Best Nursing Homes in Winston-Salem, North Carolina

4 of 7 nursing homes in Winston-Salem (57%) meet our strict criteria. The North Carolina statewide average is 29%.

4 recommended · 0 caution · 3 avoid · data

Worth Considering

4

Facilities graded B or better with zero fines

4 recommended 0 caution 3 avoid

City Average

3.1

+0.00 vs state

Total Beds

761

across 7 facilities

High Risk Facilities

3

3 Grade F

$316,351 in combined fines

Zero Fines

5 /7

passed all inspections

Nurse Availability

0 min

RN time per resident daily

Below CMS recommendation

Why These 4?

The nursing home market in Winston-Salem, North Carolina, is strong, with 57% of the 7 facilities recommended. Families should note that while Trinity Glen stands out with top ratings, three facilities have a combined total of $316,351 in fines, warranting careful consideration.

Exceptional (Grade A, Trust Score 90+)

  1. 1 Trinity Glen (90) — Trinity Glen boasts an impressive CMS 5★ rating and an A grade, reflecting its commitment to quality care. With a Trust Score of 90/100 and no fines, this non-profit facility prioritizes community-focused, personalized services for its 117 residents.
  2. 2 Brookridge Retirement Community (90) — Brookridge Retirement Community shines with a CMS 5★ rating and an A grade, showcasing exceptional care standards. Its Trust Score of 90/100 and non-profit status emphasize a strong commitment to community well-being, making it a top choice for residents.

Strong (Grade B+, Trust Score 80-89)

  1. 3 Homestead Hills (85) — Homestead Hills stands out with a CMS 5★ rating and a solid Trust Score of 85/100, highlighting its dedication to quality care in a for-profit model. With 40 beds, it offers a more intimate setting while maintaining high standards, though its B+ grade indicates room for improvement.
  2. 4 Salemtowne (80) — Salemtowne offers a supportive environment with a Trust Score of 80/100 and a CMS 4★ rating. As a non-profit facility, it focuses on community-oriented care for its 100 residents, though its B+ grade suggests opportunities to enhance care quality further.

The other 3 Winston-Salem facilities didn't qualify — 3 carry Grade D or F ratings and 2 have fines totaling $316K.

Staffing Comparison

Staffing levels are the strongest predictor of care quality

Comparison of staffing metrics between Trinity Glen, Winston-Salem average, and CMS minimum standards
Metric Top Facility Winston-Salem Avg CMS Minimum
RN Hours / Resident / Day 0.00 0.00 0.75
CMS Star Rating 5 stars 3.1 stars
Deficiencies / Inspection 0 0.0

Facilities to Avoid

These facilities have significant quality concerns.

What Disqualified the Other 3?

Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years

Grade F facilities
3 Grade F — critical inspection failures
Facilities with fines
2 Have fines totaling $316,351

Questions Winston-Salem Families Should Ask

Based on what we found in local inspection data

  1. 1

    "What is your current CMS star rating and Trust Score?"

    Winston-Salem's city average is 3.1 stars

  2. 2

    "Have you received any fines in the past 3 years?"

    2 of 7 Winston-Salem facilities have fines

  3. 3

    "How many RN hours per resident do you provide daily?"

    CMS recommends 45 min; Winston-Salem avg is 0 min

  4. 4

    "What were your most recent inspection findings?"

    Winston-Salem facilities average 0.0 deficiencies per inspection

Explore Nearby Cities

Houston has strong options, but nearby cities add even more choices

Houston at a Glance

Good News

  • 12 facilities meet our strict criteria—20% of the market
  • 3 exceptional A-grade facilities with 5-star CMS ratings
  • 24 facilities with zero fines in the past 3 years

Be Aware

  • 30 facilities carry Grade F—nearly half the market
  • $3.2M+ in total fines across 37 facilities
  • Worst facility has $448,216 in fines alone

Key Numbers

  • Average Trust Score: 48.6 (dragged down by 30 F-grades)
  • 82% for-profit, 13% non-profit, 5% government
  • 9.4 average deficiencies per facility

Frequently Asked Questions

How many nursing homes in Winston-Salem, NC are recommended?

4 of 7 nursing homes in Winston-Salem (57%) meet our strict criteria of excellent inspection results and a clean record with no fines.

What makes a nursing home in Winston-Salem "recommended"?

A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.

How should I evaluate nursing homes in Winston-Salem?

Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.