All states › North Carolina › Winston-Salem › Homestead Hills
2101 Homestead Hills Drive Winston-Salem, NC 27103 · Forsyth County
All 10 nursing homes in Winston-Salem, NC (9 take Medicaid)
CMS certification number 345559 · See this home on Medicare Care Compare
Is Homestead Hills a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Homestead Hills as of October 2026.
CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.49 hours per resident per day at Homestead Hills, above the North Carolina median of 3.57 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 4.93 hours, 10% below its all-week average. 55.1% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Homestead Hills: Medicare and Medicaid
Homestead Hills is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 1, 2026 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 8 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 8 citations at Homestead Hills across 2 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 1, 2026 (complaint inspection). The most common areas cited were nutrition and dietary (2) and pharmacy service (2). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level J, July 1, 2026).
July 1, 2026 · 7 citations · includes complaint inspection
JEnsure that residents are free from significant medication errors.
FDispose of garbage and refuse properly.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide and implement an infection prevention and control program.
April 25, 2024 · 1 citation
DProvide timely, quality laboratory services/tests to meet the needs of residents.
Questions to ask on a tour of Homestead Hills
- Inspectors cited the home at the immediate-jeopardy level on July 1, 2026 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $27,378 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 1, 2026 | Fine | $27,378 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 4/5 |
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Location
Hospitals near Homestead Hills
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.4 mi
Forsyth Memorial Hospital Winston-SalemEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 26m for patients treated and sent home
- 1.6 mi
- 1.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Homestead Hills › All nursing homes in Winston-Salem ›
Compare Homestead Hills with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Brookridge Retirement Community · Winston-Salem · 5 stars · 6.1 mi
- Silas Creek Rehabilitation Center · Winston-Salem · 4 stars · 1.3 mi
- Arbor Acres United Methodist Retirement Community · Winston-Salem · 4 stars · 3.7 mi
- Salemtowne · Winston-Salem · 4 stars · 6.5 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.