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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 101 to 120 of 319, best-graded first.

B

74/100

Autumn Care Of Drexel

Morganton, NC · Burke County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
58%
Serious cites
0

Autumn Care Of Drexel runs 100 beds in Morganton under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 4% below what the home staffs on weekdays. Turnover is the bigger concern: 57.6% of staff leave annually, well above the 45.8% national figure, which matters because unfamiliar caregivers struggle to learn residents' routines. The inspection record shows 17 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $27,872. Quality measures score well, but staffing and consistency are where the gaps show.

B

74/100

Yanceyville Rehabilitation And Healthcare Center

Yanceyville, NC · Caswell County

CMS 2/5157 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
48%
Serious cites
0

Yanceyville Rehabilitation and Healthcare Center runs 157 certified beds, and its nurse staffing sits at 3.10 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip further, about 11% under the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 47.8%, a couple of points above the national figure, and CMS gives staffing 2 out of 5 stars against a much stronger 4 out of 5 on quality measures. The current record carries 19 deficiencies, none at harm or jeopardy level but one tied to abuse, with the last inspection dated February 27, 2025.

B

74/100

Three Rivers Health And Rehabilitation Center

Windsor, NC · Bertie County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
49%
Serious cites
0

Three Rivers runs about 3.56 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 9% below its own weekday staffing. That's the tradeoff a family feels on a Sunday afternoon. Turnover sits at 48.9%, a bit above the national 45.8%, so the faces change. What keeps this home in decent shape is its record: six deficiencies, none at harm or jeopardy level and none abuse-related, plus a January 2026 inspection that's still recent. A for-profit limited liability company owns it, which tends to mean leaner staffing rather than extra. Ask who's actually on the floor weekends and how long the current director of nursing has been there.

B

74/100

Peak Resources - Brookshire, Inc

Hillsborough, NC · Orange County

CMS 4/580 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
45%
Serious cites
0

Peak Resources - Brookshire runs 80 certified beds in Hillsborough under corporate for-profit ownership. The staffing number is the thing to watch: 3.61 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 8% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 44.6% is a hair under the national rate, which is mildly reassuring, and the inspection record is recent, April 2026, with 13 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly.

B

74/100

Croatan Ridge Nursing And Rehabilitation Center

Newport, NC · Carteret County

CMS 4/564 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Croatan Ridge is a 64-bed for-profit home in Newport, and its inspection record is the strongest part of the picture, a 4-out-of-5 health inspection rating, with the most recent survey in May 2026 and no deficiencies at the harm or jeopardy level. The catch is staffing. At 3.38 nurse hours per resident day, it runs roughly 13 percent under the national average, and weekends dip about 5 percent below its own weekday level, which matters if your family tends to visit on Saturdays and Sundays. Ten deficiencies are on record, one abuse-related. Turnover sits at 44.7 percent, basically in line with the national figure.

B

74/100

Camden Health And Rehabilitation

Greensboro, NC · Guilford County

CMS 4/5135 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
45%
Serious cites
0

Camden Health and Rehabilitation runs 135 beds in Greensboro under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with 11 deficiencies on file, none of them causing harm or jeopardy and none abuse-related, with the most recent survey done in July 2025. Staffing is where it slips. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends run roughly 13% lighter than its own weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover lands at 45.3%, essentially tracking the national rate of 45.8%.

B

74/100

Autumn Care Of Cornelius

Cornelius, NC · Mecklenburg County

CMS 2/5102 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
48%
Serious cites
0

Autumn Care of Cornelius runs 102 certified beds under corporate ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. Weekend coverage drops about 6% below what the home staffs on weekdays, so the lowest-staffed shifts land when families tend to visit. Annual turnover is 48.3%, slightly above the national 45.8%. The current deficiency record shows 26 citations, none at the harm or jeopardy level, but two tied to abuse. Inspections are recent, from July 2025, and the health inspection rating sits at 2 out of 5 stars while quality measures score 4. Staffing lands mid-range.

B

73.5/100

The Laurels Of Hendersonville

Hendersonville, NC · Henderson County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

The Laurels of Hendersonville runs 100 beds under corporate for-profit ownership, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends are the bigger concern, coverage drops roughly 21% below the home's own weekday level, which is when problems tend to surface. Turnover at 44.4% is basically in line with the national rate, so that's not the outlier here. What stands out is the inspection record: 23 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with four fines totaling $36,257. The most recent inspection was June 2026. Resident outcome measures score well, but that record is hard to overlook.

B

73.5/100

Pruitthealth-Town Center

Harrisburg, NC · Cabarrus County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
58%
Serious cites
0

Pruitthealth-Town Center runs 70 certified beds in Harrisburg under corporate for-profit ownership. The nursing hours look decent on paper, 4.17 per resident day, roughly 8% above the national average, but weekends drop about 16% below what the home staffs during the week, and annual turnover sits at 57.9% against a national average of 45.8%. That's a lot of churn for a building this size. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with an $8,018 fine and a survey completed in August 2025. Quality measures score well; the staffing and inspection sides are where the concerns concentrate.

B

73.5/100

Inn At Quail Haven Village

Pinehurst, NC · Moore County

CMS 4/535 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

The Inn at Quail Haven Village runs 35 certified beds in Pinehurst under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, barely a percentage point apart. What's more telling is the shape of that coverage: weekends run about 17% leaner than weekdays, which is when families tend to visit and notice. Turnover at 36.8% is meaningfully better than the 45.8% national figure, suggesting workers stick around longer here than at the typical home. The inspection record carries 20 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent survey came in June 2025 and the health inspection rating landed at 4 out of 5. Quality measures scored lower, at 2 out of 5.

B

73/100

Autumn Care Of Biscoe

Biscoe, NC · Montgomery County

CMS 4/5141 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
24%
Serious cites
0

Autumn Care of Biscoe runs 141 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekend coverage dipping about 9% below its own weekday levels. That thinner staffing shows up alongside 24 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, plus a single fine of $15,350. Where the home stands out is turnover: 23.9% against a national average of 45.8%, meaning far fewer caregivers are cycling through than is typical. Its last inspection was March 13, 2025.

B

73/100

Pettigrew Rehabilitation Center

Durham, NC · Durham County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
61%
Serious cites
0

Pettigrew Rehabilitation Center runs 96 certified beds in Durham under for-profit LLC ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends dip roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 60.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are changing over constantly. Inspections are current as of March 2025, with 15 deficiencies on record but none tied to harm or abuse, and the quality measure score is strong even as staffing lags.

B

73/100

Sapphire Ridge Health And Rehabilitation

Brevard, NC · Transylvania County

CMS 2/5147 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
43%
Serious cites
0

Sapphire Ridge runs about 10% thinner on nurse staffing than the national average, 3.47 hours per resident day against 3.86, and weekends dip roughly 9% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover sits at 43%, a touch better than the 45.8% national figure, and the 29 deficiencies on record include one abuse-related citation but nothing flagged at harm or jeopardy level, with a single $22,568 fine. The two-star inspection and quality ratings, paired with for-profit LLC ownership and 147 beds, describe a home that isn't failing outright but has consistent room to improve.

B

73/100

Autumn Care Of Shallotte

Shallotte, NC · Brunswick County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
55%
Serious cites
0

Autumn Care of Shallotte runs on thin staffing for a 100-bed building, 3.50 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 15% below what it manages during the week. Turnover tells a harder story: 54.7% of staff leave annually, nearly ten points above the national rate, which means the people providing most of the hands-on care are often new. The health inspection record is where the trouble really shows: 25 deficiencies, two of them serious enough to put residents at harm or jeopardy, two tied to abuse, and $51,348 in fines across three penalties. The most recent inspection was July 2025, so the picture is current.

B

73/100

Wallace Rehabilitation And Healthcare Center

Wallace, NC · Duplin County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
46%
Serious cites
0

Wallace Rehabilitation and Healthcare Center runs 80 certified beds under for-profit LLC ownership, and its last health inspection in February 2025 produced five deficiencies with none rising to harm or jeopardy level and nothing abuse-related. Nurse staffing sits at 3.43 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip about 8 percent below the home's own weekday coverage. Annual turnover of 45.9 percent is essentially the national rate. So the clinical care record looks clean and recently reviewed, while daily staffing runs a bit thin and gets thinner on weekends. For a family weighing this one, the question worth asking is how that weekend gap shows up in actual response times.

B

73/100

Silver Bluff

Canton, NC · Haywood County

CMS 3/5131 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
51%
Serious cites
0

Silver Bluff runs 131 certified beds in Canton under corporate for-profit ownership, and its staffing is the number worth watching. At 3.25 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 51.4% tops the national 45.8% average, meaning aides and nurses cycle through faster than usual. The inspection record shows 14 deficiencies, including two at harm or jeopardy level and four tied to abuse. A January 2026 inspection gives a recent snapshot, but the pattern across staffing and deficiencies is what matters.

B

73/100

Pineville Rehabilitation And Living Center

Pineville, NC · Mecklenburg County

CMS 3/5106 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
64%
Serious cites
0

Pineville Rehabilitation and Living Center runs about 106 certified beds under for-profit LLC ownership, and its staffing sits roughly 9% under the national average, with weekends dipping another 13% below its own weekday levels, which is when families tend to notice. Turnover tells a bigger story: 64.1% of nursing staff leaving annually, against a national average near 46%. That churn, combined with 36 deficiencies on record, including one at the harm level and one abuse-related, and $15,470 in fines, explains why inspections land at 3 stars even though quality measures score 4. The most recent inspection was June 2025, so the record is current.

B

73/100

Liberty Commons Nsg And Rehab Ctr Of Rowan County

Salisbury, NC · Rowan County

CMS 3/590 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
28%
Serious cites
0

Liberty Commons runs about 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips another 9% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 27.9% against a national average of 45.8%, meaning aides and nurses here tend to stay. The 17 deficiencies on record include nothing flagged for harm or abuse, and the most recent inspection was in November 2025, so the picture is fairly current. Quality measures score 2 of 5, which is where the weaker numbers show up.

B

72.5/100

Liberty Commons Nursing & Rehab Center Of Southpor

Southport, NC · Brunswick County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
n/a
Serious cites
0

Liberty Commons runs about 3.58 nurse hours per resident day, roughly 7 percent under the national average, and weekends dip another 7 percent below its own weekdays, so the thinnest coverage lands when families tend to visit. The 31 deficiencies on record are worth noting, though none reached harm or jeopardy level and none involved abuse, and the most recent inspection was in May 2025, so the picture is current. Quality measure scores sit at 2 out of 5 stars even as inspection and staffing both hold at 3. This is a for-profit limited liability company operating 99 certified beds, and the numbers describe a home that's neither failing nor standing out.

B

72/100

Bear Mountain Health And Rehabilitation

Asheville, NC · Buncombe County

CMS 3/577 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
61%
Serious cites
0

Bear Mountain runs 77 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.28 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the other flag: 60.5% annually against a national 45.8%, meaning most of the people caring for your relative are relatively new. The inspection history shows 31 deficiencies, three at harm or jeopardy level and one abuse-related, with a single fine of $11,170 and a survey completed in May 2025. Ownership is for-profit, and the record reflects it.

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