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Nursing home report

Homestead Hills

Winston-Salem, NC · Medicare-certified · 40 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall

Homestead Hills (Winston-Salem, NC) has a 2-star overall rating, with 2 stars for health inspections but stronger staffing and quality scores at 4 stars each. It reports 5.60 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $27,378 in fines in the last 24 months with a recent federal penalty.

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Facility ratings

Health inspections

Staffing

5.6042 hrs/resident/day

Quality measures

Last inspection: July 1, 2026Penalties, last 24 months: $27,378recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6042.

Staffing detail

Registered nurses
0.89
Licensed practical nurses
0.90
Nurse aides
3.82
Weekend nursing
5.16

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 63%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

—10%—

Residents with a fall causing major injury

—0%—

Residents with pressure ulcers (bedsores)

—9.5%—

Residents with a urinary tract infection

—1.7%—

Residents who lost too much weight

—7.9%—

Residents who were physically restrained

—0%—

Residents needing more help with daily activities

—20.7%—

Long-stay residents on antianxiety or sleep medication

—21.1%—

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

—0%—

Residents with new or worsening incontinence

—17.1%—

Residents with depressive symptoms

—0%—

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the pneumonia vaccine

—86.4%—

Short-stay residents given the seasonal flu vaccine

—50%—

Short-stay residents given the pneumonia vaccine

62.5%78.9%Improving

What the inspectors found

The nursing home failed to ensure residents were free from significant medication errors. Cited July 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J

The home failed to properly dispose of garbage and other waste. Cited July 2026 — widespread issue, potential for harm.

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F-Tag 814 — 42 CFR §483.60 — S/S: F

The home failed to properly label and securely store medications and biologicals. Cited July 2026 — limited pattern, potential for harm.

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F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — limited pattern, potential for harm.

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F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2026 — isolated incident, potential for harm.

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F-Tag 578 — 42 CFR §483.10 — S/S: D

Recent history

  1. PENALTY

    A federal fine of $27,378 was recorded.

  2. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $27,378 in total fines.

  • Federal fine

    Jul 1, 2026

    $27,378

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of SENIOR LIVING COMMUNITIES · 9 homes · 4.3 stars avg
Occupancy
32 residents on an average day (80% of 40 beds)
Resident voice
Resident council
Medicare history
Certified for 13 years

Things at a nursing home change — inspections, staffing, ownership, news.

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Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.