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.
Premier Living And Rehab Center is a for-profit home in Lake Waccamaw with 127 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends dip about 9% below its own weekday levels, right when families often visit. The inspection history carries 56 deficiencies, eight of them at harm or jeopardy level and three tied to abuse, with two fines totaling $383,791. CMS has placed it in the Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. If you're weighing this one, ask pointed questions about the abuse citations and weekend coverage.
Surry Community Health Center By Harborview runs about 120 beds under corporate ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. Turnover at 36.6% is better than the 45.8% national figure, so that's a genuine bright spot. The inspection record is where it gets harder to explain away, 33 deficiencies on file, nine of them serious enough to involve harm or jeopardy, eight tied to abuse, and a $145,262 fine. The last inspection was June 2025. If you're considering this home, ask about those abuse-related findings directly.
Mary Gran Nursing Center runs 27 deficiencies on its current record, five of them serious enough to reach harm or jeopardy level, plus one tied to abuse. That's a lot of citations for a 212-bed for-profit home, and the most recent inspection only dates to August 2025, so this isn't old history. Nurse staffing sits at 3.29 hours per resident day against a national average of 3.86, weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 51.3% versus 45.8% nationally. The pattern is consistent: thin coverage that thins further on weekends, with a workforce turning over faster than most.
Valley Nursing and Rehabilitation Center runs 183 certified beds in Taylorsville under corporate for-profit ownership, and its headline staffing number looks decent at first: 4.42 nurse hours per resident day, roughly 14 percent above the national average. Look closer and the picture changes. Weekend staffing drops about 9 percent below its own weekday level, so coverage thins exactly when families tend to visit, and annual turnover hits 67.6 percent against a national average of 45.8 percent, meaning most of the aides and nurses caring for residents are relatively new to the building. The inspection record is the harder problem: 28 deficiencies, nine of them serious enough to risk harm, five tied to abuse, and $88,557 in fines across three cases.
Vero Health & Rehab Of Sylva has 53 deficiencies on its current record, 13 of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. Federal fines total $359,818 across four penalties. The health inspection rating sits at 1 out of 5, and staffing doesn't help: 3.74 nurse hours per resident day, below the national average, with weekend coverage about 9 percent thinner than weekdays. This is a for-profit limited liability company operating 106 certified beds in Jackson County, and its last inspection was August 14, 2025. When a home carries that many harm-level findings, the question isn't whether the numbers look bad, it's whether you can get straight answers about what changed since.
Clayton Rehabilitation and Healthcare Center runs on thinner nurse staffing than most homes in the country, about 3.11 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 14% below what the building staffs on weekdays. That gap matters because turnover sits at 77.8%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the job and to these residents. The inspection record backs that up: 38 deficiencies on file, two serious enough to put residents in harm's way, and a single fine of $166,075. One star for health inspections and one for staffing, with quality measures landing at three. It's individually owned and for profit.
Tsali Care Center has real strengths on the staffing side, 6.14 nurse hours per resident day is well above the national average, and CMS gives it top marks there. But staffing alone doesn't keep residents safe. The home carries 82 deficiencies on its current record, four of them serious enough to put residents in harm's way, plus one tied to abuse, and it's been fined four times for a total of $157,555. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the country's most troubled homes. Staff turnover sits slightly above the national rate, and weekend coverage dips below weekday levels. The last inspection was in August 2025.
Biltmore Haven runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop further from there. That thin coverage sits alongside a 71.4% annual turnover rate, well above the 45.8% national figure, so the staff who are there are often new. The inspection record is the harder problem: 50 deficiencies, 7 of them at harm or jeopardy level, 2 tied to abuse, and $189,174 in fines across three penalties. CMS placed this for-profit LLC home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was May 1, 2025.
Rockwell Park runs leaner on nursing hours than the typical American nursing home, about 3.49 per resident day against a national figure near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. That gap matters, since families often visit Saturday and Sunday. Staff turnover sits at 60.2%, well above the 45.8% national average, so the people caring for residents change often. Its inspection record carries 34 deficiencies, including 8 at harm or jeopardy level and 4 tied to abuse, plus seven CMS fines totaling $338,513. The federal government has placed it in the Special Focus Facility program, its most recent inspection was March 27, 2026, and it's a for-profit corporation.
Fuquay-Varina Health and Rehabilitation Center runs about 3.75 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. That thin weekend margin matters more when turnover sits at 60% against a national rate near 46%, people are cycling through, and the ones on duty Saturday and Sunday are often the newest. The home carries 50 deficiencies on its current record, including two at the harm level and four tied to abuse, plus a $76,047 fine. Its last inspection was in April 2026, and the federal staffing rating sits at the bottom of the scale.
O'Berry Neuro-Medical Treatment Center is a state-run home in Goldsboro with 144 certified beds, and its inspection record is the part that matters most. Twenty-eight deficiencies are on the current record, eight of them at the harm or jeopardy level, and six tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and a $167,242 fine is on file. The last inspection was recent, October 9, 2025, so this isn't a stale record. Quality measures sit around the middle at 3 out of 5. If you're considering this home, ask directly what's changed since that inspection.
Oxford Health and Rehabilitation Center runs 160 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekends drop about 19% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 60.4% against a national 45.8% means the people caring for your relative are, more often than not, new to the building. Seventeen deficiencies sit on the current record, one tied to abuse, with the most recent inspection in November 2025. All three CMS star ratings, health inspection, quality measures, staffing, come in at the low end.
University Place in Charlotte runs 207 beds under corporate ownership, and the numbers suggest a building under real strain. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and it thins out further on weekends, running roughly 9% below its own weekday level. Staff turnover is 59.1% against a national 45.8%, meaning well over half the nursing staff leaves each year.
The inspection record is heavier than that: 35 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $276,401 in fines across two penalties. The most recent inspection was July 2025, so the picture is current. Families should ask directly about weekend coverage and how the home keeps experienced nurses on the floor.
Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.
Brunswick Rehabilitation And Healthcare Center runs 90 certified beds in Bolivia under for-profit LLC ownership, and the numbers raise real questions. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekend coverage drops about 7% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 80.2%, well above the 45.8% norm, which means the people caring for residents are constantly changing. Its inspection record shows 38 deficiencies, including 2 at the harm level and 3 tied to abuse, plus a $94,140 fine. The most recent inspection was May 2026. Ask hard questions here before deciding.
Fletcher Rehabilitation and Healthcare Center runs on staffing that falls well short of what most homes provide, about 3.15 nurse hours per resident each day against a national figure closer to 3.86, with weekends noticeably thinner than weekdays. The bigger warning sign is turnover: roughly 78% of staff left over the past year, far above the 46% typical elsewhere, which means the people caring for residents are often new and still learning the building. Inspectors have cited 43 deficiencies, two involving actual harm and two tied to abuse, and fined the home twice for a combined $62,868. That record, paired with a one-star inspection history, is what drives the grade down.
Mount Olive Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekend coverage drops another 11% below its own weekday level. That thin margin matters when you consider the inspection record: 30 deficiencies, five of them serious enough to put residents in harm's way, three tied to abuse. Staff turnover sits at 57.1%, well above the national norm, meaning the people caring for your relative are likely to change often. Four fines totaling $171,721 have accumulated, with the most recent inspection in October 2025. The quality measure score looks decent on paper, but it's hard to trust that when the caregiving floor is this unstable.
Crestview runs on thin staffing: 3.11 nurse hours per resident per day against a national average of 3.86, with weekend coverage dropping roughly 11% below its own weekday level. The bigger alarm is turnover, 81.6% of staff leaving annually, nearly double the national rate, which means the people providing care are constantly new. Its current record carries 52 deficiencies, 11 serious enough to cause harm or jeopardy and 5 tied to abuse, plus $144,008 in fines across four penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and its last inspection was September 2025. A 1-out-of-5 inspection rating with that deficiency history tells you oversight has been continuous, not resolved.
Cabarrus Health and Rehabilitation Center is a 120-bed for-profit home in Concord that federal regulators have placed in the Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The current record shows 56 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, along with 8 fines totaling $138,723. Staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekend coverage runs roughly 13% below its own weekday level. Annual turnover is 73.3% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Currituck Health & Rehab Center runs 100 certified beds in Barco under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale. The inspection record is heavier still, 23 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with a $120,975 fine and a 57% annual turnover rate that means more than half the staff left last year. The quality measure score is middling, but it doesn't offset any of that.