1/5
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.
1/5
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.
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.
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.
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.
This home is ranked 70th out of 97 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.
| 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.
| 21m per day | ▼ 41% State avg: 35m 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.
| 1h 0m per day | ▲ 16% State avg: 52m 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.
| 1h 50m per day | ▼ 21% State avg: 2h 19m per day · National avg: 2h 21m 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.
| 2h 51m per day | ▼ 15% State avg: 3h 20m per day · National avg: 3h 26m 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.
| 1m per day | ▼ 89% 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.
| 16m per day | ▼ 29% State avg: 23m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% more staff per resident than North Carolina average
8% worse than North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 22 LPN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 64 CNA Staff are full-time employees. No contractors work on this role.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 11,198 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 22 | 0 | 22 | 5,032 | 92 | 100% | 8.8 |
| Physical Therapist | 7 | 0 | 7 | 1,759 | 92 | 100% | 6.4 |
| Registered Nurse | 7 | 0 | 7 | 1,543 | 92 | 100% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,155 | 79 | 86% | 6.7 |
| RN Director of Nursing | 3 | 0 | 3 | 1,153 | 75 | 82% | 6.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 839 | 70 | 76% | 6.5 |
| Qualified Social Worker | 3 | 0 | 3 | 526 | 66 | 72% | 7.1 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 491 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 376 | 52 | 57% | 7.2 |
| Dietitian | 2 | 0 | 2 | 346 | 44 | 48% | 7.9 |
| Physical Therapy Assistant | 7 | 0 | 7 | 311 | 66 | 72% | 4.1 |
| Medication Aide/Technician | 4 | 0 | 4 | 112 | 9 | 10% | 10.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 81 | 27 | 29% | 3 |
| Qualified Activities Professional | 3 | 0 | 3 | 60 | 8 | 9% | 6.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 54 | 14 | 15% | 3.4 |
Includes penalties issued in 2023-2024
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)
61% lower than North Carolina averageNorth Carolina average: $76K
15% fewer fines than North Carolina averageNorth Carolina average: 2.3
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 averageNorth Carolina average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 28, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
34.6
68% worse than North Carolina averageNorth Carolina average: 20.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
36.4%
107% worse than North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
37.3%
60% worse than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.2%
41% worse than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
16% worse than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
11.4%
80% worse than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.3%
52% better than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
9.7%
31% worse than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
1.4%
69% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
14.3%
7% worse than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
6% better than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
In line with North Carolina averageNorth Carolina average: 94.1%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
15% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
40% better than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
11% better than North Carolina averageNorth Carolina average: 78.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.5%
51% worse than North Carolina averageNorth Carolina average: 22.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.8%
20% worse than North Carolina averageNorth Carolina average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
109% worse than North Carolina averageNorth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.7%
15% worse than North Carolina averageNorth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
34.3%
32% worse than North Carolina averageNorth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents 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 Mill Creek Center for Nursing & Rehabilitation from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #92 / 104Payroll — State benchmarkedThis home is ranked 92nd 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 #30 / 104Payroll % — State benchmarkedThis home is ranked 30th 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.
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 (64% of admissions), and a typical private pay stay runs around 21 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
6.2 miles from city center
Estimated distance in miles from Winston-Salem's city center to Mill Creek Center for Nursing & Rehabilitation's address, calculated via Google Maps.
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Homestead Hills Assisted Living | NH AL IL MC | Winston-Salem | 66
Facility
66
NC AVG
72
Rank
#201 / 390 |
30.3%
Facility
30.3%
NC AVG
76.4%
Rank
#242 / 271 | -60% | 5.28
Facility
5.28
NC AVG
3.98
Rank
#19 / 97 | +32% | +33% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 105 | 6
Facility
6
NC AVG
20.9
Rank
#21 / 101 | 3.0
Facility
3.0
NC AVG
5.0
Rank
#32 / 101 | - | 20 | - |
20
Facility
20
NC AVG
33
Rank
#377 / 572 | Kapson Gp, LLC | $4.8M
Facility
$4.8M
NC AVG
$13.2M
Rank
#29 / 104 | $6.3M
Facility
$6.3M
NC AVG
$4.9M
Rank
#44 / 104 | 131.8%
Facility
131.8%
NC AVG
39.8%
Rank
#95 / 104 | 345559 | ||||
| Oak Forest Health and Rehabilitation Center | NH AL HC NC PC RC | Winston-Salem | 170
Facility
170
NC AVG
72
Rank
#7 / 390 |
78.6%
Facility
78.6%
NC AVG
76.4%
Rank
#116 / 271 | +3% | 3.44
Facility
3.44
NC AVG
3.98
Rank
#76 / 97 | +8% | -13% | $43.0k
Facility
$43.0k
NC AVG
$74.6k
Rank
#77 / 105 | 34
Facility
34
NC AVG
20.9
Rank
#84 / 101 | 3.8
Facility
3.8
NC AVG
5.0
Rank
#46 / 101 | 4 | 156 | - |
5
Facility
5
NC AVG
33
Rank
#496 / 572 | - | $17.9M
Facility
$17.9M
NC AVG
$13.2M
Rank
#33 / 104 | $7.4M
Facility
$7.4M
NC AVG
$4.9M
Rank
#23 / 104 | 41.7%
Facility
41.7%
NC AVG
39.8%
Rank
#15 / 104 | 345443 | ||||
| Willow Valley Center for Nursing and Rehabilitation | NH AL HC MC RC | Winston-Salem (West Highlands) | 230
Facility
230
NC AVG
72
Rank
#1 / 390 |
87.6%
Facility
87.6%
NC AVG
76.4%
Rank
#66 / 271 | +15% | 3.71
Facility
3.71
NC AVG
3.98
Rank
#66 / 97 | -32% | -7% | $275.5k
Facility
$275.5k
NC AVG
$74.6k
Rank
#102 / 105 | 51
Facility
51
NC AVG
20.9
Rank
#100 / 101 | 6.4
Facility
6.4
NC AVG
5.0
Rank
#86 / 101 | 7 | 215 | - |
62
Facility
62
NC AVG
33
Rank
#58 / 572 | Citadel At Winston Salem LLC | $22.0M
Facility
$22.0M
NC AVG
$13.2M
Rank
#27 / 104 | $5.5M
Facility
$5.5M
NC AVG
$4.9M
Rank
#22 / 104 | 24.8%
Facility
24.8%
NC AVG
39.8%
Rank
#19 / 104 | 345092 | ||||
| Mill Creek Center for Nursing & Rehabilitation | NH AL HC MC RC | Winston-Salem (Oldtown) | 66
Facility
66
NC AVG
72
Rank
#201 / 390 |
74.2%
Facility
74.2%
NC AVG
76.4%
Rank
#134 / 271 | -3% | 3.64
Facility
3.64
NC AVG
3.98
Rank
#70 / 97 | -45% | -8% | $29.9k
Facility
$29.9k
NC AVG
$74.6k
Rank
#72 / 105 | 45
Facility
45
NC AVG
20.9
Rank
#95 / 101 | 7.5
Facility
7.5
NC AVG
5.0
Rank
#91 / 101 | 3 | 67 | - |
24
Facility
24
NC AVG
33
Rank
#349 / 572 | Brittany Bailey | $8.4M
Facility
$8.4M
NC AVG
$13.2M
Rank
#93 / 104 | $3.5M
Facility
$3.5M
NC AVG
$4.9M
Rank
#92 / 104 | 42%
Facility
42%
NC AVG
39.8%
Rank
#30 / 104 | 345149 |
Mill Creek Center for Nursing & Rehabilitation is located in Winston-Salem, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Mill Creek Center for Nursing & Rehabilitation is in the Oldtown neighborhood.
Mill Creek Center for Nursing & Rehabilitation has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Mill Creek Center for Nursing & Rehabilitation's occupancy is 74.2%.
Mill Creek Center for Nursing & Rehabilitation is registered as a for-profit.
Mill Creek Center for Nursing & Rehabilitation is located at 4911 Brian Center Ln, Winston-Salem, NC 27106.
(336) 744-5674 will put you in contact with the team at Mill Creek Center for Nursing & Rehabilitation.
Yes — Mill Creek Center for Nursing & Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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