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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 21 to 40 of 100, best-graded first.

A

90/100

Scotia Village - Snf

Laurinburg, NC · Scotland County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
5.44 /day
Staff turnover
41%
Serious cites
0

Scotia Village runs a rare staffing profile: 5.44 nurse hours per resident day, roughly 41% above the national average, which helps explain the top marks on both staffing and health inspections. The record isn't flawless, four deficiencies, one tied to abuse, though none at the harm or jeopardy level. Weekend coverage drops about 13% below weekday levels, a gap worth asking about. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. As a nonprofit with a December 2025 inspection behind it, the numbers suggest a home that's well-resourced where it counts most.

A

89.5/100

Shaire Nursing Center

Lenoir, NC · Caldwell County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
34%
Serious cites
0

Shaire Nursing Center runs on a corporate for-profit model with 60 certified beds in Lenoir, and the numbers behind its record are mostly solid. Nurse staffing sits at 4.55 hours per resident day, roughly 18 percent above the national average, though weekends drop about 18 percent below what the home covers on weekdays. Staff turnover lands at 34.4 percent, well under the 45.8 percent national figure, and its last inspection was recent, in August 2025. The current deficiency record shows 11 citations with none at the harm or jeopardy level, but two are abuse-related, which families should ask about directly.

A

89.5/100

Nc State Veterans Home - Salisbury

Salisbury, NC · Rowan County

CMS 4/599 bedsGovernmentMedicaid
Nurse hours
4.79 /day
Staff turnover
44%
Serious cites
0

Nc State Veterans Home - Salisbury runs on strong staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average, and a five-out-of-five staffing rating to match. But weekends dip about 20% below the home's own weekday coverage, and the inspection record is thinner, a two-out-of-five health inspection rating, 17 deficiencies including one at the harm level and two tied to abuse, plus a $12,444 fine. Staff turnover at 43.9% is a touch better than the national average, and the most recent inspection came in December 2025. State-run ownership here buys generous weekday staffing, not a clean survey history.

A

89/100

Deerfield Episcopal Retirement

Asheville, NC · Buncombe County

CMS 5/562 bedsNon-profit
Nurse hours
5.44 /day
Staff turnover
29%
Serious cites
0

Deerfield Episcopal runs a lean, well-staffed operation: 5.44 nurse hours per resident day against a national average of 3.86, and turnover at 28.7% is far below the 45.8% norm, which matters because consistent caregivers know the residents. Inspections back that up, a five-star health inspection rating, three total deficiencies, none causing harm, none abuse-related. The soft spot is quality measures, where the home scores just two stars, and weekend staffing dips about 14% below weekday levels, so ask specifically who's on the floor on Saturdays and Sundays. It's a nonprofit with 62 beds and a recent inspection, and the numbers suggest solid care with one area worth a direct question.

A

87.5/100

The Laurels Of Summit Ridge

Asheville, NC · Buncombe County

CMS 4/568 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
38%
Serious cites
0

The Laurels of Summit Ridge runs on better-than-average nurse hours, 4.17 per resident day, roughly 8 percent above the national figure, and its staff turnover of 38.2 percent actually beats the national rate instead of trailing it. That's not nothing in a for-profit building where aides cycling out the door is the usual problem. What tempers the picture is a 2-out-of-5 inspection history: 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none involved abuse. Weekend staffing drops about 18 percent below weekday levels, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. The inspection from May 2025 is recent, at least, so those findings reflect how the place runs now.

A

87/100

Iredell Memorial Hospital Inc

Statesville, NC · Iredell County

CMS 5/548 bedsNon-profitMedicaid
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.

A

87/100

Salemtowne

Winston-Salem, NC · Forsyth County

CMS 4/5100 bedsNon-profitMedicaid
Nurse hours
5.72 /day
Staff turnover
39%
Serious cites
0

Salemtowne runs on unusually heavy staffing for a nursing home: 5.72 nurse hours per resident day, roughly half again the national figure of 3.86. That margin matters most on weekends, when coverage dips only about 5% below its own weekday level, so care doesn't thin out the way it does at many homes. Staff turnover sits at 38.5%, below the 45.8% national average, which suggests people tend to stay. Four deficiencies on the current record, none causing harm and none abuse-related, with a December 2025 inspection, means surveyors found nothing serious and looked recently. The nonprofit ownership and a 4 out of 5 on health inspections round out a record without red flags.

A

86/100

Brookridge Retirement Community

Winston-Salem, NC · Forsyth County

CMS 5/577 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
50%
Serious cites
0

Brookridge is a nonprofit home in Winston-Salem with a recent inspection on the books and a clean record on serious problems, five deficiencies total, none of them causing harm or involving abuse. The quality measures look strong too, which suggests residents' conditions are being tracked well. Where it falls short is staffing: the federal staffing rating sits at the bottom of the scale, and annual turnover runs about 50 percent, a bit above the national average. Inspection and quality scores can both look good even when the people doing the daily work are stretched thin or constantly changing. That's the number to ask about when you visit.

A

85.5/100

Bermuda Village Retirement Center

Bermuda Run, NC · Davie County

CMS 4/536 bedsFor-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
n/a
Serious cites
0

Bermuda Village Retirement Center runs 36 certified beds in Davie County under for-profit LLC ownership, and its nurse staffing sits at 5.06 hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the strong weekday numbers soften somewhat on Saturdays and Sundays. The current record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine totaling $7,976 and a health inspection from March 2025. The 20-deficiency count is on the higher side, but the staffing margin and clean harm record carry real weight.

B

84.5/100

Twin Lakes Community

Burlington, NC · Alamance County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.32 /day
Staff turnover
41%
Serious cites
0

Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.

B

84.5/100

Courtland Terrace

Gastonia, NC · Gaston County

CMS 4/577 bedsNon-profitMedicaid
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.

B

84.5/100

Bellarose Nursing And Rehab

Garner, NC · Wake County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
25%
Serious cites
0

Bellarose runs on more nursing hours than most homes in the country, 4.46 per resident day against a national average of 3.86, and its staff turnover sits at 25%, well under the 45.8% national figure, which matters because familiar caregivers tend to notice small changes sooner. The tradeoff shows up on weekends, when coverage drops about 15% below the home's own weekday level. Its inspection record is clean: two deficiencies total, none involving harm or jeopardy, none abuse-related, with the most recent survey in July 2025 earning a 5-star health inspection rating. Quality measures are middling at 3 stars, so the clinical outcomes data isn't as strong as the staffing and inspection picture.

B

84/100

Bryan Health And Rehab

Scotland Neck, NC · Halifax County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
23%
Serious cites
0

Bryan Health And Rehab runs a tight ship on the things that are hardest to fake. Nurse staffing sits at 3.95 hours per resident day, slightly above the national average, and the weekend-to-weekday gap is only about 12%, smaller than what a lot of homes show. Staff turnover is the standout: 23.4% against a national average of 45.8%, which suggests people actually stay. Inspections back it up, with 5 stars and just 4 deficiencies on record, none at the harm level and none abuse-related, from a visit in April 2025. The weaker spot is quality measures at 2 stars, so ask what that reflects, often it tracks resident conditions like falls or weight loss rather than day-to-day care.

B

83/100

Bradley Creek Health Center

Wilmington, NC · New Hanover County

CMS 5/530 bedsFor-profit
Nurse hours
4.39 /day
Staff turnover
44%
Serious cites
0

Bradley Creek Health Center runs small, 30 certified beds in Wilmington, and the staffing numbers are the first thing worth noticing. At 4.39 nurse hours per resident day, it sits about 14% above the national average, though weekends dip roughly 10% below its own weekday coverage, so ask how that gap gets filled. Staff turnover of 43.8% is a touch better than the 45.8% national figure, and the inspection record is clean where it counts: six deficiencies, none at the harm level, none tied to abuse, with the most recent visit in May 2025. A for-profit corporate owner and a middling quality-measure score are the caveats.

B

82.5/100

Big Elm Retirement And Nursing Centers

Kannapolis, NC · Rowan County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
42%
Serious cites
0

Big Elm runs leaner on risk than most: one harm-level deficiency and one abuse citation on the current record, but the state was last in the building in August 2025, so the picture is recent. Staffing is the strong point, 5.10 nurse hours per resident day against a national average of 3.86, though weekends dip about 16% below the home's own weekday coverage, and turnover sits at 42%, a touch better than the 45.8% national figure. Sixteen total deficiencies is not nothing. For a 50-bed for-profit owned by an individual, four stars across health inspections, quality measures, and staffing is a steadier record than that ownership category often produces.

B

82/100

Clapp's Convalescent Nursing Home Inc

Asheboro, NC · Randolph County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

Clapp's Convalescent in Asheboro runs 96 beds under individual for-profit ownership, and its inspection record is the strongest part of the picture: four deficiencies on file, none at the harm or jeopardy level, with a survey completed in December 2025. The staffing numbers are where it slips. At 3.60 nurse hours per resident day, it sits about 7% under the national average, and weekends run roughly 8% lighter than its own weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Turnover at 44% is essentially average. One abuse-related deficiency appears on the record, so read that inspection report yourself before deciding.

B

82/100

White Oak Of Waxhaw

Waxhaw, NC · Union County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
42%
Serious cites
0

White Oak Of Waxhaw runs about 4.10 nurse hours per resident each day, roughly 6% above the national average, though weekends dip about 10% below its own weekday level. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure. The current inspection record is clean, zero deficiencies, none at the harm or jeopardy level, nothing abuse-related, and the most recent survey was September 2025. It's a for-profit limited liability company with 100 certified beds. The staffing numbers are solid but not exceptional, and the quality measure rating lands at 4 out of 5. What carries this home is the inspection record and steady retention, not deep staffing margins.

B

81.5/100

The Sharon At Southpark

Charlotte, NC · Mecklenburg County

CMS 4/519 bedsNon-profit
Nurse hours
12.56 /day
Staff turnover
63%
Serious cites
0

The Sharon At Southpark runs 19 certified beds as a nonprofit, and its nurse staffing sits at 12.56 hours per resident day, roughly triple the national average of 3.86. That's an unusual number, and it shows up in the weekend data too, though weekend coverage still runs about 23% below the home's own weekday level. Turnover is the softer spot: 63.3% annually against a national 45.8%, meaning the people providing that care are changing over fairly often. On inspections, the record shows 10 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was November 25, 2025.

B

81/100

Friends Homes At Guilford

Greensboro, NC · Guilford County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
45%
Serious cites
0

Friends Homes At Guilford runs on a nonprofit model with 69 certified beds, and the staffing numbers stand out: 5.07 nurse hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 45.3%, essentially matching the national rate of 45.8%. Inspections tell a clean story, a 5/5 health inspection rating, just two deficiencies on record, none at the harm level and none abuse-related, with the last visit in January 2026. The quality measure score of 2/5 is the outlier here, so ask what specific clinical measures are pulling that down.

B

80.5/100

Murphy Rehabilitation & Nursing

Murphy, NC · Cherokee County

CMS 4/5134 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
37%
Serious cites
0

Murphy Rehabilitation & Nursing runs 3.40 nurse hours per resident per day, roughly 12 percent under the national average of 3.86, and weekends dip about 16 percent below its own weekday coverage. Turnover sits at 37 percent, better than the 45.8 percent national figure, so the staff who are there tend to stay. The inspection record is clean where it matters most: 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2026. A 134-bed corporate-owned home with four stars on health inspections and quality measures, three on staffing, the care looks solid, but the daily hours tell you where the strain sits.

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