Mill Creek Center for Nursing and Rehabilitation

4911 Brian Center Lane · Winston-Salem, NC · 27106 · 3367445674

66 certified beds For profit - Limited Liability company Chain: Alliance Health Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

70% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 82
Staffing 20% 48
Federal penalties 15% 57
Trend 10% 88
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.183.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year70%median 45%
Fines (3-yr window)2 · $29,876

Inspection citations (45 in the current record)

  • Potential for harm · D April 14, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D April 14, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · E April 14, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D April 14, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D April 14, 2025

    Assess the resident when there is a significant change in condition

    Corrected May 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 14, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · D April 14, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · D April 14, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · D April 14, 2025

    Provide or obtain dental services for each resident.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · E April 14, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected May 12, 2025 · Infection Control

  • Potential for harm · D April 14, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D April 14, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D April 14, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 12, 2025 · Quality of Life and Care

  • No harm found · C April 14, 2025

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D January 7, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 22, 2025 · Resident Rights

  • Potential for harm · D January 7, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 22, 2025 · Pharmacy Service

  • Immediate jeopardy · J May 29, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 18, 2024 · Quality of Life and Care

  • Immediate jeopardy · J May 29, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 18, 2024 · Quality of Life and Care

  • Immediate jeopardy · J November 16, 2023

    Provide and implement an infection prevention and control program.

    Corrected December 16, 2023 · Infection Control

  • Potential for harm · D November 16, 2023

    Ensure each resident receives an accurate assessment.

    Corrected December 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 16, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected December 16, 2023 · Pharmacy Service

  • Potential for harm · E November 16, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected December 16, 2023 · Pharmacy Service

  • Potential for harm · D November 16, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 16, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 29, 2024Fine$16,452
September 28, 2023Fine$13,424

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345149 · certified since October 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.