Home / North Carolina / Winston-Salem
4911 Brian Center Lane, Winston-Salem, NC 27106 · Forsyth County · (336) 744-5674
66 certified beds, about 61 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345149 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 28, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 30 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $29,876 in the last three years; the largest was $16,452, and the latest is dated May 29, 2024.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
66.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Alliance Health Group, an affiliated group of 13 nursing homes.
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.
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 30 health citations on file.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a clean and homelike environment in 3 of 36 resident rooms on 1 of 2 halls reviewed for a safe, comfortable, and homelike environment (Resident #2, Resident #5, Resident #22, Resident #24, Resident #40, and Resident #41).
Inspectors wroteBased on record review and staff interview, the facility failed to provide information to residents regarding the residents' right to accept or refuse medical/surgical treatment when formulating an advanced directive for 4 of 6 sampled residents reviewed for advanced directives (Residents #15, #25, #29, #39).
Inspectors wroteBased on staff interviews and record reviews, the facility failed to offer the opportunity to be vaccinated with the Prevnar 20 (pneumococcal conjugate vaccine (PCV20) in accordance with nationally recognized standards for 4 of 5 residents reviewed for pneumococcal immunizations (Resident #16, #10, #15, and #36).
Inspectors wroteBased on observations, record reviews, and resident and staff interviews, the facility failed to respect a resident's right to dignity when Resident #212 requested incontinence care and it was not provided until after all the meals trays were passed on the hall for 1 of 1 resident reviewed for dignity (Resident #212).
Inspectors wroteBased on record review, observations, and resident and staff interviews, the facility failed to assess and document the ability of a resident to self-administer medications for 1 of 2 residents (Resident #38) reviewed for medication self-administration.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to ensure the accessibility of a wheelchair for 1 of 1 resident (Resident #1) reviewed for reasonable accommodations of needs.
Inspectors wroteBased on observation and staff interviews, the facility failed to protect the private health information for 3 of 3 sampled residents by posting confidential medical information in an area accessible to the public (Resident #11, Resident #22, and Resident #158).
Inspectors wroteBased on observations, and staff interviews, the facility failed to ensure an electrical outlet was securely covered in room [ROOM NUMBER] and failed to ensure resident's clothing was clean and stored neatly in sufficient storage spaces for two residents on the 200 hall. The deficient practice occurred on 1 of 2 halls observed for a clean and homelike environment (200 hall).
Inspectors wroteBased on record review and staff interview, the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) assessment for 1 of 2 sampled residents (Resident #39) reviewed for hospice services.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to provide incontinence care to a resident upon request for 1 of 1 dependent resident reviewed for activities of daily living (ADL) (Resident #212).
Inspectors wroteBased on observations, record review and staff interviews, facility failed to secure a spray cleaner and spray deodorizer inside a housekeeping cart with a working lock for 1 of 2 housekeeping carts (the 2nd floor housekeeping cart) observed for accidents hazards.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to post cautionary signage outside the resident's room to indicate supplemental oxygen (O2) was in use and to obtain a physician order for oxygen therapy for 1 of 1 resident reviewed for respiratory care (Resident #6).
Inspectors wroteBased on record review and staff interviews, the facility failed to maintain ongoing communication with the dialysis treatment center for 2 of 3 residents reviewed for dialysis (Resident #22 and Resident #11).
Inspectors wroteBased on observation, record reviews, and resident and staff interview, the facility failed to provide dental services as ordered by the physician for 1 of 2 sampled residents (Resident #18).
Inspectors wroteBased on observation, a Resident Council Meeting, and staff interviews, the facility failed to post the survey results in a location accessible to the residents.
Inspectors wroteBased on record review, and staff, Nurse Practitioner (NP) and physician interviews, the facility failed to notify the physician when an anticonvulsant medication was not administered for 1 of 1 resident reviewed for notification (Resident #1).
Inspectors wroteBased on record review and staff, Pharmacist, Nurse Practitioner (NP) and Physician interviews, the facility failed to prevent a significant medication error when they failed to administer antiseizure medication as prescribed by the physician. As a result, Resident #1 missed 5 doses of antiseizure medication. This affected 1 of 3 sampled residents reviewed for assuring facility was free of medication errors (Resident #1).
Inspectors wroteBased on observations, record review, and staff, Medical Director and Transportation Agent staff (Driver #1, Supervisor #1, Supervisor #2) interviews, the facility failed to have Resident #1 assessed by a medical professional before repositioning the resident after he was thrown forward out of his wheelchair while inside a contracted transportation van. On 03/20/24 Driver #1 for the Transportation Agent applied the van brakes suddenly to avoid a collision and Resident #1 slid out of his wheelchair onto the floor of the contracted transportation van. Driver #1 repositioned Resident #1 back into his wheelchair before the Resident was assessed by an emergency professional. [...]
Inspectors wroteBased on observations, record review, and staff, Medical Director, Regional Nurse Consultant and Transportation Agent (Driver #1, Supervisor #1 and Supervisor #2) interviews, the facility failed to utilize an occupant restraint system, complete with a shoulder restraint and lap belt, per manufacturer's instructions for Resident #1 who slid out of his wheelchair during transport in a contracted transportation van. Driver #1 applied a shoulder restraint under the armrest of the wheelchair and across the lap of Resident #1 for transport, but did not apply a lap restraint. When Driver #1 applied brakes to avoid hitting a car, Resident #1's buttocks slid out of his wheelchair with his left leg bent forward, and his right leg extended straight out in front. Resident #1 expressed pain to Driver #1. [...]
Inspectors wroteBased on observations, staff and Medical Director interviews, and record reviews, the facility staff failed to disinfect a shared blood glucose meter (glucometer) between residents in accordance with the instructions provided by the manufacturer of the disinfectant wipes used for 2 of 6 residents whose blood glucose levels were checked (Residents #168 and #58). Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. Failure to use an Environmental Protection Agency (EPA) approved disinfectant in accordance with the manufacturer of the glucometer creates a high likelihood of exposing residents to the spread of blood borne infections. [...]
Inspectors wroteBased on staff interviews, consultant pharmacist interview, and record reviews, the facility failed to address recommendations made by the consultant pharmacist based on the monthly Medication Regimen Review (MRR) for 1 of 5 residents reviewed for unnecessary medications (Resident #37).
Inspectors wroteBased on observations, interviews with staff and the consultant pharmacist, and record reviews, the facility failed to have a medication error rate of less than 5% as evidenced by 5 medication errors out of 30 opportunities, resulting in a medication error rate of 16.6% for 3 of 7 residents (Residents #6, #210, and #4) observed during the medication administration observation.
Inspectors wroteBased on observations, interviews with staff, and record reviews, the facility failed to: 1) Accurately label medications (meds) to determine their shortened expiration date in accordance with the manufacturer's instructions on 2 of 2 med carts (Med Cart for Rooms 200 - 209 and Med Cart for the 100 Front Hall); 2) Discard expired medications and/or meds without a legible expiration date on 2 of 2 medication carts (Med Cart for Rooms 200 - 209 and Med Cart for the 100 Front Hall); 3) Label medications with the minimum information required, including the name of the resident, on 1 of 2 medication carts (Med Cart for the 100 Front Hall) observed; 4) Store medications in accordance with the manufacturer's storage instructions on 2 of 2 medication carts (Med Cart for Rooms 200 - 209 and Med Cart for the 100 Front Hall) observed.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment related to the Preadmission Screening and Resident Review (PASRR) Level II status for 1 of 1 resident (Resident #37) reviewed with a PASRR Level II determination.
Inspectors wroteBased on record review, resident and staff interviews the facility failed to invite a resident (Resident #30), who was his own responsible party, to a care plan meeting quarterly. This occurred for 1 of 23 residents reviewed for resident specific care plans.
Inspectors wroteBased on staff interviews, a physician's telephone interview, and record review, the facility failed to accurately transcribe a medication order for 1 of 5 residents (Resident #23) reviewed for unnecessary medications. The transcription error resulted in Resident #23 missing two days of a steroid medication and receiving an extra dose of the steroid on two subsequent days.
Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to ensure residents' nails were clean and trimmed for 2 of 3 residents (Resident #15 and Resident #6) who were reviewed for Activities of Daily Living (ADL).
Inspectors wroteBased on observations, record review, and staff interview the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the recertification survey completed on 6/23/22. This was for 3 deficiencies that were cited in the areas of Accuracy of Assessments (F641), Baseline Care Plans (F655), and Care Plan Timing and Revision (F657) and recited on the current recertification and complaint survey of 11/16/23. The QAA committee additionally failed to maintain implemented procedures and monitor interventions the committee put in place following the recertification and complaint survey conducted on 5/13/21. [...]
Inspectors wroteBased on record review and staff interviews, the facility failed to revise the individualized comprehensive care plan to include additional interventions implemented for 1 of 3 residents reviewed for smoking (Resident #1).
Inspectors wroteBased on record review and staff interviews the facility failed to provide affective supervision to a resident assessed as needing supervision with smoking when the resident was found to be smoking in her private room for 1 of 3 residents reviewed for smoking (Resident #1).
23 fire safety citations on file: 3 on May 28, 2026, 7 on April 14, 2025, 13 on November 16, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| May 29, 2024 | Fine | $16,452 |
| September 28, 2023 | Fine | $13,424 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.37 | 3.85 | 3.86 |
| Registered nurses | 0.50 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.42 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 66.7% | 49.0% | 45.8% |
| Registered nurse turnover | 40.0% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.50 on weekdays and 3.07 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.37 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 | 3.37 | 0.50 | 3.50 | 3.07 | 0.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.18 | 0.34 | 3.31 | 2.85 | 0.0% | 0 of 92 | 67 |
| Jul to Sep 2025 | 3.44 | 0.56 | 3.64 | 2.93 | 0.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.56 | 0.61 | 3.75 | 3.09 | 0.0% | 0 of 91 | 62 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 15.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.6 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.0 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Mill Creek Center for Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (34.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
34.3% this home
Worse than the national rate
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 84 eligible stays.
11.8% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 81 eligible stays.
6.9% this home
No different from the national rate
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 40 eligible stays.
48.0% this home
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.
1.2% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 85 residents counted.
5.2% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 85 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BRIAN CENTER LANE OPERATING COMPANY, LLC. CMS links this home to Alliance Health Group, a group of 13 nursing homes averaging 1.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Emanuel, Yosef | Managing control - governing body | Individual | 08/01/2024 | |
| Emanuel, Yosef | Corporate officer | Individual | 08/01/2024 | |
| Alliance Health Group LLC | Operational/managerial control | Organization | 08/01/2024 | |
| Afton, Megan | Operational/managerial control | Individual | 08/01/2024 | |
| Alliance Health Group LLC | Adp of the SNF | Organization | 08/01/2024 | |
| Afton, Megan | Adp of the SNF | Individual | 08/01/2024 | |
| Stewart, Virginia | Adp of the SNF | Individual | 08/01/2024 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.