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C
Below Standard

Mill Creek Center for Nursing and Rehabilitation

4911 Brian Center Lane · Winston-Salem, NC 27106

3367445674 · For profit - Limited Liability company

66 beds62.9 residents125 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Mill Creek Center for Nursing and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.45 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5638 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.5% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.45 HPRD — needs 0.03 more hours per resident per day.
⚠️RN staffing (0.5638 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.45hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.5638hrs/resident/day▼ 0.12
Recommended: 0.75
Weekend Drop-off
19.5%
3.6512 weekday → 2.9392 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7494hrs/resident/day
Direct care aides
LPN HPRD
1.012hrs/resident/day
Licensed practical nurses
Consistency
0.4071std 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-0.67 HPRD
4.13
03.45 HPRD
vs. North Carolina State Average-0.32 HPRD
3.77
03.45 HPRD
vs. National Average-0.45 HPRD
3.90
03.45 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
Mill Creek Center for Nursing and Rehabilitation ★
Winston-Salem · This facility
—
C
3.450.5638★☆☆☆☆
Brookridge Retirement Community
Winston-Salem
1.2 mi
B
5.8550.7173★★★★★
Willow Valley Center for Nursing and Rehabilitatio
Winston-Salem
4.5 mi
D
3.37570.2564★☆☆☆☆
The Oaks
Winston-Salem
5.7 mi
D
3.32140.2707★☆☆☆☆
Trinity Glen
Winston-Salem
5.8 mi
B
4.7260.5695★★★★★
Silas Creek Rehabilitation Center
Winston Salem
5.9 mi
B
3.90990.6568★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
45
Total Deficiencies
$29,876
Fines Assessed
Apr 14, 2025Health
14 deficiencies cited
▼
Jan 7, 2025Health
2 deficiencies cited
▼
May 29, 2024Health
2 deficiencies cited· Includes actual harm
▼
Nov 16, 2023Health
9 deficiencies cited· Includes actual harm
▼
Sep 28, 2023Health
2 deficiencies cited
▼
Jun 23, 2022Health
16 deficiencies cited
▼

Penalty History

May 29, 2024Fine
$16,452
Sep 28, 2023Fine
$13,424
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.