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Nursing Home in Winston-Salem

CMS overall rating Info 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.

Mill Creek Center for Nursing & Rehabilitation

Nursing Home in Winston-Salem

CMS overall rating Info 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.

Mill Creek Center for Nursing & Rehabilitation

4911 Brian Center Ln, Winston-Salem, NC 27106 View map
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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5
North Carolina average: 2.8/5
Health Inspection Info 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.
1/5
North Carolina average: 2.8/5
Staffing Info 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.
2/5
North Carolina average: 2.7/5
Quality Measures Info 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.
1/5
North Carolina average: 3.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 39m per day

This home provides 8% less nursing time per resident than the North Carolina average.

North Carolina average: 3h 59m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 34m per day 35m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 52m per day 2h 19m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 56m per day 3h 20m per day 3h 26m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 18m per day 23m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 80

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the North Carolina average
Occupancy rate 74.2%
Residents per day (avg) 62
Occupancy rate
74.2%
Residents per day (avg)
62

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

64% of new residents, often for short stays.

Typical stay 21 days

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$8.9M
Profit
$136.4K
Privately-owned community Operated by a business corporation.
Home revenue
$8,943,807.00
Profit
$136,406.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
35.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.7M
Total costs $8.8M
Walk Score
Walk Score: 24 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
Skilled Nursing

Additional Services

1 service
Rehabilitation

Amenities & Lifestyle

0 amenities
Specific ProgramsShort-Term Rehab, Long-Term Care, Memory Care, Pulmonary Rehab, Orthopedic Rehab, Post-Acute Care

Types of Care at Mill Creek Center for Nursing & Rehabilitation

Skilled Nursing Assisted Living
Contact Mill Creek Center for Nursing & Rehabilitation

Health Inspection History

Inspections
Total health inspections 6

State average 4


Last Health inspection on Apr 2025

Total health citations 45

State average 20.9

Citations per inspection
7.5

State average 4.99


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

32 of 45 citations resulted from standard inspections; 6 of 45 resulted from complaint investigations; and 7 of 45 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 3
131% worse than State average

State average: 1.3


Serious Health citations More info 0
100% better than State average

State average: 0.9

3 critical citations More info State average: 1.3

0 serious citations More info State average: 0.9

40 moderate citations More info State average: 17.1

2 minor citations More info State average: 1.6
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Apr 14, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 14, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 14, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 14, 2025
Corrected

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.

5 facilities compared · CMS & NC Dept. of Health data · Updated Apr 2026

Filter by care type
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
78.6%
+3%
3.44
+12%
-13%
3
34
3.8
4
157
-
5
-
$20.1M
$6.3M
31.6%
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
80
74.2%
-3%
3.64
-2%
-8%
2
45
7.5
3
62
-
24
Bailey, Brittany
$9.0M
$3.1M
35%
345149
Brighton Gardens of Winston-Salem
-
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

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).

Winston-Salem
115
-
-
-
-
-
-
-
-
0
0
0.0
0
-
B-
47
-
-
-
-
-
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
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Peace Haven 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
5
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
44
-
-
-
-
-

Places of interest near Mill Creek Center for Nursing & Rehabilitation

Address 6.2 miles from city center — 3.23 miles to nearest hospital (Craven Integrative)

Address 4911 Brian Center Ln, Winston-Salem, NC 27106

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 136
Employees 136
Contractors 0
Staff to resident ratio 2.43:1
31% better than North Carolina average

North Carolina average ratio: 1.85:1

Avg staff/day 37
Average shift 7.5 hours
6% worse than North Carolina average

North Carolina average: 8 hours

Total staff hours (quarter) 25,305
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 55
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category
Certified Nursing Assistant5505510,98391100%7.6
Licensed Practical Nurse200204,08291100%8.2
Registered Nurse120122,71991100%8.7
RN Director of Nursing5051,3347886%6.5
Speech Language Pathologist8081,1078290%6.1
Other Dietary Services Staff3036308189%7.7
Physical Therapy Aide6065947077%6.1
Physical Therapy Assistant6065757886%5.3
Administrator1015126470%8
Respiratory Therapy Technician1014966268%8
Dietitian1014966268%8
Nurse Practitioner1014725965%8
Mental Health Service Worker1014645864%8
Medication Aide/Technician8083493437%8.7
Qualified Social Worker3032496369%3.6
Clinical Nurse Specialist4042433437%6.2
Qualified Activities Professional101111%0.6
55 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
5 RN Director of Nursing
% of Days 86%
8 Speech Language Pathologist
% of Days 90%
3 Other Dietary Services Staff
% of Days 89%
6 Physical Therapy Aide
% of Days 77%
6 Physical Therapy Assistant
% of Days 86%
1 Administrator
% of Days 70%
1 Respiratory Therapy Technician
% of Days 68%
1 Dietitian
% of Days 68%
1 Nurse Practitioner
% of Days 65%
1 Mental Health Service Worker
% of Days 64%
8 Medication Aide/Technician
% of Days 37%
3 Qualified Social Worker
% of Days 69%
4 Clinical Nurse Specialist
% of Days 37%
1 Qualified Activities Professional
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
56 residents
Residents by payment source
Medicare
23 residents (41.1%)
Medicaid
29 residents (51.8%)
Private pay or other
4 residents (7.1%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 19.8
73% worse than North Carolina average

North Carolina average: 11.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 34.6
68% worse than North Carolina average

North Carolina average: 20.6

Long-stay resident measures
Significantly below average North Carolina avg: 2.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 36.4%
107% worse than North Carolina average

North Carolina average: 17.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 37.3%
60% worse than North Carolina average

North Carolina average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.2%
41% worse than North Carolina average

North Carolina average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
16% worse than North Carolina average

North Carolina average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 11.4%
80% worse than North Carolina average

North Carolina average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
52% better than North Carolina average

North Carolina average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.7%
31% worse than North Carolina average

North Carolina average: 7.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.4%
69% better than North Carolina average

North Carolina average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.3%
7% worse than North Carolina average

North Carolina average: 13.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
6% better than North Carolina average

North Carolina average: 91.6%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.6%
In line with North Carolina average

North Carolina average: 94.1%

Short-stay resident measures
Significantly below average North Carolina avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.9%
15% better than North Carolina average

North Carolina average: 79.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
40% better than North Carolina average

North Carolina average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.0%
11% better than North Carolina average

North Carolina average: 78.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 34.5%
51% worse than North Carolina average

North Carolina average: 22.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.8%
20% worse than North Carolina average

North Carolina average: 13.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.6%
109% worse than North Carolina average

North Carolina average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 45.7%
15% worse than North Carolina average

North Carolina average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 34.3%
32% worse than North Carolina average

North Carolina average: 50.6%

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 (Data as of Jan 2026)

Total fines amount $30K
61% lower than North Carolina average

North Carolina average: $76K

Number of fines 2
15% fewer fines than North Carolina average

North Carolina average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than North Carolina average

North Carolina average: 0.4

Fines amount comparison
Fines amount comparison
This facility $30K
North Carolina average $76K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 29, 2024
$16K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 28, 2023
$13K

Last updated: Jan 2026

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Financial Aid for North Carolina Seniors

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Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled, North Carolina resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand; waitlists common in urban areas.

North Carolina Senior Care Options

NC SCO (via NFCSP)

Caregiver of someone 60+ (or with dementia), North Carolina resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural/urban balance.

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+, NC resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+, NC resident, unable to perform 1+ ADL, at risk of nursing home placement.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Family can be aides; varies by county funding.

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled, NC resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Low-Income Energy Assistance Program (LIHEAP)

North Carolina LIHEAP

Age 60+ prioritized, NC resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid via Crisis Intervention Program (CIP).

Senior Community Service Employment Program (SCSEP)

North Carolina SCSEP

Age 55+, unemployed, low-income, NC resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NC resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized, NC resident, homeowner, low-income.

~$30,258/year (50% AMI, varies by county).

Not strictly assessed; home value considered.

Forgivable at $2,000/year; statewide via local partners.

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled), NC resident, in licensed adult care home, low-income.

~$1,255/month (individual, 100% FPL); varies by facility rate.

$2,000 (individual).

Covers assisted living; counties supplement state funds.