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Nursing HomeMedicaid Top Rated

Homestead Hills

Strong Medicare quality ratings; families often praise vibrant social calendar and community engagement. Still worth an in-person visit.

2101 Homestead Hills Drive, Winston-Salem, NC 2710340 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 130 Google reviews

5
4
3
2
1
Homestead Hills Nursing Home in Winston-Salem, NC — Street View
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What this means for your family

Homestead Hills offers a highly active and beautiful environment for independent living, with a strong reputation for social engagement. However, families considering assisted living or nursing care should be diligent; ask specifically about current staffing ratios on weekends and request to speak with families of current residents in the nursing wing to ensure care standards meet your expectations.

Google Reviews

Google Reviews

130 reviews on Google
Homestead Hills is a large, well-regarded retirement community that excels in independent living, offering a vibrant social atmosphere, beautiful grounds, and responsive maintenance. However, families of residents in assisted living and skilled nursing have raised serious concerns regarding chronic understaffing, poor communication from management, and inconsistent quality of care. While independent residents praise the lifestyle and amenities, those requiring higher levels of support report significant gaps in service and professional oversight.

Quality Themes

Tap a score for details
Food6.0Staff6.0Clean8.0Activities10.0MedsN/AMemory5.0Comms4.0Value5.0

Strengths

  • Vibrant social calendar and community engagement
  • Responsive and helpful maintenance staff
  • Beautiful, well-maintained campus and facilities
  • Strong independent living lifestyle

Concerns

  • Chronic understaffing in assisted living and nursing units (mentioned by 4 reviewers)
  • Poor management responsiveness and communication (mentioned by 3 reviewers)
  • Low quality or unappealing dining options (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(5)'19(2)'21(21)'23(2)'25(19)'26(8)

Distribution · 134 analyzed

5
115
4
2
3
0
2
1
1
16
27 reviews posted between May 20, 2024May 24, 2024 · 27 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the vibrant social calendar mentioned by many families, how do you ensure residents in the nursing care unit are able to participate in these community activities?
  • 2With your 4-star staffing rating, could you walk me through how you manage shift transitions to ensure consistent care for residents throughout the day and night?
  • 3I’ve heard wonderful things about the campus grounds; how do you facilitate opportunities for residents to enjoy the outdoor spaces safely?
  • 4Communication is so important to our family; what is your standard process for keeping family members updated on a resident's health status or changes in their care plan?
  • 5I’d love to hear about the dining experience—how do you gather feedback from residents to ensure the menu meets their nutritional needs and personal preferences?
  • 6How does your nursing team coordinate with local medical providers to ensure seamless care when a resident has an urgent medical need?

Personalized based on this facility's data


Key Review Excerpts

This facility is understaffed and is not a place that we feel takes care of our beloved family member for 5000 a month. Over many years she has fallen and left on the floor for hours.

Memory care family member · 2017☆☆☆☆

The devil is in the details and the biggest detail is the dining room. Food is bad. No seasoning, half-cooked, not sure you are eating what they say it is. Very expensive.

Resident · 2017☆☆☆☆

My wife and I moved to Homestead Hills as she was going into dementia. I can walk from my apartment to see her. She is safe’ content and receiving good care.

Memory care family member · 2020★★★★★
Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
92%
Registered nurses for medical care
Total Nursing
5.60hrs
OK
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.0%
Worse than Avg
Here
81.0%
US
93.4%
NC
91.7%
Forsyth
95.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.4%
NC
14.1%
Forsyth
18.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%
Forsyth
3.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
19.5%
NC
21.5%
Forsyth
18.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.4%
Worse than Avg
Here
19.4%
US
14.4%
NC
16.4%
Forsyth
16.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.4%
Better than Avg
Here
17.4%
US
19.4%
NC
21.0%
Forsyth
21.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility50.0%
Worse than Avg
Here
50.0%
US
79.7%
NC
78.1%
Forsyth
75.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility66.7%
Worse than Avg
Here
66.7%
US
81.8%
NC
80.1%
Forsyth
80.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Forsyth
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (5.6)
Clean record — no deficiencies

Homestead Hills shows concerning patterns with repeated safety and infrastructure issues across multiple surveys. Fire safety systems, electrical systems, and emergency preparedness have been cited repeatedly, with some problems like generator deficiencies appearing three times between 2023-2025. While all deficiencies show correction dates, the recurring nature of safety violations, particularly around fire protection and electrical systems, suggests ongoing maintenance challenges that families should discuss during visits.

May 8, 2025Routine
1
0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Apr 25, 2024Routine
7
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Feb 10, 2023Routine
13
0847Potential for harm · PatternCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0848Potential for harm · PatternCorrected

Administration Deficiencies

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Homestead Hills

Organization Type

for profit

Chain Affiliation

Chain Name

Senior Living Communities

Chain Size

9 facilities nationwide

Chain avg rating: 4.3/5 · Rank 1 of 9 (Best)

Ownership & Management

Key personnel

Maxwell Group, INC.ManagerThompson, BenjaminManagerKapson Gp, LLCGeneral Partnership InterestSera 4,LLCLimited Partnership InterestMaxwell Group, INC.Adp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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