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 · 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 · 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
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.
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 #19 / 97Nurse hours — State benchmarkedThis home is ranked 19th out of 97 homes in North Carolina. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 97 North Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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 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 | |
|
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 | |
|
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 | |
|
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 | |
|
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 | |
|
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 |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home usually has availability
Occupancy rate
68.3%
Rank #154 / 271Occupancy rate — State benchmarkedThis home is ranked 154th out of 271 homes in North Carolina. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 271. Higher occupancy signals strong local demand and financial stability.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.
Avg. Length of Stay
63 days
Walk Score: 24 / 100 Rank #349 / 572Walk Score — State benchmarkedThis home is ranked 349th out of 572 homes in North Carolina. 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.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
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 #29 / 104Revenue — State benchmarkedThis home is ranked 29th out of 104 homes in North Carolina. 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 %.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 #44 / 104Payroll — State benchmarkedThis home is ranked 44th out of 104 homes in North Carolina. 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.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 #44 / 104Payroll — State benchmarkedThis home is ranked 44th out of 104 homes in North Carolina. 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.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 #95 / 104Payroll % — State benchmarkedThis home is ranked 95th out of 104 homes in North Carolina. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Walnut Ridge | NH AL IL MC | Walnut Cove (Windmill Street) | - | 63 | A+ | 50 | Studio / Suite |
| Givens Highland Farms | NH HC IL NC RC | Black Mountain | - | 60 | - | 12 | Studio / 1 Bed / 2 Bed / 3 Bed |
| Wesley Pines | NH AL IL MC | Lumberton | - | 62 | A+ | 9 | 1 Bed / Cottage / Villa |
| Parkwood Village and The Landing | NH AL IL MC RC | Wilson (Westwood) | - | 70 | - | 42 | 1 Bed / 2 Bed |
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%.
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 122 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.
Is Homestead Hills Medicare or Medicaid certified?
Homestead Hills is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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