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B
Good

Homestead Hills

2101 Homestead Hills Drive · Winston-Salem, NC 27103

3366590386 · For profit - Corporation

40 beds28 residents158 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Homestead Hills receives an overall staffing grade of B (Good). With 5.906 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7173 HPRD, below the recommended 0.75. It is 2.01 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 14.39% compared to weekdays. The facility relies heavily on temporary agency staff (17.14% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.7173 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.14% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.906hrs/resident/day▲ 2.01
CMS benchmark: 3.48
RN HPRD
0.7173hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
14.39%
6.1564 weekday → 5.2705 weekend
Agency Staff
17.14%
2.02% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.3004hrs/resident/day
Direct care aides
LPN HPRD
1.0798hrs/resident/day
Licensed practical nurses
Consistency
0.7419std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Forsyth County Average+1.78 HPRD
4.13
05.91 HPRD
vs. North Carolina State Average+2.14 HPRD
3.77
05.91 HPRD
vs. National Average+2.01 HPRD
3.90
05.91 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Homestead Hills ★
Winston-Salem · This facility
—
B
5.9060.7173★★★★★
Silas Creek Rehabilitation Center
Winston Salem
1.3 mi
B
3.90990.6568★★★★★
The Oaks
Winston-Salem
1.5 mi
D
3.32140.2707★☆☆☆☆
Willow Valley Center for Nursing and Rehabilitatio
Winston-Salem
3.2 mi
D
3.37570.2564★☆☆☆☆
Cedar Hills Center for Nursing and Rehabilitation
Clemmons
5.6 mi
F
3.62880.1954★☆☆☆☆
Brookridge Retirement Community
Winston-Salem
6.1 mi
B
5.8550.7173★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
6
Total Deficiencies
$0
Fines Assessed
Apr 25, 2024Health
1 deficiency cited
▼
Feb 10, 2023Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.