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319 Chain-Owned Nursing Homes in North Carolina

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.

Nursing hours per resident per day

3.65

All homes in North Carolina: 3.85

Worse than the local average

Nurse staff turnover

50.4%

All homes in North Carolina: 49%

Worse than the local average

Average ElderGrade score

69/100

All homes in North Carolina: 70.8/100

Worse than the local average

Grade spread

B
C
D

23 grade A, 125 grade B, 141 grade C, 30 grade D,

The best-graded chain-owned home in North Carolina is Transylvania Regional Hospital in Brevard, NC, grade A, 94/100.

Every chain-owned nursing home in North Carolina

Showing 21 to 40 of 319, best-graded first.

A

85/100

Haymount Rehabilitation & Nursing Center, Inc.

Fayetteville, NC · Cumberland County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
37%
Serious cites
0

Haymount runs on more nursing hours than most homes, 4.36 per resident per day, roughly 13% above the national figure. That staffing holds up on weekends too, though weekend coverage does dip about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record is the strongest part of the picture: a 5-star health inspection rating, no deficiencies on the current record, and nothing at the harm or abuse level, with the most recent survey done in May 2025. Staff turnover sits at 37%, below the 45.8% national average. Corporate for-profit ownership, 98 certified beds.

A

85/100

The Oaks-Brevard

Brevard, NC · Transylvania County

CMS 3/5110 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
26%
Serious cites
0

The Oaks-Brevard runs lean on nurse hours, 3.30 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 14% below its own weekday coverage. What stands out is retention: 25.8% annual turnover is well under the 45.8% national figure, so the people who are there tend to stay. The inspection record is mixed: 27 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $6,936. The last inspection was March 5, 2026. A for-profit LLC with 110 certified beds.

A

85/100

Lake Park Nursing And Rehabilitation Center

Indian Trail, NC · Union County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Lake Park runs on 4.02 nurse hours per resident day, a bit above the national average, and its staff tends to stay, 34.5% turnover against a national rate near 46%. Weekends are thinner, though, running about 9% below weekdays. The tradeoff shows up in inspections: 22 deficiencies on record, four serious enough to involve harm or jeopardy, with $34,624 in fines across two penalties. No abuse citations, and the most recent inspection came in January 2026, so the picture is current. Corporate-owned, 120 beds, solid day-to-day care, but a citation history worth asking about directly.

B

84.5/100

Saint Joseph Of The Pines Health Center

Pinehurst, NC · Moore County

CMS 5/5176 bedsNon-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
n/a
Serious cites
0

Saint Joseph Of The Pines runs 3.92 nurse hours per resident day, a hair above the national average and enough to earn three stars for staffing, decent, not generous. Weekend coverage drops roughly 9% below its own weekday level, so ask how that gap gets filled. The inspection history is the stronger signal: a 4-star health inspection rating, seven deficiencies on record with none at the harm level, and a recent survey from July 2025. One abuse-related deficiency is worth a direct question about what happened and what changed. As a nonprofit, there's no ownership chain pulling money out, which tends to show up in how a building is staffed and maintained over time.

B

84.5/100

College Pines Health And Rehabilitation

Connelly Springs, NC · Burke County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

College Pines runs a leaner, steadier ship than most corporate-owned homes in North Carolina. Nurse staffing sits at 3.99 hours per resident day, just above the national average, and the 24.5% turnover rate is barely half the national figure, that kind of retention usually means residents see the same faces week to week. The catch is weekends, when coverage drops roughly 17% below weekday levels. And while the inspection rating looks strong on paper, the current record carries six deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,801 in fines. Quality measures score well, but those two harm-level findings are what pull the overall picture down to middling.

B

84/100

Glenflora

Lumberton, NC · Robeson County

CMS 4/552 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
54%
Serious cites
0

Glenflora runs on a nonprofit model with 52 beds in Lumberton, and its nurses put in 4.60 hours per resident day, roughly 19% above the national average. That's a real cushion, though weekends drop about 14% below the home's own weekday pace, so coverage isn't perfectly even across the week. Annual turnover sits at 54.4%, higher than the 45.8% national figure, which means familiar faces cycle out faster than average. The inspection record shows four deficiencies, two serious enough to involve harm or jeopardy, and one fine of $14,689. A February 2026 inspection is recent. Quality measures score well, but staffing stability and that harm-level citation are what pull the overall picture down.

B

84/100

Aston Park Health Care Center

Asheville, NC · Buncombe County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
40%
Serious cites
0

Aston Park runs a tight ship on the things that usually cause trouble: five deficiencies on its current record, none of them serious enough to count as harm or jeopardy, and nothing abuse-related. The last inspection was recent, in April 2026. Staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average, and weekends dip about 4% below the home's own weekday level, worth asking about if your family member needs more help on Saturdays and Sundays. The good news is turnover: 39.5% versus 45.8% nationally, meaning caregivers here tend to stick around longer than at the typical home. That stability, plus a clean inspection history as a nonprofit, is the real story behind the numbers.

B

84/100

The Stewart Health Center

Charlotte, NC · Mecklenburg County

CMS 2/565 bedsNon-profit
Nurse hours
5.50 /day
Staff turnover
33%
Serious cites
0

The Stewart Health Center runs 5.50 nurse hours per resident day, roughly 42% above the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure. That's real consistency on the floor, though weekend coverage dips about 7% from weekday levels. Where the numbers get harder to explain is the inspection record: 14 deficiencies, two of them serious enough to involve harm or jeopardy, and two fines totaling $57,971. A 2-out-of-5 inspection rating against a 4-out-of-5 staffing rating is an unusual split, the people are there, but the last survey in May 2025 still found problems worth citing.

B

83.5/100

Nc State Veterans Home-Kinston

Kinston, NC · Lenoir County

CMS 2/5100 bedsGovernmentMedicaid
Nurse hours
5.04 /day
Staff turnover
38%
Serious cites
0

Nc State Veterans Home-Kinston runs a genuine staffing advantage: 5.04 nurse hours per resident day, roughly 30% above the national average, with weekend coverage dipping about 16% below its own weekday level. Turnover sits at 37.9%, better than the 45.8% national figure, and the state runs the place. But the inspection record is the problem. Ten deficiencies are on file, seven at harm or jeopardy level, three tied to abuse, and five fines total $74,987. The most recent inspection was November 14, 2025. Strong staffing and better-than-average retention don't erase a citation history that serious, and families should ask directly what changed since that visit.

B

83/100

Trinity Glen

Winston-Salem, NC · Forsyth County

CMS 4/5117 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
45%
Serious cites
0

Trinity Glen runs 117 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That's a real cushion, though weekends dip about 14% below the home's own weekday level, so coverage isn't perfectly even across the week. Turnover lands at 45.1%, essentially matching the national 45.8%, which means this home isn't losing staff any faster than the typical facility. Its inspection record is clean where it counts: two deficiencies total, none at harm or jeopardy level, none abuse-related, with a recent April 2026 inspection. The 4/5 ratings across health inspections, quality measures, and staffing line up with what the numbers show, steady, above-average care without red flags.

B

83/100

Trinity Ridge

Hickory, NC · Catawba County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
40%
Serious cites
0

Trinity Ridge runs a nonprofit shop with 120 beds in Hickory, and the staffing is the headline: 4.57 nurse hours per resident day against a national average of 3.86, a real cushion of about 18 percent. Weekends dip roughly 11 percent below its own weekday coverage, which is worth asking about if your family visits then. Turnover sits at 40.1 percent, better than the 45.8 percent national figure but still meaning four in ten caregivers cycled through in a year. Five deficiencies on record, none involving harm or abuse, and a June 2026 inspection means the paperwork is current. Quality measures score low, so read the clinical details rather than trusting the staffing number alone.

B

83/100

Chowan River Nursing And Rehabilitation Center

Edenton, NC · Chowan County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
33%
Serious cites
0

Chowan River runs a tight ship on the clinical side, a four-star health inspection record with no deficiencies at the harm level and nothing abuse-related among its ten citations, and the most recent state visit came in April 2025. Staffing is where the picture gets more ordinary: 3.61 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 6% below weekdays, and the staffing star comes in at three. Turnover, though, is the number worth noticing, 33.3% against a national average near 46%, meaning this for-profit LLC has held onto its nurses better than most homes in the country.

B

83/100

Smoky Mountain Health And Rehabilitation Center

Waynesville, NC · Haywood County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
61%
Serious cites
0

Smoky Mountain Health and Rehabilitation Center runs 50 certified beds in Waynesville under corporate for-profit ownership. Nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 7% below the home's own weekday coverage. The bigger concern is turnover: 60.8% annually against a national average of 45.8%, meaning most of the people caring for your relative are likely new to the building. Ten deficiencies appear on the current record, none at harm or jeopardy level, but one is abuse-related. The last inspection was March 19, 2026, and quality and staffing measures both earned 4 stars against a 3-star health inspection.

B

82.5/100

Whispering Pines Nursing & Rehab Center

Fayetteville, NC · Cumberland County

CMS 4/586 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
41%
Serious cites
0

Whispering Pines runs 4.34 nurse hours per resident day, about 12% above the national average, and its 41% turnover is a few points better than the typical home. The catch is weekends, when staffing drops roughly 19% below its own weekday level, that's when gaps tend to show up. On inspections, the record is strong: a 5-star health inspection rating from CMS, last survey in April 2025, and just three deficiencies, though one rose to the harm level. One fine totaling $8,512 is on file. For-profit corporate ownership, 86 beds, and a consistent staffing picture overall.

B

82/100

Linden Place Center For Nursing And Rehabilitation

Greensboro, NC · Guilford County

CMS 2/5105 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
36%
Serious cites
0

Linden Place runs 105 certified beds under corporate for-profit ownership, and its last inspection came on January 10, 2026, recent enough that the findings reflect current conditions. That record carries 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, which is a lot to weigh against a 4-out-of-5 quality measure score. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, and weekends drop about 10% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover at 36% is better than the 45.8% national figure, meaning the crew here is comparatively stable.

B

82/100

Trinity Place

Albemarle, NC · Stanly County

CMS 5/576 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
34%
Serious cites
0

Trinity Place runs on a nonprofit model in Albemarle with 76 certified beds, and the staffing numbers are the standout: 4.65 nurse hours per resident day, roughly a fifth above the national average, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 34.1% against a national 45.8%, which matters more than any single inspection score. The trade-off shows up in quality measures, where the home earns just 2 of 5 stars, and in a record carrying three deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $8,788. Its last inspection was November 2025. Strong hands on deck, uneven clinical results.

B

82/100

Grantsbrook Nursing And Rehabilitation Center

Grantsboro, NC · Pamlico County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
42%
Serious cites
0

Grantsbrook runs about 3.25 nurse hours per resident each day, roughly 16 percent under the national average, and weekends dip another 14 percent below its own weekday staffing. Turnover sits at 42 percent, a touch better than the 45.8 percent national figure. The inspection record shows 17 deficiencies, none at the harm level, but one tied to abuse. A May 2025 inspection is recent. Quality measures score well, and the inspection rating is strong, though the staffing rating lands lower, that gap between good clinical numbers and thinner daily coverage is the tension here, and it's worth asking how the floor feels on a Sunday.

B

82/100

Harnett Woods Nursing And Rehabilitation Center

Dunn, NC · Harnett County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
49%
Serious cites
0

Harnett Woods runs on thin staffing, and that's the main thing to know. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends dip another 6% below what the home itself manages Monday through Friday. That's a real gap on the days families tend to visit. Turnover is 48.8%, a few points above the national figure, so the aides and nurses caring for your relative are likelier than average to be new. What holds the scores up is inspections: a recent survey in July 2025, nine deficiencies with none at harm level and one abuse-related, plus strong marks on clinical quality measures. Strong care documentation, lean coverage. If you're considering it, ask how weekends are actually staffed.

B

81.5/100

Anson Health And Rehabilitation

Wadesboro, NC · Anson County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
33%
Serious cites
0

Anson Health And Rehabilitation runs a tight ship on paper: zero deficiencies on its current record, no harm-level or abuse citations, and a February 2026 inspection that came back clean enough for top marks from CMS on both health inspections and quality measures. Staffing is where the picture gets more mixed. At 3.63 nurse hours per resident day, this 95-bed for-profit home sits about 6% under the national average, and weekends run roughly 19% thinner than its own weekdays, so coverage isn't evenly spread across the week. Turnover, though, is genuinely low at 32.9% against a 45.8% national figure, which suggests the staff who are there tend to stay.

B

81.5/100

Bayview Nursing & Rehabilitation Center

New Bern, NC · Craven County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
43%
Serious cites
0

Bayview runs 4.63 nursing hours per resident per day, about 20 percent above the national figure of 3.86, though weekends dip roughly 15 percent below its own weekday coverage. Turnover sits at 43.1 percent, slightly better than the 45.8 percent national average, and the current record shows just two deficiencies, neither at the harm level and none tied to abuse. The last inspection was November 20, 2025. Inspections came back strong at 4 out of 5 stars, with quality measures and staffing each at 3. That split tells the story: this is a corporately owned 60-bed home that inspects well and staffs above average on weekdays, but the weekend gap and middling quality scores are worth asking about directly.

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?
Transylvania Regional Hospital in Brevard, NC, grade A, 94 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 319 graded chain-owned homes in North Carolina, 23 grade A and 30 grade D or F.
Do chain-owned nursing homes in North Carolina accept Medicaid?
310 of the 319 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in North Carolina