Mill Creek Center for Nursing and Rehabilitation

    4911 Brian Center Ln, Winston-Salem, NC, 27106
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful facility, significant safety concerns

    I have mixed feelings. The building is beautiful and tucked in the woods, admissions (Sarah/Sharlene/Charlene) and therapy/rehab are excellent - staff I dealt with were kind, knowledgeable and recovery-focused. Too often, though, I saw chronic understaffing, poor communication, slow call responses, missed meds, soiled/wet beds, bedsores and troubling safety/ethical concerns (reports of neglect, abuse, theft and long ambulance/ER delays). Administration appears to be working on engagement and some improvements are real, but problems persist and the facility needs cosmetic and operational fixes. In short: great therapy, caring people and a homelike setting - but serious care and safety lapses mean I'd be cautious about placing a vulnerable loved one here.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.11 · 159 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.9
    • Meals

      4.0
    • Amenities

      3.7
    • Value

      1.0

    Pros

    • Friendly and caring staff (many individual compliments)
    • Attentive and conscientious nursing reported in many reviews
    • Outstanding therapy/rehabilitation services (PT/OT/ST) and recovery focus
    • Strong rehab outcomes and recovery-oriented environment
    • Hard-working maintenance and housekeeping teams
    • Engaging and entertaining activities director
    • Good dietary program and meals tailored to resident needs
    • Clean public areas and well-maintained grounds
    • New first-floor wing with private, spacious rooms (reported by some)
    • Homey, comfortable atmosphere in parts of the facility
    • On-site therapy gym and portable x-ray services
    • Admissions and administrative staff praised (several named staff)
    • Quick/front-desk responsiveness in multiple accounts
    • Effective wound care reported in some cases
    • Discharge planning initiated at admission in some instances
    • Safe and secure environment reported by some families
    • Excellent customer service and orientation experiences
    • Staff who routinely go above and beyond
    • Positive social connections and residents enjoying activities
    • Timely meal service reported by multiple reviewers
    • Helpful, supportive rehab department with functional goals focus
    • Staff described as knowledgeable, patient, and professional
    • Many reviewers highly recommend the facility
    • Residents reported improved well-being and activity engagement
    • Friendly reception and personalized attention at intake

    Cons

    • Severe understaffing and chronically overworked staff
    • Call lights unanswered or very slow response times
    • Poor communication and lack of teamwork among staff
    • Inconsistent care quality across shifts and between staff
    • Neglect claims: residents left in soiled diapers for hours
    • Bedsores and poor turning/skin care practices reported
    • Medication errors and denied/withheld pain medication
    • Delayed or inadequate medical responses; long ambulance waits
    • Unorganized or unresponsive management at times
    • Frequent shortages of supplies and linens
    • Room cleanliness and preparation issues (gnats, not cleaned)
    • Aging facility with cosmetic and maintenance concerns
    • Allegations of theft, favoritism, and unfulfilled promises
    • Alleged staff abuse, mistreatment, and unprofessional conduct
    • Missed physician involvement and poor medical oversight
    • Confusion around discharge timing and coordination
    • Noisy nights and small, cramped rooms for double occupancy
    • Admissions process sometimes unresponsive or neglectful
    • Infection/sepsis concerns and reports of acquired illness
    • Threats of retaliation reported by some families
    • Alleged deceptive practices related to Medicaid/resident eviction
    • Safety hazards cited (driveway blind curves, fall incidents)
    • Broken in-room amenities (TV, phone) and slow repairs
    • Limited or resident-run activities in some reports
    • Dietary noncompliance and limited food choices occasionally
    • Inconsistent housekeeping; odors and unclean rooms reported
    • Use of agency staff perceived as less invested or unqualified
    • Reports of severe outcomes including hospitalization/death
    • Lost or unreturned personal items and clothing
    • Infrequent showers and hygiene neglect in some cases
    • Rude, belligerent, or unhelpful staff cited by multiple reviewers
    • Poor family communication and failure to follow up on calls
    • Periods with minimal or no physical therapy reported
    • Delayed family notification after incidents or ER transfers

    Summary review

    Overall sentiment in the reviews for Mill Creek Center for Nursing and Rehabilitation is strongly mixed, with a clear polarization between consistently high praise for the rehabilitation services and many individual staff members and recurrent, serious concerns about nursing care, staffing levels, communication, and safety. A substantial portion of reviewers report excellent therapy outcomes, compassionate and professional staff, well-run admissions/orientation experiences, good food, and a pleasant environment in parts of the facility. At the same time, numerous reviews describe neglect, poor staffing, communication failures, hygiene problems, and safety incidents that range from operational failures (delayed transports, long ambulance waits) to allegations of abuse, theft, and severe medical lapses (bedsores, sepsis, medication problems). The volume and severity of negative accounts—often detailed and repeated—suggest systemic variability in the quality of care rather than isolated incidents.

    Care quality and clinical oversight emerge as two of the most important and conflicted themes. Therapy (PT/OT/ST) is one of the facility’s strongest and most frequently praised areas: multiple reviewers describe an outstanding rehabilitation program, excellent physical therapy staff and managers, dedicated therapy gyms, portable x-ray availability, and demonstrable recovery outcomes. Conversely, skilled nursing care and day-to-day personal care are characterized as inconsistent. Many families and residents report attentive and conscientious nurses and CNAs who go above and beyond, while others recount neglectful behaviors: residents left in soiled diapers for extended periods, minimal showers, poor turning practices leading to bedsores, dehydration and weight loss, missed medications, and in some extreme cases claims of sepsis or death. Several reviewers explicitly note the absence of timely physician involvement, confusion about orders, and instances where emergency services took too long to arrive or where hospital transfers were delayed.

    Staffing, teamwork, and communication problems are recurring and central to many negative reviews. Numerous commenters report severe understaffing and an overworked crew, leading to slow call light responses, missed care activities, and chaotic handoffs. Families frequently describe poor communication among CNAs, nurses, social workers, reception, and administration—resulting in confusion about discharge plans, medication administration, and follow-up. Agency or temporary staff are sometimes described as less invested or inadequately trained, while longtime employees and specific named staff (Sarah, Charlene, Kelly, Sharlene, Ms. Mary and others cited positively) receive praise for competence and compassion. This contrast suggests that while there are strong, experienced staff members, staffing shortages and reliance on temporary personnel can degrade care consistency.

    Facility condition and housekeeping show mixed but notable issues. Several reviews praise clean public areas, well-kept grounds, and a new first-floor wing with private rooms, while others describe older sections in need of cosmetic updates, room cleanliness problems, insects (gnats), smells in resident rooms, and broken in-room amenities (TVs, phones). Supplies and linens are sometimes reported as short, and housekeeping consistency appears uneven—some residents experience excellent cleanliness while others report soiled bedding and delayed changes.

    Dining and activities are generally reported positively, with many reviewers praising the dietary manager, good meals, and timely service. At the same time, some families mention limited food choices or dietary noncompliance. Activities are described as engaging and entertaining when led by an active director, but some reviewers felt activities were not sufficiently tailored for all residents or were infrequent—occasionally leaving residents to run activities themselves.

    Management, admissions, and family communication also present a mixed picture. Several reviewers highlight helpful, organized admissions staff and effective orientation experiences, naming staff who provided clear, compassionate support. Other reviews criticize unresponsive admissions and administration, unanswered follow-up calls, broken promises, and disorganized leadership in certain situations. A subset of reviews expresses serious trust issues—allegations of theft, favoritism, deceptive billing or eviction practices, threats of retaliation, and poor handling of complaints. Several reviewers mention plans to report incidents to the Ombudsman or regulatory authorities.

    Safety and serious incident patterns are a prominent concern in the negative reports. Specific allegations include long ambulance waits (e.g., 40 minutes), delayed notification of families after ER transfers, fall incidents where alarms were not used, and even assertions of abuse or neglect that contributed to severe health decline. Such reports emphasize potential patient safety risks during periods of staffing shortages or when less-experienced agency staff are on duty.

    In summary, Mill Creek Center appears to offer exemplary rehabilitation services and has many dedicated, compassionate staff members who deliver high-quality care and customer service in numerous cases. However, there is a clear and significant pattern of operational and clinical inconsistencies: frequent complaints about understaffing, poor communication, hygiene failures, medication and medical oversight lapses, and some allegations of theft or abuse. These conflicting patterns suggest that family decision-making should account for this variability—visit multiple times and at different times of day, speak directly with therapy, nursing leadership and admissions, ask about staffing ratios and the facility’s processes for addressing call light response times, wound care, and physician coverage, and monitor for any patterns of delayed response or inconsistent care. Where serious issues are suspected (bedsores, delayed transfers, abuse, theft), reviewers indicate that escalation to the Ombudsman or regulatory authorities has been considered or pursued. Potential residents and families will find strong rehabilitative resources and many compassionate employees at Mill Creek, but should remain vigilant about nursing care consistency, communication, and safety practices given the frequency and severity of negative reports.

    Location

    Map showing location of Mill Creek Center for Nursing and Rehabilitation

    About Mill Creek Center for Nursing and Rehabilitation

    Mill Creek Center for Nursing and Rehabilitation sits in Winston-Salem, North Carolina, and provides both short-term and long-term skilled nursing care to seniors and those who need help after an illness or injury, and with 80 beds and an average daily census of about 60 residents, folks find it a smaller place where it's easier to get to know the faces around them, and they do try to give each resident a sense of home and family. The facility has changed hands in the last twelve months and is now managed by Alliance Health Group LLC, with Megan Afton running things as administrator, and while some find comfort in the fact that staff like Regina W Harrell as director of social services and Theresa Samuel as nursing manager are ready to help, there have been some rough patches including a nurse turnover rate of 62.2% - higher than the state average of 50.9%.

    Staff spend an average of 3.66 nurse hours per resident per day, which is just a bit below the state average of 3.8, and while they try to keep staffing steady, changes have taken place at the top with Alliance Health Group taking control since August 2024. Over 35 years in the field gives the staff experience with compassionate care, and the team provides both nursing home care and assisted living, including specialized therapy and orthopedic rehab, respite care, and hospice care, for residents with different needs. There are amenities meant to make life easier and more comfortable, though anyone looking into Mill Creek Center should know that the place has had some struggles, including 39 inspection deficiencies, several infection control violations, and a significant complaint that resulted in a $16,452 fine for issues like resident rights violations and pharmacy service problems.

    Even with the setbacks, a steady team of rehabilitation specialists work full-time to create personalized care plans, and folks can receive therapy after a fall or illness, and friends can be made easily thanks to the smaller, close-knit setting, but anyone coming in should look over state inspection reports carefully, since the deficiency count is above typical. Owned by a for-profit limited liability company and affiliated with Alliance Health Group, Mill Creek Center is a public company with about 51 to 200 employees, and they focus on helping every resident recover and thrive. While the place strives for a warm, welcoming environment with caregivers who treat residents with dignity, some may wish to ask about infection prevention steps in light of past deficiencies. Families will want to consider the full mix of care service options, including nursing, therapy, and hospice services, as well as staffing and support levels before making a choice.

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