The Oaks
901 Bethesda Road, Winston-Salem, NC 27103 · Forsyth County · 131 certified beds · avg 120 residents/day · certified since Jun 30, 1988
Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.63
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 22, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Aug 22, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 22, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Aug 22, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Aug 22, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Aug 22, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Aug 22, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 22, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 22, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Aug 22, 2025 | D · Potential for harm, one-off | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. |
| Aug 22, 2025 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 24, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jul 24, 2024 | E · Potential for harm, repeated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jul 24, 2024 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Jul 24, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 24, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Sep 15, 2023 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Sep 15, 2023 | B · Minimal risk, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 5 | 0 | E |
| 2025 | 11 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.63 | 4.01 | 3.95 | bottom 47% in North Carolina; bottom 43% in the U.S. |
| Registered Nurse hours | 0.31 | 0.64 | 0.69 | bottom 10% in North Carolina; bottom 11% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.56 | 3.50 | top 45% in North Carolina; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.41 | 0.48 | bottom 7% in North Carolina; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 65.8 | 49.0 | 45.8 | bottom 14% in North Carolina; bottom 9% in the U.S. |
| RN turnover (%) | 63.6 | 45.7 | 42.9 | bottom 23% in North Carolina; bottom 17% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.29, weekend 3.09. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty Healthcare Group LLC | Organization | 5% or Greater Direct Ownership Interest | — | 05/01/2011 |
| McNeill, John | Individual | 5% or Greater Direct Ownership Interest | — | 05/01/2011 |
| McNeill, Ronald | Individual | 5% or Greater Direct Ownership Interest | — | 05/03/2011 |
| Calcutt, Joseph | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2011 |
| Keener, Garrett | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/23/2023 |
| McNeill, John | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2011 |
| McNeill, Ronald | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/03/2011 |
| Miller, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
| Purifoy, Penny | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2011 |
| Wilson, Jeffrey | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2011 |
| Wilson, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 05/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Silas Creek Rehabilitation Center | 0.3 mi | Winston Salem, NC | ★★★★☆ | 4/5 | |
| Homestead Hills | 1.5 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Willow Valley Center for Nursing and Rehabilitatio | 1.7 mi | Winston-Salem, NC | ★☆☆☆☆ | 1/5 | abuse |
| Arbor Acres United Methodist Retirement Community | 2.2 mi | Winston Salem, NC | ★★★★☆ | 4/5 | |
| Brookridge Retirement Community | 4.6 mi | Winston-Salem, NC | ★★★★★ | 4/5 | |
| Salemtowne | 5.2 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Trinity Glen | 5.4 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Mill Creek Center for Nursing and Rehabilitation | 5.7 mi | Winston-Salem, NC | ★★☆☆☆ | 2/5 | |
| Cedar Hills Center for Nursing and Rehabilitation | 6.8 mi | Clemmons, NC | ★☆☆☆☆ | 1/5 | SFF |
| Trinity Elms | 7.3 mi | Clemmons, NC | ★★☆☆☆ | 3/5 | |
| Oak Forest Health and Rehabilitation | 8.3 mi | Winston Salem, NC | ★☆☆☆☆ | 2/5 | |
| Bermuda Village Retirement Center | 9.5 mi | Bermuda Run, NC | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345284.