319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

3.31 /day

Staff turnover

51%

Serious cites

0

Azalea Health & Rehab Center runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, with weekends dropping another 14% below its own weekday levels. Staff turnover is 51.3%, well above the 45.8% national figure, meaning the people caring for residents are cycling through faster than typical. The inspection record is the harder problem: 33 deficiencies on file, two of them serious enough to reach harm or jeopardy, plus two fines totaling $24,470. The last inspection was May 30, 2025. A 2-out-of-5 health inspection rating against a 3-out-of-5 on quality measures tells you the clinical picture may look steadier than the building's compliance history actually is.

Nurse hours

3.55 /day

Staff turnover

70%

Serious cites

0

Summerstone runs a 138-bed for-profit home in Kernersville, and the staffing numbers are the first thing worth noticing. Nurses provide 3.55 hours per resident day, about 8% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Annual turnover sits at 70.3%, well above the 45.8% national figure, which means the people caring for your relative are, statistically, likely to be new. Its current record carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $14,511 fine. The last inspection was in March 2026, so the picture is recent. Quality measures score well; staffing and inspection history are where the concerns sit.

Nurse hours

3.45 /day

Staff turnover

65%

Serious cites

0

Nurse staffing at The Foley Center runs about 3.45 hours per resident per day, roughly 11% under the national average, and weekends are thinner still, about 5% below its own weekday level. That means the coverage gaps families worry about most aren't hypothetical here; they're built into the schedule. Turnover sits at 64.5% against a national 45.8%, so the aides and nurses caring for residents are cycling through faster than average, which matters for anyone who needs consistent hands and familiar faces. The inspection record backs that up: 20 deficiencies, four at harm or jeopardy level, two tied to abuse, plus a $17,114 fine. Quality measures look decent, but staffing and safety are where this one struggles.

Nurse hours

3.59 /day

Staff turnover

58%

Serious cites

0

Signature Healthcare of Chapel Hill runs 108 beds under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, which matters if your family tends to visit Saturday or Sunday. Annual turnover is 58.3%, well above the 45.8% national figure, so the aide or nurse your relative sees most may not stay long. The current record shows 20 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was June 19, 2025, so the picture is reasonably current.

Nurse hours

3.62 /day

Staff turnover

33%

Serious cites

0

Hickory Falls runs a bit lean on nursing hours, 3.62 per resident day against a national average of 3.86, and weekends are thinner still, about 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems can sit longer. Turnover sits at 32.5%, well under the national 45.8%, so the staff you meet are more likely to still be there next year. The current inspection record shows three deficiencies, including one at the harm level and one tied to abuse, plus a $51,188 fine. The most recent inspection was in June 2026, so the picture is fairly fresh.

Nurse hours

3.79 /day

Staff turnover

35%

Serious cites

0

The Carrolton of Nash runs lean on nurse staffing, 3.79 hours per resident day sits just under the national average, and weekends drop about 12% below its own weekday coverage, so the hours aren't evenly spread across the week. Turnover is the brighter spot: 35.1% is well below the national 45.8%, meaning the aides and nurses who are there tend to stay. The 17 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and a January 2026 inspection gives a current picture. Ownership is for-profit partnership, with 141 certified beds. Quality and staffing both earned 2 of 5 stars from CMS, and the 4-star health inspection is the outlier.

Nurse hours

3.30 /day

Staff turnover

43%

Serious cites

0

Scotland Manor runs about 15% leaner on nursing hours than the typical U.S. home, 3.30 per resident day against a national 3.86, and weekends dip another 9% below its own weekday coverage. That's the weak spot the staffing star reflects. What keeps it from being a bigger concern: 11 deficiencies on record with none at the harm level, no abuse findings, and $7,361 in total fines, which is modest. Turnover at 43.2% is slightly better than average, and a November 2025 inspection means the record is current. It's a small Halifax County for-profit where the care numbers look better than the coverage numbers.

Nurse hours

3.54 /day

Staff turnover

55%

Serious cites

0

Autumn Care of Statesville runs 103 beds under for-profit LLC ownership, and its inspection record is genuinely solid, 18 deficiencies on file, only two at the harm level, none tied to abuse, and the most recent inspection came in April 2025. Quality measures also score well. Where the picture darkens is staffing: 3.54 nurse hours per resident day sits about 8% under the national average, weekend coverage drops roughly 14% below the home's own weekday level, and annual turnover hits 55.2% against a national 45.8%. A good survey history paired with thin, churning direct care means your questions should focus on who's actually on the floor, especially Saturdays and Sundays.

Nurse hours

3.70 /day

Staff turnover

52%

Serious cites

0

The Greens at Lincolnton runs 3.70 nurse hours per resident per day, about 4% under the national average, and weekend coverage drops roughly 17% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52% against a national 45.8%, meaning more than half the nursing staff turns over in a year. On its current record: 18 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and four fines totaling $32,387. That combination, below-average staffing, high turnover, and a recent inspection in February 2026, is what pulls the inspection and staffing ratings down to 2 out of 5.

Nurse hours

3.38 /day

Staff turnover

18%

Serious cites

0

Pruitthealth-Trent runs 116 certified beds in New Bern under for-profit LLC ownership, and its inspection record is the part that stands out: 16 deficiencies on file, two of them serious enough to involve actual harm or jeopardy, with two fines totaling $16,152. The most recent inspection was May 2026, so that history is current. Nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average, and weekends drop about 17% below the home's own weekday levels, that gap matters most when families visit. One genuine bright spot: turnover is 17.6%, well under the 45.8% national figure, so the people caring for residents tend to stay.

Nurse hours

3.97 /day

Staff turnover

47%

Serious cites

0

Pruitthealth-Union Pointe runs 90 certified beds in Monroe under for-profit limited liability ownership, and its numbers pull in two directions. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, though weekends run about 15% thinner than weekdays and annual turnover of 47.2% means the faces change often. The trouble shows up on the inspection side: 31 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, with two fines totaling $197,532. The most recent inspection was in May 2025. Quality and staffing measures score reasonably; the health inspection record is where a family's questions should focus.

Nurse hours

3.47 /day

Staff turnover

46%

Serious cites

0

Royal Park runs about 3.47 nursing hours per resident day, roughly 10% under the national average of 3.86, and weekends get thinner still, about 11% below its own weekday staffing. Turnover sits at 46.2%, almost exactly the national rate, so the shortfall isn't a retention problem so much as a bare-bones schedule. On inspections, the record shows 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $39,811 and a 2/5 inspection rating. That combination of thin coverage and serious findings is what drags the score down, even though the quality measures look better at 4/5.

Nurse hours

3.36 /day

Staff turnover

43%

Serious cites

0

Pruitthealth-Durham runs 125 beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, about 14% below the home's own weekday level, so coverage dips right when families tend to visit. The inspection record carries 33 deficiencies, six of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $34,632 fine. Turnover at 43% is slightly better than the 45.8% national figure, and the most recent inspection was April 2025. The quality measure rating holds at 3 of 5, but staffing and inspection ratings both sit at 2.

Nurse hours

3.65 /day

Staff turnover

52%

Serious cites

0

Sunnybrook runs about 95 beds in Raleigh under for-profit LLC ownership, and its staffing sits below the national average, 3.65 nurse hours per resident day against 3.86 nationally. That gap widens on weekends, when hours drop roughly 13% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 51.5%, several points above the 45.8% national figure, which means more than half the nursing staff turns over in a year. The current inspection record shows 13 deficiencies, two serious enough to reach harm or jeopardy level, and three fines totaling $38,662. Its last inspection was February 2025, so the record is recent.

Nurse hours

2.96 /day

Staff turnover

44%

Serious cites

0

Walnut Cove Health and Rehabilitation runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. That thin staffing shows up in the inspection record: 23 deficiencies, three serious enough to reach harm or jeopardy, five tied to abuse, and $40,149 in fines across three penalties. Staff turnover at 43.5% is slightly better than the 45.8% national figure, which is the one number here that isn't working against the home. Ownership is for-profit, through a limited liability company, and the most recent inspection was August 21, 2025.

Nurse hours

3.54 /day

Staff turnover

55%

Serious cites

0

The Greens at Pinehurst runs 120 certified beds under for-profit LLC ownership, and its staffing numbers are the clearest thing to look at: 3.54 total nurse hours per resident day sits about 8% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and annual turnover lands at 54.8% against a national 45.8%. Its record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, plus a single fine of $41,844. The most recent inspection was March 2026. Quality measures score well, but staffing and inspection results are where the caution sits.

Nurse hours

3.71 /day

Staff turnover

55%

Serious cites

0

Five Oaks runs leaner than most: 3.71 nurse hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home staffs on weekdays. That gap matters because turnover sits at 55%, well above the 45.8% national figure, so the people covering those shifts are often new. Inspectors cited 14 deficiencies, three of them serious enough to put residents at risk of harm, and the home has paid one fine of $17,345. The last inspection was March 2026. With 160 beds under limited-liability, for-profit ownership, the pattern here is thin staffing and a recent record that hasn't been clean.

Nurse hours

3.88 /day

Staff turnover

57%

Serious cites

0

Willow Ridge sits just barely above the national average for nurse staffing, but that thin margin hides two problems: weekend coverage drops about 13% below its own weekday level, and annual turnover runs 56.5% against a national 45.8%. The inspection record is what really stands out, 27 deficiencies, four of them at harm or jeopardy level and three abuse-related, with $146,939 in fines across four penalties. A 2/5 inspection rating and a 4/5 on quality measures tell different stories, and the gap matters: the quality score reflects resident care metrics, while the inspection score reflects what surveyors actually found on the ground. The most recent inspection was in March 2026, so the record is current.

Nurse hours

3.43 /day

Staff turnover

46%

Serious cites

0

Eden Rehabilitation and Healthcare Center runs 112 certified beds in Rockingham County, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends get thinner still, about 12% below what the home staffs on weekdays, so a Saturday or Sunday shift is where the gap shows most. Annual turnover lands at 46%, essentially level with the 45.8% national figure, though inspection history is the heavier weight here: 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a $25,495 fine. The last inspection was February 2026, and CMS rates staffing and health inspections both at 2 out of 5 stars.

Nurse hours

3.47 /day

Staff turnover

63%

Serious cites

0

The Greens At Spruce Pines runs a 127-bed for-profit building where nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends dip about 8 percent below its own weekday numbers. It's worth noting the last inspection, from February 2025, is recent. What's less reassuring: 62.8% annual turnover against a national rate near 46%, 11 deficiencies on record, one of them serious enough to involve harm or jeopardy, and $153,439 in fines across three actions. The four-star quality measure score stands out against a two-star inspection record, but quality measures are largely self-reported, so the inspection findings carry more weight here.