319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Asheboro Rehabilitation and Healthcare Center runs about 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average. Weekends fall another 13% below its own weekday level, and annual turnover is 59.1% against a national 45.8%, meaning nearly six in ten staff left within the year. The current record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Its last inspection was August 2025, and federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The staffing picture, not the inspection history, is what pulls the overall result down.

Nurse hours

3.73 /day

Staff turnover

47%

Serious cites

0

Signature Healthcare of Kinston runs 106 certified beds under for-profit limited liability ownership, and its staffing sits just under the national mark, 3.73 nurse hours per resident day against 3.86 nationally. Weekends drop roughly 14% below the home's own weekday coverage, and turnover lands at 46.7%, slightly above the 45.8% national average. What stands out most on the current record is the deficiency count: 21 total, including one at the harm or jeopardy level and four tied to abuse. The health inspection rating is 3 out of 5, while quality measures and staffing each come in at 2. The last inspection was December 9, 2025, so the record is recent.

Nurse hours

3.09 /day

Staff turnover

57%

Serious cites

0

Crown Haven runs on 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 5% below its own weekday level. Staff turnover sits at 56.6%, nearly eleven points above the national figure, so the people around your family member keep changing. The current record shows 44 deficiencies, five at harm or jeopardy level and three tied to abuse, with four fines totaling $71,235; the last inspection was July 3, 2025. Its quality measure stars look strong, but that score reflects resident health outcomes, not the staffing and safety problems sitting underneath them.

Nurse hours

3.39 /day

Staff turnover

40%

Serious cites

0

The Laurels of Forest Glenn runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 10% thinner than weekdays. Turnover is 40.2%, a bit better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. What stands out is the inspection record: 12 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and three fines totaling $182,083, with the most recent inspection in May 2025. The quality measure rating of four stars comes from resident data, but that inspection history is a real concern worth asking about directly.

Nurse hours

3.22 /day

Staff turnover

58%

Serious cites

0

Swannanoa Valley Health and Rehabilitation runs 106 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.22 nurse hours per resident day, about 16 percent under the national average of 3.86. Weekends dip roughly 8 percent below the home's own weekday coverage, and annual turnover sits at 57.8 percent against a national 45.8 percent, meaning the aides and nurses your family member sees are cycling through faster than average. The inspection record is comparatively solid: 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was October 2025. Quality and staffing measures each land mid-range.

Nurse hours

3.30 /day

Staff turnover

49%

Serious cites

0

Liberty Commons runs 82 certified beds under corporate ownership in Wilmington, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends thin out further, running about 13% below the home's own weekday numbers, and nearly half the staff turned over in the past year. The inspection record is where the real weight sits: 17 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $30,608 in fines across three penalties. A 2/5 health inspection rating against a 4/5 quality measure score tells you the clinical picture and the compliance picture don't match here.

Nurse hours

4.23 /day

Staff turnover

56%

Serious cites

0

Clear Creek runs 4.23 nurse hours per resident day, roughly 10% above the national average, and its staffing rating reflects that. But look at what else is on the record: 40 deficiencies, five at harm or jeopardy level, four abuse-related, and two fines totaling $105,396. Weekend staffing dips about 5% below its own weekday level, and 56.1% annual turnover means more than half the nursing staff leaves each year. The last inspection was March 2025.

Nurse hours

3.95 /day

Staff turnover

51%

Serious cites

0

Springbrook's nurse staffing sits slightly above the national average, but that average hides a gap: weekends run about 11% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 50.9%, higher than the 45.8% national figure, which means familiar faces are not the norm here. The current record carries 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $25,625 in fines. The last inspection was April 2025, so the picture is reasonably current rather than stale.

Nurse hours

3.24 /day

Staff turnover

69%

Serious cites

0

Autumn Care of Salisbury runs 97 beds under corporate ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 68.6%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The record shows 21 deficiencies, including one at the harm level and three tied to abuse. Its quality measure rating is strong, but that reflects charted clinical outcomes, not the day-to-day staffing picture.

Nurse hours

3.61 /day

Staff turnover

57%

Serious cites

0

Life Care Center of Hendersonville runs 80 certified beds under a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 19% below the home's own weekday level, so care thins out precisely when families tend to visit. Staff turnover is 56.5%, well above the 45.8% national figure, which means familiar faces are hard to keep. The health inspection side carries 32 deficiencies, one serious enough to reach harm or jeopardy level, plus two fines totaling $40,986; the last inspection was August 2025. Quality measures score well, but staffing and inspection results are where the concerns sit.

Nurse hours

3.42 /day

Staff turnover

58%

Serious cites

0

Peak Resources in Charlotte runs 142 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.42 nurse hours per resident day, roughly 12% under the national average, with weekends running about 7% thinner than weekdays. That shortfall shows up in the experience of care, and so does the 57.7% annual turnover, well above the national 45.8%, since a constantly changing staff makes it harder for anyone to know your family member's routines. The current inspection record carries 16 deficiencies, one serious enough to involve harm or jeopardy, plus a $14,069 fine. Staffing and quality measures both sit at 2 stars out of 5.

Nurse hours

3.18 /day

Staff turnover

34%

Serious cites

0

Ridge Valley runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends dip slightly below its own weekday staffing. That shortfall shows up in the federal staffing rating, and so does the quality measure side, which sits at the bottom of the scale despite a middling inspection history. Turnover is the one place this home beats the norm: 33.8% versus 45.8% nationally, meaning aides and nurses stick around longer than at the typical facility. Then there are the 25 deficiencies on record, two involving harm or jeopardy and one tied to abuse, with the most recent inspection in December 2025.

Nurse hours

3.34 /day

Staff turnover

49%

Serious cites

0

Elizabethtown Healthcare & Rehab Center runs 94 certified beds under corporate ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about another 10% below what the home staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover is 48.8%, a few points above the national 45.8%, meaning nearly half the nursing staff leaves each year. The inspection record shows six deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,788. The most recent inspection was September 16, 2025, and the three CMS star ratings, health inspections, quality measures, and staffing, all land at the middle.

Nurse hours

3.22 /day

Staff turnover

49%

Serious cites

0

Premier Nursing and Rehabilitation Center runs 239 certified beds in Jacksonville under for-profit LLC ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop another 12% below its own weekday levels, and annual turnover runs 48.5%, a bit above the national 45.8%. The current record shows 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single fine of $51,984. The most recent inspection was April 24, 2025. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 3 out of 5, so nothing here stands out as strong.

Nurse hours

3.32 /day

Staff turnover

40%

Serious cites

0

Pavilion Health Center at Brightmore runs 108 certified beds in Charlotte under for-profit LLC ownership. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Turnover is 40%, a bit better than the 45.8% national figure, so the problem isn't retention so much as raw hours on the floor. The inspection record carries 31 deficiencies, including 6 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $103,435. A 2-out-of-5 inspection rating and a July 2025 inspection date round out the picture.

Nurse hours

3.23 /day

Staff turnover

41%

Serious cites

0

Pruitthealth-Crystal Coast runs 104 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly another 16% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 40.6%, which is actually a bit better than the 45.8% national figure. On paper the inspection record looks steady: a 4/5 health inspection star, nine deficiencies with none at harm or jeopardy level and none abuse-related, one fine of $3,728, and a January 2026 inspection. The 2/5 quality measure star is the outlier worth asking about.

Nurse hours

3.22 /day

Staff turnover

n/a

Serious cites

0

Warsaw Rehabilitation and Healthcare Center runs 100 certified beds under for-profit limited liability ownership that changed hands within the last year. Nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 8% thinner than weekdays, a pattern that matters when falls and infections don't check the calendar. The inspection record carries 19 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus four fines totaling $43,924. The last inspection was March 21, 2025. A 4/5 quality measure score sits alongside a 1/5 staffing rating, which tells you the two aren't measuring the same thing.

Nurse hours

3.41 /day

Staff turnover

46%

Serious cites

0

The Carrolton of Fayetteville runs lean on nursing hours: 3.41 per resident day against a national average of 3.86, with weekends dipping roughly 16 percent below its own weekday coverage. Staff turnover sits at 45.7 percent, essentially matching the national rate, so the issue isn't retention so much as how few hands are scheduled per shift, particularly on Saturdays and Sundays. The inspection record carries 25 deficiencies, three of them at the harm or jeopardy level and three tied to abuse. That mix, thin weekend staffing paired with serious past findings, is what drives the middling ratings. Ask the administrator directly how weekend coverage is filled and how those harm-level issues were resolved.

Nurse hours

3.06 /day

Staff turnover

36%

Serious cites

0

Emerald Ridge runs 3.06 nurse hours per resident per day, about 21% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Staff turnover sits at 35.8%, better than the 45.8% national figure, but the inspection record is where things get harder to explain: 32 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with two fines totaling $73,475. The most recent inspection was April 9, 2026. A for-profit limited liability company owns the 100-bed home, and federal inspectors rated its health inspection record 1 out of 5 stars, worth asking about directly before you decide.

Nurse hours

3.05 /day

Staff turnover

61%

Serious cites

0

Hilltop runs lean on nurses, 3.05 hours per resident per day against a national average of 3.86, and weekends drop another 11% below its own weekday pace. Turnover sits at 61% when the national figure is 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record shows a recent visit, a four-star health inspection and quality measure rating, but also 12 deficiencies with two at harm or jeopardy level, plus one $7,530 fine. It's a for-profit LLC. The care scores look decent on paper; the staffing numbers behind them don't hold up the same way.