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
Brantwood runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends drop another 13% below its own weekday levels. Staff turnover sits at 64.3% against a national average of 45.8%, so the people around your family member change often. The inspection history is the stronger part: a recent March 2026 survey, nine deficiencies total, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The nonprofit ownership is a point in its favor. Ask how they cover weekends and what those abuse citations involved.
Bladen East runs about 7% below the national average for nurse staffing, and weekends dip roughly 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.7%, above the national 45.8%, which means many of the people caring for residents are still new to the building. The inspection record shows 10 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $13,130. The most recent inspection was March 2025, so the picture is current. Federal quality measures rate poorly here even as inspections rate well, a split worth asking about directly.
Perry Creek runs 132 beds in Raleigh under for-profit, limited-liability ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, with weekends about 15% thinner than its own weekdays. Staff turnover is the harder number: 63.7% a year against a 45.8% national average, meaning most of the people caring for your family member are relatively new and likely to leave. The record backs that up: 85 deficiencies, 11 of them serious enough to cause harm or jeopardy, four tied to abuse, and $326,170 in fines across three actions. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes.
Mountain View Manor runs about 17% below the national average for nurse staffing, 3.21 hours per resident day against 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $14,131, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. The staffing, quality, and inspection ratings all sit at or near the bottom of CMS's five-star scale, which tells you the gaps here aren't isolated to one area.
Maggie Valley Health and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday level. That matters when you're thinking about who's available on a Saturday night. Its inspection record shows 17 deficiencies, two of them serious enough to put residents at risk of harm, plus two tied to abuse, and three fines totaling $52,629. Turnover at 31.8% is actually better than the national 45.8%, which suggests some steadiness in the workforce. The last inspection was March 2026. Oversight by a for-profit corporation, and the pattern of citations is worth asking about directly.
Pelican Health Randolph runs on 3.15 nursing hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage slips another 5% below its own weekday level. That thin staffing shows in the turnover number: 76.1% of nurses leave within a year, against a national average of 45.8%, and CMS rates staffing at 1 out of 5. The inspection record carries 47 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with three fines totaling $19,663 and a 2-out-of-5 health inspection rating. It's corporate-owned for profit, and its last inspection was September 17, 2025.
Shamrock Nursing Center runs on about 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops further. That thin staffing shows in who stays: turnover sits at 73.4% against a national 45.8%, so most of the people caring for your relative are likely new to the building. The inspection record is the harder problem, 28 deficiencies, seven involving actual harm or jeopardy, two tied to abuse, and a $144,199 fine, with the most recent inspection in August 2025. Its quality measure score looks fine on paper, but that reflects charted care, not whether enough hands are present.
Brunswick Cove runs 175 beds under for-profit LLC ownership, and the numbers on staff are the ones to sit with. Annual turnover hits 74.7% against a national average of 45.8%, and CMS gives staffing its lowest mark, meaning the people who provide daily care are cycling through fast. The health inspection side is steadier, with a 3/5 rating, 21 deficiencies on record and none flagged at harm or jeopardy level, but quality measures land at 1/5 and nine fines total $70,913. The most recent inspection was December 2025, so the record is current. Ownership structure, high turnover, and weak quality scores together explain why this home sits near the bottom of what we grade.
Rock Rest runs lean on staff. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 9% below its own weekday level. That thin coverage shows up in the numbers: 71% annual turnover, well above the 45.8% national figure, so the aides and nurses your family member sees are likely to keep changing. Inspections are the brighter spot, a 4-out-of-5 health inspection rating and a recent April 2025 visit. But 20 deficiencies sit on the current record, three at harm or jeopardy level and two tied to abuse, which is a lot for a 60-bed home.
The Citadel Mooresville runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86, and weekends drop further below its own weekday level. That staffing shortfall shows up in the numbers that matter most: a 1-out-of-5 inspection rating, 49 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, and three tied to abuse. Fines total $201,886 across two penalties, and more than six in ten nursing staff left over the past year, well above the typical rate. The most recent inspection was in May 2025, so the record is current, not stale.
Premier Living And Rehab Center is a for-profit home in Lake Waccamaw with 127 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends dip about 9% below its own weekday levels, right when families often visit. The inspection history carries 56 deficiencies, eight of them at harm or jeopardy level and three tied to abuse, with two fines totaling $383,791. CMS has placed it in the Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. If you're weighing this one, ask pointed questions about the abuse citations and weekend coverage.
Tsali Care Center has real strengths on the staffing side, 6.14 nurse hours per resident day is well above the national average, and CMS gives it top marks there. But staffing alone doesn't keep residents safe. The home carries 82 deficiencies on its current record, four of them serious enough to put residents in harm's way, plus one tied to abuse, and it's been fined four times for a total of $157,555. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the country's most troubled homes. Staff turnover sits slightly above the national rate, and weekend coverage dips below weekday levels. The last inspection was in August 2025.
Fuquay-Varina Health and Rehabilitation Center runs about 3.75 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. That thin weekend margin matters more when turnover sits at 60% against a national rate near 46%, people are cycling through, and the ones on duty Saturday and Sunday are often the newest. The home carries 50 deficiencies on its current record, including two at the harm level and four tied to abuse, plus a $76,047 fine. Its last inspection was in April 2026, and the federal staffing rating sits at the bottom of the scale.
O'Berry Neuro-Medical Treatment Center is a state-run home in Goldsboro with 144 certified beds, and its inspection record is the part that matters most. Twenty-eight deficiencies are on the current record, eight of them at the harm or jeopardy level, and six tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and a $167,242 fine is on file. The last inspection was recent, October 9, 2025, so this isn't a stale record. Quality measures sit around the middle at 3 out of 5. If you're considering this home, ask directly what's changed since that inspection.
Crestview runs on thin staffing: 3.11 nurse hours per resident per day against a national average of 3.86, with weekend coverage dropping roughly 11% below its own weekday level. The bigger alarm is turnover, 81.6% of staff leaving annually, nearly double the national rate, which means the people providing care are constantly new. Its current record carries 52 deficiencies, 11 serious enough to cause harm or jeopardy and 5 tied to abuse, plus $144,008 in fines across four penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and its last inspection was September 2025. A 1-out-of-5 inspection rating with that deficiency history tells you oversight has been continuous, not resolved.
Copperfield Health & Rehabilitation runs 120 beds in Concord under corporate ownership, and the numbers there are hard to dress up. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends drop about 11% below what the home manages on weekdays, meaning the thinnest coverage lands exactly when families tend to visit. Staff turnover of 64.1% compounds that: most of the people caring for your relative this year likely won't be there next year. The inspection record shows 21 deficiencies, seven at harm or jeopardy level and six tied to abuse, with $158,405 in fines across three penalties and a survey as recent as February 2026.
Rich Square Nursing & Rehabilitation Center runs on 3.17 nurse staffing hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home itself staffs during the week. That thin coverage helps explain 27 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus a $190,684 fine, all with a health inspection rating of 1 out of 5 and a staffing rating of 1 out of 5. Annual turnover sits at 52.1%, above the 45.8% national figure, meaning nearly half the nursing staff leaves each year. The most recent inspection was July 2, 2025, and no abuse deficiencies are on record.
East Carolina Health and Rehabilitation Center runs 130 certified beds in Greenville, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.65 hours per resident per day, slightly under the national average, and weekends drop roughly 15% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger flag: 76.7% annually against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. That instability shows up in the inspection record too: 45 deficiencies, two at harm or jeopardy level, four abuse-related, and $61,585 in fines.
A 42-bed for-profit LLC home in Carteret County, Embassy At Morehead City carries a clean federal record: zero deficiencies of any kind, including none at the harm or jeopardy level and none tied to abuse. Its most recent inspection was February 17, 2026, so the findings are recent rather than stale. What the public data can't tell you from here is how the place feels day to day, how much direct nursing time each resident actually gets compared with the national average, and whether staff turnover undercuts consistency of care. Those are the questions worth asking the administrator directly, along with who owns the LLC and how long they've operated this building.
Bloomsbury at Hayes Barton Place is a small Wake County home, 31 certified beds, corporate for-profit ownership, and its inspection record right now is spotless. Zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related, with the most recent survey completed January 22, 2026. That recency matters; a clean record from years ago tells you less than a clean one from weeks ago.
What the numbers don't show is anything about staffing hours, turnover, or how residents and families actually experience the place day to day. Thirty-one beds means the place runs small, which can cut either way. If you're considering it, ask directly about nurse coverage on nights and weekends, and whether the same aides are still there year to year.
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?