Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
Davidson Health & Rehab Center runs on 3.50 nursing hours per resident day, about 9% under the national average, and weekend staffing drops roughly 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72% against a national 45.8%, which means the people caring for your relative are often brand new. The current inspection record carries 43 deficiencies, including six at harm or jeopardy level and two abuse-related, plus $54,389 in fines across three penalties. Its last inspection was August 2025, so the record is recent. Corporate ownership, a one-star inspection rating, and one-star staffing tell the same story.
Autumn Care of Myrtle Grove is a 90-bed corporate-owned home in Wilmington, and the inspection history is where the trouble sits. Forty-one deficiencies on the current record, nine of them at the harm or jeopardy level and six tied to abuse, that's a pattern, not a one-time slip. Four fines add up to $141,604. Staffing runs slightly under the national average at 3.78 nurse hours per resident day, and weekends drop about 17% below the home's own weekday levels, which matters when residents need help on Saturday. Annual turnover of 56.6% is well above the 45.8% national figure, so aides and nurses keep cycling through. The most recent inspection was August 2025, so the record is current.
Willow Valley runs 230 beds in Winston-Salem, and the numbers families should focus on are staffing and inspections. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and weekends run roughly 8% thinner than weekdays, so the coverage gap shows up exactly when families tend to visit. Annual turnover hits 54.2%, well above the 45.8% national figure, which means the people providing care keep changing. The current inspection record carries 51 deficiencies, seven at harm or jeopardy level and four abuse-related, with five fines totaling $275,518. The most recent inspection was August 2025. For-profit corporate ownership.
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.
Siler City Center runs 150 beds under corporate ownership, and its last inspection was recent, March 2026, which matters, because the current record shows 22 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 10 percent below the home's own weekday numbers. Turnover, at 38.7 percent, is actually better than the 45.8 percent national figure, so the problem here isn't retention so much as how few hands are on deck per shift and a survey history that keeps turning up serious findings. One fine totaling $7,909 is on record.
White Oak Manor-Kings Mountain runs 154 beds under corporate ownership, and its nurse staffing sits at 4.03 hours per resident day, modestly above the national average of 3.86. That's the strongest number here, but not by much, and weekends drop about 12% below the home's own weekday coverage. Turnover is 46.5%, roughly in line with the national figure. The inspection record is where the concern sits: 13 deficiencies, including one at the harm level and three tied to abuse, plus a $53,811 fine. State inspectors last visited in August 2025.
Davis Health Care Center is a 115-bed nonprofit home in Wilmington, and its staffing numbers are the first thing to look at. Nurses provide 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 8% thinner than weekdays. Staff turnover is the bigger concern: 64.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new. The current inspection record shows 14 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $63,996. The most recent inspection was in April 2025, so the picture is fairly current. Nonprofit ownership is a point in its favor; the turnover and harm-level deficiencies are what I'd ask about directly.
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.
Lillington Health and Rehabilitation Center runs 129 certified beds under corporate for-profit ownership, and its staffing numbers are the first thing to look at. At 3.38 nurse hours per resident day, it sits roughly 12% under the national average, and weekends drop about 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 53% runs well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record is heavier: 35 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with one fine of $14,945 and a May 2025 inspection. The quality measure score looks strong, but that's self-reported data, and staffing and inspection results tell a different story.
Monroe Rehabilitation Center runs 147 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the heavier problem: 21 deficiencies, three at harm or jeopardy level and two tied to abuse, with four fines totaling $61,174. That combination of thin weekend staffing, high turnover, and harm-level findings explains why Monroe lands well below average.
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.
The Carrolton of Lumberton runs a for-profit, limited-liability operation with 90 certified beds, and its staffing picture is mixed. Total nurse coverage sits at 4.13 hours per resident day, roughly 7% above the national average, but weekends drop about 8% below the home's own weekday level, and annual turnover hits 52.9% against a national 45.8%. The current inspection record shows 28 deficiencies, two of them abuse-related, with no harm-level findings. CMS rates health inspections 2 out of 5 and quality measures 1 out of 5, while staffing earns 3. That combination, steady hours undermined by churn, a long deficiency list, and a recent February 2026 inspection, is what shapes the picture here.
Hibriten Mountain runs on 3.15 nurse staffing hours per resident day, about 18% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 46 deficiencies, four at harm or jeopardy level, four abuse-related, and two fines totaling $53,110, all under a 1-out-of-5 health inspection rating. Staff turnover of 50.7% tops the national average of 45.8%, which means caregivers are cycling through. The quality measure rating of 4 out of 5 stands out against all of this, but quality measures are self-reported, while inspections and staffing are not. Ask about weekend coverage and the abuse citations directly.
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.
Lexington Health Care Center runs on thinner staffing than most homes, about 3.50 nurse hours per resident each day, roughly 9% under the national average, with weekends dipping further below its own weekday level. Turnover tells a similar story: 63.4% of nursing staff leave within a year, well above the 45.8% national figure, which means unfamiliar faces are often the ones providing care. The inspection record is heavier than most, with 40 deficiencies logged, including two at the harm level and five tied to abuse. Ownership is for-profit and LLC-operated. The quality measure score looks good on paper, but it sits alongside a staffing rating and inspection history that raise harder questions than that one number answers.
Alamance Health Care Center runs 180 certified beds in Burlington under corporate, for-profit ownership, and the numbers split in two directions. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below the home's own weekday levels, while staff turnover at 47.2% edges past the national rate. The inspection record is where the real weight sits: 27 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and another 1 for staffing. Quality measures score 4 out of 5, but that contrast is worth sitting with before you decide.
Wilora Lake runs on thinner staffing than most homes you'd compare it to, about 3.17 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 12% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when fewer hands are on the floor. Annual turnover sits at 66.2%, well above the 45.8% national figure, so the people caring for your relative are changing often. The record shows 14 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Its quality measure scores look strong, but those reflect resident outcomes, not the daily coverage behind them.
Dahlia Gardens runs 90 certified beds under for-profit LLC ownership, and its staff retention is genuinely better than most, 32.4% annual turnover against a national average of 45.8%. That stability matters, because the staffing star rating still comes in at just 1 out of 5, meaning the people who stay aren't necessarily enough of them. The inspection record shows 34 deficiencies, five tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was December 2025. Quality measures sit at 2 out of 5. If you're weighing this one, ask directly how they plan to address the abuse-related findings and what daily direct-care hours actually look like on the floor.
Trinity Grove is church-affiliated and nonprofit, and its staffing is genuinely strong, 4.37 nurse hours per resident day sits about 13% above the national average, earning top marks on that measure. The trouble shows up everywhere else. Inspectors cited 15 deficiencies, four serious enough to put residents in harm's way and five tied to abuse, and the home has paid $102,910 across four fines. Weekend staffing drops roughly 12% below its own weekday level, which is when families often visit and notice less coverage. Turnover of 45.5% is essentially the national norm, so experience isn't accumulating here. The last inspection was September 2025. Good ratios, a troubling citation record, that gap is what families should weigh.
Huntersville Health & Rehabilitation runs 90 beds under corporate ownership, and its staffing sits right at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, a difference of about one percent. That thin margin matters more when you look at weekends, which run roughly 11% below the home's own weekday coverage, and at turnover: half the nursing staff leaves each year, compared with 45.8% nationally.
The inspection record is where the real weight sits. Fourteen deficiencies are on file, three of them at harm or jeopardy level and three tied to abuse. The last inspection came in June 2026, and the health inspection rating lands at 2 out of 5. Strong quality scores don't offset that pattern.