All 10 Medicare-certified nursing homes in Winston Salem,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Salemtowne runs on unusually heavy staffing for a nursing home: 5.72 nurse hours per resident day, roughly half again the national figure of 3.86. That margin matters most on weekends, when coverage dips only about 5% below its own weekday level, so care doesn't thin out the way it does at many homes. Staff turnover sits at 38.5%, below the 45.8% national average, which suggests people tend to stay. Four deficiencies on the current record, none causing harm and none abuse-related, with a December 2025 inspection, means surveyors found nothing serious and looked recently. The nonprofit ownership and a 4 out of 5 on health inspections round out a record without red flags.
Brookridge is a nonprofit home in Winston-Salem with a recent inspection on the books and a clean record on serious problems, five deficiencies total, none of them causing harm or involving abuse. The quality measures look strong too, which suggests residents' conditions are being tracked well. Where it falls short is staffing: the federal staffing rating sits at the bottom of the scale, and annual turnover runs about 50 percent, a bit above the national average. Inspection and quality scores can both look good even when the people doing the daily work are stretched thin or constantly changing. That's the number to ask about when you visit.
Trinity Glen runs 117 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That's a real cushion, though weekends dip about 14% below the home's own weekday level, so coverage isn't perfectly even across the week. Turnover lands at 45.1%, essentially matching the national 45.8%, which means this home isn't losing staff any faster than the typical facility. Its inspection record is clean where it counts: two deficiencies total, none at harm or jeopardy level, none abuse-related, with a recent April 2026 inspection. The 4/5 ratings across health inspections, quality measures, and staffing line up with what the numbers show, steady, above-average care without red flags.
Homestead Hills runs 5.60 nurse hours per resident day, about 45% above the national average, that's the number families should care most about, and it's why the staffing picture here starts strong. The catch is turnover: 59.3% of staff leave each year, well above the 45.8% national figure, and weekend coverage dips about 8% below weekdays. A recent inspection in May 2025 found six deficiencies, none causing harm, though one was abuse-related. The 40-bed for-profit home earned strong marks across inspections, quality measures, and staffing. With that much caregiver time per resident, the gaps are consistency and retention, not raw hours.
Silas Creek runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, with weekends dipping about 13% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families tend to visit and when fewer eyes are on residents. Annual turnover sits at 53.8%, well above the 45.8% national figure, so the aides and nurses you meet may not be there in a year. The good news: a clean inspection record, just two deficiencies and nothing at harm or jeopardy level, verified as recently as May 2025, under for-profit LLC ownership.
Arbor Acres is a small unit, six certified beds, run by a nonprofit corporation, and its inspection record is clean: one deficiency on the books, nothing rising to harm or jeopardy, no abuse findings, and the most recent survey was in March 2026. Where it falls short is quality measures, which sit at two stars against a four-star inspection rating, a split that usually means the day-to-day care indicators aren't keeping pace with how well the home performs when surveyors show up. With only six beds, a single resident's outcome can swing those numbers hard, so read the quality score as a thin sample rather than a settled verdict.
Willow Valley runs 230 beds in Winston-Salem, and the numbers families should focus on are staffing and inspections. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and weekends run roughly 8% thinner than weekdays, so the coverage gap shows up exactly when families tend to visit. Annual turnover hits 54.2%, well above the 45.8% national figure, which means the people providing care keep changing. The current inspection record carries 51 deficiencies, seven at harm or jeopardy level and four abuse-related, with five fines totaling $275,518. The most recent inspection was August 2025. For-profit corporate ownership.
The Oaks runs on 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below what it manages on weekdays. Staff turnover sits at 65.8% against a national 45.8%, so nearly two of every three caregivers left last year, that's a lot of unfamiliar faces for 131 residents. The current record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was August 2025. All three CMS ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Corporate-owned and for-profit, this home isn't failing outright, but staffing and retention are where it's weakest.
Mill Creek runs on 3.37 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That thin coverage sits alongside a 66.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses caring for your family member are likely to change often. The current record carries 46 deficiencies, three of them serious enough to put residents at risk of harm, with two fines totaling $29,876. The most recent inspection was April 14, 2025. The for-profit LLC structure doesn't explain all of this, but combined with 1 out of 5 on health inspections, it's worth asking hard questions before moving anyone in.
Staffing at Oak Forest runs 3.83 nurse hours per resident day, roughly in line with the national figure of 3.86, but it thins out on weekends, about 7% below the home's own weekday level. The bigger issue is who's giving that care: annual turnover sits at 61.3% against a 45.8% national average, meaning most of the staff you'd meet this year likely won't be there next year. That churn shows up in the record. Inspectors last visited in June 2025 and found 32 deficiencies, four serious enough to cause harm or put residents in jeopardy, one tied to abuse, drawing $38,527 in fines.