Winston-Salem Senior AdvisorClemmons Village I (6401 Holder Road, Clemmons) holds North Carolina adult care home license HAL-034-090 for 60 residents in Forsyth County, 60 of them in a dementia special care unit. The state's current rating is 4 stars on a 0-4 scale.
Is Clemmons Village I in Clemmons a state-licensed adult care home?
Yes. DHSR licenses Clemmons Village I as an adult care home with 60 beds (license HAL-034-090, good through December 31, 2026); the typical adult care home in the five counties has 62.
| Item | State record |
|---|---|
| License number (DHSR) | HAL-034-090 |
| Category | Adult care home: 7 or more residents, 10A NCAC 13F |
| Licensed capacity | 60 beds |
| Dementia special care unit | 60 beds |
| License valid through | December 31, 2026 |
| Licensee (legal operator) | Clemmons Village I, LLC |
| Executive Director | Kim Bridgeman |
| State star rating | 4 stars, score 101.50 |
| Fines on the 36-month list | 0 |
| Phone (from the state listing) | (336) 766-2990 |
Responsibility sits with the licensee shown here, Clemmons Village I, LLC. When the state cites or fines a home, it does so in that legal name, which may not match the name on the front sign.
How many state stars does Clemmons Village I in Clemmons have?
The state gives Clemmons Village I 4 stars out of 4, with a rating score of 101.50; 25 of the 55 rated homes across Forsyth, Davidson, Davie, Stokes and Yadkin counties carry the same number.
Nursing homes are rated by CMS on a different, five-star scale. Comparing a three-star adult care home with a three-star nursing home tells you nothing, because the two scales measure different things.
DHSR keeps the rating history and the inspection documents on its own page for this home.
When did North Carolina last inspect Clemmons Village I?
Inspectors' most recent annual visit to Clemmons Village I on record was August 6, 2025: deficiencies cited.
| Visit date | Kind of visit | Document DHSR posted |
|---|---|---|
| 08/06/2025 | ACLS Annual and Follow-up | Statement of Deficiency with Plan of Correction |
| 04/10/2024 | Constr Biennial | Statement of Deficiency with Plan of Correction |
| 06/01/2023 | ACLS Annual | Statement of Deficiency with Plan of Correction |
| 11/10/2021 | ACLS Annual and Follow-up | No Deficiencies Cited |
| 12/18/2020 | ACLS Complaint | Statement of Deficiency with Plan of Correction |
| 03/01/2019 | Constr Biennial Follow-up | No Deficiencies Cited |
| 01/17/2019 | Constr Biennial Follow-up | Statement of Deficiency with Plan of Correction |
The record goes back to 2015: 5 annual or initial surveys (1 with nothing cited), 1 complaint investigation and 6 visits from DHSR's construction section, which checks the building. When two documents share a date, the one marked “with Plan of Correction” holds the home's own answer to the findings, and it is usually the more revealing read.
Has Clemmons Village I been fined by the state?
No. Clemmons Village I is not on DHSR's list of adult care penalties from the past 36 months.
The penalty list covers Type A1 and A2 fines. Day-to-day problems that never reached that level are in the survey documents, which are the better picture of ordinary care.
Does Clemmons Village I offer memory care?
It does. DHSR's October 28, 2026 special care unit list puts 60 of Clemmons Village I's 60 beds in a unit for Alzheimer's disease and related disorders, so the entire home is a dementia unit.
Every special care unit must hand families a written disclosure (G.S. 131D-8) covering admission and discharge criteria, staffing and training, activities and the unit's physical security. Ask for it before you visit and check the tour against it.
Other dementia units close by: Brookdale Winston-Salem (1.6 mi, 38 unit beds), Southfork (2.4 mi, 20 unit beds), Trinity Elms (3.3 mi, 30 unit beds).
Where could we look if Clemmons Village I has no opening?
Closest is Clemmons Village II in Clemmons, on the same property: a adult care home licensed for 66 with a state rating of 4 stars.
| Facility | License type | Miles away | Licensed beds | Special care unit beds | DHSR stars |
|---|---|---|---|---|---|
| Clemmons Village II 6441 Holder Road, 27012 | ACH | 0.1 | 66 | 0 | 4 stars |
| Brookdale Winston-Salem 275 South Peace Haven Road, 27104 | ACH | 1.6 | 38 | 38 | 3 stars |
| Peace Haven Assisted Living 178 S Peace Haven Rd, 27104 | FCH | 1.8 | 5 | 0 | 4 stars |
| Harmony at Brookberry Farm 5416 Hundley Road, 27106 | ACH | 2.4 | 121 | 0 | 4 stars |
| Southfork 1345 Jonestown Road, 27103 | ACH | 2.4 | 78 | 20 | 3 stars |
Where exactly is Clemmons Village I located?
The home sits in Clemmons in Forsyth County; the nearest acute-care hospital on the state's list is Novant Health Forsyth Medical Center in Winston-Salem, roughly 4.6 miles as the crow flies.
Second closest is Davie Medical Center in Bermuda Run, about 5.5 miles. These are straight-line figures between mapped addresses; the drive is longer.
For nursing care later on, the two nearest Medicare-certified nursing homes are Trinity Elms (3.4 mi; CMS 1 of 5) and Cedar Hills Center for Nursing and Rehabilitation (3.5 mi; CMS 1 of 5).
Which questions does Clemmons Village I's record raise?
Begin with the state record itself: ask for a copy of the August 6, 2025 statement of deficiencies and the plan of correction that answered it.
- Ask to see last month's night and weekend schedules instead of an average staffing figure.
- Ask for the special care unit's disclosure statement and the number of staff posted inside the unit on each shift.
- Ask what happens when a private-pay resident's money runs out, and whether Special Assistance residents are admitted.
- Read the residency agreement at home first: fees, the notice required before a rate increase, and discharge terms.
