Homestead Hills is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2013-07-24. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (336) 659-0386 or your local Medicaid office to verify current eligibility.

Homestead Hills holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (4★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 94.8/100, placing it #171 of 14703 facilities nationally and #5 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Homestead Hills receives a reported average of 5 hours 53 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 1 hour 4 minutes; Nurse Aide — 4 hours 6 minutes. On weekends, total nurse staffing is 5 hours 15 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 66.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 3 fine(s) over the 5-year period, totaling $1,988. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 1.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Homestead Hills ranks 171st out of 14,703 facilities (composite score: 94.8/100), placing it in the top 5% nationwide. Within NC, it ranks 5th out of 418 nursing homes. In Winston-Salem, it ranks 1st out of 7 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #429 nationally and RN hours rank #4,791 nationally (#87 in NC). Our composite quality score of 94.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Winston-Salem, visit: https://nursinghomesnearme.org/north_carolina/winston-salem/