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PRINCIPLE LONG TERM CARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

40

States

3

Beds

5,238

Avg score

72

Avg turnover

49%

Federal fines

$1,058,638

Flags across this group

4 of the group's homes carry a CMS abuse icon.

All 40 homes

C

64/100

Greenhaven Health And Rehabilitation Center

Greensboro, NC · Guilford County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
63%
Serious cites
0

Abuse icon on record

Greenhaven runs on thinner staffing than most homes, 3.50 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops roughly 7% below its own weekday level. That gap matters more when you look at the workforce itself: 62.6% of staff turned over in a year, well above the 45.8% national figure, which means unfamiliar faces are common. The inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse, plus a $123,126 fine. A recent July 2025 inspection and strong quality-measure scores don't erase those safety findings.

C

64/100

Westwood Hills Nursing And Rehabilitation Center

Wilkesboro, NC · Wilkes County

CMS 2/5176 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
29%
Serious cites
0

Abuse icon on record

Westwood Hills runs a 176-bed for-profit operation in Wilkesboro, and the staffing picture is mixed in a way worth understanding. Its 3.09 nurse hours per resident day sits about 20% under the national average of 3.86, and weekends drop roughly another 20% below its own weekday levels. Turnover, though, is 29%, well under the national 45.8%, so the people who are there tend to stay. What pulls the record down is inspection history: 12 deficiencies, three at harm or jeopardy level, four abuse-related, and a $8,648 fine, with the most recent inspection in November 2025. Ask about weekend coverage and how those abuse-related findings were resolved.

C

64/100

Macon Valley Nursing And Rehabilitation Center

Franklin, NC · Macon County

CMS 2/5200 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
77%
Serious cites
0

Abuse icon on record

Macon Valley runs 200 certified beds in Franklin under corporate for-profit ownership, and its inspection history is the part worth knowing about. Fourteen deficiencies sit on the current record, including three tied to abuse and one at the harm or jeopardy level, meaning surveyors found a problem serious enough to put a resident in immediate danger. The last inspection was in June 2025, so that record is recent. Nurse staffing comes in at 3.78 hours per resident day, just under the national average, but the bigger number is turnover: 76.5% of staff leaving in a year, far above the roughly 46% national figure. That churn, not the raw hours, is what makes consistent care hard here.

C

64/100

Graham Healthcare And Rehabilitation Center

Robbinsville, NC · Graham County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
70%
Serious cites
0

Abuse icon on record

Graham Healthcare runs 80 certified beds under corporate ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national figure of 3.86. That shortfall widens on weekends, when coverage drops about 9% below the home's own weekday level. The bigger concern is turnover: 70% of staff leave annually, well above the 45.8% national average, which means residents see a rotating cast of caregivers. The inspection record shows 16 deficiencies, including one at the harm level and three tied to abuse. The last inspection was March 5, 2026. Quality measures land mid-range, but the staffing churn and deficiency history are what pull the overall picture down.

C

63/100

Northampton Nursing And Rehabilitation Center

Jackson, NC · Northampton County

CMS 4/580 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
59%
Serious cites
0

Northampton Nursing and Rehabilitation Center runs on thinner staffing than most homes its size. At 3.24 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 4% below its own weekday levels, so the quietest shifts are the leanest. Turnover tells a related story: 59.1% of staff left over the year, against 45.8% nationally, meaning caregivers are cycling through faster than residents can get to know them. The good news sits on the inspection side, a 4-out-of-5 health inspection rating, nine deficiencies on record, none at harm or jeopardy level, and no abuse findings. The last inspection was April 2026.

C

58/100

Carolina Rivers Nursing And Rehabilitation Center

Jacksonville, NC · Onslow County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
66%
Serious cites
0

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.

C

56/100

Cherry Point Bay Nursing And Rehabilitation Center

Havelock, NC · Craven County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
78%
Serious cites
0

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.

C

55/100

River Trace Nursing And Rehabilitation Center

Washington, NC · Beaufort County

CMS 1/5140 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
67%
Serious cites
0

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.

C

55/100

Ayden Court Nursing And Rehabilitation Center

Ayden, NC · Pitt County

CMS 1/582 bedsFor-profitMedicaid
Nurse hours
2.99 /day
Staff turnover
58%
Serious cites
0

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.

D

53/100

University Place Nursing And Rehabilitation Center

Charlotte, NC · Mecklenburg County

CMS 1/5207 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
59%
Serious cites
0

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.