319 Chain-Owned Nursing Homes in North Carolina

Nurse hours

2.96 /day

Staff turnover

43%

Serious cites

0

Cleveland Pines runs on 2.96 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about a third below what the home itself staffs on weekdays. That thin coverage shows up in the federal staffing rating, which sits at two stars, and in 13 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse. Turnover at 43.3% is almost exactly the national rate, so this isn't a retention crisis so much as a bare-bones floor. The inspection in November 2025 came back mid-range, and quality measures score well, but a for-profit home with this few hands on weekends is asking families to do their own watching.

Nurse hours

3.07 /day

Staff turnover

47%

Serious cites

0

Liberty Commons runs about 50 beds in Weldon under for-profit LLC ownership, and its inspection record is the strongest part of the story: five deficiencies on file, none at the harm or jeopardy level, no abuse citations, and a survey completed in late November 2025. The weaker piece is direct care time. At 3.07 nurse hours per resident day, staffing sits roughly 20 percent under the national average of 3.86, and weekends dip about 9 percent below the home's own weekday levels. Turnover lands at 46.7 percent, close to the national 45.8, so retention isn't the outlier here, the shortfall is hours at the bedside, which matters most on Saturdays and Sundays when families tend to visit.

Nurse hours

3.46 /day

Staff turnover

61%

Serious cites

0

Abbotts Creek Center runs 64 beds in Lexington under corporate ownership, and its inspection record is the strongest thing about it, a recent January 2026 survey and 12 deficiencies with none rising to harm or jeopardy, none tied to abuse. The staffing side tells a different story. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, weekends drop roughly 15% below its own weekday levels, and turnover hits 61.3% against a national 45.8%. High turnover plus thin weekend coverage means the aide helping your mother on a Saturday may be new and unfamiliar with her. Ask specifically how they cover weekends and how long their current staff have actually been there.

Nurse hours

3.27 /day

Staff turnover

55%

Serious cites

0

Forrest Oakes Healthcare runs 60 certified beds in Albemarle under corporate for-profit ownership, and the staffing numbers are the first thing that stands out. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. Annual turnover of 55.2% is well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 30 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS has fined the home once for $5,242. A recent inspection means the record is current.

Nurse hours

3.38 /day

Staff turnover

54%

Serious cites

0

Guilford Health Care Center is a 110-bed for-profit home in Greensboro, and the staffing numbers are the first thing I'd look at. At 3.38 nurse hours per resident day, it runs about 12% under the national average, and weekends drop roughly 9% below its own weekday coverage. Meanwhile annual turnover sits at 53.8% against a national 45.8%, that churn matters more than any single shift count, because it means the people caring for your family member are often new. The 27 deficiencies on record, including one abuse-related citation, with no harm-level findings, and a two-star inspection rating suggest a home that's had recurring problems without a recent serious incident. Its last inspection was March 2026.

Nurse hours

3.78 /day

Staff turnover

52%

Serious cites

0

Carolina Rehab Center of Cumberland runs 136 beds in Fayetteville under corporate ownership, and the numbers split in an unusual way. Its quality measure score is perfect, but staffing tells a different story: 3.78 nurse hours per resident day sits just under the national average, weekend coverage drops about 12% below its own weekdays, and turnover hits 51.7% against a national 45.8%. The inspection record is the heavier problem, 25 deficiencies, 7 of them at harm or jeopardy level, 2 involving abuse, and five fines totaling $97,936, with the most recent inspection in July 2025. Strong quality scores and a weak inspection history rarely coexist by accident. Ask what those harm-level findings involved.

Nurse hours

3.05 /day

Staff turnover

51%

Serious cites

0

The Greens at Cabarrus runs 90 beds in Concord under corporate for-profit ownership, and its numbers tell two different stories. The health inspection record is solid, four stars, six deficiencies total, one at harm level, nothing abuse-related, and a recent July 2025 survey. Quality measures also score five stars. Where it slips is staffing: 3.05 nurse hours per resident day, roughly 21% under the national average, with weekends running about 15% thinner than weekdays and turnover at 51.4% against a 45.8% national rate. One $15,269 fine is on record. A 2-star staffing rating alongside 5-star quality measures means the clinical picture looks good on paper, but the people providing daily care are fewer and changing more often than average.

Nurse hours

3.28 /day

Staff turnover

59%

Serious cites

0

The Laurels of Salisbury runs lean on nursing staff, 3.28 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops roughly 16% below the home's own weekday level. Turnover sits at 59.2%, well above the 45.8% national figure, which means the people providing most of the daily care are often the newest hires. Inspectors have logged 15 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $45,756 in fines across three penalties. The most recent inspection was February 13, 2026, so the record is current, not stale. A corporate-owned, 80-bed home where the quality scores look better than the staffing numbers behind them.

Nurse hours

3.58 /day

Staff turnover

59%

Serious cites

0

Willow Creek runs 200 certified beds in Goldsboro under for-profit limited liability ownership, and the numbers split in two directions. The clinical quality measures look strong at four stars, but nurse staffing sits at 3.58 hours per resident day against a national average of 3.86, and weekends dip about 7% below the home's own weekday coverage. Staff turnover is 59.2%, well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. The inspection record shows 19 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus $15,358 in fines across three penalties. The most recent inspection was March 2026.

Nurse hours

3.27 /day

Staff turnover

60%

Serious cites

0

Yadkin Nursing and Care Center sits in Yadkinville with 147 certified beds and a corporate for-profit owner. The inspection record looks strong on paper, a five-out-of-five health inspection rating, only two deficiencies on file, and the most recent survey from March 2026. What pulls the numbers down is staffing: 3.27 nurse hours per resident day, roughly 15 percent under the national average of 3.86, with weekend coverage dropping about 12 percent below its own weekday level. Annual turnover runs 59.5 percent against a national 45.8 percent. One deficiency reached the harm level, and there's a single fine of $8,018 on record.

Nurse hours

3.36 /day

Staff turnover

36%

Serious cites

0

Goldsboro Rehabilitation runs 130 beds as a for-profit corporation, and its staffing sits at 3.36 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 7 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 36.1 percent, which actually beats the 45.8 percent national figure, so this isn't a churning building. The inspection record shows 9 deficiencies, including 1 at the harm or jeopardy level, with $16,153 in fines and a survey completed in December 2025, so the picture is current. Quality measures score 2 out of 5, the weakest of its three CMS ratings.

Nurse hours

3.81 /day

Staff turnover

66%

Serious cites

0

Piney Grove runs a 92-bed for-profit operation in Kernersville, and the staffing numbers are roughly at the national mark, 3.81 nurse hours per resident day against 3.86 nationally, with weekends dipping about 5% below its own weekday coverage. The bigger issue is retention: 66.1% annual turnover, well above the 45.8% national average, which means unfamiliar faces on the floor more often than you'd want. Fourteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, one tied to abuse. Two fines totaling $10,699 have been levied, and the last inspection was recent, in January 2026.

Nurse hours

3.26 /day

Staff turnover

56%

Serious cites

0

Pinehurst Healthcare & Rehabilitation Center runs 144 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, and annual turnover sits at 56.1% against a national 45.8%, so the same faces aren't always there. Inspections turned up 17 deficiencies, one serious enough to involve harm or jeopardy, with one fine totaling $9,620. The last inspection was April 30, 2026. Quality measures score well, but the hours of hands-on care per resident are the piece families feel day to day.

Nurse hours

n/a /day

Staff turnover

53%

Serious cites

0

Highfield runs on 3.13 nurse hours per resident day, roughly 19% under the national average, and weekends dip about 13% below what the home itself staffs on weekdays. Annual turnover sits at 53.2%, well above the 45.8% national figure, which means the people showing up are often new. Inspectors have cited 20 deficiencies, four of them at harm or jeopardy level and three tied to abuse, with two fines totaling $175,559 and a 2/5 health inspection rating. Ownership is for-profit corporate. A 4/5 on quality measures doesn't offset a 1/5 staffing rating, especially with a March 2026 inspection already driving the enforcement record.

Nurse hours

3.48 /day

Staff turnover

57%

Serious cites

0

Adams Farm Living & Rehabilitation runs 120 beds in Jamestown under corporate ownership, and the numbers split in two directions. The care itself measures decently, a 4-out-of-5 on quality measures and a 3-out-of-5 on health inspections, with no abuse citations on the current record. But look at who's delivering that care. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and the federal staffing rating lands at the bottom of the scale. Weekend coverage drops about 13 percent below the home's own weekday level, and annual turnover hits 56.8 percent against a national 45.8. Eight deficiencies are on file, three serious enough to involve harm or jeopardy, plus one fine of $24,252.

Nurse hours

3.44 /day

Staff turnover

77%

Serious cites

0

Lakeside Health & Rehab Center runs 114 certified beds in Huntersville under federal government ownership, and the numbers split in two directions. The clinical quality measures look strong, but staffing sits at 3.44 hours per resident per day against a national average of 3.86, roughly 11% below, and weekends drop about 14% below the home's own weekday level. Staff turnover is the sharper concern: 77.2% annually, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection came in December 2025. Good outcomes depend on consistent hands, and this home struggles to keep them.

Nurse hours

3.30 /day

Staff turnover

48%

Serious cites

0

Stonecreek runs on 3.30 nurse hours per resident per day, about 14% under the national average, and weekends drop another 13% below its own weekday pace. That staffing pattern matters because the home's last inspection in April 2025 left 15 deficiencies on record, two of them serious enough to involve harm or jeopardy, along with a $38,431 fine; the 47.6% turnover rate sits slightly above the national figure, so the aides and nurses cycling through aren't staying long. The five-star quality measure score looks reassuring, but it's built from self-reported resident data, while the one-star inspection result reflects what surveyors actually found on site.

Nurse hours

3.43 /day

Staff turnover

54%

Serious cites

0

Valley Hill runs 150 certified beds as a for-profit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekend coverage drops another 10% below its own weekday levels, which matters when families visit on Saturdays and Sundays. Staff turnover is 54.2%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record is the harder part to hear: 32 deficiencies on file, including 5 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $58,949, with the most recent inspection in June 2025. Quality measures score well, but that's a paper snapshot, not the daily staffing reality.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Rocky Mount Rehabilitation Center runs 117 certified beds as a for-profit limited liability operation, and its staffing sits just under the national average at 3.76 nurse hours per resident day. Weekends dip about 9% below its own weekday level, and turnover is 47.2%, slightly above the 45.8% national figure, which means a lot of new faces on the floor. On inspections, the record shows 27 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse; CMS has fined the home twice for a total of $27,872, and the most recent inspection was November 2025. The inspection and quality ratings both sit at 2 out of 5.

Nurse hours

3.31 /day

Staff turnover

53%

Serious cites

0

Autumn Care of Marshville runs on thin staffing. At 3.31 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 11 percent below its own weekday coverage, so the shifts most likely to be short are the ones families visit. Staff turnover is 53.1 percent, well above the 45.8 percent national figure, which means aides and nurses cycle through quickly. Inspectors cited 15 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, with four fines totaling $44,751 from a February 2026 inspection. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.