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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 81 to 100 of 319, best-graded first.

B

75/100

Davie Nursing And Rehabilitation Center

Mocksville, NC · Davie County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
34%
Serious cites
0

Davie Nursing and Rehabilitation Center runs 96 certified beds in Mocksville under for-profit LLC ownership. Nurse staffing sits at 3.30 hours per resident day, which is roughly 14% under the national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. The better news: turnover is 33.8%, well below the national 45.8%, and the seven deficiencies on record include nothing at the harm level and nothing abuse-related. Its most recent inspection was November 2025. CMS rates the quality measures 4 out of 5 but staffing just 2, a split worth taking seriously.

B

75/100

The Lodge At Rocky Mount Health And Rehabilitation

Rocky Mount, NC · Edgecombe County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
40%
Serious cites
0

The Lodge at Rocky Mount runs a for-profit operation under an LLC, with 100 certified beds and a nurse staffing level of 4.24 hours per resident day, roughly 10% above the national average of 3.86. That headline number looks good, but the weekend tells a different story: staffing drops about 13% below its own weekday level, and the federal staffing rating sits at just 2 out of 5. Staff turnover is 39.6%, better than the national 45.8%. On the record are 16 deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,984 in fines from two citations. No abuse-related deficiencies appear. The last inspection was in April 2026.

B

75/100

Bethany Woods Nursing And Rehabilitation Center

Albemarle, NC · Stanly County

CMS 3/5180 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
59%
Serious cites
0

Bethany Woods runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 58.6% against a national 45.8%, meaning more than half the nursing staff leaves each year; that churn matters more than any single rating because it affects who actually knows your mother's routines. The inspection record shows 22 deficiencies with none at harm level, but one is abuse-related, and the last survey was April 2026.

B

75/100

Harmony Hall Nursing And Rehabilitation Center

Kinston, NC · Lenoir County

CMS 4/5175 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
29%
Serious cites
0

Harmony Hall runs 175 certified beds in Kinston under corporate for-profit ownership, and its staffing sits about 9% under the national average at 3.52 nurse hours per resident day. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when families often visit. The good news is retention: 28.9% turnover is well below the 45.8% national figure, meaning familiar faces and less constant retraining. But the inspection record carries 21 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus two fines totaling $15,593. A February 2026 inspection keeps that record recent. Ask about weekend coverage and how the abuse finding was resolved.

B

75/100

Autumn Care Of Marion

Marion, NC · Mc Dowell County

CMS 2/5110 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
36%
Serious cites
0

Autumn Care of Marion runs 110 beds under corporate ownership, and its nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 13% below the home's own weekday level, so the thinnest coverage lands when families often visit. Turnover is 35.6%, better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record is the harder read: 8 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $10,364 fine, with the most recent inspection dated February 26, 2026.

B

75/100

Harborview Lumberton

Lumberton, NC · Robeson County

CMS 3/5122 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
40%
Serious cites
0

Harborview Lumberton runs 122 certified beds under for-profit LLC ownership, and its staffing tells the clearest story: 3.48 nurse hours per resident day sits about 10% under the national average, and weekends drop roughly 13% below its own weekday levels. Turnover at 40.2% is actually better than the 45.8% national figure, so retention isn't the weak spot, raw coverage is. The current inspection record carries 24 deficiencies, including one at the harm level, with no abuse citations, and the last inspection was in April 2025. CMS rates health inspections and quality measures 2 out of 5, staffing 3 out of 5. Worth asking how weekend coverage gets filled before you decide.

B

75/100

The Carrolton Of Plymouth

Plymouth, NC · Washington County

CMS 3/5114 bedsFor-profitMedicaid
Nurse hours
2.85 /day
Staff turnover
25%
Serious cites
0

The Carrolton of Plymouth runs lean on nursing hours, 2.85 per resident day against a national average of 3.86, with weekends staffed about 12% thinner than weekdays. That shortfall matters most when a resident needs help on a Saturday. Turnover at 24.5% is well below the national 45.8%, so the aides who are there tend to stay, which helps continuity. But the inspection record is the harder read: 37 deficiencies, including two at harm or jeopardy level and four tied to abuse, with the most recent state visit in March 2025. A for-profit LLC operating 114 beds, this home earns a 4/5 on quality measures but only 2/5 on both staffing and inspections. Families weighing it should ask directly how weekend coverage is filled and what changed after those abuse findings.

B

75/100

Richmond Pines Healthcare And Rehabilitation Cente

Hamlet, NC · Richmond County

CMS 3/5105 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
42%
Serious cites
0

Richmond Pines runs on thinner nursing hours than most homes, 3.40 per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday numbers. That weekend dip matters more than the headline figure, since that's when families often visit and when coverage gaps show. Turnover sits at 41.6%, slightly better than the 45.8% national rate, which suggests some stability in the workforce. The inspection record shows 21 deficiencies, none reaching harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. The 2/5 quality measure rating is the weakest number here, and it's worth asking the staff what specifically drives it.

B

75/100

Greendale Forest Nursing And Rehabilitation Center

Snow Hill, NC · Greene County

CMS 1/5115 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
30%
Serious cites
0

Greendale Forest runs on thinner nurse coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends about 9% below its own weekday level. That's a staffing rating of 1 out of 5, and it matters most on Saturdays and Sundays when families tend to visit. The inspection record shows 31 deficiencies, including two at the harm level and two tied to abuse, with $18,132 in fines. One thing genuinely stands out in a good way: turnover at 29.9% sits well below the 45.8% national figure, so the caregivers who are there tend to stay. Corporate-owned, 115 beds, last inspected in March 2025.

B

75/100

Heartland Living & Rehab At The Moses H Cone Memor

Greensboro, NC · Guilford County

CMS 4/5107 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
36%
Serious cites
0

Heartland Living & Rehab runs 107 beds in Greensboro under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekend coverage drops about 8% below its own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. The inspection record is the strongest part: 13 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the last survey completed April 30, 2026. Staff turnover of 35.8% beats the national 45.8%, which matters for continuity of care, though the quality measure rating of 2 out of 5 suggests clinical outcomes lag behind the inspection results.

B

75/100

The Laurels Of Chatham

Pittsboro, NC · Chatham County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
38%
Serious cites
0

The Laurels of Chatham runs 140 certified beds in Pittsboro 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 dip roughly 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the brighter spot: 37.5% against a national average of 45.8%, so the aides and nurses here tend to stick around longer than is typical. The inspection record is the concern, 31 deficiencies, two of them serious enough to involve harm or jeopardy, and a health inspection rating of 2 out of 5, with the most recent survey in July 2025.

B

75/100

Willowbrook Rehabilitation And Care

Yadkinville, NC · Yadkin County

CMS 4/576 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
33%
Serious cites
0

Willowbrook runs lean on nursing hours, 3.14 per resident day, roughly 19% under the national average, and weekends dip about 6% below its own weekday staffing, which is worth asking about if your family tends to visit Saturdays and Sundays. That said, the people they do have tend to stay: turnover is 32.7%, well under the national 45.8%. The inspection record is the strongest part of the picture, with a 4-star health inspection rating, six deficiencies on file, none at harm level and none abuse-related, and a recent survey from September 2025. Quality measures sit mid-range at 3 stars, so this reads as a decently run home stretched thin on direct care hours.

B

75/100

Mecklenburg Heath And Rehabilitation

Charlotte, NC · Mecklenburg County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
52%
Serious cites
0

Mecklenburg Heath And Rehabilitation runs 100 certified beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, 13 deficiencies with none at the harm or jeopardy level, and just one fine of $4,475. The catch is staffing. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 15% below its own weekday coverage. Annual turnover of 52.1% tops the national 45.8%, so aides and nurses cycle through faster than average. Quality measures score high, but that staffing number is the one to ask about directly, especially on weekends.

B

75/100

Peak Resources - Gastonia

Gastonia, NC · Gaston County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
41%
Serious cites
0

Peak Resources - Gastonia runs lean on nursing hours: 3.13 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage. That staffing gap is the main thing pulling its profile down, even though turnover at 41% is slightly better than the 45.8% national figure. The inspection record is cleaner than most, six deficiencies, none at the harm level, none related to abuse, and the last survey was recent. Quality measures score well. So you're looking at a home where care appears well-documented and inspections are solid, but day-to-day nurse coverage sits below what most facilities provide. Ask how they staff weekends and evenings before deciding.

B

74.5/100

Crystal Bluffs Rehabilitation And Health Care Cent

Morehead City, NC · Carteret County

CMS 5/592 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Crystal Bluffs is a 92-bed for-profit home in Morehead City, and the numbers tell a fairly steady story. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekends run roughly 18% thinner than weekdays, worth asking about if your family member needs help most on Saturdays and Sundays. Turnover is 38.2%, which is actually better than the national figure, and the inspection record is clean: one deficiency, nothing at harm level, nothing abuse-related, with a recent January 2026 survey. Quality measures land mid-range. Nothing here screams trouble, but the weekend staffing gap is the detail to press on.

B

74.5/100

Pruitthealth-Rockingham

Rockingham, NC · Richmond County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
54%
Serious cites
0

Pruitthealth-Rockingham runs 120 beds under corporate ownership, and its inspection record is genuinely solid, a four-out-of-five health inspection rating with 21 deficiencies on file, none of them at the harm or jeopardy level. The catch is staffing. At 3.65 nurse hours per resident day, it sits about 5% under the national average, and weekend coverage drops roughly 16% below what the home staffs on weekdays, which matters if your family tends to visit Saturdays and Sundays. Annual turnover of 53.9% is well above the 45.8% national figure, so aides and nurses cycle through faster than average. Two abuse-related deficiencies also appear on the current record.

B

74/100

Accordius Health At Rose Manor Llc

Durham, NC · Durham County

CMS 2/5111 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
52%
Serious cites
0

Accordius Health at Rose Manor is a for-profit LLC home with 111 beds in Durham, and its staffing sits just barely above the national average, about 2%, which is a thin margin when weekends run roughly 9% below the home's own weekday levels. Turnover is the bigger issue: 52.2% of nursing staff leaving annually, against a national average of 45.8%, means a lot of new faces. The record shows 38 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $16,801 fine. The last inspection was May 2025, so the record is current.

B

74/100

Northchase Nursing And Rehabilitation Center

Wilmington, NC · New Hanover County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
40%
Serious cites
0

Northchase runs a 140-bed for-profit operation in Wilmington, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day, with weekends dipping roughly 8% below its own weekday numbers. Turnover is 39.8%, which is actually better than the 45.8% national figure, that's a real point in its favor. But the inspection record is where things get harder to ignore: 27 deficiencies, including one at the harm level and two tied to abuse, plus a $7,901 fine. The most recent inspection was June 2025, so the picture is current, not stale. Worth asking about those abuse-related findings directly before you decide.

B

74/100

Lincolnton Rehabilitation Center

Lincolnton, NC · Lincoln County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.80 /day
Staff turnover
52%
Serious cites
0

Lincolnton Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.80 nurse hours per resident day. That gap is small, but weekends run roughly 10% thinner than weekdays, and annual turnover hits 52.2% against a 45.8% national rate, so the faces around a resident change often, and coverage tightens right when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, six at harm or jeopardy level, two tied to abuse, and a $71,117 fine. A July 2025 inspection is recent, at least. Quality measures score well, but you'd want to ask specifically how those harm-level findings were resolved.

B

74/100

Capital Nursing And Rehabilitation Center

Raleigh, NC · Wake County

CMS 4/5125 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
37%
Serious cites
0

Capital Nursing and Rehabilitation Center runs 125 beds in Raleigh under corporate ownership, and its staffing sits around 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends dipping about 10% below its own weekday levels. Turnover is 36.5%, which is meaningfully better than the 45.8% national figure, so the staff who are there tend to stay. The inspection record shows 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was in August 2025. Quality and staffing each earned three stars; inspections earned four. The picture is a decently run building with thinner coverage than average, especially on weekends.

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