319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

3.39 /day

Staff turnover

29%

Serious cites

0

Franklin Oaks runs leaner on nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 4% below its own weekday numbers, so families should ask how coverage holds up on Saturdays and Sundays. The good news sits in retention: 28.6% turnover is well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Eighteen deficiencies on record, one serious enough to involve harm or jeopardy, but none tied to abuse. That inspection was in May 2025, so the record is current, not stale.

Nurse hours

4.28 /day

Staff turnover

n/a

Serious cites

0

Wilson Rehabilitation And Nursing Center runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national average of 3.86. That headline number comes with a caveat: weekend staffing drops about 20% below the home's own weekday level, so coverage isn't evenly spread across the week. The inspection record is the stronger part of the picture. Three deficiencies total, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Owned by a for-profit limited liability company, the home earns middle marks on CMS staffing and quality measures while its health inspection rating reaches 4 out of 5.

Nurse hours

5.32 /day

Staff turnover

43%

Serious cites

0

Croasdaile Village is a nonprofit continuing care community in Durham with 102 certified beds, and its staffing is the strongest card it holds: 5.32 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on time than most homes. Weekend coverage dips about 8% below its own weekday level, but that's a modest drop, and turnover at 42.7% actually runs slightly under the national rate. The caution is in the inspection record, six deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $25,275. The most recent inspection was August 2025, so the picture is current. Solid staffing, a recent serious finding worth asking about directly.

Nurse hours

5.60 /day

Staff turnover

59%

Serious cites

0

Homestead Hills runs 5.60 nurse hours per resident day, about 45% above the national average, that's the number families should care most about, and it's why the staffing picture here starts strong. The catch is turnover: 59.3% of staff leave each year, well above the 45.8% national figure, and weekend coverage dips about 8% below weekdays. A recent inspection in May 2025 found six deficiencies, none causing harm, though one was abuse-related. The 40-bed for-profit home earned strong marks across inspections, quality measures, and staffing. With that much caregiver time per resident, the gaps are consistency and retention, not raw hours.

Nurse hours

3.88 /day

Staff turnover

n/a

Serious cites

0

Grace Heights runs 120 certified beds in Morganton under for-profit LLC ownership, and its inspection record is genuinely clean: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with a survey completed in January 2026. Federal quality measures also score 5 out of 5, and total nurse staffing sits at 3.88 hours per resident day, roughly a hair above the national average of 3.86. The catch is how thin that margin is and where it thins further, weekend staffing drops about 11% below the home's own weekday level, and CMS rates staffing just 2 out of 5. Inspections and outcomes look strong here; the daily coverage underneath them is the part worth asking about.

Nurse hours

3.87 /day

Staff turnover

29%

Serious cites

0

Scottish Pines runs about 3.87 nursing hours per resident per day, essentially matching the national average of 3.86, though weekends drop roughly 17% below weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. Staff turnover sits at 28.8%, well under the national 45.8%, which suggests people tend to stay. The home carries five deficiencies on its current record, none involving harm, jeopardy, or abuse, and its last inspection was in December 2025. It's a for-profit corporation with 149 certified beds, holding a 4-star health inspection rating alongside 3 stars each for quality measures and staffing.

Nurse hours

3.40 /day

Staff turnover

47%

Serious cites

0

Cypress Pointe Rehab runs a tight ship on inspections, a five-star health inspection rating, just three deficiencies on the current record, none at the harm level and none abuse-related. The last survey wrapped in May 2026, so the record is current. Where it gives ground is staffing. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekend coverage dips slightly below its own weekday level. Turnover lands at 47%, a touch above the 45.8% national figure, which for a 90-bed for-profit home owned by an individual is worth asking about directly. The care record looks strong; the question is whether the floor has enough hands to keep it that way.

Nurse hours

3.47 /day

Staff turnover

38%

Serious cites

0

Ridgewood runs 3.47 nursing hours per resident day, roughly 10 percent under the national figure, and weekends dip about 9 percent below what the home staffs on weekdays. The 128-bed for-profit has 30 deficiencies on its current record, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,868. Turnover sits at 38.2 percent, better than the 45.8 percent national average, and its last inspection was September 2025. The numbers behind its grade are a mixed picture: above-average marks on quality measures and staffing from CMS, but a 2/5 inspection rating and a deficiency record worth reading in full before you decide.

Nurse hours

3.82 /day

Staff turnover

25%

Serious cites

0

Sanford Health & Rehabilitation runs 131 beds under for-profit LLC ownership, and its staffing sits just a hair under the national average, 3.82 nurse hours per resident day against 3.86. That gap is small, but weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the real bright spot: 24.7% against a national 45.8% means aides and nurses are staying put, which matters for consistency of care. The tradeoff shows up in the inspection record, 31 deficiencies, three of them serious enough to risk harm, though none abuse-related, and a single fine of $10,527. The most recent inspection was April 2025, so the picture is current.

Nurse hours

3.50 /day

Staff turnover

39%

Serious cites

0

Autumn Care of Fayetteville runs about 3.50 nurse hours per resident each day, roughly 9% under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. Those thin weekend shifts are worth asking about directly, since that's when families often visit and when problems tend to surface. The inspection record is short and clean: three deficiencies, none involving harm or jeopardy, nothing abuse-related, and a survey as recent as April 2026. Staff turnover sits at 38.8%, better than the 45.8% national figure, which suggests less churn than many corporate-owned homes. Quality measures score at the top. The weak spot is staffing, and it's the one number here that touches daily life most.

Nurse hours

3.32 /day

Staff turnover

44%

Serious cites

0

Jacob's Creek runs 170 beds in Madison under for-profit LLC ownership, and its inspection record is recent, last survey finished in December 2025. On paper the health inspection side looks solid, but the current record carries eight deficiencies, including one at the harm or jeopardy level and two tied to abuse. Staffing is where the numbers get thin: 3.32 nurse hours per resident day sits about 14 percent under the national average, and weekends drop roughly 7 percent below the home's own weekday coverage. Turnover at 43.5 percent is slightly better than the 45.8 percent national figure, though not dramatically so. Two fines totaling $16,801 are on file. The quality measure scores look strong, but quality measures don't staff a weekend shift or answer a call light.

Nurse hours

3.95 /day

Staff turnover

41%

Serious cites

0

Jesse Helms Nursing Center runs about 3.95 nurse hours per resident each day, a bit above the national average, though weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 41%, which is lower than the 45.8% national figure, a meaningful sign that workers tend to stay. The five deficiencies on record include none at the harm or jeopardy level and none related to abuse. Its most recent inspection was in August 2025, and the 5-star health inspection rating reflects that clean survey history, even as the quality measure score lands at 3 stars.

Nurse hours

3.16 /day

Staff turnover

51%

Serious cites

0

Accordius Health At Gastonia runs on 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends dip about 10% below its own weekday numbers. The staffing star rating sits at 2 out of 5, and turnover hits 50.7% against a national 45.8%, nearly half the nursing staff cycling out in a year. What keeps the picture from being worse: 20 deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as April 2026. Quality measures score 5 out of 5, and the corporate owner operates for profit. Strong clinical metrics, thinner coverage at the bedside.

Nurse hours

3.72 /day

Staff turnover

41%

Serious cites

0

The Laurels of Greentree Ridge runs 90 beds in Asheville under corporate for-profit ownership, and its strongest signals come from inspections and quality measures, a recent May 2025 survey, no deficiencies at the harm or jeopardy level, and quality scores near the top of the federal scale. The staffing picture is weaker: 3.72 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 13% below the home's own weekday level, which matters most when families visit. Fifteen deficiencies appear on the current record, four tied to abuse, so ask specifically how those were resolved. Turnover at 40.8% is better than the 45.8% national figure, a modest point in its favor.

Nurse hours

3.44 /day

Staff turnover

43%

Serious cites

0

Wilson Healthcare and Rehabilitation Center runs 81 certified beds under for-profit LLC ownership, and its inspection record is the standout: a five-star health inspection rating with just four total deficiencies, none at the harm or jeopardy level. That's a clean federal paper trail, though one abuse-related citation does appear on the current record, which families should ask about directly. Staffing is where the picture softens. At 3.44 nurse hours per resident day, this home sits roughly 11 percent under the national average, and weekends dip about 6 percent below its own weekdays, worth knowing if your visits would fall on Saturdays or Sundays. Turnover at 42.7 percent actually beats the national rate slightly, so the aides you meet are a bit more likely to stick around.

Nurse hours

n/a /day

Staff turnover

28%

Serious cites

0

Wilkesboro Health and Rehabilitation runs on 4.57 nurse hours per resident per day, which is about 18 percent above the national average, and its staff turnover sits at 28.2 percent against a national rate of 45.8 percent, a signal that caregivers tend to stay. Weekend staffing dips roughly 10 percent below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 15 deficiencies on its current record, but none at the harm or jeopardy level and none related to abuse, and its last inspection was in December 2025, so the picture is recent. Corporate for-profit ownership, 111 certified beds.

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

0

Maple Grove runs 210 beds in Greensboro under for-profit LLC ownership, and its inspection history is solid, a 4/5 health inspection rating with the most recent survey in June 2025. But 23 deficiencies sit on the current record, including one at the harm or jeopardy level and two abuse-related citations, plus a $50,310 fine. Staffing is where the numbers get thinner. At 3.61 nurse hours per resident day, it trails the national average of 3.86, and weekends drop roughly 10% below its own weekday staffing. Turnover sits at 48.4%, above the national 45.8%. The quality measure rating of 5/5 looks strong on paper, but that staffing gap and those abuse citations are what a family should actually weigh.

Nurse hours

3.77 /day

Staff turnover

39%

Serious cites

0

Tarboro Health and Rehabilitation runs 118 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.77 hours per resident day, just under the national average of 3.86, close enough that it's not alarming, though weekends dip about 11% below the home's own weekday level, which is when families tend to visit and notice. Staff turnover comes in at 39.2%, better than the 45.8% national figure, so people are staying longer than average here. The current inspection record shows 10 deficiencies with none at the harm level and none related to abuse; the most recent inspection was April 2026. A five-star health inspection rating is doing real work in that grade.

Nurse hours

3.60 /day

Staff turnover

38%

Serious cites

0

Madison Health And Rehabilitation runs 100 certified beds in Mars Hill under for-profit limited liability ownership, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage, so care thins out exactly when families visit. Turnover sits at 37.9%, better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record is the weak spot: five deficiencies, including one at the harm level and one tied to abuse, plus a $9,110 fine and a 2/5 inspection rating. Quality measures score 5/5, but the most recent inspection was February 2026, so read that record closely.

Nurse hours

4.11 /day

Staff turnover

42%

Serious cites

0

Carolina Care runs on solid ground where it counts. State inspectors visited in April 2026 and came away with five stars, nine deficiencies total and none of them causing harm or tied to abuse, that's a clean record by any measure. Nurse time comes in at 4.11 hours per resident day, about 6% above the national average, though weekends dip roughly 17% below weekdays, so ask how that gap gets covered. Staff turnover sits at 42.3%, slightly better than the 45.8% national figure. The for-profit LLC ownership is worth knowing about, and staffing earned three stars against five for inspections and quality, that spread is the real story here.