319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

3.89 /day

Staff turnover

24%

Serious cites

0

Nurse staffing at Elizabeth City Health and Rehabilitation runs 3.89 hours per resident day, just above the national average of 3.86, so the hands-on care hours aren't the problem. The problem on paper is the inspection record: 22 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and a $77,760 fine. Staff turnover of 23.7% is actually well below the national 45.8%, which means the workforce is relatively stable, but weekend coverage drops about 13% from weekday levels. Keep in mind the most recent state inspection was June 2025. When you tour, ask specifically what changed after those harm-level findings and how weekend shifts are covered.

Nurse hours

3.57 /day

Staff turnover

37%

Serious cites

0

Zebulon Rehabilitation Center runs 60 certified beds in Wake County under corporate for-profit ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating with 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related. The last inspection was recent, from July 2025. Where it slips is staffing: 3.57 nurse hours per resident day, roughly 8 percent under the national average, with weekends running about 6 percent leaner than weekdays already are. Turnover sits at 37 percent, better than the 45.8 percent national figure, so the people who stay may be steady, there just aren't quite enough of them.

Nurse hours

3.23 /day

Staff turnover

42%

Serious cites

0

Piedmont Health & Rehab Center runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends dip about 9% below its own weekday staffing. That thinner coverage matters more given what inspectors found: 15 deficiencies on the current record, including 2 at the harm or jeopardy level and 2 tied to abuse, with $32,717 in fines and a 2-out-of-5 inspection rating. Turnover sits at 41.7%, slightly better than the 45.8% national figure, and the most recent inspection was September 2025. Quality measures score well, but staffing and inspection results are where the real story is.

Nurse hours

3.26 /day

Staff turnover

44%

Serious cites

0

Emerald Health & Rehab runs 96 beds in Lillington under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends drop about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.4 percent, essentially matching the national 45.8 percent, which means the staffing shortage isn't mainly a retention problem. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in July 2025. The 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.

Nurse hours

3.97 /day

Staff turnover

49%

Serious cites

0

White Oak Manor in Burlington runs a 160-bed for-profit operation where the daily staffing picture looks solid on paper, about 3.97 nurse hours per resident, slightly ahead of the national average, but the numbers underneath tell a rougher story. Weekend coverage drops roughly 12% below weekday levels, meaning the hours a resident actually gets depend heavily on which day it is, and nearly half the nursing staff turns over each year. The bigger concern is the inspection record: 23 deficiencies, six serious enough to involve harm or jeopardy, six tied to abuse, and two fines totaling $137,472, with the most recent inspection in November 2025. Strong quality scores and a 5/5 staffing star don't offset that history.

Nurse hours

3.65 /day

Staff turnover

69%

Serious cites

0

Autumn Care of Saluda runs 99 certified beds as a for-profit corporation, and its nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, with weekends roughly 9% thinner than weekdays. That staffing pattern matters more given the 69.1% annual turnover, well above the 45.8% national figure, meaning many of the people providing daily care are new to the building. The inspection record is the harder read: 18 deficiencies, 5 at harm or jeopardy level, 3 abuse-related, and one fine of $16,801. Quality measures score well, but staffing and inspection results drag the overall picture down.

Nurse hours

3.97 /day

Staff turnover

50%

Serious cites

0

Ahoskie Health and Rehabilitation Center runs 151 certified beds as a for-profit corporation, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 7% below its own weekday levels. Staff turnover is the number to watch: 49.5% annually against a national average of 45.8%, meaning nearly half the nursing staff turns over each year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, along with one fine totaling $11,629. The last inspection was December 18, 2025. CMS rates quality measures 2 out of 5.

Nurse hours

3.36 /day

Staff turnover

49%

Serious cites

0

Pruitthealth-Farmville runs a 56-bed for-profit home in Pitt County, and the numbers tell a mixed story. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 12% below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover hit 49%, above the 45.8% national figure, meaning nearly half the nursing staff turns over each year. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with two fines totaling $14,697; the most recent inspection was August 2025. Quality measures score well, but staffing and that deficiency history are what hold this one back.

Nurse hours

3.30 /day

Staff turnover

33%

Serious cites

0

Wadesboro Health & Rehab runs 66 beds under corporate for-profit ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day, roughly 15% under the national average, with weekends about 11% thinner than weekdays. That's what drives the two-star staffing rating, even though the 33.3% turnover is actually better than the 45.8% national figure, aides and nurses here tend to stay longer than average, which matters for familiarity even when the daily hours are thin. The inspection record shows 19 deficiencies but none at harm or jeopardy level and nothing abuse-related, and the most recent survey was in May 2025, so the picture is current. Three stars each on health inspections and quality measures round out a home that's decent on care delivery but light on hands.

Nurse hours

2.27 /day

Staff turnover

48%

Serious cites

0

Peak Resources-Cherryville runs on 2.27 nurse hours per resident per day, roughly 41 percent below the national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover at 48.2 percent is only slightly worse than the 45.8 percent national figure. The inspection record looks better: 18 deficiencies, none at harm or jeopardy level, one abuse-related, and a recent June 2025 visit. Quality measures score 5 out of 5. So you have a home that charts well on outcomes but asks residents to get by on notably fewer hands per day, particularly on weekends.

Nurse hours

3.26 /day

Staff turnover

36%

Serious cites

0

Peak Resources - Pinelake runs leaner on nursing hours than most homes in the country, about 3.26 hours per resident per day against a national average near 3.86. Weekends dip further, roughly 6% below what the building staffs Monday through Friday. Turnover sits at 36.3%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is mixed: a 4-star health inspection rating and a recent survey from August 2024, but 18 deficiencies on file, including one at the harm level and one tied to abuse. That combination, decent inspections, thin daily staffing, a serious citation, is what pulls the overall picture down to average.

Nurse hours

3.69 /day

Staff turnover

56%

Serious cites

0

Woodlands runs a tight ship on safety, with ten deficiencies on its record and none rising to harm or jeopardy, a genuinely clean inspection history, most recently verified in August 2025. The tradeoff shows up in staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 6% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover tells a similar story: 55.6% annually against a national 45.8%, meaning nearly six in ten caregivers left within the year. For a family weighing consistency of care, that churn is worth asking about directly.

Nurse hours

3.53 /day

Staff turnover

45%

Serious cites

0

Autumn Care of Nash runs 60 beds under corporate ownership in Nashville, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekend coverage dropping another 12% below its own weekday numbers. Turnover comes in at 44.8%, basically level with the national rate, so retention here isn't the standout problem; the thinner direct-care hours are. The current record shows 14 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was July 30, 2025. Quality measure scores land at 2 out of 5 stars. If your family member needs steady hands on weekends, that gap is worth asking about directly.

Nurse hours

3.34 /day

Staff turnover

45%

Serious cites

0

Magnolia Gardens is a for-profit LLC home with 120 beds in Thomasville, and its staffing sits at 3.34 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends run about 13 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Turnover is 44.6 percent, essentially in line with the national 45.8 percent. The inspection record carries 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $16,153 fine. Its most recent inspection was November 18, 2025. Nothing here is catastrophic, but the thin weekend coverage and that abuse-related citation are the two things worth asking about directly.

Nurse hours

3.43 /day

Staff turnover

37%

Serious cites

0

Pruitthealth-Raleigh runs 150 certified beds under corporate for-profit ownership, and its staffing sits about 11% under the national average at 3.43 nurse hours per resident day. Weekends drop roughly 14% below the home's own weekday coverage, which matters when you're thinking about who's on the floor on a Sunday. Turnover lands at 37.4%, actually better than the 45.8% national figure, a genuine bright spot. The inspection record is where it gets heavier: 30 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $16,152. A January 2026 inspection is recent, so that count reflects current conditions rather than old history.

Nurse hours

3.37 /day

Staff turnover

54%

Serious cites

0

Silas Creek runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, with weekends dipping about 13% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families tend to visit and when fewer eyes are on residents. Annual turnover sits at 53.8%, well above the 45.8% national figure, so the aides and nurses you meet may not be there in a year. The good news: a clean inspection record, just two deficiencies and nothing at harm or jeopardy level, verified as recently as May 2025, under for-profit LLC ownership.

Nurse hours

3.45 /day

Staff turnover

46%

Serious cites

0

The Greens at Viewmont runs about 3.45 nursing hours per resident per day, roughly 11 percent under the national average, and weekend coverage drops about 14 percent below what the home staffs on weekdays. Turnover sits at 45.7 percent, essentially matching the national rate. What separates this home is its inspection record: 23 deficiencies, six of them serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $44,179, all on a survey completed in May 2025. It's a for-profit limited liability company with 104 beds. The staffing and quality stars look decent on their own, but the inspection history is where a family should focus its questions.

Nurse hours

1.69 /day

Staff turnover

42%

Serious cites

0

Huntersville Oaks runs on 1.69 nurse staffing hours per resident day, roughly 56 percent below the national average of 3.86, and that gap is the main thing dragging its record down. Weekend coverage holds steady against weekdays, so the shortage is consistent rather than a weekend problem. Turnover sits at 41.6 percent, a bit better than the 45.8 percent national figure, and inspections and quality measures both rate well. Still, seven deficiencies are on record, including one at the harm level and one tied to abuse, with a $9,937 fine and a May 2026 inspection. A nonprofit with 168 beds and thin staffing carries real risk despite the strong survey scores.

Nurse hours

3.31 /day

Staff turnover

51%

Serious cites

0

Magnolia Lane runs lean on the floor: 3.31 nurse hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That matters when you're the family deciding who covers a Saturday shift. Turnover sits at 50.8%, above the 45.8% national figure, so the aides and nurses working with your relative are statistically likely to be new or on their way out. The current inspection record shows 23 deficiencies, including one at the harm level and one tied to abuse, with a $7,901 fine and a December 2025 survey. Some quality measures score well, but staffing and inspections are where the real story lies.

Nurse hours

3.15 /day

Staff turnover

33%

Serious cites

0

Barbour Court runs lean on nursing hours, 3.15 per resident day against a national average of 3.86, roughly 19% below, and weekends dip about 6% under its own weekday level, so coverage thins exactly when families tend to visit. The trade-off shows up elsewhere: staff turnover of 33% beats the 45.8% national figure, suggesting people stay longer here than at the typical home, and the four-star health inspection rating with a February 2026 survey date means state inspectors recently walked the building. There are 14 deficiencies on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. Quality measures, at two stars, are the weakest piece of the picture.