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.
Southpoint runs lean on nursing staff, 3.37 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thin staffing shows up in the workforce numbers too: 61.6% annual turnover, well above the 45.8% national rate, meaning the people caring for residents are often new or on their way out. The inspection record is the bigger concern. Thirty-eight deficiencies sit on the current record, five serious enough to put residents in harm's way and three tied to abuse. CMS fined the corporation $48,523, and the most recent inspection was April 2025. Corporate-owned, 140 beds. The quality measure score looks fine on paper, but that's reported data, not what inspectors found.
Westwood runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 80.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $15,642 fine and a February 2026 inspection. Quality scores look strong on paper, but that measure draws on resident assessments, not the staffing and compliance problems showing up elsewhere.
Liberty Commons runs on thinner staffing than most homes, about 3.56 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly 9% below its own weekday levels. The bigger warning sign is turnover: 71.2% of staff leave within a year, well above the 45.8% national figure, which means your family member's caregivers are likely to keep changing. Inspections look solid on paper, with six deficiencies on record and none at the harm level, though one is abuse-related. The state last visited in January 2026. Corporate-owned and operating at 122 beds, this is a home where care quality depends heavily on who's on shift that day.
Autumn Care of Myrtle Grove is a 90-bed corporate-owned home in Wilmington, and the inspection history is where the trouble sits. Forty-one deficiencies on the current record, nine of them at the harm or jeopardy level and six tied to abuse, that's a pattern, not a one-time slip. Four fines add up to $141,604. Staffing runs slightly under the national average at 3.78 nurse hours per resident day, and weekends drop about 17% below the home's own weekday levels, which matters when residents need help on Saturday. Annual turnover of 56.6% is well above the 45.8% national figure, so aides and nurses keep cycling through. The most recent inspection was August 2025, so the record is current.
The Cardinal At North Hills is a small, for-profit home in Raleigh, just 15 certified beds, and its record splits in two directions. Inspectors have been in recently, in September 2025, and the health inspection star rating of 4 out of 5 suggests the day-to-day survey picture is decent. But look closer: four deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine. Quality measures score just 1 out of 5. With that few beds, there's little room to absorb a staffing gap or a single bad stretch.
Belaire runs about 3.45 nurse hours per resident each day, roughly 11 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday staffing. That thinner weekend coverage matters, since fewer nurses on duty is when problems tend to surface. The inspection record backs that up: 17 deficiencies, five serious enough to involve harm or jeopardy, and two fines totaling just over $202,000, a lot for an 80-bed home. Turnover sits at 44.9 percent, essentially the national rate. The 4/5 quality measure score is the bright spot, but inspection and staffing ratings both land at 2/5, and the most recent survey was July 2025. Ask to see the plan of correction for those harm-level citations.
Matthews Health & Rehab Center runs 166 certified beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national figure of 3.86. Weekends drop about 9 percent below the home's own weekday coverage, and annual turnover hits 53.8 percent against a national 45.8 percent, so the aides and nurses your family would see are changing often.
The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $82,703 in fines across two penalties. Its last inspection was April 2026, and CMS gives it middling marks on quality measures but weaker ones on health inspections and staffing.
August Healthcare at Wilmington runs 120 beds as a for-profit corporation, and the staffing numbers are the first thing you notice. At 2.83 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover is 52.3% against a 45.8% national figure, so the people providing care keep changing. On the current record there are 35 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $27,378 fine. Inspectors were last in on May 15, 2025. The inspection and quality ratings land mid-range, but the staffing rating is 1 out of 5, which is where a lot of this traces back to.
Autumn Care of Raeford runs on 3.00 nurse staffing hours per resident day, roughly 22% under the national average, which is why CMS gives it a single star for staffing. Weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record carries four deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus $32,631 in fines across two penalties. Turnover sits at 48.5%, a few points above the national rate. Ownership is a for-profit corporation. The last inspection was February 26, 2026, so the record is recent, and what's on it is serious.
Bermuda Commons runs 117 certified beds in Advance under for-profit LLC ownership, and its staffing sits about 18% below the national average at 3.17 nurse hours per resident day. Weekends drop roughly another 9% off its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 41% is a little better than the 45.8% national figure, which matters, but 21 deficiencies on the current record, two of them at harm or jeopardy level, and $28,043 in fines point to real gaps in care delivery. Inspectors were last on site April 29, 2026.
White Oak Manor-Shelby runs 160 certified beds as a for-profit corporation, and the staffing numbers are the first thing a family should look at. At 3.43 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 12 percent below its own weekday level, meaning the thinnest coverage lands when families often visit. Staff turnover of 62.8 percent, against a national figure near 46 percent, suggests aides and nurses are cycling through faster than residents can get used to them. Eighteen deficiencies sit on the current record, five serious enough to involve harm or jeopardy and two tied to abuse. Five fines total $42,972.
Edgecombe Health Center By Harborview runs about 3.10 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekends drop another 11% below its own weekday pace. That staffing level earned a 2 out of 5 from CMS, and the quality measures came in at 2 as well. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse; the last inspection was March 2025. Turnover at 37.2% is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hours each resident gets, especially on weekends.
The Oaks runs on 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below what it manages on weekdays. Staff turnover sits at 65.8% against a national 45.8%, so nearly two of every three caregivers left last year, that's a lot of unfamiliar faces for 131 residents. The current record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was August 2025. All three CMS ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Corporate-owned and for-profit, this home isn't failing outright, but staffing and retention are where it's weakest.
Highland House runs on thinner nurse coverage than most homes in the country, 3.50 hours per resident day against a national average of 3.86, and weekends dip even further, about 9% below its own weekday level. That matters more than it sounds, because the stretch of the week with the least clinical oversight is also when families tend to visit. Staff turnover sits at 68.4%, well above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building and to each other. The record shows 14 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last full inspection was in March 2026.
Wellington Rehabilitation and Healthcare runs on thinner nursing coverage than most homes in the country, about 3.36 nurse hours per resident each day, roughly 13 percent under the national figure, with weekends dipping further below its own weekday pace. The inspection record shows 24 deficiencies, including one at the harm level and one tied to abuse, plus a $15,642 fine. Staff turnover sits at 46.2 percent, right around the national rate. With a for-profit corporate owner and a November 2025 inspection, the numbers point to a home where you'd want to ask specific questions about who's on the floor at night and on weekends before deciding.
Gastonia Health & Rehab Center runs on thin staffing and a lot of turnover. At 3.56 nurse hours per resident per day, it sits about 8% below the national average, and weekends drop roughly 13% below its own weekday numbers, meaning the thinnest coverage lands exactly when families tend to visit. The bigger concern is 84.6% annual turnover against a national 45.8%, so most of the people caring for your relative are new and likely to leave within the year. Sixteen deficiencies sit on the current record, four at harm or jeopardy level and two tied to abuse, with $15,808 in fines. The last inspection was December 2025.
Signature Healthcare of Roanoke Rapids runs a 108-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.25 hours of care per resident per day, about 16% under the national average, and weekends drop roughly 17% below the home's own weekday level. Turnover sits at 66.7% against a national 45.8%, which means the people caring for residents are often new. The health inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy, and federal fines total $9,110. The quality measure stars look strong, but quality scores depend on staff having time to document and follow through. A recent inspection in May 2026 means the record is current, not old.
Pruitthealth-Neuse runs about 2.80 nurse hours per resident day against a national average near 3.86, and weekends drop roughly a quarter below its own weekday staffing. With 110 certified beds, that thin coverage adds up fast when a resident needs help between Friday night and Monday morning. Turnover sits at 38%, which is actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each shift gets. The inspection record is the heavier concern: 40 deficiencies, seven at harm or jeopardy level, five tied to abuse, and $88,115 in fines across four penalties, with the most recent inspection in December 2025.
Davidson Health & Rehab Center runs on 3.50 nursing hours per resident day, about 9% under the national average, and weekend staffing drops roughly 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72% against a national 45.8%, which means the people caring for your relative are often brand new. The current inspection record carries 43 deficiencies, including six at harm or jeopardy level and two abuse-related, plus $54,389 in fines across three penalties. Its last inspection was August 2025, so the record is recent. Corporate ownership, a one-star inspection rating, and one-star staffing tell the same story.
Elevate Health and Rehabilitation runs 3.25 nursing hours per resident per day, roughly 16% under the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 72.8% against a national 45.8%, so the people providing care keep changing. Inspection history is the harder problem: 30 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, plus three fines totaling $174,346. The September 2025 inspection is recent, and the one-star inspection and staffing ratings reflect what surveyors found. Quality measures score well, but that's a narrow slice of the picture.
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?