Home / Owners / Zenith Holdco II LLC
Nursing homes owned by Zenith Holdco II LLC
The CMS ownership file lists Zenith Holdco II LLC with an ownership interest in 22 certified nursing homes with 2,025 beds in North Carolina (15), Mississippi (5), Virginia (2).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Zenith Holdco II LLC as a indirect owner of 22 homes. Its earliest ownership association date on file is June 1, 2025, the latest June 1, 2025.
An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Avardis Health (22).
The homes' record in brief
21 of the 22 homes have a CMS overall rating, averaging 1.8 stars against a national average of 3. 21 are for profit, 1 nonprofit; 22 are certified for Medicaid.
Across the inspections on file the homes carry 669 health citations; 71 citations were rated actual harm or immediate jeopardy, 46 immediate jeopardy. At their latest standard inspections they averaged 7.8 health deficiencies (national 9.2).
17 homes were fined in the last three years, $1,133,169 across 32 fines. Average nursing staff turnover was 52.1% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.20 | 3.75 |
| Registered nurses | 0.49 | 0.62 |
| Weekdays | 3.35 | 3.92 |
| Weekends | 2.83 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Daily payroll records of 22 homes, summed. Weekends ran 16% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Courtyard Health and Rehabilitation | McComb | MS | Indirect owner, since June 2025 | 1 | 30 | $26,939 | |
| The Oaks Rehabilitation and Healthcare Center | Meridian | MS | Indirect owner, since June 2025 | 1 | 32 | $32,432 | |
| Grand Trace Health and Rehabilitation | Natchez | MS | Indirect owner, since June 2025 | 1 | 39 | $26,397 | |
| Starkville Manor Health Care and Rehabilitation Ce (Special Focus Facility) | Starkville | MS | Indirect owner, since June 2025 | n/a | 14 | $51,893 | |
| Hilltop Manor Health and Rehabilitation Center | Union | MS | Indirect owner, since June 2025 | 3 | 25 | ||
| Forrest Oakes Healthcare | Albemarle | NC | Indirect owner, since June 2025 | 3 | 30 | $5,242 | |
| Valley View Care and Rehabilitation | Andrews | NC | Indirect owner, since June 2025 | 2 | 31 | $24,955 | |
| Westwood Health and Rehabilitation | Archdale | NC | Indirect owner, since June 2025 | 1 | 29 | $15,642 | |
| Biltmore Haven Nursing and Rehabilitation | Arden | NC | Indirect owner, since June 2025 | 1 | 48 | $189,174 | |
| Emerald Ridge Health and Rehabilitation | Asheville | NC | Indirect owner, since June 2025 | 1 | 32 | $73,475 | |
| Highfield Nursing and Rehabilitation | Cary | NC | Indirect owner, since June 2025 | 1 | 20 | $175,559 | |
| Crown Haven Health and Rehabilitation | Charlotte | NC | Indirect owner, since June 2025 | 2 | 44 | $71,235 | |
| Wilora Lake Healthcare | Charlotte | NC | Indirect owner, since June 2025 | 2 | 14 | ||
| Clay County Health and Rehabilitation | Hayesville | NC | Indirect owner, since June 2025 | 2 | 17 | ||
| Kannapolis Health and Rehabilitation | Kannapolis | NC | Indirect owner, since June 2025 | 2 | 42 | $34,690 | |
| Wellington Rehabilitation and Healthcare | Knightdale | NC | Indirect owner, since June 2025 | 1 | 24 | $15,642 | |
| Hibriten Mountain Nursing and Rehabilitation | Lenoir | NC | Indirect owner, since June 2025 | 1 | 46 | $16,801 | |
| Cardinal Healthcare and Rehabilitation | Lincolnton | NC | Indirect owner, since June 2025 | 5 | 8 | ||
| Walnut Cove Health and Rehabilitation | Walnut Cove | NC | Indirect owner, since June 2025 | 2 | 23 | $40,149 | |
| Willowbrook Rehabilitation and Care | Yadkinville | NC | Indirect owner, since June 2025 | 4 | 6 | ||
| Newport News Nursing & Rehab | Newport News | VA | Indirect owner, since June 2025 | 1 | 71 | $97,124 | |
| Pheasant Ridge Nursing and Rehabilitation | Roanoke | VA | Indirect owner, since June 2025 | 1 | 44 | $235,820 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.
Staff pay reports
Staff pay at homes Zenith Holdco II LLC owns
No staff pay figure at homes Zenith Holdco II LLC owns has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.