2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Homestead Hills Assisted Living offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Winston-Salem, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication. Memory care is provided in a secured setting with supervision, and nursing home and skilled nursing care provide licensed nursing on site around the clock.
Several care levels allow a resident whose needs grow to move between types of care without leaving the community or starting over socially. Respite care offers short stays when a family caregiver needs to travel or recover, so the community may be a good fit for households planning for changing care needs or a temporary caregiving gap. The community has 66 beds, with 5 hours and 45 minutes of nurse staffing per resident per day, representing the daily hands-on nurse time allocated to each resident.
Medicare and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, while private pay means the cost is paid directly rather than through a listed benefit. Residents have access to a pool, on-site salon services for personal grooming, transportation services, and rehabilitation services. Dining uses a menu system similar to fine dining restaurants and offers flexible dining options, allowing residents to select menu-based meals. Pets are allowed, and Sandra Lebeau-Davis serves as director.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 14th out of 81 nursing homes we track in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 45mStandout metric: Certified nursing assistant is +57% above North Carolina average
0 of 6 metrics below North Carolina average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 21 total: 6 of the facility's own employees and 15 agency contractors.
21 staff · 8.8-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 32 total: 7 of the facility's own employees and 25 agency contractors.
32 staff · 8.4-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 78 total: 33 of the facility's own employees and 45 agency contractors.
78 staff · 7.5-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
174
59 employees · 115 contractors · 30 on an average day
174 total staff / 34 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
5.12 : 1
↑ 191% · NC 1.76This facility: 5.12 staff per resident, 191% above the North Carolina average of 1.76 (among North Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
174 staff ÷ 34 residents
See full North Carolina ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 6% · NC 8 hThis facility: 7.5 h, 6% below the North Carolina average of 8 h (among North Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
20,582 staff hours this quarter
See full North Carolina ranking →77.8% of staff hours were worked by the facility's own employees
North Carolina average: 86.6% · Contractors this quarter: Certified Nursing Assistant (45), Licensed Practical Nurse (25), Registered Nurse (15), Respiratory Therapy Technician (8), Physical Therapy Assistant (7), Physical Therapy Aide (5), Qualified Social Worker (4), Speech Language Pathologist (3), Medical Director (1), Occupational Therapy Assistant (1), Therapeutic Recreation Specialist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
66
Rank #52 / 78Bed count — State benchmarked This nursing home is ranked 52nd out of 78 nursing homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #73 / 111Walk Score — State benchmarked This nursing home is ranked 73rd out of 111 nursing homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #68 / 68Occupancy rate — State benchmarked This nursing home is ranked 68th out of 68 nursing homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 68. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 20 residents and 66 beds. Source: state inspection report (Sep 2021)
Lower than the North Carolina average: 82.5%
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
The figures below cover inspections recorded between July 29, 2015 and April 23, 2026.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 41 | 40.0 | This facility has 3% more total deficiencies than a typical North Carolina nursing home (41 vs. NC avg 40).↑ 3% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Every inspection North Carolina recorded at this facility, over the period named above the scorecard.
| 13 | 14.0 | This facility has had 7% fewer total inspections than the North Carolina average (13 vs. NC avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 7% fewer |
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Inspections with deficiencies
Inspections that uncovered at least one deficiency. Never exceeds the total inspection count.
| 8 | 9.0 | This facility has 11% fewer inspections with deficiencies than a typical North Carolina nursing home (8 vs. NC avg 9).↓ 11% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 62% | 65% | This facility has 3 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (62% vs. NC avg 65%).↓ 3% better |
|
Average Star Rating score
North Carolina scores each annual inspection on a 100-point scale: points come off for citations and licensure actions and go back on when the facility corrects them, and extra points are earned for things like sprinklers or an active resident council. This is the facility's average across every rating the state has published for it; DHSR shows only the most recent one on its own site.
| 95.9 | 94.6 | This facility has 1% more average star rating score than the North Carolina average (95.9 vs. NC avg 94.6).↑ 1% better |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
85% corrected
6 of 7 citations corrected · 1 still open Latest inspection: Jul 01, 2026 · 1 citation (Pharmacy, critical), not yet corrected
Most cited category: Administration, 3 of 7 citations · 5 categories in total
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 7 citations resulted from standard inspections; and 1 of 7 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the North Carolina average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
9.5
Score · lower is better
↓ 4% · NC 9.9This facility: 9.5, 4% below the NC average of 9.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
18.9
Score · lower is better
↑ 4% · NC 18.2This facility: 18.9, 4% above the NC average of 18.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.9 long-stay measures: 5 better, 4 worse
3 short-stay measures: 1 better, 1 worse, 1 near NC average
People who live at the home · 9 measures
Percent of long-stay residents whose need for help with daily activities has increased
20.7%
↑ 33% · NC 15.6This facility: 20.7, 33% above the NC average of 15.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
↓ 17% · NC 20.7This facility: 17.1, 17% below the NC average of 20.7 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.7%
↓ 26% · NC 2.3This facility: 1.7, 26% below the NC average of 2.3 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · NC 3.5This facility: 0.0, 100% below the NC average of 3.5 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
9.5%
↑ 72% · NC 5.5This facility: 9.5, 72% above the NC average of 5.5 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
7.9%
↑ 10% · NC 7.2This facility: 7.9, 10% above the NC average of 7.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · NC 5.9This facility: 0.0, 100% below the NC average of 5.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
10.0%
↓ 28% · NC 14.0This facility: 10.0, 28% below the NC average of 14.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
↓ 6% · NC 92.0This facility: 86.4, 6% below the NC average of 92.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 3 measures
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · NC 1.4This facility: 0.0, 100% below the NC average of 1.4 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.0%
↓ 4% · NC 80.6This facility: 77.0, 4% below the NC average of 80.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
50.0%
↓ 36% · NC 78.1This facility: 50.0, 36% below the NC average of 78.1 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
30% of new residents, usually for short-term rehab.
70% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Homestead Hills Assisted Living from 2014–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #37 / 79Payroll costs — State benchmarked This nursing home is ranked 37th out of 79 nursing homes we track in North Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #5 / 79Payroll % of net patient revenue — State benchmarked This nursing home is ranked 5th out of 79 nursing homes we track in North Carolina. Shows payroll as a percentage of net patient revenue versus the North Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (70% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.6 miles from city center
Estimated distance in miles from Winston-Salem's city center to Homestead Hills Assisted Living's address, calculated via Google Maps.
Add your location
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Homestead Hills Assisted Living | NH AL IL MC SNF | Winston-Salem | 66
Facility
66
NC AVG
93
Rank
#52 / 78 |
30.3%
Facility
30.3%
NC AVG
82.5%
Rank
#68 / 68 | -63% | 5.74
Facility
5.74
NC AVG
4.01
Rank
#14 / 81 | +32% | +43% | $0
Facility
$0
NC AVG
$66.6k
Rank
#1 / 86 | 7
Facility
7
NC AVG
19.0
Rank
#26 / 82 | 2.3
Facility
2.3
NC AVG
4.6
Rank
#21 / 82 | 1 | 20 | - |
20
Facility
20
NC AVG
33
Rank
#73 / 111 | Kapson Gp, LLC | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
NC AVG
$17.2M
Rank
#77 / 79 | $7.1MFiscal year ending 12/2024
Facility
$7.1MFiscal year ending 12/2024
NC AVG
$9.2M
Rank
#37 / 79 | 141.4%Fiscal year ending 12/2024
Facility
141.4%Fiscal year ending 12/2024
NC AVG
61.1%
Rank
#5 / 79 | 345559 | ||||
| Arbor Acres | NH AL IL MC SNF | Winston-Salem | 6
Facility
6
NC AVG
93
Rank
#75 / 78 |
80.0%
Facility
80.0%
NC AVG
82.5%
Rank
#50 / 68 | -3% | - | - | - | -100% | - | $0
Facility
$0
NC AVG
$66.6k
Rank
#1 / 86 | 1
Facility
1
NC AVG
19.0
Rank
#1 / 82 | 1.0
Facility
1.0
NC AVG
4.6
Rank
#1 / 82 | - | 5 | - |
20
Facility
20
NC AVG
33
Rank
#73 / 111 | Pamela Ball | $45.7MFiscal year ending 12/2024
Facility
$45.7MFiscal year ending 12/2024
NC AVG
$17.2M
Rank
#3 / 79 | $22.5MFiscal year ending 12/2024
Facility
$22.5MFiscal year ending 12/2024
NC AVG
$9.2M
Rank
#2 / 79 | 49.1%Fiscal year ending 12/2024
Facility
49.1%Fiscal year ending 12/2024
NC AVG
61.1%
Rank
#37 / 79 | 345573 | ||
| Mill Creek Center for Nursing & Rehabilitation | NH AL HOS MC RC SNF | Winston-Salem (Oldtown) | 66
Facility
66
NC AVG
93
Rank
#52 / 78 |
85.8%
Facility
85.8%
NC AVG
82.5%
Rank
#15 / 68 | +4% | 3.37
Facility
3.37
NC AVG
4.01
Rank
#73 / 81 | -45% | -16% | $29.9k
Facility
$29.9k
NC AVG
$66.6k
Rank
#62 / 86 | 30
Facility
30
NC AVG
19.0
Rank
#70 / 82 | 5.0
Facility
5.0
NC AVG
4.6
Rank
#57 / 82 | 3 | 57 | - |
24
Facility
24
NC AVG
33
Rank
#67 / 111 | Brittany Bailey | $8.3MFiscal year ending 12/2024
Facility
$8.3MFiscal year ending 12/2024
NC AVG
$17.2M
Rank
#74 / 79 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
NC AVG
$9.2M
Rank
#73 / 79 | 49.5%Fiscal year ending 12/2024
Facility
49.5%Fiscal year ending 12/2024
NC AVG
61.1%
Rank
#35 / 79 | 345149 | ||||
| Willow Valley Center for Nursing and Rehabilitation | NH AL HOS MC RC SNF | Winston-Salem (West Highlands) | 230
Facility
230
NC AVG
93
Rank
#1 / 78 |
94.6%
Facility
94.6%
NC AVG
82.5%
Rank
#9 / 68 | +15% | 3.36
Facility
3.36
NC AVG
4.01
Rank
#60 / 81 | -32% | -16% | $43.8k
Facility
$43.8k
NC AVG
$66.6k
Rank
#66 / 86 | 51
Facility
51
NC AVG
19.0
Rank
#80 / 82 | 7.3
Facility
7.3
NC AVG
4.6
Rank
#75 / 82 | 7 | 218 | - |
62
Facility
62
NC AVG
33
Rank
#14 / 111 | Citadel At Winston Salem LLC | $24.3MFiscal year ending 12/2024
Facility
$24.3MFiscal year ending 12/2024
NC AVG
$17.2M
Rank
#13 / 79 | $10.0MFiscal year ending 12/2024
Facility
$10.0MFiscal year ending 12/2024
NC AVG
$9.2M
Rank
#24 / 79 | 41%Fiscal year ending 12/2024
Facility
41%Fiscal year ending 12/2024
NC AVG
61.1%
Rank
#59 / 79 | 345092 | ||||
| Oak Forest Health and Rehabilitation Center | NH AL HOS PC RC SNF | Winston-Salem | 170
Facility
170
NC AVG
93
Rank
#7 / 78 |
87.7%
Facility
87.7%
NC AVG
82.5%
Rank
#19 / 68 | +6% | 3.49
Facility
3.49
NC AVG
4.01
Rank
#70 / 81 | +8% | -13% | $38.5k
Facility
$38.5k
NC AVG
$66.6k
Rank
#64 / 86 | 29
Facility
29
NC AVG
19.0
Rank
#69 / 82 | 4.8
Facility
4.8
NC AVG
4.6
Rank
#55 / 82 | 4 | 149 | - |
5
Facility
5
NC AVG
33
Rank
#101 / 111 | - | $20.4MFiscal year ending 09/2024
Facility
$20.4MFiscal year ending 09/2024
NC AVG
$17.2M
Rank
#19 / 79 | $9.1MFiscal year ending 09/2024
Facility
$9.1MFiscal year ending 09/2024
NC AVG
$9.2M
Rank
#27 / 79 | 44.5%Fiscal year ending 09/2024
Facility
44.5%Fiscal year ending 09/2024
NC AVG
61.1%
Rank
#53 / 79 | 345443 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NC nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Homestead Hills Assisted Living is located in Winston-Salem, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Homestead Hills Assisted Living has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NC state health department records, Homestead Hills Assisted Living's license number is HAL-034-023.
Homestead Hills Assisted Living's occupancy is 30.3%.
Yes, Homestead Hills Assisted Living allows residents to bring their pets.
The team at Homestead Hills Assisted Living can be reached at WebRequest@Homestead-Hills.com.
Homestead Hills Assisted Living is registered as a for-profit in NC.
Homestead Hills Assisted Living received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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