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.
Cherry Point Bay runs 70 beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, with weekends roughly 12% thinner than weekdays. That matters because turnover is the number that jumps out: 78.4% annually against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. Inspectors have cited nine deficiencies, four of them at harm or jeopardy level, and fined the home $167,122. The most recent inspection was July 2, 2025, so the record is current.
Lenoir Health and Rehabilitation Center is a 120-bed for-profit in Caldwell County with a staffing picture that doesn't hold up. Nurses provide 3.57 hours per resident day, under the national average, and weekends run roughly 15% thinner than weekdays, so coverage dips right when families tend to visit. Annual turnover sits at 68.7%, well above the national 45.8%, which means the aides and nurses caring for residents are often new to the building.
The inspection record is where the real weight is: 35 deficiencies, three at harm or jeopardy level, five tied to abuse, and four fines totaling $150,174. The most recent inspection was November 2025. Quality measures score well, but strong chart numbers don't offset thin weekend coverage and that deficiency history, worth asking about directly before you decide.
Mill Creek runs on 3.37 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That thin coverage sits alongside a 66.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses caring for your family member are likely to change often. The current record carries 46 deficiencies, three of them serious enough to put residents at risk of harm, with two fines totaling $29,876. The most recent inspection was April 14, 2025. The for-profit LLC structure doesn't explain all of this, but combined with 1 out of 5 on health inspections, it's worth asking hard questions before moving anyone in.
River Trace carries 31 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy and two tied to abuse. The health inspection rating sits at one star, and the staffing rating matches it, with 67.1% of staff turning over annually against a national average of 45.8%, that churn matters because it's hard to know your aide when the aide keeps changing. Two fines totaling $32,991 are on file, and the most recent inspection was August 2025. This is a 140-bed for-profit run by a corporation, and the quality measure rating, at two stars, is the strongest number here, which isn't saying much.
Peak Resources-Outer Banks runs 126 certified beds in Nags Head under corporate, for-profit ownership, and its inspection record is genuinely its strongest suit: a 4-out-of-5 health inspection rating, nine deficiencies on the current record with none reaching harm or jeopardy level, and a fresh inspection as of March 2025. The trouble sits in the day-to-day staffing and in the quality measures, where the home scores just 1 out of 5. Nurse staffing averages 3.13 hours per resident day, roughly 19% under the national figure of 3.86, weekend coverage dips about 8% below its own weekday level, and annual turnover hits 56.1% against a national 45.8%. Good inspections, thin staffing, that's the tradeoff to weigh.
Lotus Village in Sparta runs on 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 7% below its own weekday levels. Staff turnover sits at 53.5%, well above the 45.8% national figure, so the people caring for residents are often new. The inspection record is the real story: 56 deficiencies, 10 of them at the harm or jeopardy level and 4 tied to abuse, plus $315,228 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. That program status reflects sustained problems across multiple inspections, not one bad day.
Senior Citizens Home runs 60 certified beds in Henderson under a for-profit limited liability company, and its last health inspection was in March 2026. The record shows 26 deficiencies, two of them at the harm or jeopardy level, with no abuse citations. Staff turnover sits at 61.9%, well above the 45.8% national average, and CMS rates staffing and quality measures at just one star each. One fine totaling $55,760 is on file.
Staffing at Oak Forest runs 3.83 nurse hours per resident day, roughly in line with the national figure of 3.86, but it thins out on weekends, about 7% below the home's own weekday level. The bigger issue is who's giving that care: annual turnover sits at 61.3% against a 45.8% national average, meaning most of the staff you'd meet this year likely won't be there next year. That churn shows up in the record. Inspectors last visited in June 2025 and found 32 deficiencies, four serious enough to cause harm or put residents in jeopardy, one tied to abuse, drawing $38,527 in fines.
Ayden Court runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip about 7% below its own weekday level. That thin coverage sits behind a one-star staffing rating, while the home's 58.4% annual turnover is well above the 45.8% national figure, meaning the people who do show up are often new or on their way out. Inspectors have logged 23 deficiencies, including one at harm level and two abuse-related, and levied three fines totaling $37,700. The most recent inspection was May 2026. A for-profit LLC operates the 82-bed home.
Blumenthal Health and Rehabilitation Center is a for-profit LLC home in Greensboro with 134 certified beds, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends running about 12% thinner than weekdays, and an 82% annual turnover rate means the aides and nurses caring for residents are, more often than not, new to the building. Its inspection history shows 70 deficiencies, seven at harm or jeopardy level and three abuse-related, plus three fines totaling $210,325, and CMS has placed it in the Special Focus Facility program. The most recent inspection was September 13, 2025.
Surry Community Health Center By Harborview runs about 120 beds under corporate ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. Turnover at 36.6% is better than the 45.8% national figure, so that's a genuine bright spot. The inspection record is where it gets harder to explain away, 33 deficiencies on file, nine of them serious enough to involve harm or jeopardy, eight tied to abuse, and a $145,262 fine. The last inspection was June 2025. If you're considering this home, ask about those abuse-related findings directly.
Mary Gran Nursing Center runs 27 deficiencies on its current record, five of them serious enough to reach harm or jeopardy level, plus one tied to abuse. That's a lot of citations for a 212-bed for-profit home, and the most recent inspection only dates to August 2025, so this isn't old history. Nurse staffing sits at 3.29 hours per resident day against a national average of 3.86, weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 51.3% versus 45.8% nationally. The pattern is consistent: thin coverage that thins further on weekends, with a workforce turning over faster than most.
Valley Nursing and Rehabilitation Center runs 183 certified beds in Taylorsville under corporate for-profit ownership, and its headline staffing number looks decent at first: 4.42 nurse hours per resident day, roughly 14 percent above the national average. Look closer and the picture changes. Weekend staffing drops about 9 percent below its own weekday level, so coverage thins exactly when families tend to visit, and annual turnover hits 67.6 percent against a national average of 45.8 percent, meaning most of the aides and nurses caring for residents are relatively new to the building. The inspection record is the harder problem: 28 deficiencies, nine of them serious enough to risk harm, five tied to abuse, and $88,557 in fines across three cases.
Vero Health & Rehab Of Sylva has 53 deficiencies on its current record, 13 of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. Federal fines total $359,818 across four penalties. The health inspection rating sits at 1 out of 5, and staffing doesn't help: 3.74 nurse hours per resident day, below the national average, with weekend coverage about 9 percent thinner than weekdays. This is a for-profit limited liability company operating 106 certified beds in Jackson County, and its last inspection was August 14, 2025. When a home carries that many harm-level findings, the question isn't whether the numbers look bad, it's whether you can get straight answers about what changed since.
Clayton Rehabilitation and Healthcare Center runs on thinner nurse staffing than most homes in the country, about 3.11 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 14% below what the building staffs on weekdays. That gap matters because turnover sits at 77.8%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the job and to these residents. The inspection record backs that up: 38 deficiencies on file, two serious enough to put residents in harm's way, and a single fine of $166,075. One star for health inspections and one for staffing, with quality measures landing at three. It's individually owned and for profit.
Biltmore Haven runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop further from there. That thin coverage sits alongside a 71.4% annual turnover rate, well above the 45.8% national figure, so the staff who are there are often new. The inspection record is the harder problem: 50 deficiencies, 7 of them at harm or jeopardy level, 2 tied to abuse, and $189,174 in fines across three penalties. CMS placed this for-profit LLC home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was May 1, 2025.
Rockwell Park runs leaner on nursing hours than the typical American nursing home, about 3.49 per resident day against a national figure near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. That gap matters, since families often visit Saturday and Sunday. Staff turnover sits at 60.2%, well above the 45.8% national average, so the people caring for residents change often. Its inspection record carries 34 deficiencies, including 8 at harm or jeopardy level and 4 tied to abuse, plus seven CMS fines totaling $338,513. The federal government has placed it in the Special Focus Facility program, its most recent inspection was March 27, 2026, and it's a for-profit corporation.
Oxford Health and Rehabilitation Center runs 160 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekends drop about 19% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 60.4% against a national 45.8% means the people caring for your relative are, more often than not, new to the building. Seventeen deficiencies sit on the current record, one tied to abuse, with the most recent inspection in November 2025. All three CMS star ratings, health inspection, quality measures, staffing, come in at the low end.
University Place in Charlotte runs 207 beds under corporate ownership, and the numbers suggest a building under real strain. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and it thins out further on weekends, running roughly 9% below its own weekday level. Staff turnover is 59.1% against a national 45.8%, meaning well over half the nursing staff leaves each year.
The inspection record is heavier than that: 35 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $276,401 in fines across two penalties. The most recent inspection was July 2025, so the picture is current. Families should ask directly about weekend coverage and how the home keeps experienced nurses on the floor.
Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.
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?