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100 Independent Nursing Homes in North Carolina

100 of the 419 Medicare-certified nursing homes in North Carolina (24%) are independently owned, and all are listed below. 29 of the 98 graded homes earn an A and 8 earn a D or F. They average 4.51 nursing hours per resident per day, 0.66 hours above the 3.85 for every home in North Carolina. River Landing At Sandy Ridge in Colfax grades highest at A (99 out of 100).

How independently owned homes in North Carolina compare

This group set against every nursing home in North Carolina, from the current CMS release.

Nursing hours per resident per day

4.51

All homes in North Carolina: 3.85

Better than the local average

Nurse staff turnover

44.2%

All homes in North Carolina: 49%

Better than the local average

Average ElderGrade score

76.7/100

All homes in North Carolina: 70.8/100

Better than the local average

Grade spread

A
B
C
D

29 grade A, 38 grade B, 23 grade C, 8 grade D,

The best-graded independently owned home in North Carolina is River Landing At Sandy Ridge in Colfax, NC, grade A, 99/100.

Every independently owned nursing home in North Carolina

Showing 1 to 20 of 100, best-graded first.

A

99/100

Carolina Village Inc

Hendersonville, NC · Henderson County

CMS 5/558 bedsNon-profit
Nurse hours
6.25 /day
Staff turnover
22%
Serious cites
0

Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.

A

99/100

River Landing At Sandy Ridge

Colfax, NC · Guilford County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.52 /day
Staff turnover
30%
Serious cites
0

River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

A

96/100

Hillcrest Convalescent Center

Durham, NC · Durham County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
5.95 /day
Staff turnover
31%
Serious cites
0

Hillcrest Convalescent Center is a for-profit, 86-bed home in Durham with an unusually clean record: zero deficiencies on file, none at the harm level, none abuse-related, and its last inspection was in February 2025. Nurse staffing sits at 5.95 hours per resident day, about 54% above the national average, and weekend coverage holds within roughly 5% of weekday levels, a gap that trips up plenty of homes. Staff turnover is 31.4%, well below the 45.8% national figure, which matters because consistent caregivers know their residents. The federal stars back this up: five for staffing and inspections, four for quality measures. For-profit corporate ownership is the one thing here that isn't a strength on paper, but the numbers outweigh it.

A

96/100

Edgewood Place At The Village At Brookwood

Burlington, NC · Alamance County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
14%
Serious cites
0

Edgewood Place runs on unusually deep staffing for a 51-bed nonprofit home in Burlington, 5.34 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only slightly below its own weekday levels. That stability shows in the turnover number, which is where a lot of homes fall apart. Eight deficiencies on the current record, none rising to harm or jeopardy and none abuse-related, and the most recent inspection was in July 2025, so the picture is current rather than stale. The staffing rating and the inspection record tell a consistent story here. For a family weighing options, the main question isn't whether this home has problems, every home does, but whether the ones it has are minor and whether the people showing up to work keep showing up.

A

96/100

Carol Woods

Chapel Hill, NC · Orange County

CMS 5/530 bedsNon-profit
Nurse hours
4.92 /day
Staff turnover
35%
Serious cites
0

Carol Woods runs 30 certified beds as a nonprofit, and the staffing number stands out: 4.92 nurse hours per resident day, roughly 27% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 35.1%, better than the 45.8% national figure. On the inspection side, there are 7 deficiencies on record but none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 26, 2025. A small nonprofit with strong nurse hours and clean harm-level findings, that combination is uncommon.

A

96/100

Piedmont Crossing

Thomasville, NC · Davidson County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
33%
Serious cites
0

Piedmont Crossing runs on about 5.11 nurse hours per resident per day, roughly a third more than the national average, and its weekend hours dip only slightly below weekdays, a gap that's usually wider elsewhere. Staff turnover sits at 32.6%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The current record shows three deficiencies, none involving harm or abuse, and the most recent inspection was in April 2026. As a nonprofit with 104 beds, it isn't chasing quarterly returns; the numbers suggest steady, well-staffed care with no serious compliance problems on the books.

A

96/100

Wilkes Regional Medical Ctr Sn

North Wilkesboro, NC · Wilkes County

CMS 3/510 bedsNon-profitMedicaid
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.

A

96/100

Glenaire

Cary, NC · Wake County

CMS 5/571 bedsNon-profitMedicaid
Nurse hours
7.42 /day
Staff turnover
37%
Serious cites
0

Glenaire runs 7.42 nurse hours per resident day, roughly double the national average, and that staffing shows up in the ratings: five stars each for staffing and quality measures, four for health inspections. Turnover sits at 36.8 percent against a national 45.8, so the people caring for residents tend to stick around. The current record carries four deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Weekend staffing dips about 9 percent below weekdays, which is common but still a real difference if your family visits on Saturdays. The last inspection was December 31, 2025, so the picture is recent, and as a nonprofit, this home answers to a board rather than shareholders.

A

94.5/100

Mountain Vista Health Park

Denton, NC · Davidson County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.96 /day
Staff turnover
22%
Serious cites
0

Mountain Vista Health Park, a nonprofit home with 60 beds in Denton, runs on unusually strong staffing for a nursing home: 4.96 nurse hours per resident day, roughly 28 percent above the national average of 3.86. Weekend coverage does dip about 19 percent below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 21.9 percent, less than half the national average of 45.8 percent, so the people caring for residents tend to stay. One health deficiency on record, none involving harm or abuse, and a clean five-star inspection rating back up what the numbers suggest.

A

94.5/100

Northern Regional Hospital

Mount Airy, NC · Surry County

CMS 5/533 bedsGovernmentMedicaid
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.

A

94/100

Highland Farms

Black Mountain, NC · Buncombe County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
28%
Serious cites
0

Highland Farms runs on a nonprofit model with 60 certified beds in Black Mountain, and the staffing numbers are the first thing worth noticing. At 4.92 nurse hours per resident day, it sits roughly 27% above the national average, and weekend coverage only dips about 12% below its own weekday level, a smaller drop than many homes show. Staff turnover lands at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record backs this up: 14 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,271. State surveyors visited recently, in August 2025, so the picture is current.

A

94/100

Novant Health Presbyterian Medical Center-Snu

Charlotte, NC · Mecklenburg County

CMS 5/512 bedsNon-profitMedicaid
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.

A

94/100

Conover Nursing And Rehabilitation Center

Conover, NC · Catawba County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
27%
Serious cites
0

Conover Nursing and Rehabilitation runs about 4.79 nursing hours per resident each day, roughly a quarter above the national average, and its staff turnover of 27.4% sits well under the national 45.8%. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current inspection record shows four deficiencies, none causing harm or involving abuse, which is thin for a 90-bed home. Corporate-owned and for-profit, it was inspected in April 2026. The numbers point to steady staffing and a clean recent survey history rather than any single standout figure.

A

93/100

Unc Rockingham Rehab & Nursing Care Center

Eden, NC · Rockingham County

CMS 5/5121 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
31%
Serious cites
0

The numbers here tell a steady story. Nurse staffing runs at 5.58 hours per resident day, roughly 45% above the national average, and that's the main reason the federal staffing rating comes back at the top of the scale. Weekend coverage dips about 13% below weekdays, which isn't unusual but is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 31.4%, well under the national figure, so the people doing the work tend to stay. Seven deficiencies on record, none causing harm and none tied to abuse, with the last inspection in June 2025. Nonprofit ownership, 121 beds. Nothing here looks like a warning sign.

A

93/100

Unc Rex Rehab & Nursing Care Center Of Apex

Apex, NC · Wake County

CMS 5/5107 bedsNon-profitMedicaid
Nurse hours
4.62 /day
Staff turnover
25%
Serious cites
0

Unc Rex Rehab & Nursing Care Center Of Apex runs on 4.62 nurse hours per resident day, about a fifth more staffing than the typical American nursing home, which sits at 3.86. That extra help shows up on weekends too, though weekend coverage runs roughly 9% lighter than weekdays. Staff turnover lands at 25.2%, well below the 45.8% national average, meaning the people caring for residents tend to stick around. The home carries five deficiencies, none at the harm or jeopardy level and none abuse-related, with a clean inspection as recent as May 2025. Nonprofit ownership rounds out a picture of steady, well-staffed care.

A

92/100

The Arbor

Pittsboro, NC · Chatham County

CMS 5/516 bedsNon-profit
Nurse hours
4.46 /day
Staff turnover
0%
Serious cites
0

The Arbor is small, 16 certified beds, and that size shows up in the staffing numbers. At 4.46 nurse hours per resident day, it runs about 15 percent above the national average of 3.86, and weekend staffing actually sits slightly above its own weekday level, which is unusual. No staff turnover in the past year, against a national average near 46 percent, means the same people are showing up shift after shift. Six deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related; two fines total $6,350. The last inspection was April 2026, so the picture is current, and Chatham County's nonprofit owner has no profit motive pulling hours off the floor.

A

91.5/100

Givens Health Center

Asheville, NC · Buncombe County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
5.26 /day
Staff turnover
32%
Serious cites
0

Givens Health Center in Asheville runs on 5.26 nurse staffing hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 18% below its own weekday level, so care may look thinner on Saturdays and Sundays. Staff turnover sits at 31.6%, well under the national 45.8%, a real advantage in a field where constant retraining erodes familiarity with residents. The nonprofit's inspection record carries 19 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a March 2026 survey. The quality measure score of 3/5 is the softer spot.

A

91/100

Maryfield Nursing Home

High Point, NC · Guilford County

CMS 5/5115 bedsNon-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
18%
Serious cites
0

Maryfield runs on about 4.04 nurse hours per resident day, which puts it roughly 5% above the national average of 3.86. That margin matters less than the turnover number: 18% annually against a national average near 46%, meaning the people caring for residents here tend to stay. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your visits fall on Saturdays or Sundays. The health inspection record shows two deficiencies, neither at the harm level and none abuse-related, with the most recent inspection dated April 2026. For a 115-bed nonprofit in High Point, the staffing consistency and clean inspection history are the story.

A

91/100

Penick Village

Southern Pines, NC · Moore County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
6.76 /day
Staff turnover
48%
Serious cites
0

Penick Village runs a small 32-bed nonprofit home in Southern Pines, and the numbers that stand out are the staffing ones: 6.76 nurse hours per resident day, roughly three-quarters more than the national average of 3.86, with weekend coverage holding almost level with weekdays. Turnover sits at 47.9%, only slightly above the 45.8% national figure, so that staffing depth isn't being erased by constant churn. The tradeoff is on the inspection side, nine deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,648, though the most recent inspection was April 2026 and nothing on file involves abuse.

A

91/100

Rex Rehab & Nursing Care Center

Raleigh, NC · Wake County

CMS 5/5120 bedsGovernmentMedicaid
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.

Frequently asked questions

How many independently owned nursing homes are there in North Carolina?
There are 100 independently owned Medicare-certified nursing homes in North Carolina, 24% of the 419 nursing homes there.
Are independently owned nursing homes better staffed?
In North Carolina they average 4.51 total nursing hours per resident per day, against 3.85 for all nursing homes in North Carolina, a difference of +0.66 hours. Staff turnover averages 44.2% against 49%.
Which independently owned nursing home grades best in North Carolina?
River Landing At Sandy Ridge in Colfax, NC, grade A, 99 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 98 graded independently owned homes in North Carolina, 29 grade A and 8 grade D or F.
Do independently owned nursing homes in North Carolina accept Medicaid?
90 of the 100 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in North Carolina