The nursing home failed to ensure residents were free from significant medication errors. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Oak Forest Health and Rehabilitation
Winston Salem, NC · Medicare-certified · 170 beds
Needs attention
For-profitChain member
1 of 5 overall
Oak Forest Health and Rehabilitation in Winston Salem has a 1 out of 5 overall rating, with 1-star staffing and quality measures and 2-star health inspections. It reports 3.68 nursing hours per resident per day, below the federal benchmark of 4.1, and has had $29,749 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6818 hrs/resident/day
Quality measures
Last inspection: June 12, 2025Penalties, last 24 months: $29,749recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6818.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 1.23
- Nurse aides
- 2.09
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 60%
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
14.1%11%Improving
Residents with a fall causing major injury
1.5%2.8%Worsening
Residents with pressure ulcers (bedsores)
13.5%11.9%Improving
Residents with a urinary tract infection
8.4%2.1%Improving
Residents who lost too much weight
1.6%9.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.4%13%Improving
Residents whose ability to walk got worse
10.1%10.2%No change
Long-stay residents on antianxiety or sleep medication
15.2%10.6%Improving
Short-stay residents newly given an antipsychotic
0%1.1%Worsening
Residents with a long-term catheter
4.7%2.2%Improving
Residents with new or worsening incontinence
21.6%21.6%No change
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.2%—
Long-stay residents given the pneumonia vaccine
96.9%97.9%Improving
Short-stay residents given the seasonal flu vaccine
—79.5%—
Short-stay residents given the pneumonia vaccine
81.2%84.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2022 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
The home failed to properly dispose of garbage and other waste. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,948 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $16,801 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $43,002 in total fines.
- $12,948
Federal fine
Jun 12, 2025
- $16,801
Federal fine
Nov 8, 2024
- $8,778
Federal fine
Dec 18, 2023
- $4,475
Federal fine
Jul 7, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LIBERTY SENIOR LIVING · 37 homes · 2.6 stars avg
- Occupancy
- 156.3 residents on an average day (92% of 170 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.