Westwood Hills Nursing and Rehabilitation Center

    1016 Fletcher St, Wilkesboro, NC, 28697
    4.4 · 34 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Kind staff, dangerous systemic care

    I have mixed feelings: the building is clean, comfortable and many staff are warm, friendly and caring, but systemic problems put my loved one at risk. I experienced inconsistent care, medication errors/over-sedation, severe weight loss, falls (including a broken hip and head bruising), being dropped from a wheelchair and even a stroke requiring a feeding tube. Kind staff can't overcome unsafe management and unreliable care-until that changes I wouldn't trust this place with a vulnerable senior.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.44 · 34 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.3
    • Meals

      3.3
    • Amenities

      3.8
    • Value

      1.0

    Pros

    • Compassionate, attentive and caring staff
    • Warm, welcoming atmosphere
    • Clean and well-maintained facilities
    • Comfortable rooms and beautifully decorated common areas
    • Many reviewers report high-quality, superior care
    • Reliable staff with long-term relationships (examples of 12 years)
    • Good communication and regular updates to families
    • End-of-life care described as tender and thankful
    • Engaging activities for residents
    • Secure/locked dementia unit
    • Positive workplace culture (staff say it’s an excellent place to work)
    • Good volunteer and guest tray experience
    • Frequently recommended by families

    Cons

    • Serious neglect and care lapses reported (falls, injuries, delayed care)
    • Medication errors or delays alleged, including reports of stroke
    • Reports of significant, rapid weight loss and over-sedation
    • Incidents of residents dropped from wheelchairs or mishandled
    • Inconsistent care; CNAs need clearer direction and supervision
    • Billing for basic supplies (wipes, diapers, bandages) reported
    • Mixed to poor dining experiences (food described as not great/awful)
    • Shared rooms can affect privacy
    • Some reviewers call for facility closure or moving residents
    • Isolated but severe safety incidents reported that require verification

    Summary review

    Overall sentiment in the reviews is strongly mixed: a majority of comments praise the staff, environment, and many aspects of care, while a smaller but serious subset of reviews alleges significant neglect, safety lapses, and clinical errors. Many reviewers emphasize that staff are warm, compassionate, attentive, and treat residents and families like family — noting consistent, long-term relationships, quick communication, and high-quality end-of-life care. The facility’s physical environment is repeatedly praised as clean, well-maintained, comfortably furnished, and attractively decorated, and reviewers commonly recommend the center to others and praise it as a good place to volunteer or to work.

    Staff performance is the most frequently cited positive theme. Multiple reviewers highlight nurses, CNAs, and other staff for kindness, tenderness, attention to detail, and reliable care over years. Families report receiving regular updates on condition and progress and express gratitude for compassionate end-of-life support. There are consistent remarks that the caregiving culture is nurturing and resident-focused, with staff who are helpful, friendly, and dedicated.

    However, a number of reviews describe very serious clinical and safety concerns that contrast sharply with the positive accounts. Allegations include neglectful behavior and delayed or incorrect medication administration (with at least one reviewer attributing a stroke and subsequent loss of function to medication mistiming), rapid and significant weight loss (one report of 21 lbs in one month), apparent over-sedation or being "drugged to bed rest," falls resulting in bruises, skin tears, and a broken hip requiring surgery and rehab, and incidents of residents being dropped from wheelchairs. These reports, if accurate, raise major red flags about medication management, fall prevention, supervision, staff training, and incident reporting. The presence of both frequent praise and a small number of severe harm allegations suggests either inconsistent care practices across shifts/teams or isolated but consequential lapses; reviewers themselves note inconsistency in care vision and request better direction from management for CNAs.

    Facility operations and amenities receive mostly positive comments: reviewers find rooms comfortable, common areas attractive, the building clean, and the dementia unit appropriately locked. Activities and guest services (including guest trays) receive praise. At the same time, there are operational complaints: several reviewers say the facility "nickel-and-dimes" families by charging for basic supplies (wipes, diapers, bandages), and shared rooms raise privacy concerns for some residents. Dining receives mixed reviews — some say food is great, others call it "not great" or "awful" — indicating variability in mealtime satisfaction.

    Patterns and practical implications: the dominant pattern is a facility with many strengths in staffing culture and environment that nonetheless has at least a few reviews describing serious safety or clinical failures. Because the harmful incidents reported are severe (falls with fractures, suspected medication-related stroke, significant unexplained weight loss, feeding tube placement after events), they warrant careful attention from prospective families. They may reflect isolated events, differences between shifts, or systemic issues in supervision and clinical protocols. Reviewers repeatedly mention the need for clearer direction and oversight of CNAs, suggesting management-level opportunities for improvement in training, staffing consistency, and clinical governance.

    Recommendations for families and decision-makers (based on the review themes): if considering this facility, strongly consider an in-person tour focused on clinical safety and operations. Ask to review medication administration protocols, fall-prevention procedures, incident/complaint logs, staffing ratios (including night shift), staff training and supervision policies, and how the facility handles supplies and billing for items like diapers and wipes. Observe a shift change to gauge communication and consistency among staff. Request references from current families who have similar care needs to your loved one, and clarify roommate vs private room options and dementia unit policies. Finally, monitor weight trends, meal intake, wound care, and medication timing closely after placement, and maintain frequent communication with nursing leadership to promptly address any decline or safety concerns.

    In summary, Westwood Hills Nursing and Rehabilitation Center appears to offer a caring, clean, and welcoming environment with many families reporting excellent, compassionate care. At the same time, several reviews describe very serious clinical and safety incidents that should not be ignored. Prospective residents and families should weigh the strong positive culture and facility upkeep against the reported safety lapses, perform targeted due diligence, and actively monitor care after move-in to ensure that the high standards many reviewers describe are consistently upheld.

    Location

    Map showing location of Westwood Hills Nursing and Rehabilitation Center

    About Westwood Hills Nursing and Rehabilitation Center

    Westwood Hills Nursing and Rehabilitation Center has 176 certified skilled nursing beds and usually about 110 residents living there each day, and sometimes you'll hear about the 186 total bed count and the 30-bed Alzheimer's unit, but really the SPARC Memory Unit holds fifteen semi-private rooms for those who need memory care, and you'll find that the SPARC program-Specialized Programming for Alzheimer's and Related Care-gives folks with dementia or memory loss a safe and structured spot, lots of oversight, and fairly tailored activities that try to match what each person can manage, and there's always 24-hour support and care, so people who need more than average personal help with things like bathing, dressing, eating, taking medicine, or just getting around have that assistance nearby all day and night. The place offers short-term rehab after surgery or hospital stays, long-term care for those with chronic illnesses, and a chance for respite stays, and people in both regular and memory care units get regular meals from a kitchen, served in the family-style dining room for the SPARC unit, with customized meal plans if someone's got to watch their salt, sugar, or other dietary needs, because a lot of residents there might have trouble with heart disease, diabetes, or high blood pressure, and often need more careful monitoring with medicine that the staff can store and give as needed. They have a physician who oversees things with an on-site team of nurses giving about 3.04 hours per resident per day, and nurse turnover sits at 31.1%, with the staff coming and going more than some would like, but folks still get personal care plans from an interdisciplinary team meant to help keep independence and give some sense of dignity even as people's conditions may change, and the general care model pays attention to mind, body, and spirit so it's not just about medicine.

    Masks are required at all times for everyone-staff and guests-when they're inside, and every person going in has to do a temperature check and fill out a health assessment, and the center partners with experts from the clinical world and sticks close to CDC guidelines, which lately has meant using things like electrostatic cleaning, new filters such as MERV 13, and some new air scrubbers in hopes they'll catch or prevent viruses, because even with effort, there's been a noted infection-related deficiency regarding how infection control's handled, and all those facts come up in the inspection reports, showing 16 total deficiencies. The whole property has safety features meant to help residents move around safely, especially those with dementia, with access control technology guarding the Memory Care Unit, and there's housekeeping, laundry, help with transportation, and a raft of activities shaped to fit with whatever someone's able to do, handled by staff trained to manage behavioral concerns attached to memory issues, plus some emphasis on making visiting hours workable-though the reception office does keep regular hours from 8:30 AM to 5:00 PM, Monday through Friday.

    Westwood Hills has always run as a for-profit corporation under Principle Long Term Care, Inc., since 2011, with managerial names like Raymond, Robert, and Roger Hill, and Principle IT Services, Inc. part of the ownership picture, and it meets federal requirements so they can accept Medicare and Medicaid. The place commits to being a fair housing and equal opportunity provider, so anyone meeting care needs can live there. The center isn't perfect, but people who need skilled nursing, short-term rehab, long-term help, or memory care for Alzheimer's and dementia will find a setting trying to balance safety, social life, and medical help, all under close professional supervision.

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