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.
Pelican Health At Charlotte runs 120 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.32 hours per resident per day, roughly 14% under the national average, and weekends drop another 12% below the home's own weekday levels, so care gets thinnest exactly when families tend to visit. Staff turnover is 73.2%, well above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record backs this up: 41 deficiencies, six at harm or jeopardy level, one abuse-related, and $88,270 in fines across seven penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the poorest performers. The quality measure score looks strong on paper, but that data comes largely from the home's own reporting.
Westfield runs leaner on nursing hours than most homes, 3.31 per resident day against a national average of 3.86, with weekends dropping roughly another 9% below its own weekday levels. That gap shows up in the staffing rating, and nearly half the nursing staff turned over in the past year, slightly worse than the typical home. The tradeoff is a clean recent inspection history: 12 deficiencies on record, just one serious enough to reach harm or jeopardy, no abuse findings, and a single fine of $8,278. So you're looking at a home that generally passes muster with regulators but may stretch thin on day-to-day coverage, especially on Saturdays and Sundays.
King Health and Rehabilitation Center runs 96 certified beds in Stokes County under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 2.98 nurse hours per resident day, it's roughly 23% under the national average, with weekends dipping about 8% below its own weekday coverage. Annual turnover of 59.8% is well above the 45.8% national figure, meaning the people providing daily care are frequently new to the building.
On the inspection side, the current record shows 19 deficiencies, including three at the harm or jeopardy level and one abuse-related citation. CMS rated its quality measures at 4 out of 5 stars, so the clinical outcomes data isn't the problem, it's the staffing and the violation history surrounding it. The most recent inspection was April 16, 2025.
Treyburn Rehabilitation Center runs 132 beds in Durham under for-profit LLC ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.66 hours per resident day, about 5% under the national average, and it thins out further on weekends. The bigger concern is turnover: 69.2% annually against a national rate of 45.8%, which means the people caring for residents are constantly changing.
The inspection record backs that up. Twenty-six deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $124,534. The last inspection was in March 2025, and the health inspection rating sits at 2 out of 5. Strong quality measure scores don't offset what the staffing and inspection records show.
Oak Grove Healthcare runs 60 certified beds in Rutherfordton under corporate ownership, and the numbers pull in two directions. Its last inspection, in December 2025, produced five deficiencies with none at the harm or jeopardy level, and CMS gives the home top marks on health inspections, a genuinely strong record on that front. Staffing is where the picture changes: 3.04 nurse hours per resident day sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and annual turnover of 54% outpaces the 45.8% national figure. The two-star quality measure rating adds another caution. Fewer hands and steady churn can matter more day to day than a clean inspection.
Southwood runs lean on nursing staff, 3.34 hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday coverage. Annual turnover of 63.4% sits well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year, which is a real problem for residents who rely on familiar caregivers. The health inspection record is comparatively stronger: a 4 out of 5 star rating, six deficiencies total, two serious enough to cause harm, and no abuse findings. It's a 100-bed for-profit corporate home in Clinton where the clinical care record looks better than the staffing numbers behind it.
Ramseur Rehabilitation and Healthcare Center runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 12% below its own weekday levels. That matters when you're deciding whether a Saturday fall gets a fast response. The record shows 28 deficiencies, four of them serious enough to cite harm or jeopardy, three tied to abuse. Two fines total $102,656, and the most recent inspection was in August 2025. Staff turnover sits at 51.4%, above the 45.8% national figure, so the people caring for residents are often new to the building. It's a for-profit corporation, 90 certified beds, with staffing and inspection ratings both at 2 out of 5.
Carolina Rehab Center Of Burke runs 90 beds in Connelly Spring under for-profit LLC ownership, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86, barely a rounding difference. The problem is who's delivering those hours and whether they stay: turnover runs 60.6%, well above the 45.8% national figure, and weekend coverage drops roughly 9% below weekday levels. On paper the quality measure score looks strong at 4 stars, but 20 deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, with $26,014 in fines across three penalties. The last inspection was August 2025.
Peak Resources-Wilmington runs 110 beds as a for-profit corporation, and staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average of 3.86, with weekends running about 6% thinner than weekdays. Turnover at 34.5% is genuinely better than the 45.8% national figure, which matters for continuity of care. What stands out more is the inspection record: 33 deficiencies, three at harm or jeopardy level, three abuse-related, and two fines totaling $56,124. The most recent inspection was May 2026. A single star on health inspections paired with two on quality measures tells you where the problems concentrate, not in staff retention, but in what inspectors keep finding.
Kannapolis Health And Rehabilitation runs 107 certified beds under corporate ownership, and the direct-care hours per resident come in at 3.30 per day, roughly 15% under the national average of 3.86. Weekends are thinner still, with staffing dropping about 18% below the home's own weekday levels, and annual turnover sits at 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 42 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $151,209 in fines across three penalties. The most recent inspection was in March 2026.
Gates Health and Rehabilitation Center runs a 70-bed for-profit home in Gatesville, and the numbers tell a mixed story. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average of 3.86, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 51 percent, above the 45.8 percent national figure, meaning aides and nurses cycle through often. Inspections look steadier: 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. Worth asking how they cover weekends and how long their current director of nursing has been in place.
Carver Living Center is a 232-bed for-profit home in Durham, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.56 hours per resident day, roughly 8 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection history is heavier: 49 deficiencies on the current record, 8 of them at harm or jeopardy level, plus 4 tied to abuse, and $128,554 in fines across four penalties. Ownership is a limited liability company. The most recent inspection was February 2025, so the record is current, not stale. When you tour, ask how weekend coverage is actually staffed.
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.
Willow Valley runs 230 beds in Winston-Salem, and the numbers families should focus on are staffing and inspections. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and weekends run roughly 8% thinner than weekdays, so the coverage gap shows up exactly when families tend to visit. Annual turnover hits 54.2%, well above the 45.8% national figure, which means the people providing care keep changing. The current inspection record carries 51 deficiencies, seven at harm or jeopardy level and four abuse-related, with five fines totaling $275,518. The most recent inspection was August 2025. For-profit corporate ownership.
Greenhaven runs on thinner staffing than most homes, 3.50 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops roughly 7% below its own weekday level. That gap matters more when you look at the workforce itself: 62.6% of staff turned over in a year, well above the 45.8% national figure, which means unfamiliar faces are common. The inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse, plus a $123,126 fine. A recent July 2025 inspection and strong quality-measure scores don't erase those safety findings.
Siler City Center runs 150 beds under corporate ownership, and its last inspection was recent, March 2026, which matters, because the current record shows 22 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 10 percent below the home's own weekday numbers. Turnover, at 38.7 percent, is actually better than the 45.8 percent national figure, so the problem here isn't retention so much as how few hands are on deck per shift and a survey history that keeps turning up serious findings. One fine totaling $7,909 is on record.
Westwood Hills runs a 176-bed for-profit operation in Wilkesboro, and the staffing picture is mixed in a way worth understanding. Its 3.09 nurse hours per resident day sits about 20% under the national average of 3.86, and weekends drop roughly another 20% below its own weekday levels. Turnover, though, is 29%, well under the national 45.8%, so the people who are there tend to stay. What pulls the record down is inspection history: 12 deficiencies, three at harm or jeopardy level, four abuse-related, and a $8,648 fine, with the most recent inspection in November 2025. Ask about weekend coverage and how those abuse-related findings were resolved.
Monroe Rehabilitation Center runs 147 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the heavier problem: 21 deficiencies, three at harm or jeopardy level and two tied to abuse, with four fines totaling $61,174. That combination of thin weekend staffing, high turnover, and harm-level findings explains why Monroe lands well below average.
Macon Valley runs 200 certified beds in Franklin under corporate for-profit ownership, and its inspection history is the part worth knowing about. Fourteen deficiencies sit on the current record, including three tied to abuse and one at the harm or jeopardy level, meaning surveyors found a problem serious enough to put a resident in immediate danger. The last inspection was in June 2025, so that record is recent. Nurse staffing comes in at 3.78 hours per resident day, just under the national average, but the bigger number is turnover: 76.5% of staff leaving in a year, far above the roughly 46% national figure. That churn, not the raw hours, is what makes consistent care hard here.
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.
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?