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.
The Carrolton of Lumberton runs a for-profit, limited-liability operation with 90 certified beds, and its staffing picture is mixed. Total nurse coverage sits at 4.13 hours per resident day, roughly 7% above the national average, but weekends drop about 8% below the home's own weekday level, and annual turnover hits 52.9% against a national 45.8%. The current inspection record shows 28 deficiencies, two of them abuse-related, with no harm-level findings. CMS rates health inspections 2 out of 5 and quality measures 1 out of 5, while staffing earns 3. That combination, steady hours undermined by churn, a long deficiency list, and a recent February 2026 inspection, is what shapes the picture here.
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.
Graham Healthcare runs 80 certified beds under corporate ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national figure of 3.86. That shortfall widens on weekends, when coverage drops about 9% below the home's own weekday level. The bigger concern is turnover: 70% of staff leave annually, well above the 45.8% national average, which means residents see a rotating cast of caregivers. The inspection record shows 16 deficiencies, including one at the harm level and three tied to abuse. The last inspection was March 5, 2026. Quality measures land mid-range, but the staffing churn and deficiency history are what pull the overall picture down.
Lexington Health Care Center runs on thinner staffing than most homes, about 3.50 nurse hours per resident each day, roughly 9% under the national average, with weekends dipping further below its own weekday level. Turnover tells a similar story: 63.4% of nursing staff leave within a year, well above the 45.8% national figure, which means unfamiliar faces are often the ones providing care. The inspection record is heavier than most, with 40 deficiencies logged, including two at the harm level and five tied to abuse. Ownership is for-profit and LLC-operated. The quality measure score looks good on paper, but it sits alongside a staffing rating and inspection history that raise harder questions than that one number answers.
Alamance Health Care Center runs 180 certified beds in Burlington under corporate, for-profit ownership, and the numbers split in two directions. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below the home's own weekday levels, while staff turnover at 47.2% edges past the national rate. The inspection record is where the real weight sits: 27 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and another 1 for staffing. Quality measures score 4 out of 5, but that contrast is worth sitting with before you decide.
Wilora Lake runs on thinner staffing than most homes you'd compare it to, about 3.17 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 12% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when fewer hands are on the floor. Annual turnover sits at 66.2%, well above the 45.8% national figure, so the people caring for your relative are changing often. The record shows 14 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Its quality measure scores look strong, but those reflect resident outcomes, not the daily coverage behind them.
Dahlia Gardens runs 90 certified beds under for-profit LLC ownership, and its staff retention is genuinely better than most, 32.4% annual turnover against a national average of 45.8%. That stability matters, because the staffing star rating still comes in at just 1 out of 5, meaning the people who stay aren't necessarily enough of them. The inspection record shows 34 deficiencies, five tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was December 2025. Quality measures sit at 2 out of 5. If you're weighing this one, ask directly how they plan to address the abuse-related findings and what daily direct-care hours actually look like on the floor.
Liberty Commons runs leaner than the typical American nursing home, 3.44 nurse hours per resident day against a national 3.86, and it thins out further on weekends, dropping roughly 9% below its own weekday coverage. That staffing pattern shows up in the numbers: a 2-out-of-5 CMS staffing rating and 50.5% annual turnover, meaning about half the nursing workforce leaves each year.
The inspection record is heavier still. Thirty-seven deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $15,593. A 2-out-of-5 health inspection rating and a November 2025 inspection round out the picture.
You're looking at a 100-bed corporate-owned home where the care hours are below average, the staff keeps changing, and regulators have documented repeated problems. Worth asking hard questions before choosing it.
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.
Huntersville Health & Rehabilitation runs 90 beds under corporate ownership, and its staffing sits right at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, a difference of about one percent. That thin margin matters more when you look at weekends, which run roughly 11% below the home's own weekday coverage, and at turnover: half the nursing staff leaves each year, compared with 45.8% nationally.
The inspection record is where the real weight sits. Fourteen deficiencies are on file, three of them at harm or jeopardy level and three tied to abuse. The last inspection came in June 2026, and the health inspection rating lands at 2 out of 5. Strong quality scores don't offset that pattern.
Macgregor Downs runs 152 beds in Greenville under corporate ownership, and the numbers show a building stretched thinner than most. Nurse staffing sits at 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays, so the coverage gap families notice on a Saturday isn't imagined. Annual turnover of 50% means half the nursing staff leaves each year, above the 45.8% national figure, and the current inspection record carries 25 deficiencies, including one at harm or jeopardy level and two tied to abuse. One fine totaling $10,023 is on file.
Pruitthealth-Carolina Point runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 18% below what the building staffs on weekdays. Turnover sits at 57.8%, well above the 45.8% national figure, so the people who remain are stretched and the ones who leave take institutional knowledge with them. The inspection record backs that up: 18 deficiencies on file, two serious enough to involve harm or jeopardy, two tied to abuse, and $52,901 in fines across two penalties. Quality measures score well, but a 1-out-of-5 staffing rating and a recent February 2026 inspection tell you where the risk actually lives.
Raleigh Rehabilitation Center runs 157 certified beds under for-profit LLC ownership, and its staffing numbers are the soft spot: 3.63 nurse hours per resident day against a national average of 3.86, with weekends running about 11% leaner than weekdays. Annual turnover of 59.7% sits well above the 45.8% national figure, so the people at the bedside change often. The inspection record shows 19 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $69,112. A recent March 2026 inspection and a 4/5 quality measure rating work in its favor, but the limited staffing depth and high turnover are what families should ask hard questions about.
The Carrolton of Williamston runs on noticeably thin staffing: 2.70 nurse hours per resident per day, roughly 30% below the national average of 3.86, and weekends drop another 10% below its own weekday levels. That gap shows up in the inspection record, where 48 deficiencies include two at the harm or jeopardy level, along with a $45,102 fine. The one number in its favor is turnover at 33.3%, better than the national 45.8%, so workers tend to stay even though there aren't enough of them. A for-profit corporation owns the 154-bed home, and its most recent inspection was in July 2025.
Cypress Valley runs lean on nursing hours, 2.86 per resident day against a national average of 3.86, roughly a quarter less care time than typical. Weekend coverage dips slightly below its own weekday level, and more than half the nursing staff turned over in the past year, well above the national rate. On inspections, the Reidsville home carries 27 deficiencies, including two at the harm or jeopardy level and two tied to abuse; the most recent survey was in June 2025. The corporate owner operates it for profit, and one fine totaling $9,770 sits on record. Bottom line: staffing and inspection history here both sit below average.
Warren Hills runs 3.55 nurse hours per resident per day, about 8% under the national average, and weekend staffing drops roughly another 10% below its own weekday level. Staff turnover sits at 55.9% against a national 45.8%, so the aides and nurses your relative sees may not be there in six months. The current record carries 17 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was February 2026. Corporate-owned, 140 beds, with staffing and quality measure ratings both at 2 out of 5. The care here isn't unsafe on paper, it's thin, and thin staffing is what families end up feeling.
Juniper Gardens runs about 3.34 nurse hours per resident day, roughly 14% under the national average, and weekend coverage drops another 12% below its own weekday level. That thin margin matters more when turnover sits at 62.2% against a national 45.8%, meaning nearly two-thirds of staff left within the year. The inspection record shows 17 deficiencies, three serious enough to reach harm or jeopardy, plus two fines totaling $16,801. Ownership changed hands within the last 12 months, and the most recent inspection was November 2025. With 50 beds and a for-profit corporate owner, the numbers point to a home where consistent daily care is the open question.
The Greens at Hendersonville runs 3.35 nursing hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Staff turnover sits at 69.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. On inspections, the record shows 34 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $106,208. Corporate-owned and operating on a for-profit basis, this home keeps a 120-bed census. The most recent inspection was January 16, 2026.
Northampton Nursing and Rehabilitation Center runs on thinner staffing than most homes its size. At 3.24 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 4% below its own weekday levels, so the quietest shifts are the leanest. Turnover tells a related story: 59.1% of staff left over the year, against 45.8% nationally, meaning caregivers are cycling through faster than residents can get to know them. The good news sits on the inspection side, a 4-out-of-5 health inspection rating, nine deficiencies on record, none at harm or jeopardy level, and no abuse findings. The last inspection was April 2026.
Liberty Healthcare Services of Golden Years Nursing runs 58 beds in Falcon under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, seven deficiencies total with none at the harm or jeopardy level, and no abuse citations. The trouble sits in daily staffing. At 3.37 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly another 10 percent below its own weekday numbers. With turnover at 60.9 percent against a national 45.8, aides and nurses are cycling through faster than most homes. Inspections tell you what surveyors found on one day; staffing numbers tell you what most days probably look like.
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?