Home / North Carolina / Winston-Salem
Homestead Hills
2101 Homestead Hills Drive, Winston-Salem, NC 27103 · Forsyth County · (336) 659-0386
40 certified beds, about 32 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2013
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345559 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 1, 2026, inspectors cited 7 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 8 health citations since April 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $27,378 in the last three years; the largest was $27,378, and the latest is dated July 1, 2026.
Nurses and nurse aides worked 5.60 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
59.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Senior Living Communities, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
104/24
005/25
707/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
2E
1F
Potential for minimal harm
0A
0B
0C
July 1, 2026Standard inspection, Complaint inspection · 7 citations
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observations, record reviews, and staff, Nurse Practitioner (NP), Pharmacist, and Medical Director interviews, the facility failed to have effective systems in place to prevent a significant medication error. Resident #4 was severely cognitively impaired and had a diagnosis of sinus bradycardia (slow heart rate). On 3/11/2026 the Medication Aide (MA) administered morning medications to Resident #4 which included extended-release propranolol (a betablocker used to treat hypertension which slows the heart rate, reduces the force of heart contractions, and lowers blood pressure), quetiapine (antipsychotic medication that can cause sudden drops in blood pressure) and donepezil. [...]
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain the dumpster area free of trash and debris for 1 of 1 dumpster area observed for garbage storage and ensure dumpster doors remained closed for 2 of 2 dumpsters. These practices had the potential to attract pests and rodents. An observation of the dumpster area located outside of the kitchen near the facility was conducted on 6/24/2026 at 3:22PM with the Director of Dining Services. The observation revealed multiple pieces of trash and debris including cardboard pieces, multiple used plastic gloves, and a bag of trash pushed in the back corner with a corner of the bag under one of the dumpsters, which was visible by walking around the two dumpsters that were side by side. Both dumpsters' slide doors were not fully closed. [...]
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, record review, and interviews with the Pharmacist from the dispensing pharmacy and facility staff, the facility failed to: 1) discard expired medications (medication room and upper 500 hall medication cart); 2) label medications when opened and dispose of loose nebulization solutions in the bottom drawer (low 500 hall medication cart); and 3) secure prescription medications in a locked compartment (low 500 hall medication cart). These failures occurred for 1 of 1 medication room and 2 of 2 medication carts reviewed for proper storage and labeling of medications. 1a) An observation of the refrigerator in the medication room accompanied by Nurse #3 conducted on 6/25/2026 at 11:38 AM revealed the following expired medications stored in the medication storage refrigerator with other non-expired medications: [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure dietary staff with facial hair wore beard covers for 2 of 6 male staff members observed for food preparation and service (Director of Dining Services and the Sous Chef). This practice had the potential to affect food served to residents. An observation of the kitchen was conducted on 6/24/2026 at 11:00AM - 11:40AM of the Director of Dining Services. During this time the Director of Dining Services presented with a full dark beard and mustache, approximately 1/2 to 1 inch in length, preparing and serving food without a beard cover. The Director of Dining Services was observed performing the following tasks in the kitchen: [...]
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and staff, Nurse Practitioner (NP), and resident interviews, the facility failed to ensure advanced directives (code status) was accurate throughout the medical record for 1 of 1 resident reviewed for advance directives (Resident #9). Resident #9 was admitted into the facility on 9/19/2025. An encounter note dated 3/4/2026 for Resident #9 from NP #2 stated Resident #9 had a Do Not Resuscitate (DNR) code status. A quarterly encounter note dated 3/10/2026 for Resident #9 from the Social Worker stated Resident #9's code status was DNR.Review of 2 advance directive orders for Resident #9 both dated 3/25/2026 by NP #1 showed cancellation of full code status and initiated a DNR status. An encounter note dated 4/10/2026 for Resident #9 from NP #1 stated Resident #9 had a full code status. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interviews, the facility failed to meet professional standards of care when nursing staff administered medications prescribed for Resident #47 to Resident #4 for 1 of 5 residents reviewed for significant medication errors (Resident #4).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews, and a Nurse Practitioner (NP) and staff interviews, the facility failed to adhere to the required personal protective equipment (PPE) for Enhanced Barrier Precautions (EBP) for Resident #30, who had an indwelling urinary catheter (a soft tube inserted through the urinary opening into the bladder to drain urine) and unstageable pressure ulcer that required wound care, when Nurse Aide (NA) #4 was observed changing a fecal-soiled incontinent brief without wearing a gown. The deficient practice occurred for 1 of 4 staff members observed for infection control practices (NA #4). A facility policy provided by the Director of Nursing (DON) titled 'Enhanced Barrier Precautions' last revised December 2024 indicated the facility would implement EBP utilized to prevent the spread of multi-drug-resistant organisms to residents. [...]
May 8, 2025Standard inspection · 0 citations
April 25, 2024Standard inspection · 1 citation
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and staff interviews, the facility failed to obtain laboratory blood work as ordered for 2 of 5 residents reviewed for unnecessary medications. (Resident #4 and Resident #7)
Fire safety inspections
15 fire safety citations on file: 1 on May 8, 2025, 6 on April 25, 2024, 8 on February 10, 2023.
Every fire safety citation15 citations
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Use approved construction type or materials.
- D Install corridor and hallway doors that block smoke.
- D Have simulated fire drills held at unexpected times.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have simulated fire drills held at unexpected times.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 1, 2026 | Fine | $27,378 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.60 | 3.85 | 3.86 |
| Registered nurses | 0.89 | 0.62 | 0.69 |
| All nursing staff on weekends | 5.16 | 3.42 | 3.42 |
| Nurse aides | 3.82 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 59.3% | 49.0% | 45.8% |
| Registered nurse turnover | 62.5% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.61 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.78 on weekdays and 5.16 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.54 in April to June 2025 to 5.60 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.60 | 0.89 | 5.78 | 5.16 | 6.7% | 0 of 90 | 32 |
| Oct to Dec 2025 | 5.60 | 0.69 | 5.81 | 5.09 | 17.6% | 0 of 92 | 32 |
| Jul to Sep 2025 | 5.88 | 0.71 | 6.13 | 5.24 | 17.1% | 0 of 92 | 28 |
| Apr to Jun 2025 | 5.54 | 0.75 | 5.77 | 4.95 | 15.8% | 0 of 91 | 31 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.7 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.5 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.0 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.6 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.1 | 12.9 | 12.0 |
Owners and operators
Legal business name: HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP. CMS links this home to Senior Living Communities, a group of 9 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Maxwell Group, Inc. | Operational/managerial control | Organization | 01/23/2025 | |
| Thompson, Benjamin | Operational/managerial control | Individual | 07/01/2022 | |
| Kapson Gp, LLC | General partnership interest | Organization | 04/16/1996 | |
| Sera 4,llc | Limited partnership interest | Organization | 04/16/1996 | |
| Maxwell Group, Inc. | Adp of the SNF | Organization | 01/23/2025 | |
| Slade-Hartman, Venezela | Adp of the SNF | Individual | 10/23/2025 | |
| Wale, Kennedy | Adp of the SNF | Individual | 10/23/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 1, 2026: "Ensure that residents are free from significant medication errors."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 1, 2026: "Dispose of garbage and refuse properly."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 1, 2026: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 1, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Silas Creek Rehabilitation Center Winston Salem, 1.3 mi · 4 of 5 stars · 3 citations
- The Oaks Winston-Salem, 1.5 mi · 2 of 5 stars · 24 citations
- Willow Valley Center for Nursing and Rehabilitatio Winston-Salem, 3.2 mi · 1 of 5 stars · 51 citations
- Arbor Acres United Methodist Retirement Community Winston Salem, 3.7 mi · 4 of 5 stars · 1 citation
- Cedar Hills Center for Nursing and Rehabilitation Clemmons, 5.6 mi · 1 of 5 stars · 56 citations
- Brookridge Retirement Community Winston-Salem, 6.1 mi · 5 of 5 stars · 5 citations
- Trinity Elms Clemmons, 6.1 mi · 2 of 5 stars · 14 citations
- Salemtowne Winston-Salem, 6.5 mi · 4 of 5 stars · 4 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Homestead Hills's Medicare star rating?
- CMS rates Homestead Hills 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Homestead Hills get at its last inspection?
- 7 health deficiencies at the standard inspection on July 1, 2026. The North Carolina average is 4.7.
- Has Homestead Hills been fined?
- Yes. CMS lists 1 fine totaling $27,378 in the last three years.
- Does Homestead Hills accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Homestead Hills?
- CMS lists 7 owners and managers, and links the home to Senior Living Communities. Legal business name: HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.