Southfork

Southfork is a 78-bed nursing home at 1345 Jonestown Road, Winston-Salem, Forsyth County, North Carolina. The facility provides 24-hour skilled nursing and secured living services; accepts Medicaid and respite care. A 3-star state rating places it tied for 40th of 138 North Carolina homes. Current occupancy is 60 percent (47 of 78 beds) which is below the state average of 76.4 percent.

Systemic failures in staffing, housekeeping, medication management, and resident care define Southfork’s regulatory record. The August 1, 2025 annual inspection found seven deficiencies that consolidate longstanding operational gaps. Aided residents in the Assisted Living unit experienced staffing shortages in 7 of 9 sampled shifts, with documented gaps ranging from 1 to 11.5 hours per shift; inadequate staffing led to delayed call bell responses and insufficient assistance for three sampled residents, violating their right to dignity and respect. Kitchen housekeeping was substandard: brown and black grease buildup contaminated floors; ice for resident consumption was stored uncovered.

Water was not served with meals to 31 of 37 assisted living residents, which is a violation of nutrition standards. Medication management failed for two residents: one did not receive ordered sertraline (six scheduled doses were not given), and documentation of insulin aspart administration proved inaccurate for another resident, with doses recorded as given but held.

Physical plant and fire safety deficiencies cluster across seven years, reflecting systemic maintenance failures. July 2023’s eleven citations encompassed automatic door closers removed from smoke barrier walls, emergency release switch covers screwed shut, absent fire and building inspection documentation, a bathroom converted to storage with 30 cardboard boxes, non-functional wanderer alarms, unsafe exterior premises (water damage, trip hazards), deteriorated furnishings and peeling ceilings, improper oxygen bottle storage, missing quarterly fire rehearsal records, compromised fire-resistant ceiling assemblies with bent sprinkler deflectors and electrical hazards, and absent exhaust ventilation. September 2017 and November 2019 surveys documented overlapping violations: improper corridor door latching, obstructed egress, dust and odor accumulation, inadequate grab bars in resident bathrooms, failed emergency lighting, missing fire extinguisher documentation, and gaps in fire-resistant construction. July 2015 identified eight deficiencies including code non-compliance on special locking arrangements with staff unaware of emergency override procedures; missing sanitation and fire safety reports; poor housekeeping with spider webs in 12 percent of bedroom closets; uncovered oxygen cylinders; improperly maintained fire doors; and non-functional exhaust in designated areas.

November 2023 and June 2024 follow-up surveys identified bent sprinkler deflectors impairing fire suppression capability. December 2022 and October 2019 annual inspections documented failure to implement physician orders (blood pressure, weight, and laboratory monitoring) and failure to serve mandated milk quantities to Special Care Unit residents.

Over seven years and across ten inspections, Southfork averaged 7.9 deficiencies annually, 52 percent above North Carolina’s 5.2-deficiency benchmark. The facility operates restaurant-style dining, entertainment and library rooms, outdoor common areas, transportation, housekeeping, and 24-hour staffing. No fines or license suspensions appear in the record.

Families should verify corrective actions taken following the August 2025 medication documentation, staffing hours, kitchen sanitation, and resident dignity deficiencies.

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(336) 768-8828