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
Windsor Point runs 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staffing rating reflects that. Inspections are a strength too, a 5/5 star health inspection rating, ten deficiencies on record with none at the harm level and none abuse-related, and the most recent visit just weeks ago. The concerns sit elsewhere: quality measures score 2/5, weekend staffing drops about 10% below its own weekday levels, and annual turnover hits 63.8% against a national average of 45.8%. For a 45-bed corporate-owned home, that churn is worth asking about directly, who's actually at the bedside on a Saturday, and how long they've been there.
Skyland Terrace runs 90 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends get thinner still, about 12 percent below the home's own weekday coverage, and annual turnover of 53.3 percent runs well above the 45.8 percent national figure. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, plus a single fine of $8,512. Its most recent inspection was February 2026, so the picture is current. A 4-star health inspection score sits alongside middling marks for quality measures and staffing, steady state oversight, but leaner day-to-day coverage than most homes.
Hillside Nursing Center Of Wake Forest runs 130 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: one deficiency on the current record, none at the harm or jeopardy level, none abuse-related, with the last inspection in September 2025. Staffing is where it thins out. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so a family visiting on a Sunday may notice less coverage than midweek. Annual turnover of 45.7% essentially matches the national rate of 45.8%, meaning nearly half the nursing staff turns over in a year.
Central Continuing Care sits in Mount Airy with 120 certified beds, run as a for-profit partnership. The nurse staffing number is the strongest part of the picture: 4.36 hours per resident day, roughly 13% above the national average, and turnover at 42.6% actually comes in slightly under the national rate. Weekends run about a fifth thinner than weekdays, so coverage isn't even across the week. Ten deficiencies show on the current record, none rising to harm or jeopardy, though three are abuse-related, that's the detail worth asking about. One fine totaling $5,597, and a September 2025 inspection means the record is recent.
Bethesda Health Care Facility runs about 3.18 nurse staffing hours per resident day against a national average of 3.86, roughly 18% less hands-on time, and weekend coverage drops about 7% below its own weekday level. Staff turnover sits at 40.6%, a bit better than the national 45.8%, so the people who are there tend to stay. The current record shows four deficiencies, none involving harm or abuse, and the last inspection was February 2026. What the numbers describe is a home that passes inspection cleanly but staffs leaner than most, which matters most on weekends when residents need help.
The Gardens of Taylor Glen is an 8-bed nonprofit home in Concord, and its inspection record is genuinely clean: 6 deficiencies on file, none of them causing harm or jeopardy, and nothing abuse-related. A 4-out-of-5 health inspection rating with a December 2025 survey means the state looked recently and found no serious problems, which is the main thing a small home's record can tell you. Where it gives ground is staffing, a B here reflects a home that passes its inspections comfortably but doesn't post the kind of nurse hours per resident that the strongest performers nationally do. For eight residents that gap matters less than it would at scale.
The Shannon Gray Rehabilitation & Recovery Center runs 150 certified beds in Jamestown under corporate ownership, and its inspection record is the strongest part of the picture, nine deficiencies on file, none at the harm or jeopardy level, none tied to abuse, with a survey done in April 2025. Staffing is where it thins out: 3.83 nurse hours per resident day sits just under the national average, weekend coverage drops about 12% below its own weekday level, and turnover hits 56.9% against a national 45.8%. That churn rate is the number worth sitting with. Consistent caregivers matter more than almost anything else for someone adjusting to a new home, and nearly six in ten leaving each year makes that harder to promise.
Skyland Care Center runs 3.51 nurse staffing hours per resident day, roughly 9% under the national average, and weekends drop about 16% below what the home staffs on weekdays. Turnover sits at 46%, essentially matching the national rate. The current record shows 10 deficiencies, two of them at the harm or jeopardy level and one abuse-related, though the most recent inspection was in January 2026 and the health inspection rating came in at 4 out of 5. Put those together and you get a home that inspects well but runs lean on the floor, especially Saturdays and Sundays.
Salisbury Rehabilitation And Nursing Center runs 185 certified beds as a for-profit corporation, and the numbers that stand out most are on the staffing side. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the aides and nurses caring for your relative are likely to change often. The inspection record is heavier still: 40 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with $46,529 in fines and a 1-out-of-5 health inspection rating.
Compass Healthcare and Rehab Hawfields runs about 4.27 nurse hours per resident day, roughly 11% above the national average, and that staffing shows up in its four-star rating there. Weekends drop about 12% below its own weekday level, though, and annual turnover sits at 57.5% against a national 45.8%, meaning a lot of the people providing that care are new to the building. The current record carries eight deficiencies, none at harm or jeopardy level, but two tied to abuse. Its quality measure rating is one star, and the most recent inspection was January 2026. Corporate-owned and for-profit, this is a home where the hands-on hours look solid on paper while other signals pull the other way.
Asbury Health And Rehabilitation Center runs on more nursing hours than most homes, 4.66 per resident day against a national average of 3.86, and its quality measure score is strong. But the same staff is almost entirely turning over every year, roughly double the national rate, which means the person caring for your relative this month is likely gone the next. Inspections back that up: 19 deficiencies on record, three serious enough to put residents in harm's way and one tied to abuse, with $47,996 in fines. Weekend coverage also dips below weekday levels. The staffing numbers look good on paper; the consistency behind them doesn't.
Margate Health and Rehabilitation runs 210 beds in Jefferson under for-profit LLC ownership, and the numbers split in two directions. The quality star sits at 5 out of 5, but staffing comes in at 3.52 nurse hours per resident day, roughly 9% under the national average, with weekends about 20% thinner than weekdays, and turnover at 54.5% against a national 45.8%. The inspection record is the heavier concern: 23 deficiencies, 4 of them at harm or jeopardy level and 4 abuse-related, plus four fines totaling $28,973. The most recent inspection was February 2026. Strong quality measures on paper don't cancel out thin weekend coverage and a documented harm history. Ask about direct-care staffing on Saturdays and Sundays, and ask to see the plans of correction.
Brook Stone Living Center runs 80 certified beds in Pollocksville under corporate for-profit ownership, and its nurse staffing sits around 3.23 hours per resident day, roughly 16 percent under the national average. Weekends get thinner still, dropping about 17 percent below the home's own weekday coverage. Staff turnover comes in at 38.6 percent, which is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is: 19 deficiencies, one at harm or jeopardy level, one abuse-related, plus a single $18,600 fine. The most recent inspection was June 4, 2025. Quality measures score low, and staffing is the lowest-rated category of the three.
Arbor Acres is a small unit, six certified beds, run by a nonprofit corporation, and its inspection record is clean: one deficiency on the books, nothing rising to harm or jeopardy, no abuse findings, and the most recent survey was in March 2026. Where it falls short is quality measures, which sit at two stars against a four-star inspection rating, a split that usually means the day-to-day care indicators aren't keeping pace with how well the home performs when surveyors show up. With only six beds, a single resident's outcome can swing those numbers hard, so read the quality score as a thin sample rather than a settled verdict.
Compass Healthcare and Rehab Rowan runs 70 certified beds in Spencer, and it's owned by an individual for-profit operator. Nurse staffing sits at 3.25 hours per resident per day, roughly 16% under the national average of 3.86, with weekends running about 9% thinner than weekdays, so the coverage gap widens when families visit most. Turnover is 35.1%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours are light.
The inspection record shows 9 deficiencies, one at the harm or jeopardy level, and a single fine of $10,039. The last inspection was December 10, 2025. A 2/5 staffing star and 3/5 marks on health inspections and quality measures tell you where the pressure sits.
Elderberry Health Care runs on 2.94 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the inspection record: 18 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the state was last in the building in November 2025. Turnover of 38.7% is better than the 45.8% national figure, which matters for continuity of care, but the 1-out-of-5 quality measure rating is the weakest part of the picture. Corporate-owned, 80 beds, and staffing that asks a lot of the people who show up.
White Oak Manor-Kings Mountain runs 154 beds under corporate ownership, and its nurse staffing sits at 4.03 hours per resident day, modestly above the national average of 3.86. That's the strongest number here, but not by much, and weekends drop about 12% below the home's own weekday coverage. Turnover is 46.5%, roughly in line with the national figure. The inspection record is where the concern sits: 13 deficiencies, including one at the harm level and three tied to abuse, plus a $53,811 fine. State inspectors last visited in August 2025.
Davis Health Care Center is a 115-bed nonprofit home in Wilmington, and its staffing numbers are the first thing to look at. Nurses provide 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 8% thinner than weekdays. Staff turnover is the bigger concern: 64.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new. The current inspection record shows 14 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $63,996. The most recent inspection was in April 2025, so the picture is fairly current. Nonprofit ownership is a point in its favor; the turnover and harm-level deficiencies are what I'd ask about directly.
Lillington Health and Rehabilitation Center runs 129 certified beds under corporate for-profit ownership, and its staffing numbers are the first thing to look at. At 3.38 nurse hours per resident day, it sits roughly 12% under the national average, and weekends drop about 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 53% runs well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record is heavier: 35 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with one fine of $14,945 and a May 2025 inspection. The quality measure score looks strong, but that's self-reported data, and staffing and inspection results tell a different story.
The Graybrier runs a 128-bed for-profit home in Trinity, and its nurse staffing sits at 4.16 hours per resident day, about 8% above the national average. That cushion matters, but it thins on weekends, when coverage drops roughly 7% below the home's own weekday level.
The bigger concern is turnover: 60.7% of nursing staff leave each year, against a national average of 45.8%. High churn means unfamiliar faces, and that shows up in the record. Eight deficiencies are on file, one serious enough to involve harm or jeopardy, plus one fine of $8,512. Inspectors were last out in January 2026, and the quality measures score low even though the inspection history reads reasonably well.
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?