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Other Senior care options in Winston-salem:

Best Nursing Homes in Winston-Salem, NC

Reviewed by
Last updated
May 2026
We analyzed
8 homes in Winston-salem, NC

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

Other Senior care options in Winston-salem:

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

Click column headers to sort
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 76
Rank #10 / 390
78.6%
Facility 78.6%
NC AVG 76.4%
Rank #111 / 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
4157
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 76
Rank #163 / 390
74.2%
Facility 74.2%
NC AVG 76.4%
Rank #129 / 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
362
24
Facility 24
NC AVG 33
Rank #349 / 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 76
Rank #2 / 390
87.6%
Facility 87.6%
NC AVG 76.4%
Rank #62 / 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
7215
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 76
Rank #212 / 390
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
-20
20
Facility 20
NC AVG 33
Rank #377 / 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.

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.

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 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

Southfork

1345 Jonestown Road Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Southfork

Southfork is a 78-bed nursing home at 1345 Jonestown Road, Winston-Salem, Forsyth County, North Carolina. The facility provides 24-hour skilled nursing and secured living services; accepts Medicaid and respite care. A 3-star state rating places it tied for 40th of 138 North Carolina homes. Current occupancy is 60 percent (47 of 78 beds) which is below the state average of 76.4 percent.

Systemic failures in staffing, housekeeping, medication management, and resident care define Southfork’s regulatory record. The August 1, 2025 annual inspection found seven deficiencies that consolidate longstanding operational gaps. Aided residents in the Assisted Living unit experienced staffing shortages in 7 of 9 sampled shifts, with documented gaps ranging from 1 to 11.5 hours per shift; inadequate staffing led to delayed call bell responses and insufficient assistance for three sampled residents, violating their right to dignity and respect. Kitchen housekeeping was substandard: brown and black grease buildup contaminated floors; ice for resident consumption was stored uncovered.

Water was not served with meals to 31 of 37 assisted living residents, which is a violation of nutrition standards. Medication management failed for two residents: one did not receive ordered sertraline (six scheduled doses were not given), and documentation of insulin aspart administration proved inaccurate for another resident, with doses recorded as given but held.

Physical plant and fire safety deficiencies cluster across seven years, reflecting systemic maintenance failures. July 2023’s eleven citations encompassed automatic door closers removed from smoke barrier walls, emergency release switch covers screwed shut, absent fire and building inspection documentation, a bathroom converted to storage with 30 cardboard boxes, non-functional wanderer alarms, unsafe exterior premises (water damage, trip hazards), deteriorated furnishings and peeling ceilings, improper oxygen bottle storage, missing quarterly fire rehearsal records, compromised fire-resistant ceiling assemblies with bent sprinkler deflectors and electrical hazards, and absent exhaust ventilation. September 2017 and November 2019 surveys documented overlapping violations: improper corridor door latching, obstructed egress, dust and odor accumulation, inadequate grab bars in resident bathrooms, failed emergency lighting, missing fire extinguisher documentation, and gaps in fire-resistant construction. July 2015 identified eight deficiencies including code non-compliance on special locking arrangements with staff unaware of emergency override procedures; missing sanitation and fire safety reports; poor housekeeping with spider webs in 12 percent of bedroom closets; uncovered oxygen cylinders; improperly maintained fire doors; and non-functional exhaust in designated areas.

November 2023 and June 2024 follow-up surveys identified bent sprinkler deflectors impairing fire suppression capability. December 2022 and October 2019 annual inspections documented failure to implement physician orders (blood pressure, weight, and laboratory monitoring) and failure to serve mandated milk quantities to Special Care Unit residents.

Over seven years and across ten inspections, Southfork averaged 7.9 deficiencies annually, 52 percent above North Carolina’s 5.2-deficiency benchmark. The facility operates restaurant-style dining, entertainment and library rooms, outdoor common areas, transportation, housekeeping, and 24-hour staffing. No fines or license suspensions appear in the record.

Families should verify corrective actions taken following the August 2025 medication documentation, staffing hours, kitchen sanitation, and resident dignity deficiencies.

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.