Willow Valley Center for Nursing and Rehabilitatio was under the ownership of Alignment Holdco, LLC in the first quarter of 2026, Centers for Medicare and Medicaid Services (CMS) records show. Based in Forsyth County, the facility has been run by Alignment Holdco, LLC since Aug. 1, 2024.
The facility operates as a for-profit nursing home.
During this reporting period, the center held an overall CMS rating of 1—below the state’s 2.9 average for nursing homes in North Carolina. CMS bases its ratings on several factors, including the results of health inspections, adequacy of staffing, and quality-of-care metrics for residents.
CMS data shows Willow Valley Center for Nursing and Rehabilitatio served an average daily census of 215.1 residents in the first quarter of 2026, out of a total 230 licensed beds. The facility is not connected to a hospital.
In that same quarter, Willow Valley Center for Nursing and Rehabilitatio incurred $275,518 in five fines, collecting five penalties overall.
Forsyth County, North Carolina housed eight for-profit nursing homes at the time.
Recent U.S. Census Bureau data indicates the population of older adults in the nation is rising while younger age groups diminish. Between 2020 and 2024, the number of Americans ages 65 and older climbed by 13%, while those younger than 18 declined by 1.7%. Over the last century, the country’s older adult population increased sharply—from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 report estimates that nearly half of Americans in this age category, or approximately 28 million people, are likely to need long-term services and supports. The study also projects that over one-third of this population may ultimately require care in a nursing home setting.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, which educates the public about long-term care insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Brookridge Retirement Community | Baptist Retirement Homes of North Carolina Incorporated | Non profit – Corporation | 5 | 66.6 |
| Homestead Hills | Senior Living Commuities, LLC | For profit – Corporation | 5 | 31.5 |
| Mill Creek Center for Nursing and Rehabilitation | Alignment Holdco, LLC | For profit – Limited Liability company | 1 | 67 |
| North Carolina State Veterans Home Kernersville | NC Department of Military and Veterans Affairs, Kathleen Banks, and Nicole Stephens | Government – State | 5 | 54.5 |
| Oak Forest Health and Rehabilitation | Liberty Healthcare Group, LLC | For profit – Corporation | 1 | 156.3 |
| Piney Grove Nursing and Rehabilitation Center | Principle It Services, Inc. and Principle Long Term Care, Inc. | For profit – Limited Liability company | 3 | 86.8 |
| Salemtowne | Moravian Home Incorporated | Non profit – Corporation | 4 | 92.8 |
| Summerstone Health and Rehabilitation Center | Liberty Long Term Care, LLC | For profit – Limited Liability company | 3 | 126.5 |
| The Oaks | Liberty Healthcare Group, LLC, Liberty Long Term Care, LLC, John McNeill, and Ronald McNeill | For profit – Corporation | 1 | 121.2 |
| Trinity Glen | Lutheran Services for the Aging, Inc. | Non profit – Corporation | 5 | 105.1 |
| Willow Valley Center for Nursing and Rehabilitatio | Alignment Holdco, LLC | For profit – Corporation | 1 | 215.1 |
Details for this article are sourced from the Centers for Medicare and Medicaid Services. Access the data set here.
