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319 Chain-Owned Nursing Homes in North Carolina

319 of the 419 Medicare-certified nursing homes in North Carolina (76%) are chain-owned, and all are listed below. They average 3.65 nursing hours per resident per day, 0.2 hours below the 3.85 for every home in North Carolina. Nurse staff turnover runs 50.4%, 1.4 points higher than the 49% across all homes there. Transylvania Regional Hospital in Brevard grades highest at A (94 out of 100).

How chain-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

3.65

All homes in North Carolina: 3.85

Worse than the local average

Nurse staff turnover

50.4%

All homes in North Carolina: 49%

Worse than the local average

Average ElderGrade score

69/100

All homes in North Carolina: 70.8/100

Worse than the local average

Grade spread

B
C
D

23 grade A, 125 grade B, 141 grade C, 30 grade D,

The best-graded chain-owned home in North Carolina is Transylvania Regional Hospital in Brevard, NC, grade A, 94/100.

Every chain-owned nursing home in North Carolina

Showing 1 to 20 of 319, best-graded first.

A

94/100

Transylvania Regional Hospital

Brevard, NC · Transylvania County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
11.41 /day
Staff turnover
17%
Serious cites
0

Transylvania Regional Hospital runs a small ten-bed nursing unit inside a hospital in Brevard, and it's owned by a for-profit corporation. The inspection record is genuinely strong: five deficiencies total, none causing harm or jeopardy, none tied to abuse, and the last survey came in late November 2025, so it's current. That's the profile of a place Medicare rates four stars for health inspections. Quality measures land at three, which is middle of the pack. With only ten beds, staff attention per resident tends to be easier to sustain than in a large facility, and nothing in the record suggests families should worry about safety or oversight here.

A

93/100

Abernathy Laurels

Newton, NC · Catawba County

CMS 5/5174 bedsNon-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
33%
Serious cites
0

Abernathy Laurels runs on more nursing hours per resident than most homes in the country, about 13% above the national average, and its staff tends to stay, with turnover at 33.2% against a national rate near 46%. The inspection record is thin: three deficiencies, none causing harm or jeopardy, none tied to abuse, and the most recent state visit was in September 2025. Weekend coverage dips roughly 9% below weekday levels, which is common but worth asking about, since that's when families often visit. A nonprofit corporation operates the 174-bed home. There's no red flag in the numbers here, the weakest point is simply that weekend staffing gap.

A

91.5/100

Cypress Glen Retirement Community

Greenville, NC · Pitt County

CMS 5/56 bedsNon-profit
Nurse hours
7.29 /day
Staff turnover
n/a
Serious cites
0

Cypress Glen runs six certified beds in Greenville, which puts it in a category most families never encounter, a small, nonprofit operation where the numbers look almost too good. Nurse staffing sits at 7.29 hours per resident day, roughly 89% above the national average of 3.86, though weekend coverage drops about 13% from its own weekday level. The inspection record shows one deficiency total, none at the harm level and none tied to abuse, with the most recent visit in August 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five. For a six-bed home, that consistency across every measure is the story.

A

91/100

Trinity Village

Hickory, NC · Catawba County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
6.50 /day
Staff turnover
28%
Serious cites
0

Trinity Village in Hickory runs on a nonprofit model with 104 certified beds, and the staffing numbers stand out first: 6.50 nurse hours per resident day, roughly 68 percent above the national average, with weekend coverage dipping about 10 percent below its own weekday level. Turnover sits at 28.1 percent against a national 45.8 percent, so the people who work here tend to stay. What complicates the picture is the inspection record, five deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,512. The most recent inspection, from March 2026, earned four stars, and the low turnover may help explain why serious problems have stayed rare despite that history.

A

90/100

Trinity Oaks

Salisbury, NC · Rowan County

CMS 5/5115 bedsNon-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
30%
Serious cites
0

Trinity Oaks runs a lean but well-staffed operation: 4.30 nurse hours per resident day, roughly 11% above the national average, which helps explain its top CMS staffing rating. Turnover sits at 30.1% against a national average near 46%, so the people caring for residents tend to stick around longer than is typical, though weekend coverage dips about 14% below weekday levels, worth asking about if you're planning visits. The record shows 15 deficiencies, none at the harm or jeopardy level, but three flagged as abuse-related, which deserves a direct question. Inspections are recent, and the nonprofit structure matters less than the numbers themselves.

A

90/100

Brookdale Carriage Club Providence

Charlotte, NC · Mecklenburg County

CMS 5/514 bedsFor-profit
Nurse hours
8.55 /day
Staff turnover
n/a
Serious cites
0

Brookdale Carriage Club Providence runs 14 certified beds, and its nurse staffing sits at 8.55 hours per resident day, roughly 121% above the national average of 3.86. That's an unusually high number, though weekend coverage drops about 17% below what the home staffs on weekdays, so the weekday figure isn't the whole story. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality and inspection measures both come in at the top of CMS's five-star scale, and the corporate, for-profit owner operates a small home where the staffing-to-resident ratio is the clearest signal in the data.

A

88.5/100

Willowbrooke Court Sc Ctr At Matthews Glen

Matthews, NC · Mecklenburg County

CMS 5/515 bedsNon-profit
Nurse hours
4.67 /day
Staff turnover
n/a
Serious cites
0

Willowbrooke Court is a small place, 15 certified beds, run by a nonprofit corporation in Matthews. The numbers that matter most here are the staffing ones: 4.67 nurse hours per resident day, roughly 21% above the national average, with weekend coverage dipping about 7% below its own weekday level. Six deficiencies sit on the current record, none at the harm level and none abuse-related, and the most recent inspection was July 8, 2025, so the picture is recent enough to trust. A 4/5 on health inspections and 4/5 on quality measures round out a record that looks steady rather than spectacular, which for a home this size is usually what families are hoping to find.

A

88.5/100

North Carolina State Veterans Home Kernersville

Kernersville, NC · Forsyth County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
7.23 /day
Staff turnover
n/a
Serious cites
0

If you want the numbers that actually matter here, start with nurse staffing: 7.23 hours per resident per day against a national average of 3.86. Even with weekends running about 14 percent lighter than weekdays, that leaves a floor most homes never reach. The inspection record is clean, zero deficiencies, none tied to harm or abuse, with the most recent visit in December 2025. State-run ownership shows up in how steady the place is, not in frills. Quality measures land at 4 out of 5, which is strong without being flawless. What you're looking at is a home that's well above average on the things families worry about most.

A

88/100

Wesley Pines Retirement Community

Lumberton, NC · Robeson County

CMS 4/562 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
27%
Serious cites
0

Wesley Pines runs a leaner operation than most: 4.17 nurse hours per resident day against a national average near 3.86, and weekend staffing that dips only about 9% below weekdays. Staff turnover sits at 26.6%, well under the national 45.8%, a real advantage in a county where finding and keeping nurses is hard. The trade-offs show up elsewhere. Nine deficiencies are on file, two tied to abuse, though none rose to the level of documented harm or jeopardy, and the last inspection was recent, in January 2026. Quality measures score at the top of CMS's scale, which is worth noticing for a corporation-owned home of this size.

A

88/100

The Rosewood Health Center

Raleigh, NC · Wake County

CMS 5/557 bedsNon-profit
Nurse hours
5.98 /day
Staff turnover
21%
Serious cites
0

The Rosewood Health Center runs on unusually deep staffing for a 57-bed nonprofit in Raleigh, 5.98 nurse hours per resident day against a national average of 3.86, and a 21.3% turnover rate that's less than half the national figure. That kind of retention matters, because it means the people caring for your family member have usually been there a while. Its four deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in June 2025, so the picture is current rather than stale. The weaker spot is the quality measure rating, which sits at 2 out of 5, worth asking about directly when you visit.

A

88/100

Parkview Health And Rehabilitation Center

Chapel Hill, NC · Durham County

CMS 5/5108 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
32%
Serious cites
0

Parkview Health and Rehabilitation Center runs 108 certified beds in Chapel Hill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, only four deficiencies on the current record, and none of them at the harm or jeopardy level. The caveat sits in the day-to-day staffing. At 3.70 nurse hours per resident day, this home runs about 4% under the national average, and weekends dip roughly 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31.8% against a national 45.8%, meaning the staff who are there tend to stay.

A

87.5/100

Nc State Veterans Home - Black Mountain

Black Mountain, NC · Buncombe County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
45%
Serious cites
0

Nc State Veterans Home - Black Mountain runs a 100-bed for-profit operation where the nursing hours look strong on paper, 5.43 per resident day, well clear of the 3.86 national figure, but weekends drop roughly 20% below the home's own weekday coverage, so the care your family member gets depends heavily on which day it is. Turnover sits at 45.3%, essentially the national rate. What troubles me is the inspection record: 20 deficiencies, three at harm or jeopardy level, two tied to abuse, and a single $12,759 fine. The most recent inspection was December 2025. Ask directly what changed since then.

A

87/100

The Laurels Of Pender

Burgaw, NC · Pender County

CMS 4/598 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
36%
Serious cites
0

The Laurels Of Pender runs 4.09 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.5% is meaningfully lower than the 45.8% typical elsewhere, a sign people tend to stick around. Weekend coverage drops about 15% from weekday levels, so ask how that plays out on Saturdays and Sundays. Ten deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The most recent inspection was January 15, 2026. Resident care measures score at the top of CMS's five-point scale, while inspections land in the middle.

A

86.5/100

Briar Creek Health Center

Charlotte, NC · Mecklenburg County

CMS 4/56 bedsFor-profit
Nurse hours
10.64 /day
Staff turnover
n/a
Serious cites
0

Briar Creek Health Center runs six certified beds in Charlotte under corporate for-profit ownership, and its nurse staffing sits at 10.64 hours per resident day, roughly 176% above the national average. Weekend coverage dips about 7% below its own weekday level, but that still leaves it unusually well staffed. The current record shows 8 deficiencies, 2 of them at the harm or jeopardy level, with no abuse citations and one fine totaling $8,606. Its last inspection was in May 2026, and CMS rates it 4 out of 5 on inspections, quality measures, and staffing alike. For a home this small, the staffing number is the headline; the harm-level deficiencies are what a family should ask about directly.

A

86/100

Kerr Lake Nursing And Rehabilitation Center

Henderson, NC · Vance County

CMS 4/592 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
28%
Serious cites
0

Kerr Lake runs on a corporate for-profit model, and the staffing numbers are genuinely better than most: 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 28.2% against a national 45.8%. That retention matters more than any single star rating, since consistent aides know the residents. The catch is the inspection record, ten deficiencies, including one at harm level and one abuse-related, plus a $19,620 fine, with the most recent inspection dated February 2026. Weekend staffing also dips about 12% below weekday levels, which is when families tend to visit and notice. Solid floor, real blemishes on top of it.

A

86/100

The Greens At Maple Leaf

Statesville, NC · Iredell County

CMS 4/594 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
28%
Serious cites
0

The Greens at Maple Leaf runs a 94-bed for-profit operation in Statesville, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. That edge shrinks on weekends, when coverage drops roughly 15% below the home's own weekday levels, worth asking about if your family visits mostly on Saturdays or Sundays. Staff turnover is 28.4%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 19 deficiencies on record, three serious enough to reach harm or jeopardy level, three tied to abuse, and $18,655 in fines across two penalties. The most recent inspection was July 2025.

A

85.5/100

Eckerd Living Center

Highlands, NC · Macon County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
37%
Serious cites
0

Eckerd Living Center runs 4.35 nurse hours per resident day, about 13% above the national average, and that staffing shows up in a five-star CMS staffing rating. Weekend coverage dips roughly 20% below its own weekday level, which is common but still worth knowing if you're visiting Saturdays. Staff turnover sits at 36.7%, better than the 45.8% national figure. The home has seven deficiencies on record, none at the harm level and none abuse-related, and its last inspection was April 10, 2026, so the picture is current. A for-profit partnership with 80 beds and a four-star health inspection rating, it looks steady on paper.

A

85.5/100

Willowbrooke Court Sc Ctr At Tryon Estates

Columbus, NC · Polk County

CMS 5/516 bedsNon-profit
Nurse hours
4.63 /day
Staff turnover
n/a
Serious cites
0

Willowbrooke Court is a small place, 16 certified beds, run by a nonprofit corporation in Columbus. The staffing is the headline: 4.63 nurse hours per resident day, roughly a fifth more than the national average of 3.86, and the weekend drop is mild at about 8 percent below its own weekday level. Its inspection record is thin in the good sense: one deficiency on the current record, none at the harm level, none abuse-related, and the last inspection came in December 2025, so it's recent. Quality measures score 4 out of 5, staffing and inspections both 5. With that few beds and that much nurse time per resident, the numbers suggest steady attention rather than a big operation spread thin.

A

85/100

Wilson Pines Nursing And Rehabilitation Center

Wilson, NC · Wilson County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
25%
Serious cites
0

Wilson Pines runs on leaner nurse staffing than most homes, 3.64 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday levels. That's the kind of gap that shows up as slower response times on a Saturday afternoon. The tradeoff is stability: 25.3% annual turnover, well under the 45.8% national figure, so the aides and nurses here are more likely to know your mother's routines. Fourteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean inspection in April 2025. A for-profit LLC, 108 beds. Solid marks on inspections and quality measures, the staffing margin is the piece worth asking about in person.

A

85/100

Village Green Health And Rehabilitation

Fayetteville, NC · Cumberland County

CMS 5/5170 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
41%
Serious cites
0

Village Green runs 170 beds in Fayetteville under individual for-profit ownership, and the numbers suggest a home that mostly gets the basics right. Nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekends drop about 14% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover, at 40.7%, is actually a bit better than the 45.8% national figure. The inspection record is where this one stands out: six deficiencies on file, none at harm or jeopardy level and none abuse-related, with a four-star health inspection rating and a recent survey in May 2026. Quality measures score a full five stars. The staffing rating of three stars is the soft spot, but nothing here points to danger.

Frequently asked questions

How many chain-owned nursing homes are there in North Carolina?
There are 319 chain-owned Medicare-certified nursing homes in North Carolina, 76% of the 419 nursing homes there.
Are chain-owned nursing homes better staffed?
In North Carolina they average 3.65 total nursing hours per resident per day, against 3.85 for all nursing homes in North Carolina, a difference of -0.2 hours. Staff turnover averages 50.4% against 49%.
Which chain-owned nursing home grades best in North Carolina?
Transylvania Regional Hospital in Brevard, NC, grade A, 94 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 319 graded chain-owned homes in North Carolina, 23 grade A and 30 grade D or F.
Do chain-owned nursing homes in North Carolina accept Medicaid?
310 of the 319 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in North Carolina