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.
Brunswick Rehabilitation And Healthcare Center runs 90 certified beds in Bolivia under for-profit LLC ownership, and the numbers raise real questions. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekend coverage drops about 7% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 80.2%, well above the 45.8% norm, which means the people caring for residents are constantly changing. Its inspection record shows 38 deficiencies, including 2 at the harm level and 3 tied to abuse, plus a $94,140 fine. The most recent inspection was May 2026. Ask hard questions here before deciding.
Fletcher Rehabilitation and Healthcare Center runs on staffing that falls well short of what most homes provide, about 3.15 nurse hours per resident each day against a national figure closer to 3.86, with weekends noticeably thinner than weekdays. The bigger warning sign is turnover: roughly 78% of staff left over the past year, far above the 46% typical elsewhere, which means the people caring for residents are often new and still learning the building. Inspectors have cited 43 deficiencies, two involving actual harm and two tied to abuse, and fined the home twice for a combined $62,868. That record, paired with a one-star inspection history, is what drives the grade down.
Mount Olive Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekend coverage drops another 11% below its own weekday level. That thin margin matters when you consider the inspection record: 30 deficiencies, five of them serious enough to put residents in harm's way, three tied to abuse. Staff turnover sits at 57.1%, well above the national norm, meaning the people caring for your relative are likely to change often. Four fines totaling $171,721 have accumulated, with the most recent inspection in October 2025. The quality measure score looks decent on paper, but it's hard to trust that when the caregiving floor is this unstable.
Cabarrus Health and Rehabilitation Center is a 120-bed for-profit home in Concord that federal regulators have placed in the Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The current record shows 56 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, along with 8 fines totaling $138,723. Staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekend coverage runs roughly 13% below its own weekday level. Annual turnover is 73.3% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Currituck Health & Rehab Center runs 100 certified beds in Barco under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale. The inspection record is heavier still, 23 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with a $120,975 fine and a 57% annual turnover rate that means more than half the staff left last year. The quality measure score is middling, but it doesn't offset any of that.
Hertford Rehabilitation and Healthcare Center runs on thin nursing coverage. At 3.06 nurse hours per resident per day, it sits about 21 percent below the national average, and weekends dip another 17 percent below its own weekday levels, so the thinnest shifts get even thinner when families tend to visit. Staff turnover tells a similar story: 74.1 percent annually against a national 45.8 percent, meaning most of the people caring for your relative are likely new to the building. The current inspection record carries 39 deficiencies, three at harm or jeopardy level and one abuse-related, with the last visit in June 2025. The for-profit LLC ownership structure doesn't change any of those numbers, but it's the context they sit in.
Autumn Care of Waynesville runs on thinner staffing than most homes: 3.43 nurse hours per resident day against a national average of 3.86, with weekends falling about 11% below its own weekday level. That gap matters, because turnover sits at 69.8%, well above the 45.8% national figure, meaning the aides and nurses on those shifts are frequently new to the building. The inspection record is heavier still: 25 deficiencies, five of them at harm or jeopardy level and five abuse-related, with a $107,387 fine and a May 2025 inspection. This is a for-profit limited liability company, and the pattern across staffing and enforcement is consistent.
Glenbridge runs on thinner nurse staffing than most homes, 3.53 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when coverage drops about 12% below its own weekday level. Annual turnover sits at 60.6%, well above the 45.8% national figure, so the people caring for residents are often new to the building. The inspection record shows 41 deficiencies, including one at the harm or jeopardy level and one abuse-related, with three fines totaling $32,349. The most recent inspection was in March 2026. For-profit, limited liability ownership. If you're considering this one, ask specifically about weekend nurse coverage and how they've addressed the abuse-related finding.
Smithfield Manor runs 160 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gaps aren't random, they follow a pattern. Staff turnover of 64.3% is well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your family member with them.
Then there's the inspection history: 21 deficiencies on the current record, four at harm or jeopardy level, two tied to abuse. Three fines add up to $263,607. That combination, thin weekend coverage, heavy turnover, and serious cited deficiencies, is what a family should weigh before deciding.
The Carrolton Of Dunn runs on 2.88 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in a 61% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses around your family member change constantly. The inspection record is worse: 37 deficiencies, four serious enough to cause harm or jeopardy, three tied to abuse, plus $54,999 in fines across three penalties. Ownership is a for-profit LLC, and the most recent inspection was November 2025. With a 1/5 staffing rating and 1/5 health inspection rating, the numbers here point to a home struggling on the basics.
Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.
Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.
River Bend runs on 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekends drop about 9 percent below what it manages on weekdays. The bigger warning sign is turnover: 86.4 percent of staff left over the past year, nearly double the national rate, which means the people caring for your relative are likely new to the building and still learning it. On the current record are 52 deficiencies, seven serious enough to involve harm or jeopardy, 11 tied to abuse, and six fines totaling $147,579. Ownership is a for-profit limited liability company, which tells you where the margin pressure comes from.
Piedmont Hills runs 126 certified beds under for-profit limited liability ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home already provides on weekdays. Staff turnover is 47.3%, a bit above the national 45.8%. The inspection record shows 52 deficiencies, including 7 at harm or jeopardy level and 4 tied to abuse, with five fines totaling $217,827 and a February 2026 inspection. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5.
Deer Park runs 140 certified beds in Nebo under for-profit LLC ownership, and the staffing numbers tell a hard story: 3.41 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays already. Staff turnover sits at 78.5%, far above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record is worse: 39 deficiencies, 10 at harm or jeopardy level, 6 abuse-related, five fines totaling $273,467, and federal placement in the Special Focus Facility program as of the June 2025 inspection. Ask direct questions about who's on duty nights and weekends.
Cedar Hills runs 94 certified beds under corporate ownership, and the numbers here are worth a slow look. Nurse staffing sits at 3.43 hours per resident day against a national average of 3.86, and weekend coverage drops another 8 percent below its own weekday level, so the thinnest shifts land when families visit least. Staff turnover is the real tell: 65.9 percent annually, well above the 45.8 percent national figure, meaning the people caring for your relative are likely new to the building and to the job. Inspectors have logged 53 deficiencies, including two tied to abuse and one at the harm level, with a $11,333 fine on record.
The Greens at Gastonia runs 162 beds under corporate ownership, and the numbers show real strain. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent below the national average, and weekends run about 12 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Staff turnover hits 75.6 percent against a national average near 46 percent, meaning most of the people caring for residents are new to the building. The inspection record carries 53 deficiencies, including three at the harm level and one tied to abuse, plus $130,657 in fines. A May 2025 inspection is recent, but recent isn't the same as clean.
A family calling about Pembroke Center should know a few numbers before anything else. The home runs 3.37 nurse hours per resident per day, about 13% under the national average of 3.86, and weekend staffing drops roughly 9% below its own weekday level. Annual turnover is 68.4%, well above the 45.8% national figure, so the people caring for residents change often.
Its inspection record shows 41 deficiencies, including 4 at the harm or jeopardy level and 5 tied to abuse. Three fines total $37,339, and the most recent inspection was November 21, 2025. Corporate-owned and operating under a low-rated history across inspections, quality measures, and staffing, this home carries real risk on paper.
Windsor Rehabilitation and Healthcare Center runs on 3.10 nurse hours per resident day, about a fifth below the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Staff turnover sits at 79.3%, more than seven in ten workers leaving annually against a national rate near 46%, while 52 deficiencies sit on the current record, including five at the harm or jeopardy level and seven tied to abuse. Two fines total just under $250,000, and the last inspection was January 2026. Corporate-owned and running lean on direct care, this is a home where you'd want to visit unannounced, on a weekend, and ask who is actually on the floor.
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?