PlainNursing
CMS Nursing Home Compare · August 2026

Homestead Hills

2101 Homestead Hills Drive, Winston-Salem, NC 27103 · All homes in Winston-Salem

Homestead Hills, a 40-bed for profit - corporation nursing facility in Winston-Salem, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #88 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3366590386

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4 / 5
Above average · CMS overall · nat'l 3.0
#88 of 415
In-state rank among rated NC homes
5.60
Well above average · nurse hrs/day · nat'l 3.86
7
Inspection findings · 1 serious

The verdict

Homestead Hills, a 40-bed for profit - corporation nursing facility in Winston-Salem, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #88 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#88 of 415
In-state rank among rated NC homes
5.60
Nurse hrs/resident-day · national 3.86
7
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
345559
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
40
Residents
32
In Hospital
No
County
Forsyth
Last Inspection
May 8, 2025

Staffing Data

How the 5.60 total nursing hours per resident-day are staffed:

RN Hours
0.89 (nat'l avg: 0.69)
LPN Hours
0.90
CNA Hours
3.82
Total Nursing Hours
5.60 (nat'l avg: 3.86)
PT Hours
0.12
Nursing Turnover
59.3%
RN Turnover
62.5%

What the CMS Record Reveals About Homestead Hills

According to CMS Nursing Home Compare, Homestead Hills ranks #88 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Homestead Hills operates 40 certified beds in Winston-Salem, NC with approximately 32 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 4★).

The inspection file contains 7 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 5.60 total nursing hours per resident day (national average 3.86), with RN coverage at 0.89 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Homestead Hills falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 59.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

J - Isolated - Jeopardy Jul 1, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

D - Isolated - Minimal harm Apr 25, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: May 22, 2024

D - Isolated - Minimal harm Feb 10, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Feb 10, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Feb 10, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 10, 2023

E - Pattern - Minimal harm Feb 10, 2023 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: Mar 10, 2023

E - Pattern - Minimal harm Feb 10, 2023 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Mar 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 86.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 50.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Homestead Hills, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Homestead Hills

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 40 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Homestead Hills?
Homestead Hills has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
Where does Homestead Hills rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Homestead Hills ranks 88th among 415 rated nursing homes in NC (#88 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Homestead Hills?
Homestead Hills reports 5.60 total nursing hours per resident day (national average: 3.86). RN hours are 0.89 per resident day (national average: 0.69). Nursing staff turnover is 59.3%.
How many beds does Homestead Hills have?
Homestead Hills has 40 certified beds with approximately 32 residents. The facility is located at 2101 Homestead Hills Drive, Winston-Salem, NC 27103.
Does Homestead Hills have any deficiencies on record?
Yes, Homestead Hills has 7 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Homestead Hills received any fines or penalties?
No, Homestead Hills has no fines or penalties on record.
Who owns Homestead Hills?
Homestead Hills is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Homestead Hills last inspected?
The most recent health inspection for Homestead Hills was on May 8, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Homestead Hills?
Homestead Hills is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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