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.
Highland House runs on thinner nurse coverage than most homes in the country, 3.50 hours per resident day against a national average of 3.86, and weekends dip even further, about 9% below its own weekday level. That matters more than it sounds, because the stretch of the week with the least clinical oversight is also when families tend to visit. Staff turnover sits at 68.4%, well above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building and to each other. The record shows 14 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last full inspection was in March 2026.
Wellington Rehabilitation and Healthcare runs on thinner nursing coverage than most homes in the country, about 3.36 nurse hours per resident each day, roughly 13 percent under the national figure, with weekends dipping further below its own weekday pace. The inspection record shows 24 deficiencies, including one at the harm level and one tied to abuse, plus a $15,642 fine. Staff turnover sits at 46.2 percent, right around the national rate. With a for-profit corporate owner and a November 2025 inspection, the numbers point to a home where you'd want to ask specific questions about who's on the floor at night and on weekends before deciding.
Gastonia Health & Rehab Center runs on thin staffing and a lot of turnover. At 3.56 nurse hours per resident per day, it sits about 8% below the national average, and weekends drop roughly 13% below its own weekday numbers, meaning the thinnest coverage lands exactly when families tend to visit. The bigger concern is 84.6% annual turnover against a national 45.8%, so most of the people caring for your relative are new and likely to leave within the year. Sixteen deficiencies sit on the current record, four at harm or jeopardy level and two tied to abuse, with $15,808 in fines. The last inspection was December 2025.
Signature Healthcare of Roanoke Rapids runs a 108-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.25 hours of care per resident per day, about 16% under the national average, and weekends drop roughly 17% below the home's own weekday level. Turnover sits at 66.7% against a national 45.8%, which means the people caring for residents are often new. The health inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy, and federal fines total $9,110. The quality measure stars look strong, but quality scores depend on staff having time to document and follow through. A recent inspection in May 2026 means the record is current, not old.
Pruitthealth-Neuse runs about 2.80 nurse hours per resident day against a national average near 3.86, and weekends drop roughly a quarter below its own weekday staffing. With 110 certified beds, that thin coverage adds up fast when a resident needs help between Friday night and Monday morning. Turnover sits at 38%, which is actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each shift gets. The inspection record is the heavier concern: 40 deficiencies, seven at harm or jeopardy level, five tied to abuse, and $88,115 in fines across four penalties, with the most recent inspection in December 2025.
Davidson Health & Rehab Center runs on 3.50 nursing hours per resident day, about 9% under the national average, and weekend staffing drops roughly 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72% against a national 45.8%, which means the people caring for your relative are often brand new. The current inspection record carries 43 deficiencies, including six at harm or jeopardy level and two abuse-related, plus $54,389 in fines across three penalties. Its last inspection was August 2025, so the record is recent. Corporate ownership, a one-star inspection rating, and one-star staffing tell the same story.
Elevate Health and Rehabilitation runs 3.25 nursing hours per resident per day, roughly 16% under the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 72.8% against a national 45.8%, so the people providing care keep changing. Inspection history is the harder problem: 30 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, plus three fines totaling $174,346. The September 2025 inspection is recent, and the one-star inspection and staffing ratings reflect what surveyors found. Quality measures score well, but that's a narrow slice of the picture.
Redwood Health & Rehab runs 116 beds in Charlotte under for-profit limited liability ownership, and the staffing numbers are the main thing to know. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly another 5% below its own weekday level. Turnover is 55.6% against a national 45.8%, so aides and nurses are cycling through faster than usual. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with two fines totaling $7,742 and a survey dated May 2026. Quality and staffing measures both land at 2 out of 5 stars.
Smoky Ridge runs on thinner nursing coverage than most homes, 3.08 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday levels. That staffing pattern sits behind a CMS staffing rating of 3, but the inspection record is the bigger concern: 21 deficiencies, including one at the harm level and two tied to abuse. Add a $59,631 fine and a 51.6% annual turnover rate that outpaces the national figure of 45.8%, and you get a home where consistency is hard to maintain. The most recent inspection was in March 2025, so the picture is current.
Brunswick Cove runs 175 beds under for-profit LLC ownership, and the numbers on staff are the ones to sit with. Annual turnover hits 74.7% against a national average of 45.8%, and CMS gives staffing its lowest mark, meaning the people who provide daily care are cycling through fast. The health inspection side is steadier, with a 3/5 rating, 21 deficiencies on record and none flagged at harm or jeopardy level, but quality measures land at 1/5 and nine fines total $70,913. The most recent inspection was December 2025, so the record is current. Ownership structure, high turnover, and weak quality scores together explain why this home sits near the bottom of what we grade.
Rock Rest runs lean on staff. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 9% below its own weekday level. That thin coverage shows up in the numbers: 71% annual turnover, well above the 45.8% national figure, so the aides and nurses your family member sees are likely to keep changing. Inspections are the brighter spot, a 4-out-of-5 health inspection rating and a recent April 2025 visit. But 20 deficiencies sit on the current record, three at harm or jeopardy level and two tied to abuse, which is a lot for a 60-bed home.
Village Care of King runs 96 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.58 nurse hours per resident day, it sits under the national average, and weekends drop about 11% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 77.8% of staff leave annually, well above the 45.8% national rate. The current record carries 15 deficiencies, four at harm or jeopardy level and two abuse-related, plus three fines totaling $110,113. A recent inspection in January 2026 and a 1/5 staffing star confirm the pattern.
Pisgah Manor runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 59.1% against a national 45.8%, which means CNAs and nurses are cycling out faster than residents can get used to them. The inspection record shows 12 deficiencies, one serious enough to put a resident in harm's way, plus a $59,391 fine. A 2/5 on health inspections and 2/5 on staffing tell you the same story the numbers do.
Liberty Commons runs on 3.17 nurse hours per resident per day, roughly 18% under the national average, and weekends dip about 7% below its own weekday level. That thin staffing shows up in a 70.5% annual turnover rate, well above the 45.8% national figure, so the people caring for your relative are often new. The health inspection record is recent (May 2025) and rated well, but the home carries 36 deficiencies, six at harm or jeopardy level and two abuse-related. A four-star inspection rating and a one-star staffing rating can coexist; here they do, which tells you the problems aren't in paperwork but in daily coverage.
Brunswick Health & Rehab Center runs 100 certified beds in Ash under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, about ten percent under the national average of 3.86. Weekend coverage drops another twelve percent below its own weekday level, and turnover runs 55.1 percent against a national 45.8. The current inspection record carries 32 deficiencies, six at harm or jeopardy level and two tied to abuse, with four fines totaling $252,827 and a one-star health inspection rating. Quality and staffing each earned three stars, but the last inspection was April 2026, so the record is recent. Ask about weekend nurse coverage and what's changed since that citation history.
Person Memorial Hospital runs 56 certified beds in Roxboro under for-profit LLC ownership, and its staffing number is the first thing that stands out: 3.10 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The record shows 22 deficiencies, including one at the harm level and one abuse-related, plus eight fines totaling $58,807, and the most recent inspection was December 2025. Federal ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
University Health And Rehabilitation Center runs 126 beds in Durham under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses provide 3.31 hours per resident day against a national average of 3.86, weekends drop roughly 16% below the home's own weekday level, and annual turnover hits 62.2% when the national figure is 45.8%. Inspectors have cited 37 deficiencies, five of them at harm or jeopardy level and two abuse-related, with three fines totaling $129,754. The quality measure score looks strong, but that reflects charted clinical data, not the hands available to deliver care. A family weighing this home should ask how many aides are actually on the floor on a Saturday.
Pine Acres Center For Nursing And Rehabilitation is a 106-bed for-profit run by a corporation, and its record shows the strain. The health inspection rating sits at 1 out of 5, with 27 deficiencies on file, 10 of them serious enough to cause harm or put residents in jeopardy, plus 2 tied to abuse. Two fines total $122,460. Staffing tells a similar story: 3.30 nurse hours per resident day, about 15% under the national average, and weekends run roughly 9% leaner than weekdays. Turnover at 45.5% is basically the national norm, so the problem isn't retention, it's how few hands are scheduled against how many residents need them.
Woodhaven's staffing sits just a hair above the national average at 3.89 hours per resident day, but that number comes with a catch: weekends run roughly 6% thinner than weekdays, and more than half the nursing staff turned over in the past year, 58.6% against a national 45.8%. The inspection record is where it gets harder to explain away. Twenty-four deficiencies are on file, five of them serious enough to involve harm or jeopardy to residents, and two tied to abuse. Three fines total $128,210, and the most recent inspection was August 2025. For a 115-bed for-profit home, the pattern points to a building that struggles to keep consistent, experienced hands on the floor.
Carolina Rivers runs on thin staffing. At 3.57 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 7% below what the home already does during the week. The bigger warning sign is turnover: 65.5% of staff leave each year, against a national rate near 46%. Its most recent inspection was in December 2025 and produced a clean record of 7 deficiencies, none at the harm level, though one was abuse-related, plus a single fine of $4,271. That inspection record is genuinely strong. The daily reality of who's actually on the floor, and how often that changes, is the part worth asking about.