Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (74% of admissions), and a typical private pay stay runs around 2 - 3 months.
Homestead Hills
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Winston-salem, NC
CMS overall rating
5/5
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.
5/5
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.
Homestead Hills
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Winston-salem, NC
CMS overall rating
5/5
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.
5/5
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.
Homestead Hills accepts Medicare and private pay.
Situated in Winston-Salem, North Carolina, Homestead Hills stands as a premier retirement community with a rich tradition of commitment. Living options encompass Independent Living, Assisted Living, Memory Care, Skilled Nursing, and Short-Term Rehabilitation & Therapy, all unified by a dedicated mission: to help its Members live Longer, Healthier, Happier lives.
Homestead Hills extends a warm invitation to individuals eager to experience an ideal retirement. Within this community, residents find luxurious accommodations, a vibrant social calendar, restaurant-style fine dining, and an award-winning wellness program, all designed to make retirement genuinely fulfilling.
Quality ratings
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 18th out of 80 homes 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.
This home is ranked 18th out of 80 homes 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 17m per day
Rank #18 / 80Nurse hours — State benchmarkedThis home is ranked 18th out of 80 homes in North Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 80 North Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs North Carolina avg
+33%
Standout metric
Nurse Aide is +69% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 41m per day | ▲ 13% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 59m per day | ▲ 11% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 3h 56m per day | ▲ 69% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 5h 5m per day | ▲ 48% State avg: 3h 26m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 6m per day | ▲ 6% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 32m per day | ▲ 33% State avg: 24m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
Avg. Length of Stay
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.
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.
63 days
Walk Score: 24 / 100 Rank #350 / 573Walk Score — State benchmarkedThis home is ranked 350th out of 573 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
6X National Award Winner
Certifications5-star rated community
Wheelchair Accessible
Secured Perimeter
Emergency SystemsYes
Safety Featuressecured living areas, common spaces, and outdoor environments
Staffing
Key information about the people who lead and staff this community.
ContactMatt Fox, Chief Operating Officer (per state records, record updated Jul 2026)
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
24-Hour Staffing
Minimum Age55+
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Fitness Center
Salon
Spa
Dining Room
Restaurant
Courtyard
Patio
Transportation
Concierge
Housekeeping
Laundry
Linen Service
Wellness Center
Wellness Program
Branded ProgramsReflections at Homestead Hills
Specific ProgramsActive Adult, Cottage Homes, Villa Apartments, Rehab
Starting Price$7,200 per month
Penalties and fines
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Breakdown by payment type
Medicare
26% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
74% of new residents, often for short stays.
Typical stay
2 - 3 months
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Corporation
Net patient revenue
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."
$4.8M
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 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."
-$16.5M
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."
For-profit
Corporation
Net patient revenue
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."
$4.8M Rank #27 / 87Revenue — State benchmarkedThis home is ranked 27th out of 87 homes in North Carolina for revenue. Shows this facility's annual revenue compared to the North Carolina average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 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."
-$16.5M
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."
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.
$15.5M
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.
Payroll costs
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 #39 / 87Payroll — State benchmarkedThis home is ranked 39th out of 87 homes in North Carolina for payroll. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.3M
131.8% of net patient revenue
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 #39 / 87Payroll — State benchmarkedThis home is ranked 39th out of 87 homes in North Carolina for payroll. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #78 / 87Payroll % — State benchmarkedThis home is ranked 78th out of 87 homes in North Carolina for payroll %. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
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).
$15.0M
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).
Total costs
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$21.3M
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
What does this home offer?
Pets Allowed
Room Sizes: 649-923 / 1175-1490 / 1429 / 1787-2290 / 1839 / 2067 / 2448 sq. ft
Housing Options: 1 Bed / 2 Bed / 3 Bed
Building Type: Two-story
Transportation Services
Who this home usually serves
TYPE OF STAY
Admissions
159 totalCoverage residents most often arrive under.
Medicare
26%
Private pay
74%
Discharges
158 totalCoverage residents most often leave under.
Medicare
21%
Private pay
79%
Kennedy Wale serves as the Care Services Administrator at Homestead Hills, leading efforts to provide first-class care and services to members. Committed to enhancing quality of life, Kennedy supports the community's wellness philosophy through award-winning programs and exceptional member services.
Living Spaces & Floor Plans for Homestead Hills
Places of interest near Homestead Hills
4.3 miles from city center
Estimated distance in miles from Winston-Salem's city center to Homestead Hills's address, calculated via Google Maps.
— 1.44 miles to nearest hospital (Novant Health Forsyth Medical Center)
Calculate Travel Distance to Homestead Hills
Add your location
Compare Nursing Homes around the area
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.
| River Landing At Sandy Ridge | NH AL IL MC | Colfax | 60
Facility
60
NC AVG
72
Rank
#231 / 388 |
92.5%
Facility
92.5%
NC AVG
68
Rank
#47 / 240 | +36% | 6.51
Facility
6.51
NC AVG
3.98
Rank
#8 / 80 | -5% | +64% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 88 | 1
Facility
1
NC AVG
20.9
Rank
#1 / 84 | 1.0
Facility
1.0
NC AVG
5.0
Rank
#1 / 84 | - | 56 | - |
7
Facility
7
NC AVG
33
Rank
#477 / 573 | Khashana Blake | $12.9MFiscal year ending 09/2023
Facility
$12.9MFiscal year ending 09/2023
NC AVG
$13.2M
Rank
#4 / 87 | $17.6MFiscal year ending 09/2023
Facility
$17.6MFiscal year ending 09/2023
NC AVG
$4.9M
Rank
#6 / 87 | 135.9%Fiscal year ending 09/2023
Facility
135.9%Fiscal year ending 09/2023
NC AVG
39.8%
Rank
#77 / 87 | 345528 | ||||
| St. Joseph of the Pines, a CCRC | NH AL IL MC SNF | Southern Pines | 176
Facility
176
NC AVG
72
Rank
#5 / 388 |
41.0%
Facility
41.0%
NC AVG
68
Rank
#190 / 240 | -40% | 4.50
Facility
4.50
NC AVG
3.98
Rank
#26 / 80 | -9% | +13% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 88 | 7
Facility
7
NC AVG
20.9
Rank
#26 / 84 | 2.3
Facility
2.3
NC AVG
5.0
Rank
#25 / 84 | - | 72 | A+ |
2
Facility
2
NC AVG
33
Rank
#527 / 573 | Timothy Buist | $10.4MFiscal year ending 06/2024
Facility
$10.4MFiscal year ending 06/2024
NC AVG
$13.2M
Rank
#9 / 87 | $14.1MFiscal year ending 06/2024
Facility
$14.1MFiscal year ending 06/2024
NC AVG
$4.9M
Rank
#13 / 87 | 135.4%Fiscal year ending 06/2024
Facility
135.4%Fiscal year ending 06/2024
NC AVG
39.8%
Rank
#73 / 87 | 345044 | ||||
| Friends Homes | NH AL IL MC SNF | Greensboro (Guilford College) | 69
Facility
69
NC AVG
72
Rank
#193 / 388 |
87.5%
Facility
87.5%
NC AVG
68
Rank
#70 / 240 | +29% | - | -65% | - | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 88 | 2
Facility
2
NC AVG
20.9
Rank
#8 / 84 | 2.0
Facility
2.0
NC AVG
5.0
Rank
#13 / 84 | - | 60 | - |
35
Facility
35
NC AVG
33
Rank
#261 / 573 | Phi Management Services LLC | $18.9MFiscal year ending 09/2023
Facility
$18.9MFiscal year ending 09/2023
NC AVG
$13.2M
Rank
#23 / 87 | $10.8MFiscal year ending 09/2023
Facility
$10.8MFiscal year ending 09/2023
NC AVG
$4.9M
Rank
#23 / 87 | 57.4%Fiscal year ending 09/2023
Facility
57.4%Fiscal year ending 09/2023
NC AVG
39.8%
Rank
#29 / 87 | 345148 | ||||
| Givens Highland Farms | NH HC IL RC SNF | Black Mountain | 60
Facility
60
NC AVG
72
Rank
#231 / 388 |
84.7%
Facility
84.7%
NC AVG
68
Rank
#79 / 240 | +25% | 5.57
Facility
5.57
NC AVG
3.98
Rank
#15 / 80 | +11% | +40% | $4.3k
Facility
$4.3k
NC AVG
$74.6k
Rank
#44 / 88 | 14
Facility
14
NC AVG
20.9
Rank
#46 / 84 | 4.7
Facility
4.7
NC AVG
5.0
Rank
#52 / 84 | - | 51 | - |
12
Facility
12
NC AVG
33
Rank
#441 / 573 | Givens Estates, Inc | $21.1MFiscal year ending 12/2023
Facility
$21.1MFiscal year ending 12/2023
NC AVG
$13.2M
Rank
#29 / 87 | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
NC AVG
$4.9M
Rank
#27 / 87 | 38.9%Fiscal year ending 12/2023
Facility
38.9%Fiscal year ending 12/2023
NC AVG
39.8%
Rank
#43 / 87 | 345078 |
Frequently Asked Questions about Homestead Hills
Is Homestead Hills in a walkable area?
Homestead Hills has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at Homestead Hills?
Homestead Hills's occupancy is 68.3%.
Are pets allowed at Homestead Hills?
Yes, Homestead Hills allows residents to bring their pets.
Does Homestead Hills operate as a for-profit or non-profit?
Homestead Hills is registered as a for-profit in NC.
Are there photos of Homestead Hills?
Yes — there are 92 photos of Homestead Hills in the photo gallery on this page.
What is the address of Homestead Hills?
Homestead Hills is located at 3250 Homestead Club Dr, Winston-Salem, NC 27103.
What is the phone number of Homestead Hills?
(336) 448-2440 will put you in contact with the team at Homestead Hills.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Updated on
