Cycle 1
Health 2025-09-05 · Fire 2024-09-06
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Wake Forest, NC
Hillside Nursing Center of Wake Forest
5-star overall rating with 5-star inspections
968 East Wait Avenue, Wake Forest, NC
(919) 556-4082
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-04-09
CMS approved date
Coverage
Medicare + Medicaid
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
0.56
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.56
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,407
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9897
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.61% · Performance 23.00% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.88
Baseline 4.16% · Performance 6.08% · Measure score 5.88 · Achievement 5.88 · Improvement 0
Total nurse turnover
5.56
Baseline 53.04% · Performance 40.95% · Measure score 5.56 · Achievement 5.56 · Improvement 3.79
Adjusted total nurse staffing
3.08
Baseline 4.43 hours · Performance 3.96 hours · Measure score 3.08 · Achievement 3.08 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.02% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 368 · Observed rate 8.7% · Lower 95% interval 7.73% |
| Discharge to community | 54.93% |
50.57%
4.4 pts better
|
No Different than the National Rate · Eligible stays 341 · Observed rate 52.79% · Lower 95% interval 48.34% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.74% |
95.27%
2.5 pts better
|
Numerator 260 · Denominator 266 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 2 · Denominator 266 |
| Discharge self-care score | 59.36% |
53.69%
5.7 pts better
|
Numerator 111 · Denominator 187 |
| Discharge mobility score | 60.43% |
50.94%
9.5 pts better
|
Numerator 113 · Denominator 187 |
| Pressure ulcers or injuries, new or worsened | 3.01% |
2.29%
0.7 pts worse
|
Numerator 8 · Denominator 266 · Adjusted rate 2.78% |
| Healthcare-associated infections requiring hospitalization | 6.08% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 254 · Observed rate 4.72% · Lower 95% interval 3.95% |
| Staff COVID-19 vaccination coverage | 33.01% |
8.2%
24.8 pts better
|
Numerator 68 · Denominator 206 |
| Staff flu vaccination coverage | 23.56% |
42%
18.4 pts worse
|
Numerator 45 · Denominator 191 |
| Discharge function score | 70.59% |
56.45%
14.1 pts better
|
Numerator 132 · Denominator 187 |
| Transfer of health information to provider | 98.57% |
95.95%
2.6 pts better
|
Numerator 69 · Denominator 70 |
| Transfer of health information to patient | 97.28% |
96.28%
1 pts better
|
Numerator 143 · Denominator 147 |
| Resident COVID-19 vaccinations up to date | 40% |
25.2%
14.8 pts better
|
Numerator 52 · Denominator 130 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
1.8
1.5 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.8
0.5 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
91.5%
5.4 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 98.8% · Q3 95.3% · Q4 97.8% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.1%
5.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% |
3.6%
1.2 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.7% · Q3 5.8% · Q4 2.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 10.5% |
7.2%
3.3 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 12.0% · Q3 10.8% · Q4 12.3% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% |
21.6%
0.5 pts better
|
19.6%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 22.7% · Q3 23.0% · Q4 18.3% · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
15.0%
3 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.7% · Q3 14.1% · Q4 5.6% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 55.9% |
21.5%
34.4 pts worse
|
16.3%
39.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 55.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.9% |
16.8%
21.1 pts worse
|
14.9%
23 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.8% · Q2 22.0% · Q3 44.3% · Q4 40.0% · 4Q avg 37.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.9%
0.1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 1.9% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.7% · Q3 3.5% · Q4 3.4% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
21.2%
0.9 pts better
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 16.2% · Q3 15.5% · Q4 20.0% · 4Q avg 20.3% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
6.0%
0.6 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 7.7% · Q3 3.4% · Q4 4.7% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.2% |
79.9%
4.3 pts better
|
81.7%
2.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.4% · Q2 87.4% · Q3 83.5% · Q4 79.8% · 4Q avg 84.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
13.2%
5.1 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 6.3% · Expected 8.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.5%
0.1 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.0% · Q3 1.1% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.9% |
78.1%
0.8 pts better
|
79.7%
0.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.7% |
22.9%
10.8 pts worse
|
23.9%
9.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.7% · Observed 28.3% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-06 · Fire 2023-06-08
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-06-08 · Fire 2022-02-24
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-06-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-20
E · Potential for more than minimal harm
2023-06-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-20
D · Potential for more than minimal harm
2023-06-08
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 2023-07-20
D · Potential for more than minimal harm
2023-06-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-20
D · Potential for more than minimal harm
2023-06-08
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-20
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-06-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-06-21
Penalties and ownership
What sits behind the stars
Ownership
Clifton, Mary Margaret
5% Or Greater Direct Ownership Interest · Individual
Evans, Riley
5% Or Greater Direct Ownership Interest · Individual
Evans, Robert
5% Or Greater Direct Ownership Interest · Individual
Jonhson, Florence
5% Or Greater Direct Ownership Interest · Individual
Bennett, Richard
5% Or Greater Direct Ownership Interest · Individual
Bryant -Levant, Karen
Operational/Managerial Control · Individual
Clifton, Mary Margaret
Corporate Director · Individual
Clifton, Mary Margaret
Corporate Officer · Individual
Evans, Kisa
W-2 Managing Employee · Individual
Evans, Riley
Corporate Director · Individual
Evans, Riley
Corporate Officer · Individual
Evans, Robert
Operational/Managerial Control · Individual
Evans, Robert
Corporate Director · Individual
Evans, Robert
Corporate Officer · Individual
Evans, Robert
W-2 Managing Employee · Individual
Jonhson, Florence
Corporate Director · Individual
Jonhson, Florence
Corporate Officer · Individual
Wood, Brandon
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Universal Health Care/North Raleigh
Raleigh, NC
0-star overall rating with 0-star inspections with Special Focus status with $326,170 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Litchford Falls Health and Rehabilitation Center
Raleigh, NC
1-star overall rating with 2-star inspections with $181,873 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
The Rosewood Health Center
Raleigh, NC
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out