319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

3.43 /day

Staff turnover

56%

Serious cites

0

Redwood Health & Rehab runs 116 beds in Charlotte under for-profit limited liability ownership, and the staffing numbers are the main thing to know. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly another 5% below its own weekday level. Turnover is 55.6% against a national 45.8%, so aides and nurses are cycling through faster than usual. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with two fines totaling $7,742 and a survey dated May 2026. Quality and staffing measures both land at 2 out of 5 stars.

Nurse hours

3.08 /day

Staff turnover

52%

Serious cites

0

Smoky Ridge runs on thinner nursing coverage than most homes, 3.08 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday levels. That staffing pattern sits behind a CMS staffing rating of 3, but the inspection record is the bigger concern: 21 deficiencies, including one at the harm level and two tied to abuse. Add a $59,631 fine and a 51.6% annual turnover rate that outpaces the national figure of 45.8%, and you get a home where consistency is hard to maintain. The most recent inspection was in March 2025, so the picture is current.

Nurse hours

3.58 /day

Staff turnover

78%

Serious cites

0

Village Care of King runs 96 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.58 nurse hours per resident day, it sits under the national average, and weekends drop about 11% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 77.8% of staff leave annually, well above the 45.8% national rate. The current record carries 15 deficiencies, four at harm or jeopardy level and two abuse-related, plus three fines totaling $110,113. A recent inspection in January 2026 and a 1/5 staffing star confirm the pattern.

Nurse hours

2.86 /day

Staff turnover

59%

Serious cites

0

Pisgah Manor runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 59.1% against a national 45.8%, which means CNAs and nurses are cycling out faster than residents can get used to them. The inspection record shows 12 deficiencies, one serious enough to put a resident in harm's way, plus a $59,391 fine. A 2/5 on health inspections and 2/5 on staffing tell you the same story the numbers do.

Nurse hours

3.17 /day

Staff turnover

71%

Serious cites

0

Liberty Commons runs on 3.17 nurse hours per resident per day, roughly 18% under the national average, and weekends dip about 7% below its own weekday level. That thin staffing shows up in a 70.5% annual turnover rate, well above the 45.8% national figure, so the people caring for your relative are often new. The health inspection record is recent (May 2025) and rated well, but the home carries 36 deficiencies, six at harm or jeopardy level and two abuse-related. A four-star inspection rating and a one-star staffing rating can coexist; here they do, which tells you the problems aren't in paperwork but in daily coverage.

Nurse hours

3.47 /day

Staff turnover

55%

Serious cites

0

Brunswick Health & Rehab Center runs 100 certified beds in Ash under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, about ten percent under the national average of 3.86. Weekend coverage drops another twelve percent below its own weekday level, and turnover runs 55.1 percent against a national 45.8. The current inspection record carries 32 deficiencies, six at harm or jeopardy level and two tied to abuse, with four fines totaling $252,827 and a one-star health inspection rating. Quality and staffing each earned three stars, but the last inspection was April 2026, so the record is recent. Ask about weekend nurse coverage and what's changed since that citation history.

Nurse hours

3.10 /day

Staff turnover

n/a

Serious cites

0

Person Memorial Hospital runs 56 certified beds in Roxboro under for-profit LLC ownership, and its staffing number is the first thing that stands out: 3.10 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The record shows 22 deficiencies, including one at the harm level and one abuse-related, plus eight fines totaling $58,807, and the most recent inspection was December 2025. Federal ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.

Nurse hours

3.31 /day

Staff turnover

62%

Serious cites

0

University Health And Rehabilitation Center runs 126 beds in Durham under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses provide 3.31 hours per resident day against a national average of 3.86, weekends drop roughly 16% below the home's own weekday level, and annual turnover hits 62.2% when the national figure is 45.8%. Inspectors have cited 37 deficiencies, five of them at harm or jeopardy level and two abuse-related, with three fines totaling $129,754. The quality measure score looks strong, but that reflects charted clinical data, not the hands available to deliver care. A family weighing this home should ask how many aides are actually on the floor on a Saturday.

Nurse hours

3.30 /day

Staff turnover

46%

Serious cites

0

Pine Acres Center For Nursing And Rehabilitation is a 106-bed for-profit run by a corporation, and its record shows the strain. The health inspection rating sits at 1 out of 5, with 27 deficiencies on file, 10 of them serious enough to cause harm or put residents in jeopardy, plus 2 tied to abuse. Two fines total $122,460. Staffing tells a similar story: 3.30 nurse hours per resident day, about 15% under the national average, and weekends run roughly 9% leaner than weekdays. Turnover at 45.5% is basically the national norm, so the problem isn't retention, it's how few hands are scheduled against how many residents need them.

Nurse hours

3.89 /day

Staff turnover

59%

Serious cites

0

Woodhaven's staffing sits just a hair above the national average at 3.89 hours per resident day, but that number comes with a catch: weekends run roughly 6% thinner than weekdays, and more than half the nursing staff turned over in the past year, 58.6% against a national 45.8%. The inspection record is where it gets harder to explain away. Twenty-four deficiencies are on file, five of them serious enough to involve harm or jeopardy to residents, and two tied to abuse. Three fines total $128,210, and the most recent inspection was August 2025. For a 115-bed for-profit home, the pattern points to a building that struggles to keep consistent, experienced hands on the floor.

Nurse hours

3.57 /day

Staff turnover

66%

Serious cites

0

Carolina Rivers runs on thin staffing. At 3.57 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 7% below what the home already does during the week. The bigger warning sign is turnover: 65.5% of staff leave each year, against a national rate near 46%. Its most recent inspection was in December 2025 and produced a clean record of 7 deficiencies, none at the harm level, though one was abuse-related, plus a single fine of $4,271. That inspection record is genuinely strong. The daily reality of who's actually on the floor, and how often that changes, is the part worth asking about.

Nurse hours

2.75 /day

Staff turnover

65%

Serious cites

0

Laurel Park runs lean on nursing staff, 2.75 hours per resident per day against a national average of 3.86, and weekends drop about 15% below what the building manages on weekdays. That's the number families feel when a call light takes a while. Staff turnover sits at 64.7%, well above the 45.8% national figure, so the people caring for your relative are often new to the building. The inspection record shows 33 deficiencies, including one at the harm level and one abuse-related, with a $10,868 fine. A May 2025 inspection is recent enough that the picture is current. The corporation that owns it has run up this record under the same roof.

Nurse hours

3.13 /day

Staff turnover

59%

Serious cites

0

Roxboro Healthcare & Rehab Center runs 140 certified beds as a for-profit corporation, and the staffing numbers are where your attention should go first. At 3.13 nurse hours per resident day, it sits roughly 19% under the national average of 3.86, and weekends dip about 6% below its own weekday levels. Annual turnover of 58.9% is well above the 45.8% national figure, meaning the people caring for residents change often. Twenty deficiencies are on record, two serious enough to involve harm or jeopardy, with one fine of $56,778. The most recent inspection was December 2025, so the picture is current. Quality measures score well; the hands-on care hours tell a different story.

Nurse hours

3.16 /day

Staff turnover

51%

Serious cites

0

Louisburg Healthcare runs 92 beds under for-profit LLC ownership, and the staffing numbers are where it shows most. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop another 17 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 51.3 percent runs above the national 45.8 percent, so the people providing that care keep changing. The inspection record is heavier still: 26 deficiencies, two serious enough to involve harm or jeopardy, and $153,104 in fines across three penalties. A March 2025 inspection is recent, so the picture isn't stale. Resident outcomes score well on quality measures; the staffing and inspection side is what's dragging this down.

Nurse hours

3.58 /day

Staff turnover

53%

Serious cites

0

Charlotte Health & Rehabilitation Center runs 3.58 nurse staffing hours per resident per day, about 7% under the national average, and weekends drop roughly 17% below its own weekday levels. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 36 deficiencies, including 8 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $132,506. The last inspection was January 28, 2026. For-profit, limited liability ownership, 90 beds. When harm-level findings, abuse citations, thin weekend coverage, and heavy turnover all show up at one address, that pattern is what families should weigh.

Nurse hours

3.86 /day

Staff turnover

62%

Serious cites

0

Liberty Commons runs 107 certified beds in Whiteville under corporate, for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not beating it. But weekends drop roughly 11% below its own weekday coverage, and annual turnover is 62% against a national 45.8%, so the people at the bedside change constantly. The inspection record is where the real weight sits: 27 deficiencies, 8 of them at harm or jeopardy level, four fines totaling $126,586, and a July 2025 inspection that landed at one star for health and one for quality measures. No abuse citations appear on record, but the harm-level findings and turnover together tell you why families here should ask hard questions before signing anything.

Nurse hours

3.55 /day

Staff turnover

51%

Serious cites

0

Litchford Falls runs on thinner nurse coverage than most homes, 3.55 hours per resident day against a national average of 3.86, and weekends dip even lower than its own weekday levels, which matters because that's when families often visit and when problems tend to surface. Staff turnover sits at 50.6%, meaning roughly half the nursing team leaves within a year, well above the 45.8% national figure. The inspection record backs this up: 19 deficiencies, three serious enough to put residents at risk of harm, and two fines totaling $181,873. The last full inspection was in May 2025, so the picture is fairly current. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5.

Nurse hours

3.29 /day

Staff turnover

63%

Serious cites

0

Kenansville Rehabilitation and Healthcare Center runs on thin staffing. At 3.29 nurse hours per resident per day, it sits roughly 15% under the national average, and weekends drop another 10% below what the home itself manages on weekdays. Annual turnover of 63.4% means most of the people providing that care are relatively new, the national figure is 45.8%. The strongest thing here is its inspection history: a 5/5 health inspection rating, with a June 2025 survey and 12 deficiencies on record, one serious enough to cause harm but none tied to abuse. Quality measures score 2/5, so the day-to-day clinical picture doesn't match the clean survey. Ask about weekend coverage and how long aides have actually been on staff.

Nurse hours

3.78 /day

Staff turnover

57%

Serious cites

0

Camellia Gardens runs a 78-bed for-profit operation in Henderson, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 10% below the home's own weekday level, which is when families often visit and notice. Staff turnover is 56.7%, well above the 45.8% national figure, so the people caring for residents change often. The inspection history is heavier: 37 deficiencies on the current record, including two at the harm or jeopardy level and four tied to abuse, plus three fines totaling $92,104. The last inspection was January 30, 2026.

Nurse hours

3.42 /day

Staff turnover

73%

Serious cites

0

Shoreland runs a 4-star health inspection record with 10 deficiencies and no harm-level findings, which tells you the building itself has been kept in decent shape. The problem is who's there to keep it that way. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national figure, and weekends drop roughly 8% below the home's own weekday coverage. Annual turnover of 72.5% is well above the 45.8% national average, that's most of the nursing staff replaced in a year. Quality measures land at 2 stars. A recent inspection and a single $5,077 fine suggest no crisis, but thin, churning staff is the pattern worth asking about.