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CMS Nursing Home Compare · August 2026

Mill Creek Center for Nursing and Rehabilitation

4911 Brian Center Lane, Winston-Salem, NC 27106 · All homes in Winston-Salem

Mill Creek Center for Nursing and Rehabilitation, a 66-bed for profit - limited liability company nursing facility in Winston-Salem, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #323 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings 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: 3367445674

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2 / 5
Below average · CMS overall · nat'l 3.0
#323 of 415
In-state rank among rated NC homes
3.37
Below average · nurse hrs/day · nat'l 3.86
30
Inspection findings · 3 serious

The verdict

Mill Creek Center for Nursing and Rehabilitation, a 66-bed for profit - limited liability company nursing facility in Winston-Salem, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #323 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#323 of 415
In-state rank among rated NC homes
3.37
Nurse hrs/resident-day · national 3.86
30
Inspection findings · 3 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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345149
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
66
Residents
61
In Hospital
No
County
Forsyth
Last Inspection
May 28, 2026

Staffing Data

How the 3.37 total nursing hours per resident-day are staffed:

RN Hours
0.50 (nat'l avg: 0.69)
LPN Hours
0.97
CNA Hours
1.90
Total Nursing Hours
3.37 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
66.7%
RN Turnover
40.0%

What the CMS Record Reveals About Mill Creek Center for Nursing and Rehabilitation

According to CMS Nursing Home Compare, Mill Creek Center for Nursing and Rehabilitation ranks #323 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Mill Creek Center for Nursing and Rehabilitation operates 66 certified beds in Winston-Salem, NC with approximately 61 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 2★).

The inspection file contains 30 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $30K levied against this facility. Per resident day, this facility reports 3.37 total nursing hours (national average 3.86) and 0.50 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Mill Creek Center for Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 66.7% (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 (30 most recent)

B - Pattern - No harm May 28, 2026 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

C - Widespread - No harm Apr 14, 2025 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 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: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Apr 14, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

E - Pattern - Minimal harm Apr 14, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: May 12, 2025

E - Pattern - Minimal harm Apr 14, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: May 12, 2025

D - Isolated - Minimal harm Jan 7, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 22, 2025

D - Isolated - Minimal harm Jan 7, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 22, 2025

J - Isolated - Jeopardy May 29, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 18, 2024

J - Isolated - Jeopardy May 29, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 18, 2024

D - Isolated - Minimal harm Nov 16, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Dec 16, 2023

D - Isolated - Minimal harm Nov 16, 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: Dec 16, 2023

D - Isolated - Minimal harm Nov 16, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2023

D - Isolated - Minimal harm Nov 16, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2023

D - Isolated - Minimal harm Nov 16, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2023

E - Pattern - Minimal harm Nov 16, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 16, 2023

E - Pattern - Minimal harm Nov 16, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 16, 2023

E - Pattern - Minimal harm Nov 16, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Dec 16, 2023

J - Isolated - Jeopardy Nov 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 16, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 20, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 20, 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 15.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 10.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.3% 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 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 89.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.0% No

Penalty History 2 penalties totaling $30K

Date Type Amount
May 29, 2024 Fine $16K
Sep 28, 2023 Fine $13K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Mill Creek Center for Nursing and Rehabilitation, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Mill Creek Center for Nursing and Rehabilitation

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 66 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 Mill Creek Center for Nursing and Rehabilitation?
Mill Creek Center for Nursing and Rehabilitation has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
Where does Mill Creek Center for Nursing and Rehabilitation rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Mill Creek Center for Nursing and Rehabilitation ranks 323rd among 415 rated nursing homes in NC (#323 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 Mill Creek Center for Nursing and Rehabilitation?
Mill Creek Center for Nursing and Rehabilitation reports 3.37 total nursing hours per resident day (national average: 3.86). RN hours are 0.50 per resident day (national average: 0.69). Nursing staff turnover is 66.7%.
How many beds does Mill Creek Center for Nursing and Rehabilitation have?
Mill Creek Center for Nursing and Rehabilitation has 66 certified beds with approximately 61 residents. The facility is located at 4911 Brian Center Lane, Winston-Salem, NC 27106.
Does Mill Creek Center for Nursing and Rehabilitation have any deficiencies on record?
Yes, Mill Creek Center for Nursing and Rehabilitation has 30 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Mill Creek Center for Nursing and Rehabilitation received any fines or penalties?
Yes, Mill Creek Center for Nursing and Rehabilitation has received 2 penalties totaling $30K.
Who owns Mill Creek Center for Nursing and Rehabilitation?
Mill Creek Center for Nursing and Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Mill Creek Center for Nursing and Rehabilitation last inspected?
The most recent health inspection for Mill Creek Center for Nursing and Rehabilitation was on May 28, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Mill Creek Center for Nursing and Rehabilitation?
Mill Creek Center for Nursing and Rehabilitation 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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