SNF
Oak Forest Health and Rehabilitation
CCN: 345443 · Winston Salem, NC 27105 · Forsyth County
Overview
- Address
- 5680 Windy Hill Drive, Winston Salem, NC 27105
- Phone
- 3367765000
- Certified beds
- 170
- Avg daily residents
- 157 (92% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1993-07-28
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.96 | 4.46 | 3.43 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.38 | 0.78 | 0.33 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.27 | 0.99 | 1.10 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.31 | 2.69 | 2.00 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.65 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.61
hrs / resident / day
RN (weekend)
0.27
hrs / resident / day
Total nurse (adjusted, weekend)
3.12
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
63.8%
annual
RN turnover
58.8%
annual
Administrators departed
3
last 12 months
Resident acuity
Nursing Case-Mix Index
1.58
higher acuity than avg
Case-Mix Index Ratio
1.15
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-06-12 | 9 | 9 | 5 | 52 | 1 | 52 |
| Cycle 2/3 (prior) | 2024-02-15 | 15 | 7 | 10 | 128 | 1 | 128 |
Total weighted health score
71.0
lower is better
Infection-control citations
1
last cycle
Deficiencies (32)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
2 A/B/C No actual harm — minor
26 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-06-12 | 2025-06-27 |
| 0687 | Provide appropriate foot care. | D | 2025-06-12 | 2025-06-24 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-12 | 2025-06-13 |
| 0761 | 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. | D | 2025-06-12 | 2025-06-13 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-06-12 | 2025-06-27 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-06-12 | 2025-06-13 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-12 | 2025-06-27 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-06-12 | 2025-06-27 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-06-12 | 2025-06-13 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-12 | 2025-02-21 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-08 | 2024-10-23 |
| 0760 | Ensure that residents are free from significant medication errors. | J | 2024-11-08 | 2024-10-23 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-02-15 | 2024-03-01 |
| 0732 | Post nurse staffing information every day. | C | 2024-02-15 | 2024-03-01 |
| 0814 | Dispose of garbage and refuse properly. | F | 2024-02-15 | 2024-03-01 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-02-15 | 2024-03-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-02-15 | 2024-03-01 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-15 | 2024-03-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-15 | 2024-03-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-12-18 | 2023-11-24 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-12-18 | 2023-12-27 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-07-26 | 2023-08-09 |
| 0584 | 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. | D | 2023-07-07 | 2023-08-09 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-07 | 2023-08-09 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-11-15 | 2022-11-16 |
| 0584 | 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. | E | 2022-11-15 | 2022-11-16 |
| 0641 | Ensure each resident receives an accurate assessment. | B | 2022-11-15 | 2022-11-16 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-11-15 | 2022-11-16 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2022-11-15 | 2022-11-16 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2022-11-15 | 2022-11-16 |
| 0761 | 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. | D | 2022-11-15 | 2022-11-16 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2022-11-15 | 2022-11-16 |
Penalties (4)
Fines issued
4
last 3 years
Total fines
$43,002
| Date | Type | Fine amount |
|---|---|---|
| 2023-07-07 | Fine | $4,475 |
| 2023-12-18 | Fine | $8,778 |
| 2025-06-12 | Fine | $12,948 |
| 2024-11-08 | Fine | $16,801 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.4% Medicaid 72.0% Other 24.6%
Operating performance
Operating Margin
-7.9%
Total Margin
-1.9%
Occupancy Rate
78.6%
Cost per Resident Day
$60
Revenue & costs
Net Patient Revenue
$17.9M
Total Costs
$2.9M
Net Income
-$351K
Balance sheet
Total Assets
$1.9M
Total Liabilities
$2.9M
Fund Balance
-$1.0M
Current Ratio
0.56
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIBERTY SENIOR LIVING
- Chain ID
310- Facilities in chain
- 35
- Legal business name
- LIBERTY HEALTHCARE GROUP LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.9
Staffing
2.1
QM
2.9
Owner / manager organizations (4)
| Organization | Role | Association |
|---|---|---|
| LIBERTY HEALTHCARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 04/01/2021 |
| JOHN A MCNEILL JR 2012 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2021 |
| RONALD B AND CYNTHIA J MCNEILL 2013 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2021 |
| LONG TERM CARE MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| MCNEILL, JOHN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2021 |
| MCNEILL, RONALD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2021 |
| CALCUTT, JOESEPH V | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
| WEAVER, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
| WILSON, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
| MILLER, ROBERT | CORPORATE DIRECTOR | since 09/01/2024 |
| WILSON, JEFFREY | CORPORATE DIRECTOR | since 04/01/2021 |
| PURIFOY, PENNY | W-2 MANAGING EMPLOYEE | since 04/01/2021 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $60 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.56 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 72.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-351,137 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $17,869,887 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 78.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -7.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,906,034 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,945,942 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,004,146 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,910,180 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -1.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.09632 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.00154 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.32951 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.42737 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.12328 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 156.6 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.98990 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.69033 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.78026 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.46049 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.93145 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 310 | Chain ID |
| Provider Information | Chain Name | LIBERTY SENIOR LIVING | Chain Name |
| Provider Information | City/Town | Winston Salem | City/Town |
| Provider Information | CMS Certification Number (CCN) | 345443 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Forsyth | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1993-07-28 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 36.1955 | Latitude |
| Provider Information | Legal Business Name | LIBERTY HEALTHCARE GROUP LLC | Legal Business Name |
| Provider Information | Location | 5680 Windy Hill Drive,Winston Salem,NC,27105 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -80.261 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 3 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 170 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 1 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 35 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 4 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.58015 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.14699 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 5680 Windy Hill Drive | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Oak Forest Health and Rehabilitation | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 330 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 52 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 5 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-06-12 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 52 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-02-15 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 128 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 10 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 128 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.27299 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 58.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.64724 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.26656 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.31236 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06505 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.38067 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.95960 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NC | State |
| Provider Information | Telephone Number | 3367765000 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 43002.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.60830 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 4 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 63.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 71.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 27105 | ZIP Code |