Every Medicare-certified nursing home in North Carolina, graded on inspections, staffing, turnover
and enforcement history.
12 homes in the state sit in the federal Special Focus programme.
Southpoint runs lean on nursing staff, 3.37 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thin staffing shows up in the workforce numbers too: 61.6% annual turnover, well above the 45.8% national rate, meaning the people caring for residents are often new or on their way out. The inspection record is the bigger concern. Thirty-eight deficiencies sit on the current record, five serious enough to put residents in harm's way and three tied to abuse. CMS fined the corporation $48,523, and the most recent inspection was April 2025. Corporate-owned, 140 beds. The quality measure score looks fine on paper, but that's reported data, not what inspectors found.
Brantwood runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends drop another 13% below its own weekday levels. Staff turnover sits at 64.3% against a national average of 45.8%, so the people around your family member change often. The inspection history is the stronger part: a recent March 2026 survey, nine deficiencies total, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The nonprofit ownership is a point in its favor. Ask how they cover weekends and what those abuse citations involved.
Westwood runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 80.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $15,642 fine and a February 2026 inspection. Quality scores look strong on paper, but that measure draws on resident assessments, not the staffing and compliance problems showing up elsewhere.
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.
Autumn Care of Myrtle Grove is a 90-bed corporate-owned home in Wilmington, and the inspection history is where the trouble sits. Forty-one deficiencies on the current record, nine of them at the harm or jeopardy level and six tied to abuse, that's a pattern, not a one-time slip. Four fines add up to $141,604. Staffing runs slightly under the national average at 3.78 nurse hours per resident day, and weekends drop about 17% below the home's own weekday levels, which matters when residents need help on Saturday. Annual turnover of 56.6% is well above the 45.8% national figure, so aides and nurses keep cycling through. The most recent inspection was August 2025, so the record is current.
The Cardinal At North Hills is a small, for-profit home in Raleigh, just 15 certified beds, and its record splits in two directions. Inspectors have been in recently, in September 2025, and the health inspection star rating of 4 out of 5 suggests the day-to-day survey picture is decent. But look closer: four deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine. Quality measures score just 1 out of 5. With that few beds, there's little room to absorb a staffing gap or a single bad stretch.
Bladen East runs about 7% below the national average for nurse staffing, and weekends dip roughly 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.7%, above the national 45.8%, which means many of the people caring for residents are still new to the building. The inspection record shows 10 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $13,130. The most recent inspection was March 2025, so the picture is current. Federal quality measures rate poorly here even as inspections rate well, a split worth asking about directly.
Belaire runs about 3.45 nurse hours per resident each day, roughly 11 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday staffing. That thinner weekend coverage matters, since fewer nurses on duty is when problems tend to surface. The inspection record backs that up: 17 deficiencies, five serious enough to involve harm or jeopardy, and two fines totaling just over $202,000, a lot for an 80-bed home. Turnover sits at 44.9 percent, essentially the national rate. The 4/5 quality measure score is the bright spot, but inspection and staffing ratings both land at 2/5, and the most recent survey was July 2025. Ask to see the plan of correction for those harm-level citations.
Perry Creek runs 132 beds in Raleigh under for-profit, limited-liability ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, with weekends about 15% thinner than its own weekdays. Staff turnover is the harder number: 63.7% a year against a 45.8% national average, meaning most of the people caring for your family member are relatively new and likely to leave. The record backs that up: 85 deficiencies, 11 of them serious enough to cause harm or jeopardy, four tied to abuse, and $326,170 in fines across three actions. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes.
Mountain View Manor runs about 17% below the national average for nurse staffing, 3.21 hours per resident day against 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $14,131, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. The staffing, quality, and inspection ratings all sit at or near the bottom of CMS's five-star scale, which tells you the gaps here aren't isolated to one area.
Maggie Valley Health and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday level. That matters when you're thinking about who's available on a Saturday night. Its inspection record shows 17 deficiencies, two of them serious enough to put residents at risk of harm, plus two tied to abuse, and three fines totaling $52,629. Turnover at 31.8% is actually better than the national 45.8%, which suggests some steadiness in the workforce. The last inspection was March 2026. Oversight by a for-profit corporation, and the pattern of citations is worth asking about directly.
Matthews Health & Rehab Center runs 166 certified beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national figure of 3.86. Weekends drop about 9 percent below the home's own weekday coverage, and annual turnover hits 53.8 percent against a national 45.8 percent, so the aides and nurses your family would see are changing often.
The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $82,703 in fines across two penalties. Its last inspection was April 2026, and CMS gives it middling marks on quality measures but weaker ones on health inspections and staffing.
Pelican Health Randolph runs on 3.15 nursing hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage slips another 5% below its own weekday level. That thin staffing shows in the turnover number: 76.1% of nurses leave within a year, against a national average of 45.8%, and CMS rates staffing at 1 out of 5. The inspection record carries 47 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with three fines totaling $19,663 and a 2-out-of-5 health inspection rating. It's corporate-owned for profit, and its last inspection was September 17, 2025.
August Healthcare at Wilmington runs 120 beds as a for-profit corporation, and the staffing numbers are the first thing you notice. At 2.83 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover is 52.3% against a 45.8% national figure, so the people providing care keep changing. On the current record there are 35 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $27,378 fine. Inspectors were last in on May 15, 2025. The inspection and quality ratings land mid-range, but the staffing rating is 1 out of 5, which is where a lot of this traces back to.
Autumn Care of Raeford runs on 3.00 nurse staffing hours per resident day, roughly 22% under the national average, which is why CMS gives it a single star for staffing. Weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record carries four deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus $32,631 in fines across two penalties. Turnover sits at 48.5%, a few points above the national rate. Ownership is a for-profit corporation. The last inspection was February 26, 2026, so the record is recent, and what's on it is serious.
Shamrock Nursing Center runs on about 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops further. That thin staffing shows in who stays: turnover sits at 73.4% against a national 45.8%, so most of the people caring for your relative are likely new to the building. The inspection record is the harder problem, 28 deficiencies, seven involving actual harm or jeopardy, two tied to abuse, and a $144,199 fine, with the most recent inspection in August 2025. Its quality measure score looks fine on paper, but that reflects charted care, not whether enough hands are present.
Bermuda Commons runs 117 certified beds in Advance under for-profit LLC ownership, and its staffing sits about 18% below the national average at 3.17 nurse hours per resident day. Weekends drop roughly another 9% off its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 41% is a little better than the 45.8% national figure, which matters, but 21 deficiencies on the current record, two of them at harm or jeopardy level, and $28,043 in fines point to real gaps in care delivery. Inspectors were last on site April 29, 2026.
White Oak Manor-Shelby runs 160 certified beds as a for-profit corporation, and the staffing numbers are the first thing a family should look at. At 3.43 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 12 percent below its own weekday level, meaning the thinnest coverage lands when families often visit. Staff turnover of 62.8 percent, against a national figure near 46 percent, suggests aides and nurses are cycling through faster than residents can get used to them. Eighteen deficiencies sit on the current record, five serious enough to involve harm or jeopardy and two tied to abuse. Five fines total $42,972.
Edgecombe Health Center By Harborview runs about 3.10 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekends drop another 11% below its own weekday pace. That staffing level earned a 2 out of 5 from CMS, and the quality measures came in at 2 as well. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse; the last inspection was March 2025. Turnover at 37.2% is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hours each resident gets, especially on weekends.
The Oaks runs on 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below what it manages on weekdays. Staff turnover sits at 65.8% against a national 45.8%, so nearly two of every three caregivers left last year, that's a lot of unfamiliar faces for 131 residents. The current record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was August 2025. All three CMS ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Corporate-owned and for-profit, this home isn't failing outright, but staffing and retention are where it's weakest.