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SANSTONE HEALTH & REHABILITATION

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

18

States

1

Beds

2,111

Avg score

77.4

Avg turnover

38%

Federal fines

$234,064

All 18 homes

A

85/100

Village Green Health And Rehabilitation

Fayetteville, NC · Cumberland County

CMS 5/5170 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
41%
Serious cites
0

Village Green runs 170 beds in Fayetteville under individual for-profit ownership, and the numbers suggest a home that mostly gets the basics right. Nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekends drop about 14% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover, at 40.7%, is actually a bit better than the 45.8% national figure. The inspection record is where this one stands out: six deficiencies on file, none at harm or jeopardy level and none abuse-related, with a four-star health inspection rating and a recent survey in May 2026. Quality measures score a full five stars. The staffing rating of three stars is the soft spot, but nothing here points to danger.

B

84.5/100

College Pines Health And Rehabilitation

Connelly Springs, NC · Burke County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

College Pines runs a leaner, steadier ship than most corporate-owned homes in North Carolina. Nurse staffing sits at 3.99 hours per resident day, just above the national average, and the 24.5% turnover rate is barely half the national figure, that kind of retention usually means residents see the same faces week to week. The catch is weekends, when coverage drops roughly 17% below weekday levels. And while the inspection rating looks strong on paper, the current record carries six deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,801 in fines. Quality measures score well, but those two harm-level findings are what pull the overall picture down to middling.

B

81.5/100

Anson Health And Rehabilitation

Wadesboro, NC · Anson County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
33%
Serious cites
0

Anson Health And Rehabilitation runs a tight ship on paper: zero deficiencies on its current record, no harm-level or abuse citations, and a February 2026 inspection that came back clean enough for top marks from CMS on both health inspections and quality measures. Staffing is where the picture gets more mixed. At 3.63 nurse hours per resident day, this 95-bed for-profit home sits about 6% under the national average, and weekends run roughly 19% thinner than its own weekdays, so coverage isn't evenly spread across the week. Turnover, though, is genuinely low at 32.9% against a 45.8% national figure, which suggests the staff who are there tend to stay.

B

80.5/100

Grace Heights Health & Rehabilitation

Morganton, NC · Burke County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
n/a
Serious cites
0

Grace Heights runs 120 certified beds in Morganton under for-profit LLC ownership, and its inspection record is genuinely clean: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with a survey completed in January 2026. Federal quality measures also score 5 out of 5, and total nurse staffing sits at 3.88 hours per resident day, roughly a hair above the national average of 3.86. The catch is how thin that margin is and where it thins further, weekend staffing drops about 11% below the home's own weekday level, and CMS rates staffing just 2 out of 5. Inspections and outcomes look strong here; the daily coverage underneath them is the part worth asking about.

B

80/100

Sanford Health & Rehabilitation Co

Sanford, NC · Lee County

CMS 4/5131 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
25%
Serious cites
0

Sanford Health & Rehabilitation runs 131 beds under for-profit LLC ownership, and its staffing sits just a hair under the national average, 3.82 nurse hours per resident day against 3.86. That gap is small, but weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the real bright spot: 24.7% against a national 45.8% means aides and nurses are staying put, which matters for consistency of care. The tradeoff shows up in the inspection record, 31 deficiencies, three of them serious enough to risk harm, though none abuse-related, and a single fine of $10,527. The most recent inspection was April 2025, so the picture is current.

B

79/100

Wilkesboro Health And Rehabilitation

North Wilkesboro, NC · Wilkes County

CMS 3/5111 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
28%
Serious cites
0

Wilkesboro Health and Rehabilitation runs on 4.57 nurse hours per resident per day, which is about 18 percent above the national average, and its staff turnover sits at 28.2 percent against a national rate of 45.8 percent, a signal that caregivers tend to stay. Weekend staffing dips roughly 10 percent below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 15 deficiencies on its current record, but none at the harm or jeopardy level and none related to abuse, and its last inspection was in December 2025, so the picture is recent. Corporate for-profit ownership, 111 certified beds.

B

79/100

Tarboro Health And Rehabilitation Llc

Tarboro, NC · Edgecombe County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
39%
Serious cites
0

Tarboro Health and Rehabilitation runs 118 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.77 hours per resident day, just under the national average of 3.86, close enough that it's not alarming, though weekends dip about 11% below the home's own weekday level, which is when families tend to visit and notice. Staff turnover comes in at 39.2%, better than the 45.8% national figure, so people are staying longer than average here. The current inspection record shows 10 deficiencies with none at the harm level and none related to abuse; the most recent inspection was April 2026. A five-star health inspection rating is doing real work in that grade.

B

78.5/100

Madison Health And Rehabilitation

Mars Hill, NC · Madison County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
38%
Serious cites
0

Madison Health And Rehabilitation runs 100 certified beds in Mars Hill under for-profit limited liability ownership, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage, so care thins out exactly when families visit. Turnover sits at 37.9%, better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record is the weak spot: five deficiencies, including one at the harm level and one tied to abuse, plus a $9,110 fine and a 2/5 inspection rating. Quality measures score 5/5, but the most recent inspection was February 2026, so read that record closely.

B

78.5/100

Carolina Care Health And Rehabilitation

Cherryville, NC · Gaston County

CMS 5/5107 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
42%
Serious cites
0

Carolina Care runs on solid ground where it counts. State inspectors visited in April 2026 and came away with five stars, nine deficiencies total and none of them causing harm or tied to abuse, that's a clean record by any measure. Nurse time comes in at 4.11 hours per resident day, about 6% above the national average, though weekends dip roughly 17% below weekdays, so ask how that gap gets covered. Staff turnover sits at 42.3%, slightly better than the 45.8% national figure. The for-profit LLC ownership is worth knowing about, and staffing earned three stars against five for inspections and quality, that spread is the real story here.

B

78.5/100

Hendersonville Health And Rehabilitation

Flat Rock, NC · Henderson County

CMS 5/5130 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
37%
Serious cites
0

Hendersonville Health and Rehabilitation runs 3.50 nurse hours per resident per day, about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday staffing. That thinner weekend coverage is the number I'd ask about directly. Turnover sits at 37.1%, better than the 45.8% national figure, so the crew that is there tends to stay. The record is clean where it matters most: 11 deficiencies, none causing harm or jeopardy, none abuse-related, and a September 2025 inspection. Owned by a for-profit LLC with 130 beds. Ask how they cover a Saturday call-out.

B

78/100

Ashton Health And Rehabilitation

Mcleansville, NC · Guilford County

CMS 5/5134 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
37%
Serious cites
0

Ashton Health And Rehabilitation runs 134 certified beds in Guilford County under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, five total deficiencies, one of them at the harm or jeopardy level, and nothing abuse-related. Staffing is where it slips. At 3.61 nurse hours per resident day it sits about 6% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing star rating is 2 out of 5. Turnover at 36.5% actually beats the national 45.8%, which matters for consistency of care, though it doesn't fix the thin weekend hours. One fine of $8,788 is on record, and the last inspection was July 2025.

B

77/100

The Lodge At Mills River

Mills River, NC · Henderson County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
56%
Serious cites
0

The Lodge At Mills River just cleared a June 2025 inspection and holds a 5-star record on both health inspections and quality measures, the clinical side looks strong. But look at staffing and the picture shifts: 3.89 nurse hours per resident day sits barely above the national average, weekends run about 14% thinner than weekdays, and annual turnover of 55.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. Six deficiencies are on record, one serious enough to reach harm or jeopardy. A for-profit LLC runs the place, and with only 50 beds, every departure is felt. Good care when inspected, but keeping enough consistent hands is the real question.

B

75/100

The Lodge At Rocky Mount Health And Rehabilitation

Rocky Mount, NC · Edgecombe County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
40%
Serious cites
0

The Lodge at Rocky Mount runs a for-profit operation under an LLC, with 100 certified beds and a nurse staffing level of 4.24 hours per resident day, roughly 10% above the national average of 3.86. That headline number looks good, but the weekend tells a different story: staffing drops about 13% below its own weekday level, and the federal staffing rating sits at just 2 out of 5. Staff turnover is 39.6%, better than the national 45.8%. On the record are 16 deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,984 in fines from two citations. No abuse-related deficiencies appear. The last inspection was in April 2026.

B

75/100

Mecklenburg Heath And Rehabilitation

Charlotte, NC · Mecklenburg County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
52%
Serious cites
0

Mecklenburg Heath And Rehabilitation runs 100 certified beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, 13 deficiencies with none at the harm or jeopardy level, and just one fine of $4,475. The catch is staffing. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 15% below its own weekday coverage. Annual turnover of 52.1% tops the national 45.8%, so aides and nurses cycle through faster than average. Quality measures score high, but that staffing number is the one to ask about directly, especially on weekends.

B

74/100

Camden Health And Rehabilitation

Greensboro, NC · Guilford County

CMS 4/5135 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
45%
Serious cites
0

Camden Health and Rehabilitation runs 135 beds in Greensboro under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with 11 deficiencies on file, none of them causing harm or jeopardy and none abuse-related, with the most recent survey done in July 2025. Staffing is where it slips. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends run roughly 13% lighter than its own weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover lands at 45.3%, essentially tracking the national rate of 45.8%.

B

72/100

Elizabeth City Health And Rehabilitation

Elizabeth City, NC · Pasquotank County

CMS 2/5170 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
24%
Serious cites
0

Nurse staffing at Elizabeth City Health and Rehabilitation runs 3.89 hours per resident day, just above the national average of 3.86, so the hands-on care hours aren't the problem. The problem on paper is the inspection record: 22 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and a $77,760 fine. Staff turnover of 23.7% is actually well below the national 45.8%, which means the workforce is relatively stable, but weekend coverage drops about 13% from weekday levels. Keep in mind the most recent state inspection was June 2025. When you tour, ask specifically what changed after those harm-level findings and how weekend shifts are covered.

B

70/100

Hickory Falls Health And Rehabilitation

Granite Falls, NC · Caldwell County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
33%
Serious cites
0

Hickory Falls runs a bit lean on nursing hours, 3.62 per resident day against a national average of 3.86, and weekends are thinner still, about 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems can sit longer. Turnover sits at 32.5%, well under the national 45.8%, so the staff you meet are more likely to still be there next year. The current inspection record shows three deficiencies, including one at the harm level and one tied to abuse, plus a $51,188 fine. The most recent inspection was in June 2026, so the picture is fairly fresh.

C

67/100

Stonecreek Health And Rehabilitation

Asheville, NC · Buncombe County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
48%
Serious cites
0

Stonecreek runs on 3.30 nurse hours per resident per day, about 14% under the national average, and weekends drop another 13% below its own weekday pace. That staffing pattern matters because the home's last inspection in April 2025 left 15 deficiencies on record, two of them serious enough to involve harm or jeopardy, along with a $38,431 fine; the 47.6% turnover rate sits slightly above the national figure, so the aides and nurses cycling through aren't staying long. The five-star quality measure score looks reassuring, but it's built from self-reported resident data, while the one-star inspection result reflects what surveyors actually found on site.