60 of the 419 Medicare-certified nursing homes in North Carolina (14%) are non-profit, and all are listed below. 28 of the 60 graded homes earn an A and 1 earn a D or F. They average 4.96 nursing hours per resident per day, 1.11 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 non-profit 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
4.96
All homes in North Carolina: 3.85
Better than the local average
Nurse staff turnover
40.3%
All homes in North Carolina: 49%
Better than the local average
Average ElderGrade score
83.2/100
All homes in North Carolina: 70.8/100
Better than the local average
Grade spread
A
B
C
28 grade A, 23 grade B, 8 grade C, 1 grade D,
The best-graded non-profit home in North Carolina is
River Landing At Sandy Ridge
in Colfax, NC, grade A, 99/100.
Croasdaile Village is a nonprofit continuing care community in Durham with 102 certified beds, and its staffing is the strongest card it holds: 5.32 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on time than most homes. Weekend coverage dips about 8% below its own weekday level, but that's a modest drop, and turnover at 42.7% actually runs slightly under the national rate. The caution is in the inspection record, six deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $25,275. The most recent inspection was August 2025, so the picture is current. Solid staffing, a recent serious finding worth asking about directly.
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.
Jesse Helms Nursing Center runs about 3.95 nurse hours per resident each day, a bit above the national average, though weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 41%, which is lower than the 45.8% national figure, a meaningful sign that workers tend to stay. The five deficiencies on record include none at the harm or jeopardy level and none related to abuse. Its most recent inspection was in August 2025, and the 5-star health inspection rating reflects that clean survey history, even as the quality measure score lands at 3 stars.
Westchester Manor runs about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 39.5% sits below the national 45.8%, that combination usually means people stay long enough to know the residents. The catch is on the inspection side: seven deficiencies on the current record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Weekend staffing dips only slightly, so coverage doesn't fall off a cliff on Saturdays. The most recent inspection closed in July 2025, so the record is current rather than stale. Strong staffing, a thinner quality-measure score, and a mixed survey history, worth asking about those two serious deficiencies directly.
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.
Trinity Elms runs a church-affiliated nonprofit home in Clemmons with 100 certified beds, and the staffing is the clearest strength here: 4.96 nurse hours per resident day, about 28% above the national average, with weekend coverage dipping only slightly below weekdays. That's a real cushion. The rest of the picture is thinner. Roughly half the nursing staff turned over in the past year, a bit worse than the national rate, and the current inspection record carries 14 deficiencies, including two at the harm level and one tied to abuse, along with $15,646 in fines. Quality measure scores sit at the low end. Good coverage, uneven execution.
Whitestone A Masonic and Eastern Star Community runs 60 certified beds in Greensboro under nonprofit ownership. Nurse staffing sits at 4.70 hours per resident day, roughly 22% above the national average, though weekends run about 18% leaner than weekdays. Annual turnover is 57.9%, well above the 45.8% national figure, so residents see a fair amount of changing faces. The current inspection record shows nine deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $25,490; the most recent inspection was April 2025. Good weekday coverage and quality scores are real strengths here. The turnover number and those two harm-level findings are what a family should ask about directly.
Sardis Oaks runs lean on nursing hours, 3.21 per resident per day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 24 percent below its own weekday level. That thin weekend coverage is worth asking about directly, since it's when families often can't visit. Turnover sits at 44 percent, essentially matching the national rate, so the issue isn't churn so much as how many hands are scheduled per shift. Sixteen deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection was recent. Quality measures score well; staffing is where the numbers fall short.
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.
Huntersville Oaks runs on 1.69 nurse staffing hours per resident day, roughly 56 percent below the national average of 3.86, and that gap is the main thing dragging its record down. Weekend coverage holds steady against weekdays, so the shortage is consistent rather than a weekend problem. Turnover sits at 41.6 percent, a bit better than the 45.8 percent national figure, and inspections and quality measures both rate well. Still, seven deficiencies are on record, including one at the harm level and one tied to abuse, with a $9,937 fine and a May 2026 inspection. A nonprofit with 168 beds and thin staffing carries real risk despite the strong survey scores.
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.
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.
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.
The Cedars of Chapel Hill runs just 12 certified beds, so it operates more like a small residential care setting than a typical nursing home, worth knowing, because small homes can be hard to compare against facilities ten times their size. The inspection record looks solid: a 5-star health inspection rating, three deficiencies total, none at the harm level, none related to abuse, and the most recent survey was in April 2025. What pulls the overall picture down is the 1-star quality measure rating, which tracks things like resident outcomes and care processes rather than whether the building passed inspection. Nonprofit ownership under the "Other" category gives you some sense of mission, but it doesn't explain the gap between clean inspections and weak quality scores.
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.
Stanly Manor runs 3.45 nurse staffing hours per resident day, roughly 11% under the national average, and weekends dip about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 67.6% of nursing staff leaving annually against a national 45.8%, which means aides and nurses are cycling through the building faster than most. Inspections found 12 deficiencies on the current record, two serious enough to reach harm or jeopardy level, with $12,054 in fines. The last inspection was January 8, 2026, so the record is recent. Nonprofit ownership hasn't shielded this one from staffing strain or repeat survey problems.
Hibriten Mountain runs on 3.15 nurse staffing hours per resident day, about 18% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 46 deficiencies, four at harm or jeopardy level, four abuse-related, and two fines totaling $53,110, all under a 1-out-of-5 health inspection rating. Staff turnover of 50.7% tops the national average of 45.8%, which means caregivers are cycling through. The quality measure rating of 4 out of 5 stands out against all of this, but quality measures are self-reported, while inspections and staffing are not. Ask about weekend coverage and the abuse citations directly.
Trinity Grove is church-affiliated and nonprofit, and its staffing is genuinely strong, 4.37 nurse hours per resident day sits about 13% above the national average, earning top marks on that measure. The trouble shows up everywhere else. Inspectors cited 15 deficiencies, four serious enough to put residents in harm's way and five tied to abuse, and the home has paid $102,910 across four fines. Weekend staffing drops roughly 12% below its own weekday level, which is when families often visit and notice less coverage. Turnover of 45.5% is essentially the national norm, so experience isn't accumulating here. The last inspection was September 2025. Good ratios, a troubling citation record, that gap is what families should weigh.
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.
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.
Frequently asked questions
How many non-profit nursing homes are there in North Carolina?
There are 60 non-profit Medicare-certified nursing homes in North Carolina, 14% of the 419 nursing homes there.
Are non-profit nursing homes better staffed?
In North Carolina they average 4.96 total nursing hours per resident per day, against 3.85 for all nursing homes in North Carolina, a difference of +1.11 hours. Staff turnover averages 40.3% against 49%.
Which non-profit nursing home grades best in North Carolina?