Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Homestead Hills during CMS and state inspections, most recent first.
Medication Error Caused Severe Bradycardia and Hospital Transfer: A severely cognitively impaired resident with sinus bradycardia received his scheduled AM meds and then was mistakenly given another resident's meds, including metoprolol succinate ER, amlodipine, tamsulosin, and donepezil. He became lethargic with HR in the 30s to 40s and BP 90/60, was sent to the hospital, and was diagnosed with severe symptomatic bradycardia, hypotension, and progression to complete heart block requiring epinephrine, atropine, and a dual-chamber pacemaker.
The facility failed to obtain laboratory blood work as ordered for two residents with severe cognitive impairments and multiple diagnoses, despite the orders being marked as completed by a nurse. The Nurse Practitioner and DON were unaware of the lapses in the process.
Medication Error Resulted in Severe Bradycardia and Hospitalization
Penalty
Summary
The facility failed to prevent a significant medication error involving a severely cognitively impaired resident with diagnoses including Alzheimer's disease, sinus bradycardia, hypertension, diabetes, depression, and psychotic disorder with hallucinations. On the morning of the event, a Medication Aide administered the resident's scheduled medications, which included propranolol ER, quetiapine, donepezil, metformin ER, and citalopram. The aide then returned to the medication cart, prepared another resident's medications, and later gave those medications to the same resident in error. The medications mistakenly given to the resident included metoprolol succinate ER, tamsulosin, amlodipine, and donepezil, which were prescribed for another resident. Approximately 30 minutes later, the Medication Aide realized the error and reported it to the nurse. The resident was assessed and found to be lethargic with a heart rate in the 40s that dropped into the high 30s and a blood pressure of 90/60. EMS was contacted and transported the resident to the hospital for evaluation. Hospital records documented severe symptomatic bradycardia and hypotension secondary to an unintentional medication overdose with beta blockers and amlodipine. The resident's ECG progressed from sinus bradycardia with second-degree AV block to complete heart block, and he required epinephrine infusion and atropine with limited response. He later underwent implantation of a dual-chamber pacemaker and returned to the facility after hospitalization. Interviews with the Medication Aide, nurse, NP, pharmacist, and Medical Director confirmed that the resident received both his own morning medications and another resident's medications, and that the medication error was associated with the resident's decline in heart rate and blood pressure.
Failure to Obtain Ordered Laboratory Blood Work
Penalty
Summary
The facility failed to obtain laboratory blood work as ordered for two residents, leading to a deficiency in providing timely and quality laboratory services. Resident #4, who was admitted with diagnoses of type 2 diabetes mellitus, cognitive impairment, and lymphoma, had an order for a routine Complete Metabolic Panel (CMP), a Complete Blood Count (CBC) with differential, a Lipid Panel, and a Hemoglobin A1C on admission. Despite the order being marked as completed by Nurse #5, there were no lab results in the medical record. The Nurse Practitioner was unaware of the facility's process for communicating lab orders and expected the staff to ensure the lab work was done. The Director of Nursing (DON) confirmed that the current process involved submitting paper requisitions, but was unaware that the lab work had not been completed for Resident #4 and could not explain why the order was marked completed. Similarly, Resident #7, admitted with diagnoses of dementia, type 2 diabetes mellitus, vitamin D deficiency, and chronic kidney disease, had an order for a routine Hemoglobin A1C, Vitamin D level, and TSH (Thyroid Stimulating Hormone) test. This order was also marked as completed by Nurse #5, but there was no evidence of the lab work being drawn. The Nurse Practitioner again stated her expectation that the staff would ensure the lab work was done and was unaware that it had not been completed. The DON reiterated the process of submitting paper requisitions and was again unaware that the lab work had not been completed for Resident #7, unable to explain why the order was marked completed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Winston-salem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Silas Creek Rehabilitation Center | 1.3 mi | ★★★★★ | 3 | 0 |
| The Oaks | 1.5 mi | ★★★★★ | 0 | 0 |
| Willow Valley Center For Nursing And Rehabilitatio | 3.2 mi | ★★★★★ | 3 | 0 |
| Arbor Acres United Methodist Retirement Community | 3.7 mi | ★★★★★ | 2 | 0 |
| Cedar Hills Center For Nursing And Rehabilitation | 5.6 mi | ★★★★★ | 41 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.