Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
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 Silas Creek Rehabilitation Center during CMS and state inspections, most recent first.
Failure to Transcribe and Administer Ordered Diuretic: A resident with CHF and other serious diagnoses returned from the hospital with orders for Furosemide 40 mg daily and PRN for weight gain, but the medication was not transcribed or given for five consecutive doses. The DON confirmed the discharge summary lacked the second verification checkmark, an LPN reported a verbal discontinuation by an NP that was not documented, and the MAR showed no Furosemide administration during the missed-dose period.
A resident with stroke-related left-sided weakness, contractures, aphasia, and severe cognitive impairment did not receive a completed therapy evaluation after PT/OT/ST screening was ordered and an IDT referral was made for a left hand splint and pain. The IPC submitted the rehab evaluation, but no completion date was documented, and staff later observed the resident’s hands contracted toward her torso with no splint in place. Interviews showed the therapy referral was expected to be completed within 48 hours, but it was not.
Failure to Post Required State Agency and Advocacy Contact Information: The facility did not display required contact information for the State Survey Agency, DSS, the LTC Ombudsman, the Resident Advocacy Network, home and community based service programs, or the Medicaid Fraud Control Unit in resident common areas. Two residents said they did not know how to contact the State Agency to file a complaint, and an Activities Director was unaware of the posting location. The Administrator stated the signs had been removed for wall painting and were stored in her office, with replacement in common areas overlooked.
Failure to Transcribe and Administer Ordered Diuretic
Penalty
Summary
The facility failed to prevent a significant medication error for a resident with CHF, diabetes, hypertension, acute and chronic respiratory failure, and pulmonary edema. Prior to hospitalization, the resident had been taking Spironolactone 12.5 mg daily and Furosemide 40 mg daily for fluid retention. After the resident returned from the hospital, the discharge summary included orders for Furosemide 40 mg daily and Furosemide 40 mg every third day as needed for weight gain of 4 pounds or more, and the discharge medication orders showed the medication had been verified by NP #1. Facility staff did not transcribe or administer the Furosemide as ordered. The DON stated the process required a second checkmark after transcription into the electronic record and pharmacy notification, but the discharge summary had no second checkmark for Furosemide. Nurse #2 stated she completed transcription and that NP #2 verbally discontinued Furosemide, but no such order was documented in the provider orders or on the discharge summary. The MAR showed no administration of Furosemide from 05/07/26 through 05/12/26. NP #1 later stated she had validated the discharge medications to restart Furosemide and was unaware the resident did not receive it during that period.
Failure to Complete Therapy Evaluation for Resident With Stroke-Related Contractures
Penalty
Summary
Provide or get specialized rehabilitative services as required for a resident was not met when the facility failed to conduct a therapy evaluation to determine therapy needs for Resident #10. The resident was readmitted with diagnoses including stroke affecting the left side, contracture of the left elbow and left hand, and aphasia. The quarterly MDS showed severe cognitive impairment, impairment to both sides of the upper and lower body, and dependence on staff for all ADLs. Her care plan identified limited physical mobility related to late effects of stroke and left-sided weakness, with total assistance required for mobility and interventions to evaluate with PT and OT as ordered and PRN. The physician ordered PT, OT, and ST screening as needed, and IDT notes documented referrals to therapy for a left hand splint and pain. An electronic rehabilitation evaluation was initiated by the IPC, but no completion date was documented. During observation, the resident’s hands were contracted toward her torso and no splinting device was observed on either hand. Staff interviews confirmed the referral was submitted, but therapy did not complete the evaluation within the expected timeframe, and the Regional Therapy Manager stated the referral should have been completed within 48 hours. The DON stated the therapy referral should have been completed during the week of 05/27/2026, while the Regional Clinical Manager stated that waiting three weeks was appropriate because the resident had frequently refused to wear the splint in the past.
Failure to Post Required State Agency and Advocacy Contact Information
Penalty
Summary
The facility failed to post a list of names, addresses, and telephone numbers for required state agencies and advocacy groups, including the State Survey Agency, Department of Social Services, the State Long Term Care Ombudsman Program, the Resident Advocacy Network, home and community based service programs, and the Medicaid Fraud Control Unit. This deficiency was observed in the facility, including all hallways, on multiple days during the onsite recertification and complaint survey, and no such postings were seen in the resident common areas. During the Resident Council meeting, two residents stated they did not know how to contact the State Agency to file a complaint or where that information would be found in the facility. During a walking tour and interview with the Activities Director, the required postings were still not present, and the Activities Director stated she was not aware of the postings location and would need to consult the Administrator. The Administrator later stated the postings had been removed for wall painting completed one week earlier and were being stored in her office, and that she had overlooked replacing the signage in resident common areas.
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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) |
|---|---|---|---|---|
| The Oaks | 0.3 mi | ★★★★★ | 0 | 0 |
| Homestead Hills | 1.3 mi | ★★★★★ | 1 | 1 |
| Willow Valley Center For Nursing And Rehabilitatio | 2.1 mi | ★★★★★ | 3 | 0 |
| Arbor Acres United Methodist Retirement Community | 2.5 mi | ★★★★★ | 2 | 0 |
| Brookridge Retirement Community | 4.8 mi | ★★★★★ | 0 | 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.