CCN 345420 · Alamance County, North Carolina
Alamance Health Care Center
1987 Hilton Road, Burlington, NC 27217
Alamance Health Care Center is a 180-bed for-profit nursing home in Burlington, North Carolina, first certified for Medicare or Medicaid in 1992. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 174.9 residents a day, about 97% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $3 million in May 2004 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 180
- Average residents per day
- 174.9 (97.2% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Alamance Operator LLC
- Certified since
- Apr 23, 1992
- Chain or affiliated group
- Lifeworks Rehab (64 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Carolina median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.37 | 3.53 | 3.68 |
| RN hours per resident per day | 0.27 | 0.51 | 0.58 |
| Weekend nurse hours per resident per day | 3.07 | ||
| Nursing staff turnover | 47.2% | 48.6% | 44.9% |
| Occupancy (residents / beds) | 97.2% | 87.4% | 85.7% |
| Fines reported by CMS | 1 totaling $8,034 | ||
| Health deficiencies, latest standard survey | 10 (May 4, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Alamance Health Care Center does not meet it today: overall rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Alamance Holdings LLCOrganization | Direct Ownership Interest | 100% | 05/28/2021 |
| Charles 1994 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Ck 2008 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Drm South LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Lauren 2020 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Lauren 2020 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Leps 2003 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Norman 5571 & Family LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Norman 5571 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Rl 2008 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Robin 2008 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Robin 2008 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Saul 2012 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 28, 2021 | Alamance Operator LLC | Burlington Health Care Center 66, Inc. |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 18, 2004 | 223(a)(7) refinance of a 223(f) loanHUD project name: Alamance Health Care Center, 176 beds. Lender at endorsement: Highland Mortgage | $3,010,000 | Ended Jun 1, 2021Prepayment | 05322044 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.