Mill Creek Center for Nursing & Rehabilitation
Nursing Home, Skilled Nursing & Assisted Living · Winston-Salem, NC
CMS overall rating Info 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.

Mill Creek Center for Nursing & Rehabilitation

Nursing Home, Skilled Nursing & Assisted Living · Winston-Salem, NC
CMS overall rating Info 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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Mill Creek Center for Nursing & Rehabilitation accepts Medicare, Medicaid, and private pay.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 139
Employees 139
Contractors 0
Staff to resident ratio 2.48 : 1
38% more staff per resident than North Carolina average
North Carolina average ratio: 1.80 : 1 North Carolina average ratio: 1.80 : 1See full North Carolina ranking
Avg staff/day 38
Average shift 7.4 hours
8% worse than North Carolina average
North Carolina average: 8 hours North Carolina average shift: 8 hoursSee full North Carolina ranking
Total staff hours (quarter) 26,012

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 22 LPN Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 64 CNA Staff are full-time employees. No contractors work on this role. 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6406411,19892100%7.4
Licensed Practical Nurse220225,03292100%8.8
Physical Therapist7071,75992100%6.4
Registered Nurse7071,54392100%8
Physical Therapy Aide5051,1557986%6.7
RN Director of Nursing3031,1537582%6.9
Speech Language Pathologist3038397076%6.5
Qualified Social Worker3035266672%7.1
Administrator1014966267%8
Nurse Practitioner1014916166%8
Mental Health Service Worker1014806065%8
Other Dietary Services Staff2023765257%7.2
Dietitian2023464448%7.9
Physical Therapy Assistant7073116672%4.1
Medication Aide/Technician404112910%10.2
Clinical Nurse Specialist101812729%3
Qualified Activities Professional3036089%6.7
Respiratory Therapy Technician303541415%3.4
64 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
7 Physical Therapist
% of Days 100%
7 Registered Nurse
% of Days 100%
5 Physical Therapy Aide
% of Days 86%
3 RN Director of Nursing
% of Days 82%
3 Speech Language Pathologist
% of Days 76%
3 Qualified Social Worker
% of Days 72%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 66%
1 Mental Health Service Worker
% of Days 65%
2 Other Dietary Services Staff
% of Days 57%
2 Dietitian
% of Days 48%
7 Physical Therapy Assistant
% of Days 72%
4 Medication Aide/Technician
% of Days 10%
1 Clinical Nurse Specialist
% of Days 29%
3 Qualified Activities Professional
% of Days 9%
3 Respiratory Therapy Technician
% of Days 15%

Penalties and fines

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)

Total fines amount $30K Rank #70 / 97Federal fines — State benchmarkedThis home is ranked 70th out of 97 homes in North Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the North Carolina average among facilities with fines, and where it ranks among 97 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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: 2.9 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%

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

Facility Characteristics

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

Total residents 56
Medicare
23
41.1% of residents
Medicaid
29
51.8% of residents
Private pay or other
4
7.1% of residents
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.

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
$8.9M Rank #86 / 97Revenue — State benchmarkedThis home is ranked 86th out of 97 homes in North Carolina for revenue. Shows this facility's annual revenue compared to the North Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$136.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #85 / 97Payroll — State benchmarkedThis home is ranked 85th out of 97 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.4M
49.2% of revenue Rank #29 / 97Payroll % — State benchmarkedThis home is ranked 29th out of 97 homes in North Carolina for payroll %. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina SNFs typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
Total costs $8.8M

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.

Places of interest near Mill Creek Center for Nursing & Rehabilitation

Address 6.2 miles from city center Info Estimated distance in miles from Winston-Salem's city center to Mill Creek Center for Nursing & Rehabilitation's address, calculated via Google Maps. — 3.23 miles to nearest hospital (Craven Integrative)

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Financial Assistance for
Nursing Home in North Carolina

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.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

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

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

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

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

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

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

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

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

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Compare Nursing Home around Winston-salem

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

4 facilities compared · CMS & NC Dept. of Health data

Filter by care type
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
Facility 66
NC AVG 76
Rank #212 / 390
30.3% -60%5.28 +32%+33%$063.0-20
20
Facility 20
NC AVG 33
Rank #377 / 572
Kapson Gp, LLC$22.0M$7.4M33.7%345559
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
Facility 170
NC AVG 76
Rank #10 / 390
--3.44 +8%-13%$30.1k343.84157
5
Facility 5
NC AVG 33
Rank #496 / 572
-$21.2M$12.1M57.2%345443
Willow Valley Center for Nursing and 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 (West Highlands)
230
Facility 230
NC AVG 76
Rank #2 / 390
--3.71 -32%-7%$286.5k516.47215
62
Facility 62
NC AVG 33
Rank #58 / 572
Citadel At Winston Salem LLC$22.4M$12.3M54.7%345092
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 (Oldtown)
80
Facility 80
NC AVG 76
Rank #163 / 390
--3.64 -45%-8%$29.9k457.5362
24
Facility 24
NC AVG 33
Rank #349 / 572
Brittany Bailey$8.9M$4.4M49.2%345149

Frequently Asked Questions about Mill Creek Center for Nursing & Rehabilitation

What neighborhood is Mill Creek Center for Nursing & Rehabilitation in?

Mill Creek Center for Nursing & Rehabilitation is in the Oldtown neighborhood.

Is Mill Creek Center for Nursing & Rehabilitation in a walkable area?

Mill Creek Center for Nursing & Rehabilitation has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the phone number of Mill Creek Center for Nursing & Rehabilitation?

(336) 744-5674 will put you in contact with the team at Mill Creek Center for Nursing & Rehabilitation.

Is Mill Creek Center for Nursing & Rehabilitation Medicare or Medicaid certified?

Yes — Mill Creek Center for Nursing & Rehabilitation is a CMS-certified provider of Medicare and Medicaid.

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