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.
Laurel Park runs lean on nursing staff, 2.75 hours per resident per day against a national average of 3.86, and weekends drop about 15% below what the building manages on weekdays. That's the number families feel when a call light takes a while. Staff turnover sits at 64.7%, well above the 45.8% national figure, so the people caring for your relative are often new to the building. The inspection record shows 33 deficiencies, including one at the harm level and one abuse-related, with a $10,868 fine. A May 2025 inspection is recent enough that the picture is current. The corporation that owns it has run up this record under the same roof.
Roxboro Healthcare & Rehab Center runs 140 certified beds as a for-profit corporation, and the staffing numbers are where your attention should go first. At 3.13 nurse hours per resident day, it sits roughly 19% under the national average of 3.86, and weekends dip about 6% below its own weekday levels. Annual turnover of 58.9% is well above the 45.8% national figure, meaning the people caring for residents change often. Twenty deficiencies are on record, two serious enough to involve harm or jeopardy, with one fine of $56,778. The most recent inspection was December 2025, so the picture is current. Quality measures score well; the hands-on care hours tell a different story.
Louisburg Healthcare runs 92 beds under for-profit LLC ownership, and the staffing numbers are where it shows most. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop another 17 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 51.3 percent runs above the national 45.8 percent, so the people providing that care keep changing.
The inspection record is heavier still: 26 deficiencies, two serious enough to involve harm or jeopardy, and $153,104 in fines across three penalties. A March 2025 inspection is recent, so the picture isn't stale. Resident outcomes score well on quality measures; the staffing and inspection side is what's dragging this down.
Charlotte Health & Rehabilitation Center runs 3.58 nurse staffing hours per resident per day, about 7% under the national average, and weekends drop roughly 17% below its own weekday levels. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 36 deficiencies, including 8 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $132,506. The last inspection was January 28, 2026. For-profit, limited liability ownership, 90 beds. When harm-level findings, abuse citations, thin weekend coverage, and heavy turnover all show up at one address, that pattern is what families should weigh.
Liberty Commons runs 107 certified beds in Whiteville under corporate, for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not beating it. But weekends drop roughly 11% below its own weekday coverage, and annual turnover is 62% against a national 45.8%, so the people at the bedside change constantly. The inspection record is where the real weight sits: 27 deficiencies, 8 of them at harm or jeopardy level, four fines totaling $126,586, and a July 2025 inspection that landed at one star for health and one for quality measures. No abuse citations appear on record, but the harm-level findings and turnover together tell you why families here should ask hard questions before signing anything.
The Citadel Mooresville runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86, and weekends drop further below its own weekday level. That staffing shortfall shows up in the numbers that matter most: a 1-out-of-5 inspection rating, 49 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, and three tied to abuse. Fines total $201,886 across two penalties, and more than six in ten nursing staff left over the past year, well above the typical rate. The most recent inspection was in May 2025, so the record is current, not stale.
Litchford Falls runs on thinner nurse coverage than most homes, 3.55 hours per resident day against a national average of 3.86, and weekends dip even lower than its own weekday levels, which matters because that's when families often visit and when problems tend to surface. Staff turnover sits at 50.6%, meaning roughly half the nursing team leaves within a year, well above the 45.8% national figure. The inspection record backs this up: 19 deficiencies, three serious enough to put residents at risk of harm, and two fines totaling $181,873. The last full inspection was in May 2025, so the picture is fairly current. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5.
Kenansville Rehabilitation and Healthcare Center runs on thin staffing. At 3.29 nurse hours per resident per day, it sits roughly 15% under the national average, and weekends drop another 10% below what the home itself manages on weekdays. Annual turnover of 63.4% means most of the people providing that care are relatively new, the national figure is 45.8%. The strongest thing here is its inspection history: a 5/5 health inspection rating, with a June 2025 survey and 12 deficiencies on record, one serious enough to cause harm but none tied to abuse. Quality measures score 2/5, so the day-to-day clinical picture doesn't match the clean survey. Ask about weekend coverage and how long aides have actually been on staff.
Camellia Gardens runs a 78-bed for-profit operation in Henderson, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 10% below the home's own weekday level, which is when families often visit and notice. Staff turnover is 56.7%, well above the 45.8% national figure, so the people caring for residents change often.
The inspection history is heavier: 37 deficiencies on the current record, including two at the harm or jeopardy level and four tied to abuse, plus three fines totaling $92,104. The last inspection was January 30, 2026.
Shoreland runs a 4-star health inspection record with 10 deficiencies and no harm-level findings, which tells you the building itself has been kept in decent shape. The problem is who's there to keep it that way. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national figure, and weekends drop roughly 8% below the home's own weekday coverage. Annual turnover of 72.5% is well above the 45.8% national average, that's most of the nursing staff replaced in a year. Quality measures land at 2 stars. A recent inspection and a single $5,077 fine suggest no crisis, but thin, churning staff is the pattern worth asking about.
Cherry Point Bay runs 70 beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, with weekends roughly 12% thinner than weekdays. That matters because turnover is the number that jumps out: 78.4% annually against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. Inspectors have cited nine deficiencies, four of them at harm or jeopardy level, and fined the home $167,122. The most recent inspection was July 2, 2025, so the record is current.
Lenoir Health and Rehabilitation Center is a 120-bed for-profit in Caldwell County with a staffing picture that doesn't hold up. Nurses provide 3.57 hours per resident day, under the national average, and weekends run roughly 15% thinner than weekdays, so coverage dips right when families tend to visit. Annual turnover sits at 68.7%, well above the national 45.8%, which means the aides and nurses caring for residents are often new to the building.
The inspection record is where the real weight is: 35 deficiencies, three at harm or jeopardy level, five tied to abuse, and four fines totaling $150,174. The most recent inspection was November 2025. Quality measures score well, but strong chart numbers don't offset thin weekend coverage and that deficiency history, worth asking about directly before you decide.
Mill Creek runs on 3.37 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That thin coverage sits alongside a 66.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses caring for your family member are likely to change often. The current record carries 46 deficiencies, three of them serious enough to put residents at risk of harm, with two fines totaling $29,876. The most recent inspection was April 14, 2025. The for-profit LLC structure doesn't explain all of this, but combined with 1 out of 5 on health inspections, it's worth asking hard questions before moving anyone in.
River Trace carries 31 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy and two tied to abuse. The health inspection rating sits at one star, and the staffing rating matches it, with 67.1% of staff turning over annually against a national average of 45.8%, that churn matters because it's hard to know your aide when the aide keeps changing. Two fines totaling $32,991 are on file, and the most recent inspection was August 2025. This is a 140-bed for-profit run by a corporation, and the quality measure rating, at two stars, is the strongest number here, which isn't saying much.
Peak Resources-Outer Banks runs 126 certified beds in Nags Head under corporate, for-profit ownership, and its inspection record is genuinely its strongest suit: a 4-out-of-5 health inspection rating, nine deficiencies on the current record with none reaching harm or jeopardy level, and a fresh inspection as of March 2025. The trouble sits in the day-to-day staffing and in the quality measures, where the home scores just 1 out of 5. Nurse staffing averages 3.13 hours per resident day, roughly 19% under the national figure of 3.86, weekend coverage dips about 8% below its own weekday level, and annual turnover hits 56.1% against a national 45.8%. Good inspections, thin staffing, that's the tradeoff to weigh.
Lotus Village in Sparta runs on 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 7% below its own weekday levels. Staff turnover sits at 53.5%, well above the 45.8% national figure, so the people caring for residents are often new. The inspection record is the real story: 56 deficiencies, 10 of them at the harm or jeopardy level and 4 tied to abuse, plus $315,228 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. That program status reflects sustained problems across multiple inspections, not one bad day.
Senior Citizens Home runs 60 certified beds in Henderson under a for-profit limited liability company, and its last health inspection was in March 2026. The record shows 26 deficiencies, two of them at the harm or jeopardy level, with no abuse citations. Staff turnover sits at 61.9%, well above the 45.8% national average, and CMS rates staffing and quality measures at just one star each. One fine totaling $55,760 is on file.
Staffing at Oak Forest runs 3.83 nurse hours per resident day, roughly in line with the national figure of 3.86, but it thins out on weekends, about 7% below the home's own weekday level. The bigger issue is who's giving that care: annual turnover sits at 61.3% against a 45.8% national average, meaning most of the staff you'd meet this year likely won't be there next year. That churn shows up in the record. Inspectors last visited in June 2025 and found 32 deficiencies, four serious enough to cause harm or put residents in jeopardy, one tied to abuse, drawing $38,527 in fines.
Ayden Court runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip about 7% below its own weekday level. That thin coverage sits behind a one-star staffing rating, while the home's 58.4% annual turnover is well above the 45.8% national figure, meaning the people who do show up are often new or on their way out. Inspectors have logged 23 deficiencies, including one at harm level and two abuse-related, and levied three fines totaling $37,700. The most recent inspection was May 2026. A for-profit LLC operates the 82-bed home.
Blumenthal Health and Rehabilitation Center is a for-profit LLC home in Greensboro with 134 certified beds, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends running about 12% thinner than weekdays, and an 82% annual turnover rate means the aides and nurses caring for residents are, more often than not, new to the building. Its inspection history shows 70 deficiencies, seven at harm or jeopardy level and three abuse-related, plus three fines totaling $210,325, and CMS has placed it in the Special Focus Facility program. The most recent inspection was September 13, 2025.