Cycle 1
Health 2025-05-02 · Fire 2025-05-02
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Winston Salem, NC
Silas Creek Rehabilitation Center
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
3350 Silas Creek Parkway, Winston Salem, NC
(336) 765-0550
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
90
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sovereign Healthcare Holdings
Operator or chain grouping
Approved since
1976-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars
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
0.65
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.91
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
4.22
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,388
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.05
Composite VBP score used to determine payment impact.
Payment multiplier
1.0122
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.81
Baseline 22.03% · Performance 18.88% · Measure score 5.81 · Achievement 5.51 · Improvement 5.81
Healthcare-associated infections
7.11
Baseline 7.19% · Performance 5.71% · Measure score 7.11 · Achievement 7.11 · Improvement 6.25
Total nurse turnover
6.89
Baseline 18.64% · Performance 35.53% · Measure score 6.89 · Achievement 6.89 · Improvement 0
Adjusted total nurse staffing
3.01
Baseline 3.68 hours · Performance 3.94 hours · Measure score 3.01 · Achievement 3.01 · Improvement 0.71
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.36% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 10.37% · Lower 95% interval 7.01% |
| Discharge to community | 55.76% |
50.57%
5.2 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 50% · Lower 95% interval 49% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 95.7% |
95.27%
0.4 pts better
|
Numerator 89 · Denominator 93 |
| Falls with major injury | 1.08% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 93 |
| Discharge self-care score | 42.59% |
53.69%
11.1 pts worse
|
Numerator 23 · Denominator 54 |
| Discharge mobility score | 37.04% |
50.94%
13.9 pts worse
|
Numerator 20 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 2.15% |
2.29%
0.1 pts better
|
Numerator 2 · Denominator 93 · Adjusted rate 2.18% |
| Healthcare-associated infections requiring hospitalization | 5.71% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 2.63% · Lower 95% interval 2.73% |
| Staff COVID-19 vaccination coverage | 10.37% |
8.2%
2.2 pts better
|
Numerator 14 · Denominator 135 |
| Staff flu vaccination coverage | 79.37% |
42%
37.4 pts better
|
Numerator 100 · Denominator 126 |
| Discharge function score | 53.7% |
56.45%
2.8 pts worse
|
Numerator 29 · Denominator 54 |
| Transfer of health information to provider | 85.11% |
95.95%
10.8 pts worse
|
Numerator 40 · Denominator 47 |
| Transfer of health information to patient | 90.32% |
96.28%
6 pts worse
|
Numerator 28 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 25.53% |
25.2%
0.3 pts better
|
Numerator 12 · Denominator 47 |
Quality measures
Resident outcomes and process scores
| 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 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.9% |
3.6%
0.7 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 4.2% · Q4 4.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.5% |
4.8%
1.3 pts better
|
11.4%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.1% · Q3 4.5% · Q4 1.6% · 4Q avg 3.5% |
| Percentage of long-stay residents who lose too much weight | 12.4% |
7.2%
5.2 pts worse
|
5.4%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 15.4% · Q3 16.9% · Q4 9.2% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.4% |
21.6%
6.2 pts better
|
19.6%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 16.9% · Q3 16.9% · Q4 13.6% · 4Q avg 15.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.4% |
15.0%
8.4 pts worse
|
16.7%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 23.0% · Q3 24.6% · Q4 27.7% · 4Q avg 23.4% · 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 | 19.5% |
21.5%
2 pts better
|
16.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 26.3% · Q4 8.9% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.4% |
16.8%
3.4 pts better
|
14.9%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 16.7% · Q3 7.5% · Q4 11.3% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.6%
0.4 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.0% · Q3 1.4% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
21.2%
2.7 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 27.7% · Q3 21.2% · Q4 26.4% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.0%
0.9 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.5% · Q3 6.1% · Q4 9.0% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
79.9%
16.4 pts better
|
81.7%
14.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 98.6% · Q3 99.2% · Q4 95.1% · 4Q avg 96.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
13.2%
1.6 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 12.0% · Expected 11.6% · 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 0.0% · Q2 0.0% · Q3 1.4% · Q4 5.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.3% |
78.1%
16.2 pts better
|
79.7%
14.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.5% |
22.9%
2.6 pts worse
|
23.9%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 26.7% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-07 · Fire 2024-03-07
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2022-12-21 · Fire 2022-12-21
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-02
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 2025-07-18
D · Potential for more than minimal harm
2025-05-02
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-18
D · Potential for more than minimal harm
2025-05-02
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-18
D · Potential for more than minimal harm
2025-05-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-18
D · Potential for more than minimal harm
2025-05-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-18
D · Potential for more than minimal harm
2024-03-07
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-07
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-19
D · Potential for more than minimal harm
2022-12-21
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-01-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-12-21
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-12-22
D · Potential for more than minimal harm
2022-12-21
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-22
Penalties and ownership
What sits behind the stars
Ownership
Clark, Sydney
Operational/Managerial Control · Individual
Cronquist, Royce
Operational/Managerial Control · Individual
Elliott, Kendra
Operational/Managerial Control · Individual
Mangine, John
Operational/Managerial Control · Individual
Melton, Donald
Operational/Managerial Control · Individual
Southern Healthcare Management LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
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
#2
Homestead Hills
Winston-Salem, NC
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#3
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
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