Nursing homes across Alamance County, North Carolina, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Edgewood Place runs on unusually deep staffing for a 51-bed nonprofit home in Burlington, 5.34 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only slightly below its own weekday levels. That stability shows in the turnover number, which is where a lot of homes fall apart.
Eight deficiencies on the current record, none rising to harm or jeopardy and none abuse-related, and the most recent inspection was in July 2025, so the picture is current rather than stale. The staffing rating and the inspection record tell a consistent story here. For a family weighing options, the main question isn't whether this home has problems, every home does, but whether the ones it has are minor and whether the people showing up to work keep showing up.
Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.
Peak Resources - Alamance runs 142 certified beds in Graham under corporate for-profit ownership, and its inspection record is genuinely solid, a four-star health inspection rating, eight deficiencies on file with none rising to harm or jeopardy level, and no abuse citations. The catch is staffing. At 3.43 nurse hours per resident day, it sits roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday coverage, which matters most when families visit and aides are stretched thinnest. Staff turnover of 52.4 percent runs well above the 45.8 percent national figure, so the people caring for residents change often. One fine totaling $3,728 and a recent March 2026 inspection round out a home that's safe on paper but thin on consistent hands.
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.
Compass Healthcare and Rehab Hawfields runs about 4.27 nurse hours per resident day, roughly 11% above the national average, and that staffing shows up in its four-star rating there. Weekends drop about 12% below its own weekday level, though, and annual turnover sits at 57.5% against a national 45.8%, meaning a lot of the people providing that care are new to the building. The current record carries eight deficiencies, none at harm or jeopardy level, but two tied to abuse. Its quality measure rating is one star, and the most recent inspection was January 2026. Corporate-owned and for-profit, this is a home where the hands-on hours look solid on paper while other signals pull the other way.
Alamance Health Care Center runs 180 certified beds in Burlington under corporate, for-profit ownership, and the numbers split in two directions. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below the home's own weekday levels, while staff turnover at 47.2% edges past the national rate. The inspection record is where the real weight sits: 27 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and another 1 for staffing. Quality measures score 4 out of 5, but that contrast is worth sitting with before you decide.
Liberty Commons runs on thinner staffing than most homes, about 3.56 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly 9% below its own weekday levels. The bigger warning sign is turnover: 71.2% of staff leave within a year, well above the 45.8% national figure, which means your family member's caregivers are likely to keep changing. Inspections look solid on paper, with six deficiencies on record and none at the harm level, though one is abuse-related. The state last visited in January 2026. Corporate-owned and operating at 122 beds, this is a home where care quality depends heavily on who's on shift that day.