CCH HEALTHCARE
Ownership rollup across 33 nursing homes in 3 states: North Carolina, Ohio, Tennessee. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.5 of 5 stars on the CMS overall rating — about 0.5 stars below the ~3.0 average of the 3 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 33 homes rated throughout, the average rose 0.39 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.4 of 5 | 33 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.5 of 5 | 33 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.9 of 5 | 33 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 32 of 33 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Carver Living CenterDurham, NC | 1 of 5 | 3 immediate-jeopardy $128,554 fined |
| The Greens at GastoniaGastonia, NC | 1 of 5 | 1 immediate-jeopardy $130,657 fined |
| Valley Nursing and Rehabilitation CenterTaylorsville, NC | 1 of 5 | 7 immediate-jeopardy Abuse flag $88,557 fined |
| Countryside Manor Nursing And Rehabilitation LLCFremont, OH | 1 of 5 | 2 immediate-jeopardy $59,623 fined |
| Harrison Pavilion Care CenterCincinnati, OH | 1 of 5 | 1 immediate-jeopardy |
| Meadowbrook Care CenterCincinnati, OH | 1 of 5 | — |
| Smoky Mountain Health And Rehabilitation CenterPigeon Forge, TN | 1 of 5 | 2 immediate-jeopardy $61,180 fined |
| Weakley Rehabilitation And Nursing CenterDresden, TN | 1 of 5 | 1 immediate-jeopardy $72,917 fined |
| Ridgewood Living & Rehabilitation CenterWashington, NC | 2 of 5 | $10,868 fined |
| The Greens at HickoryHickory, NC | 2 of 5 | — |
| The Greens at LincolntonLincolnton, NC | 2 of 5 | $32,387 fined |
| The Greens at ViewmontHickory, NC | 2 of 5 | 2 immediate-jeopardy $34,597 fined |
| Willow Ridge Of NCRutherfordton, NC | 2 of 5 | 2 immediate-jeopardy $146,939 fined |
| Cedars Of Lebanon Care CenterLebanon, OH | 2 of 5 | — |
| Clovernook Health Care And Rehabilitation CenterCincinnati, OH | 2 of 5 | — |
| Louisville Gardens Care CenterLouisville, OH | 2 of 5 | 1 immediate-jeopardy $115,891 fined |
| Solon Pointe At Emerald RidgeSolon, OH | 2 of 5 | 1 immediate-jeopardy $10,845 fined |
| Pineville Rehabilitation and Living CenterPineville, NC | 3 of 5 | $15,470 fined |
| The Greens at HendersonvilleHendersonville, NC | 3 of 5 | $101,733 fined |
| The Greens at Pinehurst Rehabilitation & Living CePinehurst, NC | 3 of 5 | $41,844 fined |
| The Greens at Spruce PinesSpruce Pine, NC | 3 of 5 | 1 immediate-jeopardy $153,439 fined |
| Flint Ridge Nrsg & Rehab CtrNewark, OH | 3 of 5 | — |
| Lincoln Crawford Care CenterCincinnati, OH | 3 of 5 | Abuse flag |
| Meadow Wind Health Care CenterMassillon, OH | 3 of 5 | — |
| Northcrest Rehab And Nursing CenterNapoleon, OH | 3 of 5 | — |
| Scarlet Oaks Nursing And Rehabilitation CenterCincinnati, OH | 3 of 5 | — |
| The Greens at Maple LeafStatesville, NC | 4 of 5 | $18,655 fined |
| The Greens at WeavervilleWeaverville, NC | 4 of 5 | — |
| Cedarview Care CenterLebanon, OH | 4 of 5 | — |
| Sunrise Nursing Healthcare LLCAmelia, OH | 4 of 5 | — |
| Twilight Gardens Nursing And RehabilitationNorwalk, OH | 4 of 5 | — |
| The Greens at CabarrusConcord, NC | 5 of 5 | — |
| Locust Ridge Healthcare LLCWilliamsburg, OH | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.