Winston Salem, NC

Arbor Acres United Methodist Retirement Community

4-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

1250 Arbor Road, Winston Salem, NC

(336) 724-7921

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

6

Certified beds

Average residents

8

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2017-06-30

CMS approved date

Coverage

Medicare

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.59 · national 0.68

LPN hours / resident day

0.08

Licensed practical nurse staffing · state 0.87 · national 0.87

Aide hours / resident day

1.12

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

1.78

All reported nurse hours · state 3.78 · national 3.89

Licensed hours

0.67

RN + LPN hours · state 1.45 · national 1.54

Weekend hours

1.22

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.04

Weekend registered nurse coverage · state 0.38 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

1.79

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

100%

Annual nurse turnover · state 50% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.46%
10.72%
1.3 pts better
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 5.98%
Discharge to community 56.56%
50.57%
6 pts better
No Different than the National Rate · Eligible stays 42 · Observed rate 57.14% · Lower 95% interval 46.17%
Medicare spending per beneficiary 0.66
1.02
0.4 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 37 · Denominator 37
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 37
Discharge self-care score 46.67%
53.69%
7 pts worse
Numerator 14 · Denominator 30
Discharge mobility score 20%
50.94%
30.9 pts worse
Numerator 6 · Denominator 30
Pressure ulcers or injuries, new or worsened 2.7%
2.29%
0.4 pts worse
Numerator 1 · Denominator 37 · Adjusted rate 4.27%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0.93%
8.2%
7.3 pts worse
Numerator 2 · Denominator 214
Staff flu vaccination coverage 82.01%
42%
40 pts better
Numerator 237 · Denominator 289
Discharge function score 43.33%
56.45%
13.1 pts worse
Numerator 13 · Denominator 30
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient 85.19%
96.28%
11.1 pts worse
Numerator 23 · Denominator 27
Resident COVID-19 vaccinations up to date 66.67%
25.2%
41.5 pts better
Numerator 14 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.5%
79.9%
13.6 pts better
81.7%
11.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 93.8% · Q3 93.8% · Q4 92.3% · 4Q avg 93.5%
Percentage of short-stay residents who had an outpatient emergency department visit 3.6%
13.2%
9.6 pts better
12.0%
8.4 pts better
Short Stay · 20240701-20250630 · Adjusted 3.6% · Observed 3.1% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.5%
About the same
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.8%
78.1%
13.7 pts better
79.7%
12.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.9%
22.9%
8 pts worse
23.9%
7 pts worse
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 21.9% · Expected 16.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-11-09 · Fire 2023-11-09

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-11-09 · Fire 2022-11-09

1 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-03-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-24

F · Potential for more than minimal harm 2023-11-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-30

D · Potential for more than minimal harm 2023-11-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-30

D · Potential for more than minimal harm 2023-11-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-30

D · Potential for more than minimal harm 2023-11-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-30

D · Potential for more than minimal harm 2023-11-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-30

D · Potential for more than minimal harm 2023-11-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-30

D · Potential for more than minimal harm 2022-11-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-12-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2022-11-09

F883 · Infection Control Deficiencies

Health

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

Corrected 2022-12-17

Penalties and ownership

What sits behind the stars

Ownership

Ball, Pamela

Corporate Director · Individual

0% 1 facilities 2014-01-01
Bodford, Katrina

Corporate Officer · Individual

0% 1 facilities 2006-07-01
Boyles, Kenneth

Corporate Officer · Individual

0% 1 facilities 2016-07-01
Cannon, Nancy

Corporate Director · Individual

0% 1 facilities 2012-01-01
Chandler, Dudley

Corporate Director · Individual

0% 1 facilities 2015-01-01
Daves, Nicholas

Corporate Director · Individual

0% 1 facilities 2010-01-01
Douglas, Marian

Corporate Director · Individual

0% 1 facilities 2013-01-01
Driscoll, Dale

Corporate Director · Individual

0% 1 facilities 2013-01-01
Egleston, Amy

Corporate Director · Individual

0% 1 facilities 2012-01-01
Gallaher, James

Corporate Director · Individual

0% 1 facilities 2012-01-01
Gerding, Scott

Corporate Director · Individual

0% 1 facilities 2014-01-01
Gwyn, Kathy

W-2 Managing Employee · Individual

0% 1 facilities 2001-12-01
Hauser, Susan

Corporate Director · Individual

0% 1 facilities 2012-01-01
Holthouser, Raplph

Corporate Director · Individual

0% 1 facilities 2010-01-01
Mcguinn, John

Corporate Director · Individual

0% 1 facilities 2015-01-01
Medlin, William

Corporate Director · Individual

0% 1 facilities 2008-01-01
Nelson, Kathryn

Corporate Director · Individual

0% 1 facilities 2014-01-01
Ogburn, Anita

Corporate Director · Individual

0% 1 facilities 2012-01-01
Patterson, Jeffrey

Corporate Director · Individual

0% 1 facilities 2014-01-01
Piner, William

Corporate Officer · Individual

0% 1 facilities 1985-01-21
Powell Hunt, Victoria

Corporate Director · Individual

0% 1 facilities 2009-01-01
Purcell, Lisa

Corporate Director · Individual

0% 1 facilities 2010-01-01
Reeder, Steven

Corporate Director · Individual

0% 1 facilities 2015-01-01
Rousseau, James

Corporate Director · Individual

0% 1 facilities 2015-01-01
Ruffin, James

Corporate Director · Individual

0% 1 facilities 2014-01-01
Sayers, William

Corporate Director · Individual

0% 1 facilities 2014-01-01
Schwartz, Susan

Corporate Director · Individual

0% 1 facilities 2015-01-01

Nearby options

Other facilities in reach

#1

Willow Valley Center for Nursing and Rehabilitatio

Winston-Salem, NC

1-star overall rating with 1-star inspections with $283,330 in total fines with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$283,330
#2

The Oaks

Winston-Salem, NC

1-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$0
#3

Silas Creek Rehabilitation Center

Winston Salem, NC

5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
3 / 5
Fines
$0

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