Oak Forest Health and Rehabilitation
5680 Windy Hill Drive, Winston-Salem, NC 27105
Oak Forest Health and Rehabilitation is a nursing home in Winston-Salem, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJuly 23, 2026 (3 months ago)
- Health citations since December 18, 202326 (North Carolina average 18)
- Fines in the past three years3, $38,527 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on July 23, 2026
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 12, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 12, 2026.
CMS has cited this home for F0689 3 times since 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 12, 2026.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on August 12, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 12, 2026.
CMS has cited this home for F0761 2 times since 2025.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of December 15, 2025
Name
CMS lists a new legal business name for this home.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on June 12, 2025
9 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
69 of 419 North Carolina homes (16%) got a citation at the actual harm level in 2025.
CMS fine of $12,948 on June 12, 2025.
Show the 9 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 27, 2025.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on June 27, 2025.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on June 13, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 27, 2025.
CMS has cited this home for F0656 2 times since 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on June 27, 2025.
CMS has cited this home for F0677 2 times since 2024.
Citation F0687. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on June 24, 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 13, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on June 13, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 13, 2025.
Fire safety inspection on June 12, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 2, 2025.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on July 2, 2025.
CMS has cited this home for K0511 2 times since 2024.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on February 12, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on February 21, 2025.
Health inspection on November 8, 2024
2 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
88 of 419 North Carolina homes (21%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $16,801 on November 8, 2024.
Show the 2 citations
Citation F0760. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on October 23, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on October 23, 2024.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of July 31, 2024
Fine
CMS changed the fine from December 18, 2023 from $8,648 to $8,778.
CMS update of May 29, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from July 7, 2023 from $6,885 to $4,475.
Fine
CMS changed the fine from December 18, 2023 from $13,305 to $8,648.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on February 15, 2024
7 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
Citation F0814. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on March 1, 2024.
Citation F0867. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 1, 2024.
CMS has cited this home for F0867 2 times since 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 1, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 1, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on March 1, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 1, 2024.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on March 1, 2024.
Fire safety inspection on February 15, 2024
13 citationsCMS lists this as a standard inspection.
Show the 13 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 1, 2024.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on June 1, 2024.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on June 1, 2024.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on June 1, 2024.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on June 1, 2024.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on June 1, 2024.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 1, 2024.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 1, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on June 1, 2024.
Citation K0352. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on June 1, 2024.
Citation K0900. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet Health Care Facilities Code mechanical requirements.
CMS lists it as corrected on June 1, 2024.
Citation K0907. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medical gas and vacuum systems have documented maintenance programs.
CMS lists it as corrected on June 1, 2024.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on June 1, 2024.
Health inspection on December 18, 2023
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
37 of 419 North Carolina homes (9%) got a citation at the actual harm level in 2023.
CMS fine of $8,778 on December 18, 2023.
Show the 2 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 24, 2023.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on December 27, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (336) 776-5000
- Last standard health inspection
- July 23, 2026 (3 months ago)
- Certified beds
- 170
- Residents per day, on average
- 149.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Liberty Healthcare Group LLC
- Chain
- Liberty Senior Living
- Takes part in
- Medicare and Medicaid
More health citations than the North Carolina average (26 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LIBERTY HEALTHCARE GROUP LLC5% or greater direct ownership interest · 100% · since 04/01/2021
- LONG TERM CARE MANAGEMENT SERVICES LLCOperational/managerial control · not applicable · since 04/01/2021
- CALCUTT, JOSEPHOperational/managerial control · not applicable · since 04/01/2021
- WEAVER, MICHAELOperational/managerial control · not applicable · since 04/01/2021
- WILSON, JEFFREYOperational/managerial control · not applicable · since 04/01/2021
Questions
When was Oak Forest Health and Rehabilitation last inspected?
CMS lists July 23, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Oak Forest Health and Rehabilitation have?
CMS lists 26 health citations since December 18, 2023. CMS also calls these deficiencies.
Has Oak Forest Health and Rehabilitation been fined?
CMS lists 3 fines in the past three years, $38,527 in total.
What is the CMS star rating of Oak Forest Health and Rehabilitation?
Its CMS overall star rating is 1 of 5.
Is Oak Forest Health and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.