Other senior care options in Winston-salem:

Best Nursing Homes in Winston-Salem, NC

Why trust this guide? Our editorial team analyzed 9 nursing homes in Winston-salem, NC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
Reviewed by
Last updated
Jul 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

Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Homestead Hills Assisted Living
NH
AL
IL
MC
SNF
Winston-Salem
66
Facility 66
NC AVG 72
Rank #198 / 387
30.3%
Facility 30.3%
NC AVG 68
Rank #210 / 240
-55%
5.28
Facility 5.28
NC AVG 3.98
Rank #19 / 81
+32%+33%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
6
Facility 6
NC AVG 20.9
Rank #22 / 85
3.0
Facility 3.0
NC AVG 5.0
Rank #32 / 85
-20-
20
Facility 20
NC AVG 36
Rank #377 / 536
Kapson Gp, LLC
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
NC AVG $15.7M
Rank #82 / 84
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
NC AVG $8.2M
Rank #38 / 84
131.8%Fiscal year ending 12/2023
Facility 131.8%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #7 / 84
345559
Arbor Acres
NH
AL
IL
MC
SNF
Winston-Salem
6
Facility 6
NC AVG 72
Rank #335 / 387
--
9.31
Facility 9.31
NC AVG 3.98
Rank #2 / 81
-100%+134%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
1
Facility 1
NC AVG 20.9
Rank #1 / 85
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 85
-10-
20
Facility 20
NC AVG 36
Rank #377 / 536
Pamela Ball
$41.8MFiscal year ending 12/2023
Facility $41.8MFiscal year ending 12/2023
NC AVG $15.7M
Rank #4 / 84
$21.0MFiscal year ending 12/2023
Facility $21.0MFiscal year ending 12/2023
NC AVG $8.2M
Rank #2 / 84
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #35 / 84
345573
Oak Forest Health and Rehabilitation Center
NH
AL
HOS
PC
RC
SNF
Winston-Salem
170
Facility 170
NC AVG 72
Rank #7 / 387
91.9%
Facility 91.9%
NC AVG 68
Rank #50 / 240
+35%
3.44
Facility 3.44
NC AVG 3.98
Rank #67 / 81
+8%-13%
$43.0k
Facility $43.0k
NC AVG $74.6k
Rank #68 / 89
34
Facility 34
NC AVG 20.9
Rank #71 / 85
3.8
Facility 3.8
NC AVG 5.0
Rank #44 / 85
4156-
5
Facility 5
NC AVG 36
Rank #496 / 536
-
$17.9MFiscal year ending 09/2023
Facility $17.9MFiscal year ending 09/2023
NC AVG $15.7M
Rank #20 / 84
$7.4MFiscal year ending 09/2023
Facility $7.4MFiscal year ending 09/2023
NC AVG $8.2M
Rank #31 / 84
41.7%Fiscal year ending 09/2023
Facility 41.7%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #57 / 84
345443
Willow Valley Center for Nursing and Rehabilitation
NH
AL
HOS
MC
RC
SNF
Winston-Salem (West Highlands)
230
Facility 230
NC AVG 72
Rank #1 / 387
93.5%
Facility 93.5%
NC AVG 68
Rank #45 / 240
+38%
3.71
Facility 3.71
NC AVG 3.98
Rank #57 / 81
-32%-7%
$275.5k
Facility $275.5k
NC AVG $74.6k
Rank #86 / 89
51
Facility 51
NC AVG 20.9
Rank #84 / 85
6.4
Facility 6.4
NC AVG 5.0
Rank #73 / 85
7215-
62
Facility 62
NC AVG 36
Rank #58 / 536
Citadel At Winston Salem LLC
$22.0MFiscal year ending 12/2023
Facility $22.0MFiscal year ending 12/2023
NC AVG $15.7M
Rank #14 / 84
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
NC AVG $8.2M
Rank #54 / 84
24.8%Fiscal year ending 12/2023
Facility 24.8%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #83 / 84
345092
Mill Creek Center for Nursing & Rehabilitation
NH
AL
HOS
MC
RC
SNF
Winston-Salem (Oldtown)
66
Facility 66
NC AVG 72
Rank #198 / 387
--
3.64
Facility 3.64
NC AVG 3.98
Rank #61 / 81
-45%-8%
$29.9k
Facility $29.9k
NC AVG $74.6k
Rank #63 / 89
45
Facility 45
NC AVG 20.9
Rank #80 / 85
7.5
Facility 7.5
NC AVG 5.0
Rank #77 / 85
367-
24
Facility 24
NC AVG 36
Rank #349 / 536
Brittany Bailey
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
NC AVG $15.7M
Rank #74 / 84
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
NC AVG $8.2M
Rank #78 / 84
42%Fiscal year ending 12/2023
Facility 42%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #56 / 84
345149

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 runs 66 beds in Winston-Salem, North Carolina. Right now about 20 of those beds are filled, which puts occupancy near 30 percent. For a family weighing placement, that low a figure cuts two ways. There is room to move in without a wait. It also means the building is running well under capacity, worth sitting with as you visit.

The setting is not a walkable one. With a Walk Score of 20, most trips out mean getting in a car. Plan visits around that.

Residents have access to rehabilitation services, respite stays for caregivers who need a break, and staffing that covers all 24 hours. Total nursing care runs about 5 hours and 17 minutes per resident each day, with licensed practical nurses adding close to an hour of that. Wellness programming, dining, concierge and salon services, housekeeping, and transportation fill out the day. An emergency call system runs around the clock.

State inspections have focused on standard operational ground: medication management, infection prevention, and fire-safety systems, rather than direct resident care. Medicare and private pay are both accepted here. The place suits an older adult who needs rehabilitation-minded care and steady daily help, and whose family does not mind a quieter building with beds to spare.

Contact Homestead Hills Assisted Living

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 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 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

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 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

Brookridge

1199 Hayes Forest Drive, Winston-Salem, NC 27106
Overview of Brookridge

Brookridge is a multi-level senior living campus in Winston-Salem, North Carolina, operating under the ThriveMore umbrella. The community has provided continuous senior care for over 70 years, offering independent living, assisted living, memory care, and skilled nursing within a single location. The healthcare wing features 134 beds and runs at an average occupancy rate of 81 percent, serving a mix of short-term recovery patients and long-term residents who stay for about 211 days on average.

Residents in the skilled nursing unit receive an average of 3 hours and 45 minutes of direct nursing care each day, with nurse aides supplying just over 3 hours of that daily hands-on support. Financial coverage options include Medicare, Medicaid, and private payments.

The campus amenities feature an indoor heated swimming pool, a fitness center, an art studio, and a library. Dining choices include a formal dining room and a casual café serving meals made with locally sourced ingredients, alongside a Sunday brunch buffet. The facility has no recorded federal penalties.

The local neighborhood carries a walkability score of 6 out of 100, meaning the area is highly car-dependent, so visitors and residents will need a vehicle for travel outside the property grounds.

Families looking into continuing care options or short-term physical therapy in Forsyth County can schedule an on-site tour Monday through Saturday between 8:00 AM and 4:00 PM by contacting the Brookridge admissions desk.

Contact Brookridge

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 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

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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.