Situated within the heart of quality care lies Haymount Rehabilitation & Nursing Center, a haven of warmth and reliability for those seeking residential nursing care. “Lovely” perfectly encapsulates the essence of this home, where residents find not just a place to stay, but a community that truly cares. The environment exudes a sense of comfort, coupled with round-the-clock specialized healthcare that attends to both medical and personal needs. For individuals grappling with the challenges of aging, chronic illnesses, disabilities, or injuries, Haymount provides a secure haven, ensuring their well-being with expert care.
Established in 2006, Haymount boasts 120 beds and a dedicated, experienced staff. A plethora of activities cater to the residents’ physical, mental, and spiritual needs, fostering a sense of community and belonging. Moreover, Haymount’s distinction lies in its certification – it proudly holds Medicare and Medicaid certifications, a testament to its credibility and commitment to exceptional care. Their approach to wound care, pain management, end-of-life support, restorative care, and therapeutic activities is nothing short of remarkable, ensuring residents receive the utmost attention and compassion they deserve.
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Compare Nursing Homes around North Carolina
Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| Twin Lakes Memory Care | - | NH ADC AL MC SNF | Burlington | 32
Facility
32
NC AVG
92
Rank
#70 / 80 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
72
Facility
72
NC AVG
33
Rank
#7 / 112 | $2.7M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $2.1M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 78%*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 345545 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NC nursing home we track that reports that metric, not just the 114 on this page. See how we rank facilities
Hayes Barton Place is a luxurious life plan community in Raleigh, NC, that offers independent living, assisted living, memory care, skilled nursing, and rehabilitation. The community’s upscale amenities ensure older adults live their retirement like a vacation. With world-class services, including weekly housekeeping, concierge services, and restaurant-style dining, residents experience maintenance-free living. Dedicated to residents’ whole being, the community provides personalized care plans tailored to their ever-changing needs and preferences.
Educational programs, group exercises, and live music are among the many life enrichment programs dedicated to helping residents live actively and happily. A clubhouse with a library, a media room, and an art studio, as well as a beautiful garden and pickleball courts, are also available for residents’ recreation and wellness. Bus stops and other local amenities also surround the area, providing residents with convenient access to their needs and leisure. This life plan community has exceptional standards of care and top-notch amenities, making it one of the best options for senior living in North Carolina.
Nestled within the vibrant landscape of Durham, North Carolina, LiveWell at Birchwood Lake Estates is an esteemed assisted living community. Standing proudly, this assisted living community presents an alternative vision of assisted living within the charming confines of Chapel Hill. Each dwelling within this community is meticulously crafted to exude warmth and hospitality, ensuring an environment that extends its embrace to friends and family alike.
Whether seniors are engaged in a stroll outdoors or savoring a delectable meal, the ethos of LiveWell encourages your presence, inviting you to share in their moments of joy and togetherness. Experience a different kind of assisted living community that redefines the essence of welcome and inclusivity at LiveWell at Birchwood Lake Estates.
Springmoor Life Care Retirement Community invites residents to experience a truly exceptional lifestyle in a setting that embraces the beauty of nature. With a refreshing atmosphere and thoughtful design, Springmoor offers a unique and engaging living experience for retirees. Nestled in a mild climate, Springmoor provides the perfect backdrop for a slower, more relaxed pace of life. Whether a villa, home, or apartment, one can find a variety of floor plans to suit particular preferences and needs.
Seniors can enjoy chef-prepared meals and personalized diets, as well as access to hair, nail, and massage services for added indulgence. Spiritual services are available to nourish one’s soul, and a plethora of amenities, including a library, movie theater, private chapel, greenhouse, and indoor pool, provide endless opportunities for recreation and relaxation. With around-the-clock security measures, families can have peace of mind knowing their loved ones are safe and secure.
Located in the Madison Park neighborhood of Roxboro, North Carolina, Roxboro Healthcare and Rehabilitation Center is a senior living community offering short-term rehabilitation, skilled nursing, long-term care, outpatient therapy, hospice, palliative care, and respite care. Providing this range of services in one location allows residents to remain in the same community as their care needs change over time.
Care is guided by a dedicated clinical team that develops an individualized care plan for every resident. Its primary focus is to help residents regain the skills needed for daily living and reduce the risk of an unnecessary return to the hospital. Residents also have access to additional on-site medical services, giving them another level of support without leaving the community.
The community has served the Roxboro area for 50 years. It is housed in a single-story building, so residents with mobility challenges can easily get around. Private and semi-private rooms are available, giving residents and families flexibility based on personal preferences and budget. Nolan Brown serves as the organization’s President.
The neighborhood has a Walk Score of 32, which is somewhat walkable. A few nearby shops and services can be reached on foot, but most errands and outings require a car. To help residents stay active and connected, the community provides transportation services along with fitness and recreation programs that support daily activities on and off the property.
Searstone Retirement Community, located in Cary, NC, is a senior living community offering a range of services from assisted living, memory support and skilled nursing services. Their professional caring staff works closely with the residents as well as their families, in creating individualized care plans, in order to determine and meet the residents’ specific care needs.
Their First class skilled nursing services provides residents with 24/7 staff availability for supervision and assistance, round the clock personalized care, medication administration and management, and access to medical care on site as well as other professional services. Additionally their amenities like concierge and transportation services, meal provision and housekeeping and linen service, as well as 24/hr security and emergency call response, enhances the residents experiences during their stay at Searstone.
Conveniently located near Tryon Medical Partners Southpark in Charlotte, NC, The Barclay at SouthPark is an esteemed community that offers independent living. Residents can also find the care they need in the community with its comprehensive care services, including assisted living, memory support, respite care, and rehabilitation. With its snug and sophisticated accommodations, residents keep peace of mind and live their golden years to the fullest.
Enrich retirement with a full calendar of fun activities and engaging programs tailored to residents’ enjoyment and wellness. Mealtimes are also something to anticipate with delicious and healthy meals catering to dietary needs and preferences. The community is great for those who need assistance to spend their golden years with ease, with its wide range of care and beautifully designed amenities.
Serving the senior community for over 76 years, Pennybyrn is a paradisal senior living community in Guilford County, High Point, NC, offering retirement living, assisted living, memory care, and rehabilitation. The community provides a team of licensed nurses, certified nursing assistants, and medical technicians available 24/7 to assist residents with various things. Residents can live comfortably with assistance with daily living activities, dining assistance, and access to physical, occupational, and speech therapy.
Wellness classes are designed to meet varying fitness levels and needs of residents, ensuring everyone is able to improve or maintain their well-being. A team of hardworking activity coordinators is available to carefully curate an array of social and educational events both on-site and off-site. Registered dietitians and chefs work together to prepare three nutritious and delicious meals and dietary planning to accommodate specific medical and health needs.
The Templeton of Cary is a top-rated retirement community in Cary, NC, offering independent living, assisted living, memory care, rehabilitation, and skilled nursing. The community’s nurturing and home-like setting ensures older adults’ comfort and safety. Exceptional services, including weekly housekeeping, concierge, and well-balanced meals, are also provided to enrich residents’ living experiences. Focusing on residents’ holistic well-being, the community provides care plans tailored to their ever-changing needs and habits.
Arts and crafts, games, and seminars are among the many recreational programs that aim to help residents explore new hobbies and have fun. Residents can also focus on relaxation and wellness, with first-class amenities including a saltwater pool, a library, and an outdoor grassy area. WakeMed Cary Hospital, restaurants, shops, and bus stops are also available in the area, providing convenient access to healthcare and other necessities. This retirement community is a great choice for senior living in North Carolina, especially with its wide range of care dedicated to helping older adults age gracefully.
Hock Family Pavilion is an intimate community in Durham, NC, dedicated to those needing compassionate hospice care. They have 12 private accommodations where residents can easily and comfortably receive the physical, emotional, and spiritual support they need to go through their end-of-life journey pain-free and peacefully. Their team of nurses, social workers, chaplains, nursing assistants, volunteers, and counselors work together to provide residents with well-rounded care tailored to improve their comfort and well-being.
With 24/7 skilled nursing care, residents and their families can enjoy their peace of mind knowing that someone is always available to provide comfort to their loved ones. For further comfort, their community is also ready to accommodate residents’ mobility needs with their accessibility services. Here at Hock Family Pavilion, residents and their loved ones can get through this difficult journey with all the care and support they need.
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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
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
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
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
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
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
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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 114 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.
Nursing Homes in North Carolina at a glance
