolol Maleate Ophthalmic Solution because the medication was not available on the medication cart. The nurse responsible was unable to locate the medication and did not provide a reason for its absence, stating only that he would contact the pharmacy to reorder it. In another case, a resident with chronic obstructive pulmonary disease (COPD) was administered Budesonide-Formoterol Fumarate Inhalation Aerosol incorrectly. The nurse administered two puffs of the inhaler without shaking it between doses, contrary to the manufacturer's instructions, which require the inhaler to be shaken for 5 seconds before each puff. The nurse acknowledged forgetting this step during administration. Both incidents were observed during medication passes and confirmed through staff interviews and record reviews.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near Yadkinville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Yadkin Nursing And Care Center | 1.4 mi | ★★★★★ | 3 | 0 |
| Pruitthealth-elkin | 13.8 mi | ★★★★★ | 0 | 0 |
| Bermuda Commons Nursing And Rehabilitation Center | 14.1 mi | ★★★★★ | 0 | 0 |
| Davie Nursing And Rehabilitation Center | 14.7 mi | ★★★★★ | 3 | 0 |
| Bermuda Village Retirement Center | 15.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.