Who owns North Carolina nursing homes
Ownership shapes staffing and cost decisions. Here is how North Carolina nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 350 | 2.7 | 3.47 hrs | 60% |
| Non profit | 60 | 4.2 | 4.70 hrs | 32% |
| Government | 9 | 3.9 | 4.91 hrs | 56% |
Largest chains in North Carolina
76% of North Carolina nursing homes belong to a chain. Counts are homes we list in North Carolina.
- Liberty sEnior living36 homes · average 2.8 of 5 Medicare stars
- Principle long term care36 homes · average 3.0 of 5 Medicare stars
- Saber healthcare group27 homes · average 2.3 of 5 Medicare stars
- SansTone health & rehabilitation18 homes · average 4.2 of 5 Medicare stars
- Lifeworks rehab16 homes · average 1.7 of 5 Medicare stars
- Avardis health16 homes · average 2.1 of 5 Medicare stars
- Cch healthcare15 homes · average 2.5 of 5 Medicare stars
- Pruitthealth15 homes · average 2.6 of 5 Medicare stars
- Simcha hyman & naftali zanziper14 homes · average 2.4 of 5 Medicare stars
- Alliance health group12 homes · average 1.5 of 5 Medicare stars
- Sovereign healthcare holdings10 homes · average 3.1 of 5 Medicare stars
- Lutheran sErvices carolinas9 homes · average 4.2 of 5 Medicare stars
- Peak resOurces, inc.8 homes · average 3.4 of 5 Medicare stars
- Yad healthcare8 homes · average 1.7 of 5 Medicare stars
- Life care sErvices7 homes · average 4.0 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.