Chains › Principle Long Term Care
Principle Long Term Care
Nursing home chain, as named in the CMS provider file.
Principle Long Term Care operates 40 Medicare-certified nursing homes in 3 states, with 5,238 certified beds; the largest presence is in North Carolina, Kentucky and Virginia.
38% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 14.8 per 100 beds against 26.8 nationally, and fines in the period covered total $1.0M.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Principle Long Term Care | US |
|---|---|---|
| Median overall rating | 3 | 3 |
| Median citations per facility | 18 | 23 |
| Median nurse hours per resident day | 3.6 | 3.7 |
| Median nursing turnover | 48.8% | 44.9% |
| Facilities with the abuse icon | 4 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| North Carolina | 36 |
| Kentucky | 3 |
| Virginia | 1 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 39 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 34 |
| F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | 33 |
| F0641 | Ensure each resident receives an accurate assessment. | 32 |
| F0880 | Provide and implement an infection prevention and control program. | 28 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 27 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 26 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 23 |
Penalties by year
Facilities
Questions and answers
How many nursing homes does Principle Long Term Care operate?
40 Medicare-certified facilities in 3 states, with 5,238 certified beds, according to the chain name in the CMS provider file.
How are Principle Long Term Care facilities rated?
38% are rated 1–2 stars overall and 4 hold 5 stars; the median overall rating is 3. Nationally 41% are rated 1–2 stars.
Has Principle Long Term Care been fined?
CMS lists 32 fines totalling $1.0M and 7 payment denials across its facilities in the period the penalties file covers.