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Nursing homeFAID #8942

Mill Creek Center for Nursing and Rehabilitation

4911 BRIAN CENTER LANE, WINSTON-SALEM, NC, 27106
(336) 744-5674
66 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Bed capacity
66
CMS facility ID
345149
Care type
Nursing home
County
Forsyth
Facility name
Mill Creek Center for Nursing and Rehabilitation
Street address
4911 BRIAN CENTER LANE
City / state / ZIP
Winston-salem, NC 27106
Phone
(336) 744-5674

Mill Creek Center for Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Winston-salem, North Carolina. It is licensed for 66 beds — below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 14 senior care facilities in Winston-salem and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Mill Creek Center for Nursing and Rehabilitation 55 times across 12 inspections in the last three years, and CMS has imposed $29,876 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Alliance Health Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Afton, Megan
Operational control · Additional disclosable party — since 2024
Alliance Health Group Llc
Operational control · Additional disclosable party — since 2024
Emanuel, Yosef
Governing body · Officer — since 2024
Stewart, Virginia
Additional disclosable party — since 2024

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1980-10-01
CMS overall rating
2 of 5 stars
Health deficiencies
1 at the last standard inspection
Federal fines
$29,876 total
Last standard inspection
2026-05-28
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$415 per day (≈ $12,620/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
56% Medicaid · 12% Medicare · 31% private/other
Occupancy
74% (fiscal year 2023)
Vs. state median
11% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
66
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-28Health inspectionComplaint-triggered1 citation
F-0584
B · No harm foundFrom a 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.
2025-04-14Health inspectionComplaint-triggered14 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-12
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-12
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-12
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-05-12
F-0578
E · No harm found
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 2025-05-12
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-05-12
F-0584
D · No harm foundFrom a 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 2025-05-12
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-05-12
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-12
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-12
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-12
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-05-12
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2025-05-12
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-12
7 earlier / fire-safety inspections (40 citations)
2025-01-07Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-22
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-01-22
2024-05-29Health inspectionComplaint-triggered2 citations
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-18
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-18
2023-11-16Health inspectionComplaint-triggered9 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-12-16
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-16
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-16
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-16
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-12-16
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-16
F-0761
E · No harm found
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 2023-12-16
F-0867
D · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-12-16
F-0880
J · Immediate jeopardy
Provide and implement an infection prevention and control program.
Corrected 2023-12-16
2023-09-28Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-20
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-20
2025-04-14Fire-safety inspection7 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2025-07-02
K-0200
D · No harm found
Meet other general requirements.
Corrected 2025-07-02
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-07-02
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-07-02
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-02
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-02
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-02
2023-11-16Fire-safety inspection13 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-04-26
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-26
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-26
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-26
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-04-26
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-26
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-26
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-26
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-26
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-26
K-0914
D · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-04-26
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-04-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-26
2022-06-23Fire-safety inspection5 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-16
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-08-12
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-08-12
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-09-16
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-12

Federal penalties

2024-05-29Fine$16,452
2023-09-28Fine$13,424
Total fines$29,876
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345149.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 55 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered