Elder Care Record

North Carolina › Forsyth County › Winston-Salem

Homestead Hills

2101 Homestead Hills Drive, Winston-Salem, NC 27103

CCN 345559 · For-profit, corporation · 40 certified beds · chain Senior Living Communities

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Homestead Hills is a For-profit, corporation nursing home in Winston-Salem, North Carolina, certified for 40 beds and caring for about 32 residents a day.

CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.

Inspectors recorded 7 health deficiencies across the three most recent survey cycles (1, 1, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.5 per 100 beds, about the same as the state median of 15.6.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.6 hours per resident per day (0.9 RN), above the North Carolina median of 3.5; nursing staff turnover is 59.3%.

7health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
5.6nurse hours per resident per daystate median 3.5
80%occupancy (residents ÷ beds)32 residents a day

Compared with county, state and nation

MeasureThis facilityForsyth Co. medianNorth Carolina medianUS average
Overall star rating4433.0
Health citations, 3 cycles7141628.7
Citations per 100 beds17.515.215.626.8
Total nurse hours per resident day5.63.83.53.9
RN hours per resident day0.90.50.50.7
Nursing staff turnover59.3%59.3%48.6%45.8%
Fines listed$0$0$8,512—

County and state figures are medians across facilities (14 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)1
Cycle 21
Cycle 35

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 May 2025, 25 Apr 2024.

Severity mix: J ×1 D ×4 E ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 Jul 2026F0760Ensure that residents are free from significant medication errors.JComplaint investigationPast Non-Compliance
25 Apr 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey22 May 2024
10 Feb 2023F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard survey10 Mar 2023
10 Feb 2023F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard survey10 Mar 2023
10 Feb 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Mar 2023
10 Feb 2023F0641Ensure each resident receives an accurate assessment.DStandard survey10 Mar 2023
10 Feb 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Mar 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.6 h
Nurse aides3.82 h
LPN0.9 h
RN0.89 h
Weekend total5.16 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 59.3%, RNs 62.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.7%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.7%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay9.5%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.0%13.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Homestead Hill Retirement Limited Partnership. Chain: Senior Living Communities (9 facilities).

OrganisationRole in the CMS recordInterestSince
Maxwell Group, Inc.Operational/managerial controlNOT APPLICABLE01/23/2025
Kapson Gp, LLCGeneral partnership interestNOT APPLICABLE04/16/1996
Sera 4,LLCLimited partnership interestNOT APPLICABLE04/16/1996
Maxwell Group, Inc.Adp of the snfNOT APPLICABLE01/23/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Forsyth County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brookridge Retirement CommunityWinston-Salem7754456.5—1 Aug 2025
North Carolina State Veterans Home KernersvilleKernersville12055400.0——
Arbor Acres United Methodist Retirement CommunityWinston Salem644—116.7—17 Mar 2026
SalemtowneWinston-Salem10044444.0—26 Mar 2026
Silas Creek Rehabilitation CenterWinston Salem9044333.3—12 Jun 2026
Trinity GlenWinston-Salem11744421.7—2 Apr 2026
Piney Grove Nursing and Rehabilitation CenterKernersville923331415.2$11K27 Jan 2026
Summerstone Health and Rehabilitation CenterKernersville1383322014.5$15K7 May 2026

All 14 facilities in Forsyth County

Questions and answers

How many deficiencies has Homestead Hills been cited for?

7 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has Homestead Hills been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Homestead Hills compare?

Reported total nurse staffing is 5.6 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Homestead Hills?

It is part of the Senior Living Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Maxwell Group, Inc.. Individual owners and managers are not listed on this site.

When was Homestead Hills last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 8 May 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.