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Best Nursing Homes in Winston-Salem, NC

Why trust this guide? Our editorial team analyzed 9 nursing homes in Winston-salem, NC using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
Reviewed by
Last updated
Jun 2026
We analyzed
9 homes
Other senior care options in Winston-salem:
Avg Overall CMS Rating: 2.2/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Winston-salem, NC. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 1.8/ 5The average Staffing Rating across all CMS-certified nursing homes in Winston-salem, NC. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Winston-salem, NC. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

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.

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

Oak Forest Health and Rehabilitation Center
NH
AL
HC
NC
PC
RC
Winston-Salem
170
Facility 170
NC AVG 72
Rank #7 / 390
78.6%
Facility 78.6%
NC AVG 76.4%
Rank #116 / 271
+3%
3.44
Facility 3.44
NC AVG 3.98
Rank #76 / 97
+8%-13%
$43.0k
Facility $43.0k
NC AVG $74.6k
Rank #77 / 105
34
Facility 34
NC AVG 20.9
Rank #84 / 101
3.8
Facility 3.8
NC AVG 5.0
Rank #46 / 101
4156-
5
Facility 5
NC AVG 33
Rank #496 / 572
-
$17.9M
Facility $17.9M
NC AVG $13.2M
Rank #33 / 104
$7.4M
Facility $7.4M
NC AVG $4.9M
Rank #23 / 104
41.7%
Facility 41.7%
NC AVG 39.8%
Rank #15 / 104
345443
Mill Creek Center for Nursing & Rehabilitation
NH
AL
HC
MC
RC
Winston-Salem (Oldtown)
66
Facility 66
NC AVG 72
Rank #201 / 390
74.2%
Facility 74.2%
NC AVG 76.4%
Rank #134 / 271
-3%
3.64
Facility 3.64
NC AVG 3.98
Rank #70 / 97
-45%-8%
$29.9k
Facility $29.9k
NC AVG $74.6k
Rank #72 / 105
45
Facility 45
NC AVG 20.9
Rank #95 / 101
7.5
Facility 7.5
NC AVG 5.0
Rank #91 / 101
367-
24
Facility 24
NC AVG 33
Rank #349 / 572
Brittany Bailey
$8.4M
Facility $8.4M
NC AVG $13.2M
Rank #93 / 104
$3.5M
Facility $3.5M
NC AVG $4.9M
Rank #92 / 104
42%
Facility 42%
NC AVG 39.8%
Rank #30 / 104
345149
Willow Valley Center for Nursing and Rehabilitation
NH
AL
HC
MC
RC
Winston-Salem (West Highlands)
230
Facility 230
NC AVG 72
Rank #1 / 390
87.6%
Facility 87.6%
NC AVG 76.4%
Rank #66 / 271
+15%
3.71
Facility 3.71
NC AVG 3.98
Rank #66 / 97
-32%-7%
$275.5k
Facility $275.5k
NC AVG $74.6k
Rank #102 / 105
51
Facility 51
NC AVG 20.9
Rank #100 / 101
6.4
Facility 6.4
NC AVG 5.0
Rank #86 / 101
7215-
62
Facility 62
NC AVG 33
Rank #58 / 572
Citadel At Winston Salem LLC
$22.0M
Facility $22.0M
NC AVG $13.2M
Rank #27 / 104
$5.5M
Facility $5.5M
NC AVG $4.9M
Rank #22 / 104
24.8%
Facility 24.8%
NC AVG 39.8%
Rank #19 / 104
345092
Homestead Hills Assisted Living
NH
AL
IL
MC
Winston-Salem
66
Facility 66
NC AVG 72
Rank #201 / 390
30.3%
Facility 30.3%
NC AVG 76.4%
Rank #242 / 271
-60%
5.28
Facility 5.28
NC AVG 3.98
Rank #19 / 97
+32%+33%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
6
Facility 6
NC AVG 20.9
Rank #21 / 101
3.0
Facility 3.0
NC AVG 5.0
Rank #32 / 101
-20-
20
Facility 20
NC AVG 33
Rank #377 / 572
Kapson Gp, LLC
$4.8M
Facility $4.8M
NC AVG $13.2M
Rank #29 / 104
$6.3M
Facility $6.3M
NC AVG $4.9M
Rank #44 / 104
131.8%
Facility 131.8%
NC AVG 39.8%
Rank #95 / 104
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.

Contact Arbor Acres

Overview of Salemtowne Retirement Community

Nestled in the picturesque landscape, Salemtowne Retirement Community stands as a tranquil haven for seniors seeking a vibrant and supportive lifestyle in their golden years. With a focus on holistic living, this community provides comfortable residential options, from spacious cottages to cozy apartments, ensuring every resident finds their ideal abode. The community’s commitment to promoting an active and fulfilling retirement is evident in its array of recreational facilities, including fitness centers, walking trails, and creative spaces. Salemtowne Retirement Community stands as more than just a place to reside; it’s a nurturing environment where seniors can embrace each day with enthusiasm and joy.
At Salemtowne Retirement Community, the essence of graceful aging is exemplified through a range of comprehensive services that cater to the evolving needs of its residents. From the assurance of healthcare access to the convenience of on-site dining options, the community places a premium on enhancing the quality of life for its senior members. Professional staff and caregivers are dedicated to providing personalized support, allowing residents to maintain their independence while knowing that assistance is readily available when required. The community’s serene surroundings and thoughtfully designed architecture create an atmosphere of serenity and relaxation, fostering a sense of belonging and security. Rooted in a tradition of respect for individuality and a commitment to well-being,

Contact Salemtowne Retirement Community

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 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 Assisted Living is a 66-bed community at 2101 Homestead Hills Drive, Winston-Salem, Forsyth County, North Carolina. It provides independent living, assisted living, memory care, and skilled nursing services; operates 24/7; and holds a 3-star state rating tied for 40th of 138 North Carolina facilities. A 6X National Award winner designation reflects prior operational achievements. Current occupancy is 30 percent (20 of 66 beds) significantly below the state average of 76.4 percent.

Staff training, medication management, and building safety represent Homestead Hills’ persistent compliance challenges. Over five years and across seven inspections, the facility averaged 9.6 deficiencies annually, 85 percent above North Carolina’s 5.2-deficiency benchmark. The October 26, 2023 annual survey identified five deficiencies consolidating longstanding gaps in medication aide preparation and health professional competency. Five of six medication aides failed to complete required medication clinical skills checklists or medication aide training verification; four of six staff lacked competency validation for licensed health professional support tasks spanning fingerstick blood sugar checks, insulin injections, inhalation medications, and oxygen administration.

Two residents were not tested for tuberculosis upon admission; one resident’s required licensed health professional evaluation was not completed within 30 days. Three residents did not receive ordered medications for blood pressure regulation, antipsychotic therapy, and heart-rate management.

Medication aide deficiencies recur across the facility’s history. August 2015 substantiated complaint investigation documented seven deficiencies that parallel current findings: five of six staff lacked competency validation for blood glucose checks, insulin injections, oxygen administration, and nebulizer use; four of six had not received diabetic care training before administering insulin; three of five medication aides hired after October 2013 had not completed required 15-hour medication administration training or clinical skills validation. Additional deficiencies in that investigation included two residents not receiving ordered therapeutic diets (no concentrated sweets, mechanical soft), inadequate infection control for shared glucometers affecting three residents, inadequate restraint documentation for one resident, and absent annual infection control training for three staff.

Building and fire safety deficiencies span July 2015 through August 2019. July 2015 construction survey documented nine deficiencies including failed fire alarm components, unsecured oxygen cylinders (projectile hazards), wedged fire doors, breached fire-rated construction, unsealed gas and electrical ceiling penetrations, dragging or difficult-to-open exit doors, non-latching interior doors, and inadequate mechanical ventilation. September 2015 follow-up found five uncorrected deficiencies: continued oxygen cylinder storage hazards, fire-rated construction breaches, missing sprinkler escutcheon plates, unsealed ceiling penetrations, and non-functional laundry ventilation. July 2017 cited 13 violations spanning missing fire inspection reports, bathrooms used for storage, poor furniture and plumbing maintenance, unsecured oxygen cylinders, non-functional emergency lighting, improperly propped doors, fire-resistant ceiling breaches, difficult egress doors, misaligned kitchen hood suppression heads, missing ansul system documentation, and absent bathroom exhaust ventilation.

August 2019 identified eight deficiencies: particulate buildup on return-air grilles, non-illuminated exit signs, non-functional emergency lights, missing sprinkler escutcheons, wedged fire doors, non-latching doors, stored items blocking sprinkler coverage, and non-operational janitorial exhaust.

September 2021 documented one capacity violation: 20 residents occupied a Special Care Unit licensed for 18 beds. The facility offers wellness programs, full-time activity coordination, fine dining with flexible menus, concierge and salon services, housekeeping, transportation, and 24-hour emergency call systems. No fines or license suspensions appear in the record.

Families should ask about corrective actions taken following the October 2023 medication administration and staff competency deficiencies.

Contact Homestead Hills Assisted Living

Overview of Salemtowne, the Moravian Community

Salemtowne is a not-for-profit Life Plane home that has been one of the trusted communities for years. The professional caregivers ensure that residents don’t have to worry about living alone by encouraging them to engage with others and enrich their knowledge and social life. The independent living and assisted living community strives to create an atmosphere of warmth, respect, and fellowship where seniors feel like they belong in a nurturing environment.
Salemtowne’s resort-style community boasts its quintessential services that essentially make the lives of each resident stress-free so seniors can pursue and continue their interests every day. Community features center on life-enriching and engaging amenities and services such as housekeeping, laundry, social events, recreational activities, fitness classes, medication management, and transportation.

Contact Salemtowne, the Moravian Community

Overview of Brookridge

Brookridge functions as a consolidated memory care and assisted living facility situated in Winston-Salem, North Carolina, operating under the ThriveMore umbrella with a substantial seven-decade organizational history. Given that the surrounding location possesses a Walk Score of merely six, the necessity of personal or public transportation becomes a logistical requirement rather than a secondary convenience. Jessica Nathan serves as the Administrator managing these operations.

Occupancy levels sit at 81.3 percent with an average residency duration of 211 days, suggesting a facility that maintains a stable equilibrium between rehabilitation services and permanent residential care. Quantitative analysis of the nursing coverage indicates 3 hours and 45 minutes of total nursing time per resident per day. Of that allocation, nurse aides provide 3 hours and 1 minute, which represents the primary point of daily interaction for the residents.

The community maintains twenty-four-hour coverage from licensed nurses and certified nursing assistants, while respite care serves as a secondary service tier for those requiring transitional support. Financial acceptance includes Medicare, Medicaid, and private funding sources.

The nutritional program diverges from singular dining models by offering both a formal dining room and a casual café environment. These spaces prioritize locally sourced ingredients and rotating menus, featuring daily lunch and dinner service alongside a recurring Sunday brunch buffet. Infrastructure amenities include an indoor heated pool, a fitness center, an art studio, a library, and shared community gardens, all within a pet-friendly environment.

For families evaluating memory care or assisted living options within the Winston-Salem sector, Brookridge presents as a stable ThriveMore asset. The facility demonstrates a robust amenity structure combined with staffing allocation patterns heavily weighted toward direct daily care, fitting a long-term operational profile.

Contact Brookridge

Overview of Arbor Acres United Methodist Retirement Community

Arbor Acres United Methodist Retirement Community operates as a memory care facility in Winston-Salem, North Carolina, under Methodist Church affiliation. The facility is not currently CMS-certified for Medicare or Medicaid. Bert Sanders has served as Healthcare Administrator since 2024. Walk score of 38 reflects somewhat walkable neighborhood access, though most resident errands and outings require transportation.

The community provides skilled nursing care, memory care, rehabilitation services, and respite care. The facility’s stated philosophy emphasizes hospitality, stress-free lifestyle, and support for purposeful living within a residential, resort-style environment.

Licensed nurses and certified nursing assistants staff the facility. Programming includes Fountain Hill Home Care and arts activities designed for cognitive support and resident engagement. Amenities encompass housekeeping, physical therapy, organized social events, 24-hour concierge service, hair salon, library access, and restaurant-style dining.

The facility does not participate in CMS certification. Residents access the facility through private pay arrangements and potentially through North Carolina’s financial assistance programs including Community Alternatives Program for Disabled Adults, Program of All-Inclusive Care for the Elderly (PACE), and State/County Special Assistance programs, though direct facility-level participation in these programs is not confirmed.

The Methodist Church affiliation may indicate nonprofit status and long-standing community presence.

Family evaluation of Arbor Acres necessarily relies on in-person facility visits, direct interviews with current residents and family members, review of individual care agreements and service specifications, and assessment of observed staff-resident interactions and physical environment conditions rather than comparative public benchmarking.

Arbor Acres presents itself as a specialized memory care community emphasizing lifestyle amenities and personalized support.

Contact Arbor Acres United Methodist Retirement Community

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 9 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.