Federal inspection record · CMS data as of October 1, 2026
Homestead Hills
2101 Homestead Hills Drive, Winston-Salem, NC · (336) 659-0386
- Certified beds
- 40
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- Senior Living Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 24, 2013
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Homestead Hills carries 48 inspection points. That is fewer than 34% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Nutrition and Dietary2F
- F
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1E
- E
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.
Resident Rights1D
- D
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.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2026-07-01
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-05-08
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-04-25
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 30 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
5 h 30 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$27,378 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-01 | Fine | $27,378 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse | 90.9% | 92.4% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts better | 2.2% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts worse | 11.8% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 17.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 15.4% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts worse | 18.5% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.8% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.9 pts better | 12.0% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.6 pts worse | 10.0% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse | 76.5% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.4 pts better | 4.3% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts worse | 70.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts worse | 27.1% | 22.2% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kapson Gp, LLC | General Partnership Interest · Organization | 0% | 1 facilities |
| Maxwell Group, Inc. | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Maxwell Group, Inc. | Adp Of The SNF · Organization | 0% | 11 facilities |
| Sera 4,llc | Limited Partnership Interest · Organization | 0% | 1 facilities |
| Slade-Hartman, Venezela | Adp Of The SNF · Individual | 0% | 3 facilities |
| Thompson, Benjamin | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Wale, Kennedy | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5E
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure electrical receptacles or cover plates have distinctive color or marking.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Construction1D
- D
Use approved construction type or materials.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Silas Creek Rehabilitation Center
Winston Salem, NC · Sovereign Healthcare Holdings
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
The Oaks
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
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-
Willow Valley Center for Nursing and Rehabilitatio
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 17 min
- Fines
- $43,838