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.
Hertford Rehabilitation and Healthcare Center runs on thin nursing coverage. At 3.06 nurse hours per resident per day, it sits about 21 percent below the national average, and weekends dip another 17 percent below its own weekday levels, so the thinnest shifts get even thinner when families tend to visit. Staff turnover tells a similar story: 74.1 percent annually against a national 45.8 percent, meaning most of the people caring for your relative are likely new to the building. The current inspection record carries 39 deficiencies, three at harm or jeopardy level and one abuse-related, with the last visit in June 2025. The for-profit LLC ownership structure doesn't change any of those numbers, but it's the context they sit in.
Autumn Care of Waynesville runs on thinner staffing than most homes: 3.43 nurse hours per resident day against a national average of 3.86, with weekends falling about 11% below its own weekday level. That gap matters, because turnover sits at 69.8%, well above the 45.8% national figure, meaning the aides and nurses on those shifts are frequently new to the building. The inspection record is heavier still: 25 deficiencies, five of them at harm or jeopardy level and five abuse-related, with a $107,387 fine and a May 2025 inspection. This is a for-profit limited liability company, and the pattern across staffing and enforcement is consistent.
Copperfield Health & Rehabilitation runs 120 beds in Concord under corporate ownership, and the numbers there are hard to dress up. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends drop about 11% below what the home manages on weekdays, meaning the thinnest coverage lands exactly when families tend to visit. Staff turnover of 64.1% compounds that: most of the people caring for your relative this year likely won't be there next year. The inspection record shows 21 deficiencies, seven at harm or jeopardy level and six tied to abuse, with $158,405 in fines across three penalties and a survey as recent as February 2026.
Glenbridge runs on thinner nurse staffing than most homes, 3.53 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when coverage drops about 12% below its own weekday level. Annual turnover sits at 60.6%, well above the 45.8% national figure, so the people caring for residents are often new to the building. The inspection record shows 41 deficiencies, including one at the harm or jeopardy level and one abuse-related, with three fines totaling $32,349. The most recent inspection was in March 2026. For-profit, limited liability ownership. If you're considering this one, ask specifically about weekend nurse coverage and how they've addressed the abuse-related finding.
Smithfield Manor runs 160 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gaps aren't random, they follow a pattern. Staff turnover of 64.3% is well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your family member with them.
Then there's the inspection history: 21 deficiencies on the current record, four at harm or jeopardy level, two tied to abuse. Three fines add up to $263,607. That combination, thin weekend coverage, heavy turnover, and serious cited deficiencies, is what a family should weigh before deciding.
The Carrolton Of Dunn runs on 2.88 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in a 61% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses around your family member change constantly. The inspection record is worse: 37 deficiencies, four serious enough to cause harm or jeopardy, three tied to abuse, plus $54,999 in fines across three penalties. Ownership is a for-profit LLC, and the most recent inspection was November 2025. With a 1/5 staffing rating and 1/5 health inspection rating, the numbers here point to a home struggling on the basics.
Rich Square Nursing & Rehabilitation Center runs on 3.17 nurse staffing hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home itself staffs during the week. That thin coverage helps explain 27 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus a $190,684 fine, all with a health inspection rating of 1 out of 5 and a staffing rating of 1 out of 5. Annual turnover sits at 52.1%, above the 45.8% national figure, meaning nearly half the nursing staff leaves each year. The most recent inspection was July 2, 2025, and no abuse deficiencies are on record.
Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.
Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.
River Bend runs on 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekends drop about 9 percent below what it manages on weekdays. The bigger warning sign is turnover: 86.4 percent of staff left over the past year, nearly double the national rate, which means the people caring for your relative are likely new to the building and still learning it. On the current record are 52 deficiencies, seven serious enough to involve harm or jeopardy, 11 tied to abuse, and six fines totaling $147,579. Ownership is a for-profit limited liability company, which tells you where the margin pressure comes from.
East Carolina Health and Rehabilitation Center runs 130 certified beds in Greenville, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.65 hours per resident per day, slightly under the national average, and weekends drop roughly 15% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger flag: 76.7% annually against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. That instability shows up in the inspection record too: 45 deficiencies, two at harm or jeopardy level, four abuse-related, and $61,585 in fines.
Piedmont Hills runs 126 certified beds under for-profit limited liability ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home already provides on weekdays. Staff turnover is 47.3%, a bit above the national 45.8%. The inspection record shows 52 deficiencies, including 7 at harm or jeopardy level and 4 tied to abuse, with five fines totaling $217,827 and a February 2026 inspection. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5.
Deer Park runs 140 certified beds in Nebo under for-profit LLC ownership, and the staffing numbers tell a hard story: 3.41 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays already. Staff turnover sits at 78.5%, far above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record is worse: 39 deficiencies, 10 at harm or jeopardy level, 6 abuse-related, five fines totaling $273,467, and federal placement in the Special Focus Facility program as of the June 2025 inspection. Ask direct questions about who's on duty nights and weekends.
Cedar Hills runs 94 certified beds under corporate ownership, and the numbers here are worth a slow look. Nurse staffing sits at 3.43 hours per resident day against a national average of 3.86, and weekend coverage drops another 8 percent below its own weekday level, so the thinnest shifts land when families visit least. Staff turnover is the real tell: 65.9 percent annually, well above the 45.8 percent national figure, meaning the people caring for your relative are likely new to the building and to the job. Inspectors have logged 53 deficiencies, including two tied to abuse and one at the harm level, with a $11,333 fine on record.
The Greens at Gastonia runs 162 beds under corporate ownership, and the numbers show real strain. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent below the national average, and weekends run about 12 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Staff turnover hits 75.6 percent against a national average near 46 percent, meaning most of the people caring for residents are new to the building. The inspection record carries 53 deficiencies, including three at the harm level and one tied to abuse, plus $130,657 in fines. A May 2025 inspection is recent, but recent isn't the same as clean.
A family calling about Pembroke Center should know a few numbers before anything else. The home runs 3.37 nurse hours per resident per day, about 13% under the national average of 3.86, and weekend staffing drops roughly 9% below its own weekday level. Annual turnover is 68.4%, well above the 45.8% national figure, so the people caring for residents change often.
Its inspection record shows 41 deficiencies, including 4 at the harm or jeopardy level and 5 tied to abuse. Three fines total $37,339, and the most recent inspection was November 21, 2025. Corporate-owned and operating under a low-rated history across inspections, quality measures, and staffing, this home carries real risk on paper.
Windsor Rehabilitation and Healthcare Center runs on 3.10 nurse hours per resident day, about a fifth below the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Staff turnover sits at 79.3%, more than seven in ten workers leaving annually against a national rate near 46%, while 52 deficiencies sit on the current record, including five at the harm or jeopardy level and seven tied to abuse. Two fines total just under $250,000, and the last inspection was January 2026. Corporate-owned and running lean on direct care, this is a home where you'd want to visit unannounced, on a weekend, and ask who is actually on the floor.
A 42-bed for-profit LLC home in Carteret County, Embassy At Morehead City carries a clean federal record: zero deficiencies of any kind, including none at the harm or jeopardy level and none tied to abuse. Its most recent inspection was February 17, 2026, so the findings are recent rather than stale. What the public data can't tell you from here is how the place feels day to day, how much direct nursing time each resident actually gets compared with the national average, and whether staff turnover undercuts consistency of care. Those are the questions worth asking the administrator directly, along with who owns the LLC and how long they've operated this building.
Bloomsbury at Hayes Barton Place is a small Wake County home, 31 certified beds, corporate for-profit ownership, and its inspection record right now is spotless. Zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related, with the most recent survey completed January 22, 2026. That recency matters; a clean record from years ago tells you less than a clean one from weeks ago.
What the numbers don't show is anything about staffing hours, turnover, or how residents and families actually experience the place day to day. Thirty-one beds means the place runs small, which can cut either way. If you're considering it, ask directly about nurse coverage on nights and weekends, and whether the same aides are still there year to year.