
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.
| Homestead Hills Assisted Living | NH AL IL MC SNF | Winston-Salem | 66
Facility
66
NC AVG
72
Rank
#200 / 389 |
30.3%
Facility
30.3%
NC AVG
68.1
Rank
#211 / 241 | -56% | 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
#378 / 573 | Kapson Gp, LLC | $4.8MFiscal year ending 12/2023
Facility
$4.8MFiscal year ending 12/2023
NC AVG
$13.2M
Rank
#31 / 104 | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
NC AVG
$4.9M
Rank
#44 / 104 | 131.8%Fiscal year ending 12/2023
Facility
131.8%Fiscal year ending 12/2023
NC AVG
39.8%
Rank
#93 / 104 | 345559 | ||||
| Oak Forest Health and Rehabilitation Center | NH AL HOS PC RC SNF | Winston-Salem | 170
Facility
170
NC AVG
72
Rank
#7 / 389 |
91.9%
Facility
91.9%
NC AVG
68.1
Rank
#51 / 241 | +35% | 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 | 4 | 156 | - |
5
Facility
5
NC AVG
33
Rank
#497 / 573 | - | $17.9MFiscal year ending 09/2023
Facility
$17.9MFiscal year ending 09/2023
NC AVG
$13.2M
Rank
#35 / 104 | $7.4MFiscal year ending 09/2023
Facility
$7.4MFiscal year ending 09/2023
NC AVG
$4.9M
Rank
#23 / 104 | 41.7%Fiscal year ending 09/2023
Facility
41.7%Fiscal year ending 09/2023
NC AVG
39.8%
Rank
#15 / 104 | 345443 | ||||
| Mill Creek Center for Nursing & Rehabilitation | NH AL HOS MC RC SNF | Winston-Salem (Oldtown) | 66
Facility
66
NC AVG
72
Rank
#200 / 389 | - | - | 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 | 3 | 67 | - |
24
Facility
24
NC AVG
33
Rank
#350 / 573 | Brittany Bailey | $8.4MFiscal year ending 12/2023
Facility
$8.4MFiscal year ending 12/2023
NC AVG
$13.2M
Rank
#95 / 104 | $3.5MFiscal year ending 12/2023
Facility
$3.5MFiscal year ending 12/2023
NC AVG
$4.9M
Rank
#93 / 104 | 42%Fiscal year ending 12/2023
Facility
42%Fiscal year ending 12/2023
NC AVG
39.8%
Rank
#30 / 104 | 345149 | ||||
| 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 / 389 |
93.5%
Facility
93.5%
NC AVG
68.1
Rank
#46 / 241 | +37% | 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 | 7 | 215 | - |
62
Facility
62
NC AVG
33
Rank
#58 / 573 | Citadel At Winston Salem LLC | $22.0MFiscal year ending 12/2023
Facility
$22.0MFiscal year ending 12/2023
NC AVG
$13.2M
Rank
#29 / 104 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
NC AVG
$4.9M
Rank
#22 / 104 | 24.8%Fiscal year ending 12/2023
Facility
24.8%Fiscal year ending 12/2023
NC AVG
39.8%
Rank
#19 / 104 | 345092 |
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.
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.
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.
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.
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.
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.
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.
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,
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.
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.
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.










