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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 41 to 60 of 100, best-graded first.

B

80.5/100

Stanley Total Living Center

Stanley, NC · Gaston County

CMS 4/5106 bedsFor-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
38%
Serious cites
0

Stanley Total Living Center has real staffing strength: 5.13 nurse hours per resident day is about a third more than the national average, and its 37.5% turnover beats the 45.8% norm. That's the good news. The rest is harder. Ten deficiencies sit on the current record, six at harm or jeopardy level and two tied to abuse, plus a $31,967 fine. Weekend staffing drops roughly 21% below weekdays, so the coverage families see on a Tuesday may not hold on a Sunday. The most recent inspection was January 2026, so the record is current. A for-profit corporation runs the 106-bed home. Strong hours and stable staff matter, but harm-level findings at that count are what pull the grade down.

B

80/100

Chatham Nursing & Rehabilitation

Elkin, NC · Surry County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
35%
Serious cites
0

Chatham Nursing & Rehabilitation runs a tight ship on inspections, one deficiency on record, nothing at the harm level, and a February 2026 survey that's still fresh. Turnover sits at 34.8%, well under the national 45.8%, which matters more than any single number for how consistently your family member gets the same faces. The trade-offs are in the day-to-day: nurse staffing lands about 7% under the national average, and weekends drop roughly 13% below the home's own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. The federal quality measure rating of 2 out of 5 is the other soft spot worth asking about directly.

B

80/100

Stokes County Nursing Home

Danbury, NC · Stokes County

CMS 3/540 bedsFor-profitMedicaid
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.

B

80/100

Woodbury Wellness Center Inc

Hampstead, NC · Pender County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
49%
Serious cites
0

Woodbury Wellness Center runs a 112-bed for-profit home in Hampstead, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average. That's a real cushion, but weekends run about 13% lighter than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Staff turnover is 49.1%, slightly worse than the 45.8% national figure, which matters because consistent caregivers notice changes sooner. Inspections turned up 13 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $15,646. The most recent inspection was in November 2025, so the record is current.

B

80/100

Fair Haven Home Inc

Bostic, NC · Rutherford County

CMS 5/530 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
28%
Serious cites
0

Fair Haven Home in Bostic runs 30 certified beds, and its last inspection in July 2025 turned up three deficiencies, none of them serious enough to cause harm or jeopardy, and none tied to abuse. That's a clean record for a for-profit corporation. Nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average, and weekends dip about 9% below the home's own weekday coverage. What stands out is turnover: 28.1% against a national average near 46%, meaning this place holds onto its caregivers far better than most. Inspection history is strong; quality measures are middling. The weak spot is raw staffing hours, not safety or stability.

B

80/100

Penn Nursing Center

Reidsville, NC · Rockingham County

CMS 5/582 bedsNon-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
38%
Serious cites
0

Penn Nursing Center runs a lean nursing floor: 3.06 hours of nurse staffing per resident each day, roughly a fifth below the national average, and weekends drop about 8% below what the home itself staffs on weekdays. Turnover is the brighter spot, 37.9% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. Inspections back that up. The home carries a single deficiency on its current record, none at harm or jeopardy level, none abuse-related, and its last inspection was recent. Five stars on both health inspections and quality measures, three on staffing. The care being delivered looks sound; the question is whether there are consistently enough hands to deliver it.

B

79/100

Clapps Nursing Center Inc

Pleasant Garden, NC · Guilford County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
48%
Serious cites
0

Clapps Nursing Center in Pleasant Garden runs a tight inspection record, zero deficiencies on file, none of them serious, and a clean survey as recent as September 2025. That's the strongest part of its profile, and the 5-star health inspection rating reflects it, with quality measures also scoring well at 4 stars. Staffing is where it slips. At 3.67 nurse hours per resident day, it runs about 5% under the national average, weekends drop roughly 7% below its own weekday levels, and turnover sits at 47.5%, slightly worse than the 45.8% national figure. For a family weighing this home, the question is whether consistent care holds up when the same faces aren't always there.

B

78/100

Alpine Health And Rehabilitation Of Asheboro

Asheboro, NC · Randolph County

CMS 5/5238 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
22%
Serious cites
0

Alpine Health and Rehabilitation of Asheboro runs 238 certified beds under individual for-profit ownership, and its inspection record is unusually clean, a single deficiency on the current record, none at the harm or jeopardy level, with the most recent visit in April 2025. That lone citation is abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.34 total nurse hours per resident day sits about 13% under the national average, weekend coverage drops roughly 12% below its own weekdays, and the federal staffing rating lands at 2 out of 5. Turnover is the bright spot at 22.2%, well below the 45.8% national figure, so the people who are there tend to stay.

B

78/100

Fair Haven Of Forest City, Llc

Forest City, NC · Rutherford County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
27%
Serious cites
0

Fair Haven Of Forest City runs a 100-bed for-profit operation, and its inspection record is the strongest part of the story: a four-star health inspection rating, six total deficiencies, none at the harm or jeopardy level, and nothing abuse-related. The tradeoff shows up in daily care. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends run about 8% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover of 27% is well below the 45.8% national figure, which suggests a steadier workforce than most. Quality measures, at two stars, are the weak point. The last inspection was April 2026.

B

77.5/100

Longleaf Neuro-Medical Treatment Center

Wilson, NC · Wilson County

CMS 3/5248 bedsGovernmentMedicaid
Nurse hours
12.52 /day
Staff turnover
26%
Serious cites
0

Longleaf is a state-run home in Wilson with 248 beds, and its staffing is genuinely unusual: 12.52 nurse hours per resident day, more than triple the national average of 3.86. Turnover sits at 25.9%, well under the national 45.8%, so the people providing that care tend to stay. Weekends run about 19% thinner than weekdays, which is worth asking about. The trouble is everything else. Twenty deficiencies sit on the current record, six of them at harm or jeopardy level and three tied to abuse, with $158,403 in fines across three events. Inspections in June 2025 produced 2 out of 5 stars for both health inspections and quality measures. Strong staffing hasn't translated into safe care.

B

77.5/100

Black Mountain Neuro-Medical Treatment Center

Black Mountain, NC · Buncombe County

CMS 5/5163 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Black Mountain Neuro-Medical Treatment Center is state-run, with 163 certified beds, and the federal inspection picture looks strong on paper: five stars for health inspections, five for quality measures. But the deficiency record tells a more complicated story. Five deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, are the kind of findings that matter more than a star rating. Inspections were recent, last dated September 25, 2025. State ownership can mean stable funding and oversight, but it can also mean slower fixes when something goes wrong. Ask directly about those two serious deficiencies and what changed afterward.

B

77/100

The Forest At Duke Inc

Durham, NC · Durham County

CMS 4/54 bedsNon-profit
Nurse hours
4.15 /day
Staff turnover
n/a
Serious cites
0

The Forest At Duke is a four-bed nonprofit unit in Durham, and its inspection record is close to spotless, one deficiency on the books, none of it involving harm, jeopardy, or abuse, with a survey as recent as November 2024. Where it slips is staffing, and the picture is odd: total nurse hours run about 4.15 per resident day, roughly 8% above the national average, yet weekend coverage drops about 11% below the home's own weekday level. With only four certified beds, a single callout can swing the numbers in ways they wouldn't at a larger home, so read the low staffing rating alongside the size rather than on its own.

B

75.5/100

Mountain Ridge Rehabilitation And Healthcare Cente

Black Mountain, NC · Buncombe County

CMS 1/597 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
42%
Serious cites
0

Mountain Ridge runs on 3.47 nurse staffing hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays. The inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $16,152; the most recent inspection was May 30, 2025. Staff turnover sits at 42%, a bit better than the 45.8% national figure, and the quality measure rating is strong at 4 out of 5. But a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating carry more weight when you're choosing care.

B

75.5/100

Fleshers Fairview Health Care

Fairview, NC · Buncombe County

CMS 2/5106 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
46%
Serious cites
0

Fleshers Fairview Health Care runs 106 certified beds in Buncombe County under corporate for-profit ownership, and the staffing numbers look strong on paper, 3.96 nurse hours per resident day, slightly above the national average. But weekends drop about 15% below the home's own weekday coverage, and staff turnover sits at 46.2%, essentially matching the national rate. The real concern is the inspection record: 38 deficiencies, six of them serious enough to put residents in harm's way, plus two abuse-related findings and $61,321 in fines. The most recent inspection was in September 2025, so the record is current, not stale. Strong staffing and a difficult regulatory history are both true here.

B

75/100

White Oak Manor - Tryon

Tryon, NC · Polk County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
62%
Serious cites
0

White Oak Manor - Tryon runs 70 certified beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 4.11 nurse hours per resident day against a national average of 3.86. The catch is who's delivering that care and how long they stay. Annual turnover sits at 62.4%, well above the 45.8% national figure, and weekend coverage dips below the home's own weekday levels. Inspections tell the harder story, 11 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. The most recent inspection was July 2025, so the record is current. Good hours on paper, real instability underneath.

B

74/100

White Oak Manor - Charlotte

Charlotte, NC · Mecklenburg County

CMS 1/5180 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

White Oak Manor in Charlotte runs 180 beds under corporate ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national figure. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The 48.6% turnover rate runs slightly above the national average, and the inspection record is the real trouble: 21 deficiencies, two serious enough to involve harm or jeopardy, plus $69,804 in fines. A recent April 2026 inspection keeps that record current. Quality measures score well, but strong numbers on paper don't offset thin weekend coverage and a repeated pattern of serious findings.

B

74/100

Hillcrest Raleigh At Crabtree Valley

Raleigh, NC · Wake County

CMS 4/5134 bedsFor-profitMedicaid
Nurse hours
5.08 /day
Staff turnover
47%
Serious cites
0

Hillcrest Raleigh At Crabtree Valley runs 134 certified beds under corporate ownership, and its nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average of 3.86. That's a real cushion, though weekend coverage dips about 8% below its own weekday levels, and staff turnover of 47.4% lands slightly above the national 45.8%, so the people delivering that care keep changing. The current record shows 13 deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations, and the most recent inspection came in March 2025. Inspection and staffing ratings both sit at 4 out of 5, while the quality measure score is 2. That split is worth asking about directly.

B

74/100

Davis Health And Wellness Center At Cambridge Vill

Wilmington, NC · New Hanover County

CMS 2/520 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
70%
Serious cites
0

Davis Health and Wellness Center at Cambridge Vill runs a small 20-bed operation, and the nurse staffing numbers land above average, 4.24 hours per resident day against a national figure of 3.86. Weekend coverage drops roughly 8% below its own weekday levels, though, so the care you'd see on a Saturday may thin out. The bigger concern is turnover at 70.4%, well past the 45.8% national mark, which usually means less continuity with the same caregivers over time. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related. The last inspection came in March 2026, and it's run by a nonprofit corporation.

B

72/100

Peak Resources- Shelby

Grover, NC · Cleveland County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
42%
Serious cites
0

Peak Resources-Shelby runs 100 certified beds in Grover under corporate for-profit ownership, and its nurse staffing sits at 3.77 hours per resident day, roughly 2% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the leanest hours land when families tend to visit. Turnover is 42.2%, a bit better than the 45.8% national figure, which matters because consistent caregivers know residents. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 2026. The quality measure rating of 1 out of 5 is the number worth asking about on your tour.

B

72/100

Countryside

Stokesdale, NC · Guilford County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
47%
Serious cites
0

Countryside sits in Stokesdale with 60 certified beds, run by a for-profit limited liability company. Its nurse staffing comes in at 3.92 hours per resident day, slightly above the national average of 3.86, though weekend coverage drops about 8% from weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 46.9%, a touch above the national 45.8%, so continuity of caregivers may be inconsistent. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025.

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