2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Winston-Salem, NC
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1550 Babcock Drive, Winston-Salem, NC
(336) 767-8130
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
93
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-10-15
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
RN hours / resident day
0.43
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.36
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
3.94
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.74
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
5.61
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
6.29
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
4,390
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9931
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.27% · Performance 23.18% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.16
Baseline 4.99% · Performance 7.19% · Measure score 2.16 · Achievement 2.16 · Improvement 0
Total nurse turnover
3.91
Performance 47.71% · Measure score 3.91 · Achievement 3.91 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Baseline 6.54 hours · Performance 6.67 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.72% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 342 · Observed rate 11.99% · Lower 95% interval 9.84% |
| Discharge to community | 66.42% |
50.57%
15.9 pts better
|
Better than the National Rate · Eligible stays 338 · Observed rate 64.5% · Lower 95% interval 60.82% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.34% |
95.27%
3.1 pts better
|
Numerator 178 · Denominator 181 |
| Falls with major injury | 1.66% |
0.77%
0.9 pts worse
|
Numerator 3 · Denominator 181 |
| Discharge self-care score | 60.14% |
53.69%
6.5 pts better
|
Numerator 89 · Denominator 148 |
| Discharge mobility score | 60.14% |
50.94%
9.2 pts better
|
Numerator 89 · Denominator 148 |
| Pressure ulcers or injuries, new or worsened | 3.89% |
2.29%
1.6 pts worse
|
Numerator 7 · Denominator 180 · Adjusted rate 4.66% |
| Healthcare-associated infections requiring hospitalization | 7.19% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 189 · Observed rate 6.35% · Lower 95% interval 4.73% |
| Staff COVID-19 vaccination coverage | 5.5% |
8.2%
2.7 pts worse
|
Numerator 17 · Denominator 309 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 57.43% |
56.45%
1 pts better
|
Numerator 85 · Denominator 148 |
| Transfer of health information to provider | 96.27% |
95.95%
0.3 pts better
|
Numerator 129 · Denominator 134 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 18.6% |
25.2%
6.6 pts worse
|
Numerator 16 · Denominator 86 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.8
0.1 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
91.5%
0.5 pts worse
|
93.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 91.4% · Q3 87.9% · Q4 87.7% · 4Q avg 91.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
94.1%
0.6 pts worse
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.6%
1.1 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.7% · Q3 3.4% · Q4 10.5% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
4.8%
3.8 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 2.2% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
7.2%
3.4 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.8% · Q3 5.6% · Q4 2.0% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% |
21.6%
1.3 pts worse
|
19.6%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 24.5% · Q3 24.1% · Q4 19.6% · 4Q avg 22.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
15.0%
3.8 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.8% · Q3 18.0% · Q4 15.9% · 4Q avg 18.8% · 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 | 29.1% |
21.5%
7.6 pts worse
|
16.3%
12.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 18.9% · Q3 29.9% · Q4 35.9% · 4Q avg 29.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.5% |
16.8%
2.7 pts worse
|
14.9%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 22.0% · Q3 13.5% · Q4 28.6% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.6%
2.2 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
21.2%
1.1 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 23.1% · Q3 30.2% · Q4 13.4% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.0%
0.7 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 6.3% · Q3 2.1% · Q4 1.9% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 33.0% |
79.9%
46.9 pts worse
|
81.7%
48.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.0% · Q2 27.2% · Q3 28.3% · Q4 32.6% · 4Q avg 33.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
13.2%
2.8 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 9.3% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.1% |
78.1%
44 pts worse
|
79.7%
45.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 34.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
22.9%
1.1 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 19.9% · Expected 19.7% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Rights (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-22
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-05-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-03
Inspection history
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 2026-02-16
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-18
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Winston-Salem, NC
1-star overall rating with 1-star inspections with $29,876 in total fines with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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5-star overall rating with 4-star inspections with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Winston Salem, NC
4-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
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