The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Nursing home report
Silas Creek Rehabilitation Center
Winston Salem, NC · Medicare-certified · 90 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Silas Creek Rehabilitation Center has an overall 5 out of 5 stars, with 5-star health inspections and no fines in the last 24 months. Staffing and quality measures are 3 stars, and reported nurse staffing is 3.37 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3709 hrs/resident/day
Quality measures
Last inspection: May 2, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3709.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.01
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 55%
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
26.2%24.5%Improving
Residents with a fall causing major injury
4.2%6.5%Worsening
Residents with pressure ulcers (bedsores)
6.1%8.6%Worsening
Residents with a urinary tract infection
1.4%0%Improving
Residents who lost too much weight
16.9%9.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.5%7.8%No change
Residents whose ability to walk got worse
8.9%35.6%Worsening
Long-stay residents on antianxiety or sleep medication
16.9%10.9%Improving
Short-stay residents newly given an antipsychotic
1.4%1.1%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.2%13.6%Improving
Residents with depressive symptoms
4.5%1.8%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.3%—
Short-stay residents given the pneumonia vaccine
99.2%98.1%Worsening
What the inspectors found
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited December 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SOVEREIGN HEALTHCARE HOLDINGS · 43 homes · 3.8 stars avg
- Occupancy
- 79.3 residents on an average day (88% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 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.