Home / Owners / Zenith Holdco LLC
Nursing homes owned by Zenith Holdco LLC
The CMS ownership file lists Zenith Holdco LLC with an ownership interest in 21 certified nursing homes with 1,880 beds in North Carolina (15), Mississippi (4), Virginia (2).
CMS ownership and Care Compare data as of September 1, 2026
The same homes are also listed under Zenith Holdco II LLC, a related company in the same ownership file.
What the ownership file says
CMS lists Zenith Holdco LLC as a indirect owner of 21 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 (21).
The homes' record in brief
20 of the 21 homes have a CMS overall rating, averaging 1.9 stars against a national average of 3. 20 are for profit, 1 nonprofit; 21 are certified for Medicaid.
Across the inspections on file the homes carry 639 health citations; 61 citations were rated actual harm or immediate jeopardy, 36 immediate jeopardy. At their latest standard inspections they averaged 7.9 health deficiencies (national 9.2).
16 homes were fined in the last three years, $1,106,230 across 30 fines. Average nursing staff turnover was 52.5% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.18 | 3.75 |
| Registered nurses | 0.50 | 0.62 |
| Weekdays | 3.34 | 3.92 |
| Weekends | 2.81 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Daily payroll records of 21 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 |
|---|---|---|---|---|---|---|---|
| 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.