Homestead Hills in Winston-Salem has a 5-star overall rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. It reports 5.60 nurse staffing hours per resident per day, above the 4.1 federal benchmark, with $0 in fines over the last 24 months.
Last inspection: May 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6048.
Staffing detail
Registered nurses
0.69
Licensed practical nurses
0.99
Nurse aides
3.93
Weekend nursing
5.09
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 57%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—6.2%—
Residents with a fall causing major injury
—0%—
Residents with pressure ulcers (bedsores)
—6.6%—
Residents with a urinary tract infection
—3.4%—
Residents who lost too much weight
—7.5%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—19.4%—
Long-stay residents on antianxiety or sleep medication
—25%—
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—17.4%—
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the pneumonia vaccine
—81%—
Short-stay residents given the seasonal flu vaccine
—50%—
Short-stay residents given the pneumonia vaccine
38.1%84%Improving
What the inspectors found
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: E
The nursing home failed to ensure a fair arbitration process and agreement on the arbitrator and location. Cited February 2023 — limited pattern, potential for harm.
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F-Tag 848 — 42 CFR §483.70 — S/S: E
The home failed to provide timely, quality lab services and tests needed by residents. Cited April 2024 — isolated incident, potential for harm.
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F-Tag 770 — 42 CFR §483.50 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited February 2023 — isolated incident, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2023 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of SENIOR LIVING COMMUNITIES · 9 homes · 4.6 stars avg
Occupancy
31.5 residents on an average day (79% of 40 beds)
Resident voice
Resident council
Medicare history
Certified for 12 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.