Other senior care options in North Carolina:

Best Nursing Homes in North Carolina

Why trust this guide? Our editorial team analyzed 86 nursing homes in North Carolina using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
Reviewed by
Last updated
Jul 2026
We analyzed
86 homes
Other senior care options in North Carolina:
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in North Carolina. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in North Carolina. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in North Carolina. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around North Carolina

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

CMS & NC Dept. of Health data

River Landing At Sandy Ridge
NH
AL
IL
MC
Colfax
60
92.5%
Facility 92.5%
NC AVG 68.1
Rank #49 / 243
+36%
6.51
Facility 6.51
NC AVG 3.98
Rank #9 / 97
-5%+64%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
1
Facility 1
NC AVG 20.9
Rank #1 / 101
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 101
-56- 7 Khashana Blake
$12.9MFiscal year ending 09/2023
Facility $12.9MFiscal year ending 09/2023
NC AVG $13.2M
Rank #5 / 104
$17.6MFiscal year ending 09/2023
Facility $17.6MFiscal year ending 09/2023
NC AVG $4.9M
Rank #7 / 104
135.9%Fiscal year ending 09/2023
Facility 135.9%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #92 / 104
345528
St. Joseph of the Pines, a CCRC
NH
AL
IL
MC
SNF
Southern Pines
176
41.0%
Facility 41.0%
NC AVG 68.1
Rank #193 / 243
-40%
4.50
Facility 4.50
NC AVG 3.98
Rank #29 / 97
-9%+13%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
7
Facility 7
NC AVG 20.9
Rank #27 / 101
2.3
Facility 2.3
NC AVG 5.0
Rank #26 / 101
-72A+ 2 Timothy Buist
$10.4MFiscal year ending 06/2024
Facility $10.4MFiscal year ending 06/2024
NC AVG $13.2M
Rank #10 / 104
$14.1MFiscal year ending 06/2024
Facility $14.1MFiscal year ending 06/2024
NC AVG $4.9M
Rank #14 / 104
135.4%Fiscal year ending 06/2024
Facility 135.4%Fiscal year ending 06/2024
NC AVG 39.8%
Rank #86 / 104
345044
Hillside Nursing & Rehab
NH
AL
SNF
Wake Forest
130
85.6%
Facility 85.6%
NC AVG 68.1
Rank #77 / 243
+26%
4.05
Facility 4.05
NC AVG 3.98
Rank #43 / 97
+3%+2%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
1
Facility 1
NC AVG 20.9
Rank #1 / 101
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 101
-111- 19 Mary Margaret Clifton
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
NC AVG $13.2M
Rank #49 / 104
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
NC AVG $4.9M
Rank #42 / 104
56.6%Fiscal year ending 09/2023
Facility 56.6%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #26 / 104
345417
Carol Woods
NH
AL
IL
SNF
Chapel Hill (Carol Woods)
30
72.7%
Facility 72.7%
NC AVG 68.1
Rank #129 / 243
+7%
5.94
Facility 5.94
NC AVG 3.98
Rank #11 / 97
+239%+49%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
7
Facility 7
NC AVG 20.9
Rank #27 / 101
3.5
Facility 3.5
NC AVG 5.0
Rank #41 / 101
-22- 13 The Chapel Hill Residential Retirement Center, Inc
$29.1MFiscal year ending 12/2023
Facility $29.1MFiscal year ending 12/2023
NC AVG $13.2M
Rank #8 / 104
$18.0MFiscal year ending 12/2023
Facility $18.0MFiscal year ending 12/2023
NC AVG $4.9M
Rank #8 / 104
61.7%Fiscal year ending 12/2023
Facility 61.7%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #81 / 104
345199
The Rosewood Health Center – The Cypress of Raleigh
NH
MC
SNF
Raleigh (North Raleigh)
57
80.4%
Facility 80.4%
NC AVG 68.1
Rank #100 / 243
+18%
7.06
Facility 7.06
NC AVG 3.98
Rank #7 / 97
+2%+78%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-46- 71 The Cypress Of Raleigh LLC
$28.0MFiscal year ending 12/2023
Facility $28.0MFiscal year ending 12/2023
NC AVG $13.2M
Rank #15 / 104
$15.8MFiscal year ending 12/2023
Facility $15.8MFiscal year ending 12/2023
NC AVG $4.9M
Rank #10 / 104
56.4%Fiscal year ending 12/2023
Facility 56.4%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #57 / 104
345546
BellaRose Nursing and Rehab
NH
HOS
RC
SNF
Garner
100
93.9%
Facility 93.9%
NC AVG 68.1
Rank #44 / 243
+38%
3.20
Facility 3.20
NC AVG 3.98
Rank #89 / 97
-28%-20%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
2
Facility 2
NC AVG 20.9
Rank #8 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-94- 4 William Burroughs
$13.4MFiscal year ending 09/2023
Facility $13.4MFiscal year ending 09/2023
NC AVG $13.2M
Rank #42 / 104
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
NC AVG $4.9M
Rank #41 / 104
58.2%Fiscal year ending 09/2023
Facility 58.2%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #42 / 104
345574
Perry Creek Health & Rehabilitation Center
NH
SNF
Raleigh (Northeast Raleigh)
90
84.0%
Facility 84.0%
NC AVG 68.1
Rank #83 / 243
+23%
3.81
Facility 3.81
NC AVG 3.98
Rank #58 / 97
+33%-4%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
2
Facility 2
NC AVG 20.9
Rank #8 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-76- 24 -
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
NC AVG $13.2M
Rank #69 / 104
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
NC AVG $4.9M
Rank #80 / 104
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #59 / 104
345003
Givens Highland Farms
NH
HC
IL
RC
SNF
Black Mountain
60
84.7%
Facility 84.7%
NC AVG 68.1
Rank #81 / 243
+24%
5.57
Facility 5.57
NC AVG 3.98
Rank #16 / 97
+11%+40%
$4.3k
Facility $4.3k
NC AVG $74.6k
Rank #49 / 105
14
Facility 14
NC AVG 20.9
Rank #50 / 101
4.7
Facility 4.7
NC AVG 5.0
Rank #58 / 101
-51- 12 Givens Estates, Inc
$21.1MFiscal year ending 12/2023
Facility $21.1MFiscal year ending 12/2023
NC AVG $13.2M
Rank #33 / 104
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
NC AVG $4.9M
Rank #30 / 104
38.9%Fiscal year ending 12/2023
Facility 38.9%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #51 / 104
345078
Carolina Bay at Autumn Hall
NH
AL
IL
MC
SNF
Wilmington (Windemere)
30
94.3%
Facility 94.3%
NC AVG 68.1
Rank #39 / 243
+38%
4.36
Facility 4.36
NC AVG 3.98
Rank #32 / 97
+14%+10%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
6
Facility 6
NC AVG 20.9
Rank #21 / 101
3.0
Facility 3.0
NC AVG 5.0
Rank #32 / 101
-28- 18 Wilmington Ah Senior Housing Jv Opco LLC
$11.9MFiscal year ending 09/2023
Facility $11.9MFiscal year ending 09/2023
NC AVG $13.2M
Rank #59 / 104
$5.1MFiscal year ending 09/2023
Facility $5.1MFiscal year ending 09/2023
NC AVG $4.9M
Rank #82 / 104
43.3%Fiscal year ending 09/2023
Facility 43.3%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #83 / 104
345571
Given Estates
NH
AL
RC
SNF
Asheville (Stockwood)
70
82.0%
Facility 82.0%
NC AVG 68.1
Rank #93 / 243
+20%
5.59
Facility 5.59
NC AVG 3.98
Rank #16 / 97
-43%+41%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
20
Facility 20
NC AVG 20.9
Rank #67 / 101
6.7
Facility 6.7
NC AVG 5.0
Rank #87 / 101
-57- 29 John Cowan
$60.9MFiscal year ending 12/2023
Facility $60.9MFiscal year ending 12/2023
NC AVG $13.2M
Rank #1 / 104
$21.6MFiscal year ending 12/2023
Facility $21.6MFiscal year ending 12/2023
NC AVG $4.9M
Rank #1 / 104
35.6%Fiscal year ending 12/2023
Facility 35.6%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #91 / 104
345328
Village Green Health and Rehabilitation
NH
SNF
Fayetteville (Terry Sanford)
170
68.8%
Facility 68.8%
NC AVG 68.1
Rank #136 / 243
+1%
3.31
Facility 3.31
NC AVG 3.98
Rank #84 / 97
-40%-17%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
8
Facility 8
NC AVG 20.9
Rank #31 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-117- 48 Kaia Collins-Frye
$15.3MFiscal year ending 12/2023
Facility $15.3MFiscal year ending 12/2023
NC AVG $13.2M
Rank #41 / 104
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
NC AVG $4.9M
Rank #49 / 104
36.6%Fiscal year ending 12/2023
Facility 36.6%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #61 / 104
345380
College Pines Health and Rehabilitation Center
NH
SNF
Connelly Springs (Locust Street)
100
93.7%
Facility 93.7%
NC AVG 68.1
Rank #46 / 243
+38%
3.98
Facility 3.98
NC AVG 3.98
Rank #43 / 97
-11%0%
$16.8k
Facility $16.8k
NC AVG $74.6k
Rank #67 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
294- 6 -
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
NC AVG $13.2M
Rank #51 / 104
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
NC AVG $4.9M
Rank #43 / 104
45.2%Fiscal year ending 12/2023
Facility 45.2%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #23 / 104
345446
Maple Grove Health & Rehabilitation Center
NH
MC
SNF
Greensboro
210
51.0%
Facility 51.0%
NC AVG 68.1
Rank #180 / 243
-25%
3.81
Facility 3.81
NC AVG 3.98
Rank #58 / 97
-7%-4%
$50.3k
Facility $50.3k
NC AVG $74.6k
Rank #81 / 105
24
Facility 24
NC AVG 20.9
Rank #75 / 101
6.0
Facility 6.0
NC AVG 5.0
Rank #80 / 101
3107- 51 -
$11.6MFiscal year ending 09/2023
Facility $11.6MFiscal year ending 09/2023
NC AVG $13.2M
Rank #76 / 104
$5.0MFiscal year ending 09/2023
Facility $5.0MFiscal year ending 09/2023
NC AVG $4.9M
Rank #38 / 104
42.8%Fiscal year ending 09/2023
Facility 42.8%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #5 / 104
345448
Conover Nursing & Rehab Center
NH
MC
RC
SNF
Sw Conover (Tri-City)
90
84.9%
Facility 84.9%
NC AVG 68.1
Rank #79 / 243
+25%
4.54
Facility 4.54
NC AVG 3.98
Rank #29 / 97
-9%+14%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
4.0
Facility 4.0
NC AVG 5.0
Rank #49 / 101
-76- 59 Jason Sherrill
$9.1MFiscal year ending 09/2023
Facility $9.1MFiscal year ending 09/2023
NC AVG $13.2M
Rank #65 / 104
$5.7MFiscal year ending 09/2023
Facility $5.7MFiscal year ending 09/2023
NC AVG $4.9M
Rank #78 / 104
62.4%Fiscal year ending 09/2023
Facility 62.4%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #62 / 104
345516
Croasdaile Village
NH
AL
HC
IL
MC
SNF
Durham
64--
5.75
Facility 5.75
NC AVG 3.98
Rank #13 / 97
-45%+45%
$30.6k
Facility $30.6k
NC AVG $74.6k
Rank #73 / 105
5
Facility 5
NC AVG 20.9
Rank #17 / 101
1.7
Facility 1.7
NC AVG 5.0
Rank #9 / 101
-83- 9 Susan Ezekiel
$44.5MFiscal year ending 09/2023
Facility $44.5MFiscal year ending 09/2023
NC AVG $13.2M
Rank #2 / 104
$17.3MFiscal year ending 09/2023
Facility $17.3MFiscal year ending 09/2023
NC AVG $4.9M
Rank #5 / 104
38.9%Fiscal year ending 09/2023
Facility 38.9%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #96 / 104
345501
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Nursing Home Explorer
Overview of River Landing at Sandy Ridge

River Landing at Sandy Ridge in Guilford County, Colfax, NC is a lively senior living community that offers a comfortable oasis for continuing care. The community offers assisted living, memory care, skilled nursing, and rehabilitation, to ensure residents’ care needs are provided even as it evolves. Choose from eleven floor plans, ranging from one-bedroom to three-bedrooms, complete with walk-in closets, tile flooring, laundry closets, and modern appliances for a comfortable living space.

At River Landing at Sandy Ridge, residents enjoy a maintenance-free lifestyle with weekly housekeeping, bed linen service, and maintenance and repair services provided. Residents can freely pursue their passions, discover new interests or explore the joys of retirement. The community also offers a personalized program that focuses on residents’ whole person and provides opportunities that benefit their health and the community environment.

Contact River Landing At Sandy Ridge

Overview of St. Joseph of the Pines, a Ccrc

St. Joseph of the Pines by the Trinity Health community delivers quality service thoughtfully designed to offer both convenience and comfort in one setting. The continuing care retirement home specializes in independent living assisted living, and nursing care services. Reflected on their recognition by the U.S. News and World Report as the Best Nursing Homes for short-term rehabilitation, one can understand the home’s value. St. Joseph of the Pines continuously improves the lives of its residents by creating a cozy environment where an abundance of opportunities is available. 

The lifestyle at St. Joseph’s practices a personalized care approach anchored by the trusted bond between residents and staff; personal care services include ADLs, 24-hour care and nursing, medication administration, engaging programs, and on-site therapy services– speech, physical, and occupational. 

Contact St. Joseph of the Pines, a CCRC

Overview of Hillside Nursing & Rehab

Enjoy an improved quality of life with Hillside Nursing & Rehab, a compassionate community in Wake Forest, NC, offering assisted living, rehabilitation, and skilled nursing services. Residents here are given a warm and comforting environment where they can receive round-the-clock care, supervision, and assistance with their daily living activities. Those living with chronic illnesses and require long-term care have access to comprehensive nursing care and physician services from Hillside’s Medical Directors.

With access to physical, occupational, and speech therapy services, residents recovering from an injury or hospitalization can enjoy a quick and smooth healing journey in the community. They also feature a vibrant activity program designed to keep residents moving and actively engaged in their community. Proper nutrition is always observed by their registered dietitian who carefully curates residents’ meal plans. At Hillside Nursing & Rehab, residents are given diverse opportunities to enjoy life even as they face serious illness or recover from an injury.

Contact Hillside Nursing & Rehab

Carol Woods

750 Weaver Dairy Rd, Chapel Hill, NC 27514
Overview of Carol Woods

Owned by The Chapel Hill Residential, Carol Woods is a 30-bed skilled nursing community located in a residential area of Chapel Hill, North Carolina. The two-story community has served older adults for 47 years, combining long-standing experience with a smaller setting that encourages personalized care and lasting relationships. It accepts Medicare and private pay, while the average resident stay of 31 days reflects a strong emphasis on short-term rehabilitation alongside long-term nursing care.

Additionally, residents receive an average of 5 hours and 56 minutes of nursing care each day from registered nurses, licensed practical nurses, and nursing aides. Respite care and cognitive support programs are also available, providing flexible options for older adults with varying care needs.

Daily life is enhanced by meals prepared with fresh, seasonal ingredients and served in multiple on-campus dining venues, with heart-healthy, vegetarian, and low-sodium selections available. Furthermore, residents have access to wellness and fitness programs, an on-site salon, gardening opportunities, transportation services, 24-hour security, and maintenance-free living.

While the surrounding neighborhood is largely car-dependent, making most errands easier by vehicle, the community offers a wide range of services and amenities that support an active and engaging daily lifestyle.

Contact Carol Woods

Overview of The Rosewood Health Center – the Cypress of Raleigh

The Rosewood Health Center – The Cypress of Raleigh sits on Cypress Lakes Drive in North Raleigh, about 10 miles from the city center. The facility is a 57-bed nursing home and memory care community, opened in 2008 and operated by The Cypress of Raleigh LLC. The Walk Score is 71, so most nearby errands are doable on foot, and WakeMed is about 3.4 miles away.

Eighty percent of the 57 beds are occupied, and the average stay runs 249 days. That length of stay is closer to eight months than a typical short rehab course, which says something real about who the facility is built for. A private wing handles memory care for residents who need it.

The staffing picture is detailed; total nursing care comes to 7 hours and 3 minutes per resident per day. Registered nurses provide 52 minutes of that directly; nurse aides account for 3 hours and 26 minutes. Beyond nursing, on-site staff and contractors include respiratory therapy technicians, physical therapy assistants, occupational therapy aides, speech-language pathologists, dental services staff, and a social worker. That range of disciplines on-site means fewer outside referrals for routine clinical needs.

A community life services coordinator runs the activity program, which includes aqua aerobics, book clubs, and bridge and card groups. Medicare and private pay are accepted.

For residents who need sustained skilled nursing care or memory care with broad on-site clinical coverage, The Rosewood Health Center offers a well-staffed, moderately sized environment in a walkable North Raleigh setting.

Contact The Rosewood Health Center – The Cypress of Raleigh

Overview of BellaRose Nursing and Rehab

BellaRose Nursing and Rehab is a warm and welcoming community in Garner, NC, offering excellent rehabilitation and long-term care services. Compassionate and highly skilled caregivers are always available to serve residents’ unique needs and assist them with their daily living activities for their convenience. Access to physical, speech, and occupational therapy services is regular to ensure residents’ treatment plans are always regularly updated and progress is seen quickly.

With fun and exciting activities available regularly, residents are encouraged to stay active and engaged in their community. The convenience of housekeeping and laundry services is complemented by the comfort of spa and salon services, allowing residents to maintain their wellness without worries. Here at BellaRose Nursing and Rehab, they provide everything residents need to enjoy their life in comfort or recover quickly, including quality care, enriching experiences, and thoughtful conveniences.

Contact BellaRose Nursing and Rehab

Overview of Perry Creek Health & Rehabilitation Center

Perry Creek Health & Rehabilitation Center is a nursing home in Raleigh, NC, offering long-term care and rehabilitation. Dedicated to older adults’ comfort and healing, the community continuously promotes a supportive and welcoming environment. With scheduled therapy daily, restaurant-style dining, and 24-hour care, residents can focus on their rehabilitation and recovery. Along with a highly trained team and top-tier therapy technology, personalized care plans are also provided to improve residents’ quality of life.

With an on-site activities director, residents are encouraged to participate in various recreational activities and social events to maintain their holistic well-being. A state-of-the-art gym and equipment, and spacious rooms also ensure residents’ relaxation and wellness. Residents also experience a stress-free retirement, as it is conveniently located near bus stops and shops in the quiet neighborhood of Raleigh. As one of the best choices for senior living in North Carolina, this nursing home provides the best possible care for older adults’ welfare.

Contact Perry Creek Health & Rehabilitation Center

Overview of Givens Highland Farms

At Givens Highland Farms, the vision is to empower seniors to lead fulfilling lives, fostering independence, community, and security. Offering home care and enhanced independent living, residents can explore their interests through numerous resident-led groups and enjoy the beauty of Black Mountain’s nature. With quality health services available on-site, seniors experience peace of mind knowing their needs will be met.

The community offers an array of amenities, including a winter greenhouse, dog park, and woodworking shop. Residents can engage in indoor activities like arts and crafts or utilize the fitness programs and medical services. Givens Highland Farms prioritizes active senior living and well-being from spacious residences to transportation services. Givens Highland Farms is the top choice for independent living and home services in Black Mountain, North Carolina.

Contact Givens Highland Farms

Overview of Carolina Bay at Autumn Hall

Carolina Bay at Autumn Hall is a luxury retirement home in Wilmington. With an emphasis on memory care living, the premier home provides a comfortable environment for assisted living, independent living, and skilled nursing residents. The upscale home offers a professional care staff that ensures that residents can create memorable moments through the elevated lifestyle and experiences provided in the community. A home that encourages, empowers, and elevates the lifestyles of its seniors for an enhanced aging experience.

Carolina Bay at Autumn Hall has designed residential living to help fulfill a sense of independence and individuality for each resident. Community accommodations offer all-inclusive services, including spacious common areas, recreational rooms, housekeeping, assisted living for Alzheimer’s and dementia, and transportation services.

Contact Carolina Bay at Autumn Hall

Given Estates

2360 Sweeten Creek Rd, Asheville, NC 28803
Overview of Given Estates

Nestled in Asheville, North Carolina, Givens Estates is a senior life plan community where residents are empowered to lead extraordinary lives filled with purpose, passion, and possibility. Their mission is to offer assisted living, skilled nursing, and home care that fosters personal growth, meaningful connections, and spiritual development. Rooted in compassion and respect, Givens Estates values each individual’s journey, providing a safe and nurturing space where seniors can thrive and pursue their dreams.

At Givens Estates, residents enjoy a wealth of assisted living and nursing home amenities and facilities designed to enhance their quality of life. From spacious retirement homes to restaurant-style dining experiences, the community offers a range of options tailored to meet diverse needs and preferences. Residents benefit from daily housekeeping, personal transportation services, and access to a fully equipped therapy gym. With breathtaking mountain views and serene garden beds, Givens Estates provides a tranquil setting for residents to relax and rejuvenate. Whether participating in on-site activities or exploring the surrounding nature trails, residents find endless opportunities for enrichment and enjoyment at Givens Estates.

Contact Given Estates

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in North Carolina

What's the difference between assisted living and a nursing home in North Carolina?

Assisted living in North Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does North Carolina Medicaid cover nursing home care?

Yes — North Carolina Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 86 nursing homes in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in North Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in North Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.