319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

3.50 /day

Staff turnover

37%

Serious cites

0

Hendersonville Health and Rehabilitation runs 3.50 nurse hours per resident per day, about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday staffing. That thinner weekend coverage is the number I'd ask about directly. Turnover sits at 37.1%, better than the 45.8% national figure, so the crew that is there tends to stay. The record is clean where it matters most: 11 deficiencies, none causing harm or jeopardy, none abuse-related, and a September 2025 inspection. Owned by a for-profit LLC with 130 beds. Ask how they cover a Saturday call-out.

Nurse hours

4.84 /day

Staff turnover

40%

Serious cites

0

Westchester Manor runs about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 39.5% sits below the national 45.8%, that combination usually means people stay long enough to know the residents. The catch is on the inspection side: seven deficiencies on the current record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Weekend staffing dips only slightly, so coverage doesn't fall off a cliff on Saturdays. The most recent inspection closed in July 2025, so the record is current rather than stale. Strong staffing, a thinner quality-measure score, and a mixed survey history, worth asking about those two serious deficiencies directly.

Nurse hours

3.61 /day

Staff turnover

37%

Serious cites

0

Ashton Health And Rehabilitation runs 134 certified beds in Guilford County under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, five total deficiencies, one of them at the harm or jeopardy level, and nothing abuse-related. Staffing is where it slips. At 3.61 nurse hours per resident day it sits about 6% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing star rating is 2 out of 5. Turnover at 36.5% actually beats the national 45.8%, which matters for consistency of care, though it doesn't fix the thin weekend hours. One fine of $8,788 is on record, and the last inspection was July 2025.

Nurse hours

3.60 /day

Staff turnover

44%

Serious cites

0

Harmony Park At Wilson runs a 110-bed for-profit operation, and the split in its record is worth understanding. Inspections look solid, a four-star health inspection rating and no deficiencies at the harm or jeopardy level. But two abuse-related citations on the current record deserve a direct question when you tour. Staffing is the weaker spot: 3.60 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 8% below the home's own weekday coverage. Turnover of 44.2% is roughly in line with the national figure. Ask how they staff Saturday and Sunday, and who supervises residents then.

Nurse hours

3.18 /day

Staff turnover

18%

Serious cites

0

Life Care Center of Banner Elk runs a corporate-owned, 118-bed building where the nursing hours come in light, about 3.18 per resident day against a national average near 3.86, and weekends dip roughly 7% below the home's own weekday coverage. What stands out in the other direction is retention: turnover sits at 17.6%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is current and clean at the serious end, seven deficiencies, none involving harm or abuse, following an August 2025 survey. Read together, that suggests a stable crew working with thinner daily staffing than most homes.

Nurse hours

3.36 /day

Staff turnover

23%

Serious cites

0

Riverpoint Crest runs leaner on nursing hours than most homes, about 3.36 per resident per day against a national average of 3.86, and weekends dip roughly 12% below its own weekday staffing. The tradeoff is stability: turnover sits at 23.4%, well under the 45.8% national figure, so the aides and nurses your family member sees are more likely to still be there next year. Its inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in September 2025. Corporate for-profit ownership and a mid-range inspection history mean the numbers here are solid on staffing consistency but not standout on care quality.

Nurse hours

3.74 /day

Staff turnover

42%

Serious cites

0

The Greens At Hickory runs 150 beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.74 nurse hours per resident day, roughly 3% below. Weekends are where that thins out most, dropping about 11% below the home's own weekday coverage, which matters when families visit and needs don't pause for the calendar. Turnover lands at 41.5%, a bit better than the 45.8% national figure. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in late January 2026. Inspections have drawn a 2 out of 5 from CMS, the weakest of its three ratings.

Nurse hours

3.89 /day

Staff turnover

56%

Serious cites

0

The Lodge At Mills River just cleared a June 2025 inspection and holds a 5-star record on both health inspections and quality measures, the clinical side looks strong. But look at staffing and the picture shifts: 3.89 nurse hours per resident day sits barely above the national average, weekends run about 14% thinner than weekdays, and annual turnover of 55.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. Six deficiencies are on record, one serious enough to reach harm or jeopardy. A for-profit LLC runs the place, and with only 50 beds, every departure is felt. Good care when inspected, but keeping enough consistent hands is the real question.

Nurse hours

3.43 /day

Staff turnover

52%

Serious cites

0

Peak Resources - Alamance runs 142 certified beds in Graham under corporate for-profit ownership, and its inspection record is genuinely solid, a four-star health inspection rating, eight deficiencies on file with none rising to harm or jeopardy level, and no abuse citations. The catch is staffing. At 3.43 nurse hours per resident day, it sits roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday coverage, which matters most when families visit and aides are stretched thinnest. Staff turnover of 52.4 percent runs well above the 45.8 percent national figure, so the people caring for residents change often. One fine totaling $3,728 and a recent March 2026 inspection round out a home that's safe on paper but thin on consistent hands.

Nurse hours

3.12 /day

Staff turnover

40%

Serious cites

0

Cardinal Healthcare and Rehabilitation runs about 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 9% below its own weekday numbers, so if you're visiting on a Saturday, expect a thinner floor than midweek. Turnover sits at 40%, a bit better than the 45.8% national figure, and the inspection record is clean where it counts: eight deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey dated June 2026. The 63-bed for-profit corporate home earns top marks on quality measures and solid marks on inspections, but the staffing hours are what a family should weigh against a recent, mostly minor survey history.

Nurse hours

3.59 /day

Staff turnover

37%

Serious cites

0

Tower Nursing and Rehabilitation Center runs 180 certified beds in Raleigh under for-profit limited liability ownership, and its staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86, with weekend coverage dipping roughly 7% below its own weekday levels. Turnover is 37.1%, better than the national 45.8%, so the 4/5 staffing star rating reflects stability more than raw hours. The harder numbers are on the record: 42 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with a 2/5 inspection rating and a 2/5 quality measure rating. That inspection was recent, dated March 20, 2025, so this record is current, not stale.

Nurse hours

4.96 /day

Staff turnover

51%

Serious cites

0

Trinity Elms runs a church-affiliated nonprofit home in Clemmons with 100 certified beds, and the staffing is the clearest strength here: 4.96 nurse hours per resident day, about 28% above the national average, with weekend coverage dipping only slightly below weekdays. That's a real cushion. The rest of the picture is thinner. Roughly half the nursing staff turned over in the past year, a bit worse than the national rate, and the current inspection record carries 14 deficiencies, including two at the harm level and one tied to abuse, along with $15,646 in fines. Quality measure scores sit at the low end. Good coverage, uneven execution.

Nurse hours

3.23 /day

Staff turnover

50%

Serious cites

0

Valley View Care and Rehabilitation runs 76 certified beds in Andrews under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage, a pattern worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover runs 50%, above the national 45.8%, while the current record shows 26 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $9,770. The last inspection was April 2026, so the record is recent.

Nurse hours

4.70 /day

Staff turnover

58%

Serious cites

0

Whitestone A Masonic and Eastern Star Community runs 60 certified beds in Greensboro under nonprofit ownership. Nurse staffing sits at 4.70 hours per resident day, roughly 22% above the national average, though weekends run about 18% leaner than weekdays. Annual turnover is 57.9%, well above the 45.8% national figure, so residents see a fair amount of changing faces. The current inspection record shows nine deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $25,490; the most recent inspection was April 2025. Good weekday coverage and quality scores are real strengths here. The turnover number and those two harm-level findings are what a family should ask about directly.

Nurse hours

4.40 /day

Staff turnover

69%

Serious cites

0

Pine Ridge runs a 140-bed for-profit home in Thomasville, and the staffing numbers cut both ways. At 4.40 nurse hours per resident day, it's running about 14% above the national average, and weekends only dip about 7% below its own weekday pace, a smaller drop than a lot of places manage. But that same staff is turning over at 69.4% a year, well past the 45.8% national figure, and 17 deficiencies sit on the current record, though none at harm or jeopardy level and none abuse-related. The last inspection was in June 2025, so the picture is recent, and the quality measure score holds up better than the health inspection one.

Nurse hours

3.59 /day

Staff turnover

67%

Serious cites

0

The Greens At Weaverville runs 122 beds under for-profit LLC ownership, and its inspection record is the strong point here: 11 deficiencies on file, none rising to harm or jeopardy, none abuse-related, and a survey completed as recently as July 2025. The staffing picture is weaker. At 3.59 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday coverage. Turnover is the number worth sitting with, 66.9% against a 45.8% national average means most of the aides and nurses caring for your family member are relatively new to the building. Ask how they hold weekday staffing steady into Saturday and Sunday.

Nurse hours

6.77 /day

Staff turnover

37%

Serious cites

0

Kindred Hospital East Greensboro runs a small operation, 23 certified beds under corporate ownership, and the staffing numbers are unusual. At 6.77 nurse hours per resident day, it's roughly 75% above the national average, though weekend coverage dips about 8% below its own weekday level. Turnover sits at 36.7%, better than the 45.8% national figure. The tradeoff shows up in oversight: 14 deficiencies on the current record, two tied to abuse, with no harm-level findings, and the last inspection was recent. CMS rates staffing 2 out of 5 stars despite the high hours, which suggests the agency weighs weekend gaps and case mix differently than raw totals do.

Nurse hours

3.17 /day

Staff turnover

49%

Serious cites

0

Clay County Health and Rehabilitation runs on 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday levels. That thinner weekend schedule matters because staffing is what families actually feel day to day. Annual turnover sits at 49.4%, a few points above the national 45.8%, so the people providing care change fairly often. The current inspection record shows 17 deficiencies, though none at the harm or jeopardy level and none abuse-related, and the last inspection was May 1, 2026. With 90 certified beds under for-profit corporate ownership, this is a home that isn't failing outright but runs lean.

Nurse hours

3.72 /day

Staff turnover

32%

Serious cites

0

Pruitthealth-Elkin runs 100 beds under corporate for-profit ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends thin out further, roughly 15% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the bright spot: 31.5% against a national 45.8% means aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $15,734, with the most recent state visit in June 2025.

Nurse hours

3.21 /day

Staff turnover

44%

Serious cites

0

Sardis Oaks runs lean on nursing hours, 3.21 per resident per day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 24 percent below its own weekday level. That thin weekend coverage is worth asking about directly, since it's when families often can't visit. Turnover sits at 44 percent, essentially matching the national rate, so the issue isn't churn so much as how many hands are scheduled per shift. Sixteen deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection was recent. Quality measures score well; staffing is where the numbers fall short.