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)
Winston Salem, NC
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
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
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
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
| 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
| 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
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 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
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-30
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-12-29
Inspection history
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-12-17
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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
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
Winston Salem, NC
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
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