01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-01 | 1 | 2024-05-09 | 8 |
| Cycle 2 | 2024-05-09 | 2 | 2023-01-26 | 0 |
| Cycle 3 | 2023-01-26 | 2 | 2021-08-05 | 0 |
CMS CCN 3452092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Brookridge Retirement Community
1199 Hayes Forest Drive · Winston-Salem, NC 27106 · Forsyth County
Certified beds77CMS provider file
Recent citation rows13current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-01 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-082024-05-09 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-06-202024-05-09 · HEALTHF0814Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-06-272024-05-09 · FIREK0281Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0291Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0911Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-05-09 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-012023-01-26 · HEALTHF0640Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has plan of correction · 2023-03-132023-01-26 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-03-1303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATEDOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/24/2014
- VANDERSLIK, REEDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/16/2019
- BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATEDOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/24/2014
- NATHAN, JESSICAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/17/2023
- VANDERSLIK, REEDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/16/2019
- BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATEDOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/24/2014
- NATHAN, JESSICAIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/17/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.42per resident day
RN hours0.54per resident day
Weekend nurse hours4.10per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS
Open the Winston-Salem ledger →Other published facilities nearby
Homestead Hills40 beds · CMS overall 4/522 citation rowsMill Creek Center For Nursing And Rehabilitation66 beds · CMS overall 2/555 citation rowsSalemtowne100 beds · CMS overall 4/58 citation rowsThe Oaks131 beds · CMS overall 2/531 citation rowsTrinity Glen117 beds · CMS overall 4/56 citation rowsWillow Valley Center For Nursing And Rehabilitatio230 beds · CMS overall 1/571 citation rows