Pricing ranges from
    $4,833 – 5,799/month

    Homestead Hills

    3250 Homestead Club Dr, Winston-Salem, NC, 27103
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Beautiful campus, caring staff, cautious

    I toured Homestead Hills and was impressed - helpful, caring staff, beautiful and very clean campus, abundant activities, strong rehab/wellness options, and a warm, family-like community that gave me real peace of mind. Dining, events, transportation and levels of care mostly exceeded expectations and made life easy. That said, I've seen high staff turnover, occasional understaffing/slow service (even a holiday kitchen closure) and rising costs, so I'd confirm current leadership and staffing before committing.

    Pricing

    $4,833+/moSemi-privateAssisted Living
    $5,799+/mo1 BedroomAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Move-in coordination

    Activities

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

    4.32 · 182 reviews

    Overall rating

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

      4.0
    • Staff

      4.3
    • Meals

      3.6
    • Amenities

      3.9
    • Value

      3.1

    Pros

    • Friendly, caring and attentive staff
    • Strong, accessible leadership and management (in many reports)
    • Robust activity and social programming
    • Well-maintained grounds and attractive campus
    • Variety of housing options (cottages, villas, apartments)
    • On-site wellness center and heated saltwater pool
    • On-site therapy and rehabilitation services
    • Seamless move-in and transition assistance (move-in coordinators)
    • Convenient location near medical facilities, shopping and restaurants
    • Multiple levels of care available (Independent, Assisted, Memory, Skilled Nursing)
    • Dining variety and special dining events
    • Flexible dining options (dine-in or delivered to cottages)
    • Pet-friendly community
    • Transportation services and on-campus golf-cart
    • In-unit washer/dryer and full-size kitchens in many units
    • Fast maintenance response (reported in many reviews)
    • Proactive COVID-19 measures and on-site vaccine clinics
    • Strong sense of community and family-like atmosphere
    • Security features and gated campus
    • Housekeeping and landscaping services included
    • Comprehensive wellness and exercise programming
    • Helpful financial planning and sales/placement staff
    • Positive, individualized rehab/therapy experiences (in many reports)
    • Staff frequently go above and beyond for residents
    • Engaged and effective activities directors/social staff

    Cons

    • Chronic understaffing and high staff turnover
    • Reported neglectful care and safety incidents (falls, long waits after falls)
    • Medication errors and frequent medication mismanagement
    • Inconsistent or poor dining quality and portion control
    • High cost / complaints of being overpriced and rising fees
    • Billing problems (no itemized bills, deposit/refund disputes)
    • Poor or slow communication from administration at times
    • Instances of retaliation, bans or hostile staff interactions
    • Sanitation and cleanliness issues in some areas (dirty carpets, soot, bad smells)
    • Insufficient weekend management and emergency coverage concerns
    • Inconsistent quality between new and older wings/units
    • Staff overworked/underpaid leading to reduced care quality
    • Lack of dietitian oversight reported for meals
    • Slow or inconsistent maintenance in some reports
    • Mixed reviews of skilled nursing/rehab quality (some poor reports)
    • Marketing/website materials may not fully match resident experience
    • Corporate/for-profit concerns affecting perceived priorities
    • Limited dining service windows and long waits in dining room
    • Housekeeping lapses (unclean linens, waste management issues)
    • Frequent staff changes creating instability

    Summary review

    Overall sentiment is mixed but strongly polarized: a substantial portion of reviews describes Homestead Hills as a well-appointed, activity-rich senior living community with many thoughtful amenities, compassionate staff, and strong move-in support, while a significant minority raises serious concerns about staffing, safety, clinical care, dining quality, billing, and inconsistent management. Many reviewers praise the campus aesthetics, social programming, and individual staff members whose names recur in positive comments; however, the negative reports include alarming care lapses that warrant attention and suggest variability in operational reliability across time or between units.

    Facilities and amenities receive consistent praise. Multiple reviews highlight attractive landscaping, well-maintained cottages and villas, a clubhouse and dining area, a wellness center with a heated saltwater pool, and convenient on-campus transportation (golf carts). Units with in-apartment washer/dryers, full-size kitchens, and multiple floor plans are repeatedly mentioned as strengths. Residents and families frequently compliment the active social calendar — arts and crafts, exercise classes, outings, line dancing, archery, Bible study, cooking demonstrations, and special dining events — which contributes to a sense of community and high resident engagement. Location is another clear plus: proximity to doctors, shopping, and highways is repeatedly cited as convenient.

    Staffing and care quality show a bifurcated picture. Numerous reviews praise individual employees — move-in coordinators, nurses, therapists, activities directors, and kitchen staff — for being compassionate, communicative, and proactive (several staff names like Jennifer, Carol R, Ronnie, Lisa, and Abisol are mentioned positively). Move-ins and transitions are frequently described as smooth and well-coordinated. On the other hand, a recurring and serious set of complaints centers on chronic understaffing, high turnover, and staff being overworked. These staffing problems are linked in reviews to safety incidents (multiple reports of falls where residents were left on the floor for hours), medication errors, missed hygiene (reports of long periods without bathing), and inadequate supervision in nursing/rehab. Some reviewers specifically stated that nursing coverage in hallways and common areas was insufficient and that weekend management gaps created emergency risks.

    Clinical services and rehabilitation are similarly mixed in perceptions. Several reviews praise onsite therapy/rehab (Genesis Therapy, proactive physical therapists) and report successful outcomes. Others report poor skilled nursing and rehab experiences: claims of understaffing in rehab units, holes in mattresses, and staff being idle or non-proactive. Medication management and clinical communication arise as particular pain points: multiple reviewers cited frequent medication mistakes. One reviewer noted a physician assistant being onsite but not seeing a patient as expected. Positive clinical notes include well-managed vaccine clinics and coordinated COVID response, suggesting strength in organized public-health actions even when day-to-day clinical staffing is questioned.

    Dining and food quality produce polarized feedback. A number of residents praise the cuisine, special menus, monthly wine dinners, and a chef-led dining program with varied choices. Flexible dining (eat in clubhouse or have meals delivered to cottages), the quick availability of snacks, and special events are frequently noted positively. Conversely, some reviews describe the food as underseasoned, portion problems (either too small or too large and not titratable), slow dining service, and at least one harsh comment likening meals to 'prison-food.' Reports also claim a lack of dietitian oversight on meals. Dining availability concerns are noted (e.g., brunch instead of dinner on a holiday, limited options for some residents), and some complaints tie poor dining quality to management or staffing issues in the kitchen.

    Management, communications and business practices show a split trend. Many reviewers commend engaged leadership, responsive managers, quick resolution of problems, and specific staff in leadership being helpful (CEO, executive director praise appears often). Move-in specialists and sales/placement staff receive frequent commendation for easing transitions. Yet, a non-trivial set of reviews report poor administrative responsiveness, unreachable heads of resident care, failure to provide itemized billing, deposit/refund disputes, sudden billing increases, and a perception of corporate/for-profit priorities over personalized care. Specific allegations include threats or bans against family members who complained and instances where ombudsman intervention was needed. These administrative problems, combined with staffing instability, fuel concerns about reliability and transparency.

    Sanitation, maintenance and property condition are generally positive but with notable exceptions. Many reviews describe clean, bright, new-construction wings, prompt maintenance responses, and ongoing landscaping upkeep. Conversely, some reviews cite slow maintenance, dirty carpets, unclean gutters and ducts, soot stains around gas fireplaces, bad odors (nursing-home smell, old perfume), and an isolated report of the kitchen being closed for a holiday without alternate meal provisions. Such inconsistencies indicate variability by building area or time period — newer wings and cottages tend to receive better marks than older buildings.

    Cost and value judgments vary widely. Several reviewers feel pricing is justified by amenities, convenience, and relief from home-maintenance responsibilities; some even call it cost-effective compared to maintaining a home. Others describe fees as high (one reviewer cited $5,000/month), rising, and not transparent — with complaints about deposits, refunds, and lack of itemized billing. For-profit ownership concerns and perceived price increases are common themes among negative reviews.

    Patterns and recommendations: The dominant positive pattern is a well-resourced campus with many amenities, strong social programming, helpful move-in staff, and several standout, dedicated employees who create a family-like atmosphere. The dominant negative pattern is operational inconsistency driven by staffing shortages and management variability; these lead to the most severe concerns (falls, missed care, medication errors). Potential residents and families should weigh the strong community, facilities, and activity offerings against reported safety and staffing issues. Specific due diligence steps are advisable: ask for recent staffing ratios, weekend and night coverage policies, medication administration protocols, current inspection reports, itemized sample billing, dietitian oversight for meals, and references from families of residents in the particular building/unit of interest. Also ask for names and roles of the staff who would interact with the prospective resident (therapists, nurses, activities staff, move-in coordinator) and, when possible, speak with current families about both routine care and responses to emergencies.

    In summary, Homestead Hills appears to deliver a high-quality living experience for many residents — especially in terms of amenities, activities, and individual staff members who excel — but the facility also shows recurring and serious operational concerns in a subset of reviews, centered on understaffing, clinical safety, inconsistent food and maintenance quality, and administrative transparency. These contradictions suggest a community with strong core assets that may struggle with staffing stability and corporate/management consistency; prospective residents should validate up-to-date operational performance and safeguards before committing.

    Location

    Map showing location of Homestead Hills

    About Homestead Hills

    Homestead Hills stands out as a premier destination for senior living in Winston-Salem, North Carolina, dedicated to helping its Members live longer, healthier, and happier lives. Nestled on 37 acres just minutes from a renowned university, the campus offers a beautifully landscaped environment where residents enjoy both vibrant community life and the tranquility of nature. The community provides a luxurious and independent lifestyle, boasting an impressive range of amenities designed with seniors’ wellbeing and enjoyment in mind. Members have access to a robust calendar of social events, a national award-winning wellness program, and exceptional restaurant-style fine dining that make every day both engaging and enjoyable.

    Living accommodations at Homestead Hills suit a variety of needs and preferences. Independent Living options feature both cottages and apartments, perfect for those seeking a maintenance-free community lifestyle without sacrificing their independence. The community’s Active Adult area is an age-restricted neighborhood for those aged 55 and over, offering an environment rich with opportunities for fun, relaxation, and connection. Residents of Independent Living also benefit from the assurance that as their needs change, transitions to higher levels of support are seamless and do not require relocating beyond the familiar surroundings of their home community.

    For those who require more assistance, Homestead Hills provides several levels of support. Assisted Living residents enjoy their own apartments, benefiting from personalized care plans tailored to their individual goals and day-to-day needs. The care philosophy here centers around person-focused support, enabling each Member to lead a dignified and fulfilling lifestyle while receiving help with tasks as needed.

    For Members experiencing memory challenges, the Reflections program at Homestead Hills offers specialized Alzheimer’s and dementia care in a nurturing and secure environment. Reflections emphasizes individualized care and family engagement, creating a supportive atmosphere that addresses both cognitive and emotional wellbeing. In addition, the Skilled Nursing services at Homestead Hills deliver comprehensive medical care for both short-term and long-term needs, with a focus on meeting every aspect of a Member’s requirements. For those recovering from illness, injury, or surgery, Short-Term Rehab is available, featuring physical therapy, occupational therapy, and speech therapy. The community’s partnership with Broad River Rehab Services helps ensure outstanding senior rehab outcomes.

    A hallmark of the Homestead Hills experience is its “all under one roof” approach. Members enjoy the comfort of knowing that if their needs evolve, they can seamlessly access any of the community’s full spectrum of care options within the same supportive environment. This continuity of care fosters deep relationships among Members and staff, and provides peace of mind for both residents and their families.

    Homestead Hills is committed to innovation and excellence, as evidenced by recognition for its forward-thinking programming. Multiple awards have honored the community for its creativity in wellness initiatives, social activities, person-centered care, and team member development. Highlights of daily life at Homestead Hills include lively social events, a thriving clubhouse, and leisure amenities such as a resort-style pool. Every detail of the community, from its hospitality-driven dining venues to its inviting outdoor spaces, reflects a dedication to a high quality of life and the promotion of independence, wellness, and joy for all its Members.

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