10 Hospital-Based Nursing Homes in North Carolina

Nurse hours

4.78 /day

Staff turnover

31%

Serious cites

0

Wilkes Regional Medical Ctr Sn runs just 10 beds inside a hospital in North Wilkesboro, and its nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, but turnover of 30.8% is well under the 45.8% national figure, so the people caring for residents tend to stay. The state inspection history is thinner: 14 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent visit in April 2025. A 2-out-of-5 inspection rating paired with a 5-out-of-5 quality measure score tells you the care itself measures well even where paperwork and process have drawn scrutiny.

Nurse hours

4.79 /day

Staff turnover

18%

Serious cites

0

Northern Regional Hospital runs a small 33-bed unit in Mount Airy, and the numbers here are unusually clean. Nurse staffing sits at 4.79 hours per resident per day, roughly a quarter above the national average, and weekend coverage only dips about 20% below weekday levels, a gap that's common but manageable at this size. The turnover figure is the standout: 18.4% against a national average near 46%, which suggests people stay. On inspections, there's a single deficiency on record, none involving harm or abuse, with the most recent survey in March 2025. Government hospital-district ownership doesn't guarantee quality, but it does mean this home answers to a public board rather than shareholders.

Nurse hours

6.47 /day

Staff turnover

53%

Serious cites

0

Novant Health Presbyterian's skilled unit is tiny, just 12 certified beds inside a Charlotte hospital, and it runs on an unusual amount of nursing attention: 6.47 hours per resident day, roughly 68% above the national figure. Weekend coverage barely dips, about 1% off weekday levels, which is rare. Inspectors visited recently, in August 2025, and the record shows five deficiencies with none causing harm or involving abuse. The tradeoff is staff retention: 53.3% annual turnover sits above the 45.8% national average, meaning the people delivering that care keep changing. Five-star ratings across inspection, quality, and staffing round out the picture. For a short-term rehab stay after a hospital procedure, this is about as well-covered as it gets.

Nurse hours

11.41 /day

Staff turnover

17%

Serious cites

0

Transylvania Regional Hospital runs a small ten-bed nursing unit inside a hospital in Brevard, and it's owned by a for-profit corporation. The inspection record is genuinely strong: five deficiencies total, none causing harm or jeopardy, none tied to abuse, and the last survey came in late November 2025, so it's current. That's the profile of a place Medicare rates four stars for health inspections. Quality measures land at three, which is middle of the pack. With only ten beds, staff attention per resident tends to be easier to sustain than in a large facility, and nothing in the record suggests families should worry about safety or oversight here.

Nurse hours

4.30 /day

Staff turnover

33%

Serious cites

0

Rex Rehab & Nursing Care Center runs on 4.30 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 33.3% sits well below the typical 45.8%, numbers that suggest a steadier workforce than most. The catch is weekends, when staffing drops roughly 11% below the home's own weekday level, so coverage isn't uniform across the week. On inspections, the record shows 9 deficiencies with 1 at the harm level and one fine of $15,646; the last visit was August 2025. Government hospital-district ownership, 120 beds.

Nurse hours

6.17 /day

Staff turnover

52%

Serious cites

0

Iredell Memorial Hospital's nursing home unit in Statesville runs on unusually heavy staffing: 6.17 nurse hours per resident day, roughly 60% above the national average, with a five-star staffing rating and a five-star health inspection record. The current file shows just three deficiencies, none causing harm or involving abuse, and the most recent inspection was in March 2026, a current, clean picture. The caveats are real but modest. Weekend coverage dips about 14% below weekday levels, and annual turnover sits at 51.6%, above the 45.8% national figure, so continuity of caregivers isn't a given. Quality measures land at three stars, mid-range. For families weighing a nonprofit hospital-based unit, the inspection and staffing numbers carry the weight here.

Nurse hours

4.35 /day

Staff turnover

37%

Serious cites

0

Eckerd Living Center runs 4.35 nurse hours per resident day, about 13% above the national average, and that staffing shows up in a five-star CMS staffing rating. Weekend coverage dips roughly 20% below its own weekday level, which is common but still worth knowing if you're visiting Saturdays. Staff turnover sits at 36.7%, better than the 45.8% national figure. The home has seven deficiencies on record, none at the harm level and none abuse-related, and its last inspection was April 10, 2026, so the picture is current. A for-profit partnership with 80 beds and a four-star health inspection rating, it looks steady on paper.

Nurse hours

4.25 /day

Staff turnover

29%

Serious cites

0

Courtland Terrace is a 77-bed nonprofit home in Gastonia, and the staffing numbers are the strength here, 4.25 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.9% compared to 45.8% nationally. That retention matters more than any single inspection result, because consistent caregivers know the residents. The trade-off is weekends, when staffing drops about 22% below the home's own weekday level, so ask how that plays out on a Sunday afternoon. Ten deficiencies on record with none at the harm level and none abuse-related, and a 4-star health inspection from a visit in February 2026, suggest a home that runs steady rather than spotless.

Nurse hours

3.54 /day

Staff turnover

25%

Serious cites

0

Stokes County Nursing Home runs 40 certified beds in Danbury under for-profit LLC ownership. Its nurse staffing sits at 3.54 hours per resident day, about 8% under the national average of 3.86, and weekends drop roughly 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Retention is the stronger story: 25% annual turnover against a national 45.8% means aides and nurses here tend to stay. The current record shows 15 deficiencies, none at harm or jeopardy level, though one is abuse-related. State inspectors were last on site in November 2025. Quality measures score low; staffing scores high.

Nurse hours

3.10 /day

Staff turnover

n/a

Serious cites

0

Person Memorial Hospital runs 56 certified beds in Roxboro under for-profit LLC ownership, and its staffing number is the first thing that stands out: 3.10 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The record shows 22 deficiencies, including one at the harm level and one abuse-related, plus eight fines totaling $58,807, and the most recent inspection was December 2025. Federal ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.