Clemmons Village II (6441 Holder Road, Clemmons) holds North Carolina adult care home license HAL-034-062 for 66 residents in Forsyth County. The state's current rating is 4 stars on a 0-4 scale.
What does North Carolina's license record say about Clemmons Village II?
Yes. DHSR licenses Clemmons Village II as an adult care home with 66 beds (license HAL-034-062, good through December 31, 2026); the typical adult care home in the five counties has 62.
| Item | State record |
|---|---|
| License number (DHSR) | HAL-034-062 |
| Category | Adult care home: 7 or more residents, 10A NCAC 13F |
| Licensed capacity | 66 beds |
| Dementia special care unit | No unit on DHSR's list |
| License valid through | December 31, 2026 |
| Licensee (legal operator) | Clemmons Assisted Living, LLC |
| Executive Director | Kim Bridgeman |
| State star rating | 4 stars, score 102.50 |
| Fines on the 36-month list | 0 |
| Phone (from the state listing) | (366) 778-8548 |
Adult care licenses in North Carolina expire at the end of each year and are reissued after DHSR reviews the home. A license covers one operator at one street address, so a change of owner shows up as a new license number.
What is Clemmons Village II's North Carolina star rating?
DHSR's current rating for Clemmons Village II is 4 stars on its 0-4 scale and the score behind it is 102.50; 25 of the 55 rated homes across Forsyth, Davidson, Davie, Stokes and Yadkin counties sit at that level.
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.
What have inspections at Clemmons Village II turned up?
The latest annual survey DHSR has posted for Clemmons Village II is from April 1, 2026, and its result was deficiencies cited.
| Visit date | Kind of visit | Document DHSR posted |
|---|---|---|
| 04/01/2026 | ACLS Annual | Statement of Deficiency with Plan of Correction |
| 07/08/2024 | Constr Biennial Follow-up | Statement of Deficiency with Plan of Correction |
| 04/10/2024 | Constr Biennial | Statement of Deficiency with Plan of Correction |
| 01/17/2024 | ACLS Annual | No Deficiencies Cited |
| 03/01/2019 | Constr Biennial Follow-up | No Deficiencies Cited |
| 01/17/2019 | Constr Biennial Follow-up | Statement of Deficiency with Plan of Correction |
| 11/16/2018 | Constr Biennial | Statement of Deficiency with Plan of Correction |
The record goes back to 2015: 5 annual or initial surveys (2 with nothing cited), 0 complaint investigations and 7 visits from DHSR's construction section, which checks the building. Each statement of deficiency names the rule that was not met and what the inspector saw; the copy with a plan of correction adds the operator's promised fix and a date.
Has Clemmons Village II been fined by the state?
DHSR shows no fine against Clemmons Village II in the current 36-month window, and the home's record page agrees.
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.
What if a resident of Clemmons Village II develops dementia?
Clemmons Village II has no special care unit on the state's list, which means no licensed dementia unit; someone who comes to need a secured setting would generally have to transfer to a home that has one.
Early memory loss is not by itself a reason to turn someone away. The test is whether staff can keep the resident safe under the care plan. Nearest homes with a unit: Clemmons Village I (0.1 mi, 60 unit beds), Brookdale Winston-Salem (1.6 mi, 38 unit beds), Southfork (2.5 mi, 20 unit beds).
Where could we look if Clemmons Village II has no opening?
Closest is Clemmons Village I in Clemmons, on the same property: a adult care home licensed for 60 with a state rating of 4 stars.
| Facility | License type | Miles away | Licensed beds | Special care unit beds | DHSR stars |
|---|---|---|---|---|---|
| Clemmons Village I 6401 Holder Road, 27012 | ACH | 0.1 | 60 | 60 | 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 | 2.5 | 78 | 20 | 3 stars |
What hospitals and nursing homes are near Clemmons Village II?
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 4.7 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 (3.6 mi; CMS 1 of 5).
What should a family confirm with Clemmons Village II before move-in?
Begin with the state record itself: ask for a copy of the April 1, 2026 statement of deficiencies and the plan of correction that answered it.
- Ask how many aides and supervisors work each shift, nights included, and what share are agency staff.
- Ask whether Special Assistance and Medicaid personal care services are accepted before you count on either.
- Read the residency agreement at home first: fees, the notice required before a rate increase, and discharge terms.