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Best Nursing Homes in Winston-Salem, NC

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 8 homes in

Sources: CMS Centers for Medicare and Medicaid Services, and New York State Department of Health, Office of Aging and Long Term Care.

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Compare Nursing Homes around Winston-salem

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

5 facilities compared · CMS & NC Dept. of Health data

Click column headers to sort
Arbor Acres
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Winston-Salem
189
Facility 189
NC AVG 116
Rank #6 / 397
89.7%
Facility 89.7%
NC AVG 76.4%
Rank #51 / 264
+17%
9.31
Facility 9.31
NC AVG 3.98
Rank #2 / 90
-100%+134%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 97
1
Facility 1
NC AVG 20.9
Rank #1 / 95
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 95
-
Facility -
NC AVG 2.2
5
20
Facility 20
NC AVG 33
Rank #378 / 572
Pamela Ball
$52.7M
Facility $52.7M
NC AVG $13.2M
Rank #6 / 97
$21.2M
Facility $21.2M
NC AVG $4.9M
Rank #2 / 97
40.1%
Facility 40.1%
NC AVG 39.8%
Rank #69 / 97
345573
Oak Forest Health and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Winston-Salem
170
Facility 170
NC AVG 116
Rank #10 / 397
78.6%
Facility 78.6%
NC AVG 76.4%
Rank #112 / 264
+3%
3.44
Facility 3.44
NC AVG 3.98
Rank #70 / 90
+8%-13%
$30.1k
Facility $30.1k
NC AVG $74.6k
Rank #71 / 97
34
Facility 34
NC AVG 20.9
Rank #79 / 95
3.8
Facility 3.8
NC AVG 5.0
Rank #41 / 95
4
Facility 4
NC AVG 2.2
157
5
Facility 5
NC AVG 33
Rank #496 / 572
-
$21.2M
Facility $21.2M
NC AVG $13.2M
Rank #31 / 97
$12.1M
Facility $12.1M
NC AVG $4.9M
Rank #22 / 97
57.2%
Facility 57.2%
NC AVG 39.8%
Rank #15 / 97
345443
Mill Creek Center for Nursing & Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

N

Nursing

Winston-Salem (Oldtown)
80
Facility 80
NC AVG 116
Rank #168 / 397
74.2%
Facility 74.2%
NC AVG 76.4%
Rank #130 / 264
-3%
3.64
Facility 3.64
NC AVG 3.98
Rank #64 / 90
-45%-8%
$29.9k
Facility $29.9k
NC AVG $74.6k
Rank #70 / 97
45
Facility 45
NC AVG 20.9
Rank #89 / 95
7.5
Facility 7.5
NC AVG 5.0
Rank #85 / 95
3
Facility 3
NC AVG 2.2
62
24
Facility 24
NC AVG 33
Rank #350 / 572
Brittany Bailey
$8.9M
Facility $8.9M
NC AVG $13.2M
Rank #86 / 97
$4.4M
Facility $4.4M
NC AVG $4.9M
Rank #85 / 97
49.2%
Facility 49.2%
NC AVG 39.8%
Rank #29 / 97
345149
Willow Valley Center for Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

N

Nursing

Winston-Salem (West Highlands)
230
Facility 230
NC AVG 116
Rank #2 / 397
87.6%
Facility 87.6%
NC AVG 76.4%
Rank #63 / 264
+15%
3.71
Facility 3.71
NC AVG 3.98
Rank #60 / 90
-32%-7%
$286.5k
Facility $286.5k
NC AVG $74.6k
Rank #96 / 97
51
Facility 51
NC AVG 20.9
Rank #94 / 95
6.4
Facility 6.4
NC AVG 5.0
Rank #80 / 95
7
Facility 7
NC AVG 2.2
215
62
Facility 62
NC AVG 33
Rank #58 / 572
Citadel At Winston Salem LLC
$22.4M
Facility $22.4M
NC AVG $13.2M
Rank #26 / 97
$12.3M
Facility $12.3M
NC AVG $4.9M
Rank #21 / 97
54.7%
Facility 54.7%
NC AVG 39.8%
Rank #19 / 97
345092
Homestead Hills Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Winston-Salem
66
Facility 66
NC AVG 116
Rank #218 / 397
30.3%
Facility 30.3%
NC AVG 76.4%
Rank #235 / 264
-60%
5.28
Facility 5.28
NC AVG 3.98
Rank #18 / 90
+32%+33%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 97
6
Facility 6
NC AVG 20.9
Rank #19 / 95
3.0
Facility 3.0
NC AVG 5.0
Rank #29 / 95
-
Facility -
NC AVG 2.2
20
20
Facility 20
NC AVG 33
Rank #378 / 572
Kapson Gp, LLC
$22.0M
Facility $22.0M
NC AVG $13.2M
Rank #28 / 97
$7.4M
Facility $7.4M
NC AVG $4.9M
Rank #43 / 97
33.7%
Facility 33.7%
NC AVG 39.8%
Rank #89 / 97
345559
Overview of Arbor Acres

Situated in the heart of Winston-Salem, North Carolina, Arbor Acres is a distinguished continuing care retirement community. This tranquil haven provides a spectrum of living options, spanning independent living, assisted care, memory care, and skilled nursing, designed to cater to diverse senior needs.

Within the rare and beautiful setting of Arbor Acres, residents find a place to reside and a canvas where purpose, creativity, and motivation flourish. Life at Arbor Acres shines brilliantly, fostering an environment where friendships blossom and the art of living is embraced. All are welcome to experience the exceptional lifestyle offered at Arbor Acres, where each resident is invited to savor the richness of their journey in this vibrant and thriving community.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed

Building type icon
Building type icon

Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact Arbor Acres

Overview of Oak Forest Health and Rehabilitation Center

The sister nursing center of The Oaks, Oaks Forest is where residents thrive with the support of quality services for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Specializing in short-term rehabilitation, skilled nursing care, and long-term living– the nursing home aim to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness.

As a proud member of the Liberty Healthcare and Rehabilitation Services, expect Oak Forest to provide a list of comprehensive amenities and services that help make the lives of its residents hassle-free. These include 24-hour licensed supervision, medication services, balanced meals provided, engaging activities scheduled, and specialized programs available.

Contact Oak Forest Health and Rehabilitation Center

Overview of Mill Creek Center for Nursing & Rehabilitation

The sister home of Willow Valley Center, Mill Creek, is also the premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Mill Creek is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Mill Creek Center for Nursing & Rehabilitation

Overview of Brighton Gardens of Winston-salem

Brighton Gardens of Winston-salem is a senior living community situated in a prime Winston-Salem, North Carolina location, offering a personalized lifestyle where residents can enjoy time with friends and neighbors doing what brings them joy. The community provides room rates starting at $3,040 per month and is committed to championing residents’ quality of life, providing empathy, support, education, and comfort. With around-the-clock, relationship-based care, Brighton Gardens of Winston-salem delivers a tailored experience to meet each individual’s unique needs and preferences, infusing their days with a healthy dose of fun.

The community features a beautifully decorated environment that welcomes pets with open arms and lots of love, offering a wide range of engaging activities such as balloon volleyball, water pong, music and manicures, and brain games on the porch. Residents can participate in passion-driven, resident-inspired clubs, including walking, card playing, baking, and crafting, while enjoying a diverse menu with options like high fiber, high calcium, low sodium, low fat, or vegetarian meals. Conveniently located in Winston-Salem, NC, on the corner of Reynolda and Polo roads, Brighton Gardens of Winston-salem is near Reynolda Gardens, movie theaters, shopping, and dining, with residents frequently enjoying community outings to nearby shopping, dining, museums, Salem Lake, and Quarry Park. The community is also close to medical support at Forsyth Hospital and Wake Forest Baptist Hospital, ensuring comprehensive care for its residents.

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Room sizes icon
Room sizes icon

Room Sizes: 289 - 311 / 435 sq. ft

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Contact Brighton Gardens of Winston-Salem

Overview of Peace Haven Assisted Living

Peace Haven Assisted Living offers a cozy, home-like environment for its residents. Residents live their best lives because of excellent services that help a speedy recovery. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Contact Peace Haven Assisted Living

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Willow Valley Center for Nursing and Rehabilitation

Homestead Hills Assisted Living

2101 Homestead Hills Drive Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Homestead Hills Assisted Living
Homestead Hills is a premier senior living community located in Winston-Salem, North Carolina. It offers a variety of living options including Independent Living, Assisted Living, Memory Care, and Skilled Nursing. The community focuses on providing a vibrant lifestyle with numerous amenities and a commitment to wellness.

Contact Homestead Hills Assisted Living

Southfork

1345 Jonestown Road Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Southfork
Southfork is a senior living facility located in Winston-Salem, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while ensuring residents receive personalized care.

Contact Southfork

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Winston-Salem, NC

What's the difference between assisted living and a nursing home in North Carolina?

Assisted living in North Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does North Carolina Medicaid cover nursing home care?

Yes — North Carolina Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 8 nursing homes in Winston-Salem, NC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Winston-Salem, NC?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Winston-Salem, NC, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Winston-Salem, NC?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.