Page 11 of Best Nursing Homes in North Carolina

Why trust this guide? Our editorial team analyzed 115 nursing homes in NC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
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Last updated
We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every nursing home provider in North Carolina.
115 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

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.
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.
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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. CCRC( (Continuing Care Retirement Communities (CCRC)):
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Oaks at Whitaker Glen-
NH
AL
CCRC(
HC
IL
MC
SNF
Raleigh (Five Points)
139
Facility 139
NC AVG 92
Rank #12 / 80
-------------A+
28
Facility 28
NC AVG 33
Rank #60 / 112
$8.8M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.5M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.50.5%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.345009
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: each nursing home is ranked against every NC nursing home we track that reports that metric, not just the 115 on this page. See how we rank facilities

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Brookdale at Home® Hendersonville

2601Chimney, Rock Road Suite Pl1, Hendersonville, NC 28792
Overview of Brookdale at Home® Hendersonville

Helping seniors stay comfortably at their homes, Brookdale at Home Hendersonville is a passionate home care provider in Hendersonville, NC, offering various in-home care services. The home care provider offers companion care, personal care, and respite care, designed to provide utmost comfort and support to seniors and their family caregivers.

Ensuring that seniors are at ease in welcoming their caregivers in their homes, Brookdale at Home Hendersonville conducts thorough background checks and screenings to select highly qualified and trustworthy caregivers. Offering various support, including assistance with activities of daily living, transportation, errands, light housekeeping, pet care and meal preparation, Brookdale at Home ensures residents live a maintenance-free lifestyle with plenty of time to spend with their families or doing their hobbies.

Contact Brookdale at Home® Hendersonville

Overview of Highland House Rehabilitation & Healthcare

Highland House Rehabilitation & Healthcare, located in Fayetteville, North Carolina, is an exemplary choice for senior care. Their comprehensive services, ranging from short-term rehab to skilled nursing care, cater to a diverse array of needs, ensuring personalized and attentive support. Highland House takes pride in their people-centered approach, where residents receive individualized attention and have access to medical services designed to address their specific requirements, fostering a strong sense of community and belonging.
The facility not only focuses on clinical aspects but also prioritizes residents’ overall well-being. With a wide range of therapies – including occupational, physical, and speech therapy – Highland House aids individuals in their recovery journey, ensuring they regain independence and functional ability. In addition to top-notch medical care, residents can enjoy a vibrant social life within the community. Engaging nursing home activities and a welcoming atmosphere make Highland House a cherished home for seniors. Families searching for nursing homes around them can find comfort in knowing that Highland House offers not only excellent care but also a thriving, supportive community for their loved ones.

Contact Highland House Rehabilitation & Healthcare

Brookridge

1199 Hayes Forest Drive, Winston-Salem, NC 27106
Overview of Brookridge

Brookridge offers independent living, assisted living, memory care, and skilled nursing in Winston-Salem, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as dressing, bathing, and medication.

Memory care provides a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock. Because these care levels are available within one community, Brookridge may be a good fit for a resident whose care needs could grow over time without requiring a move to a different community.

Respite care provides a short stay for someone whose usual caregiver needs time to travel or recover, while short term rehabilitation supports a temporary recovery period. Residents can use an indoor heated pool, fitness center, art studio, library, and community gardens for exercise, creative activities, reading, and outdoor gardening.

Scheduled transportation serves local shopping centers and medical appointments, while dining includes a main dining room and casual café with fresh, local ingredients and a rotating menu. Pets are allowed. Brookridge opened in 1989 and is directed by Tatum Myers, MBA, LNHA, CDP; payment options are Medicare, Medicaid, and private pay. Medicare applies to short term skilled care after a hospital stay, Medicaid helps eligible residents cover long term care costs, and private pay means the family pays directly.

Contact Brookridge

Overview of Pennybyrn

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.

Contact Pennybyrn

Overview of Hock Family Pavilion

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.

Contact Hock Family Pavilion

Overview of Trinity Elms Assisted Living

Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.

Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.

Contact Trinity Elms Assisted Living

Overview of Roxboro Healthcare & Rehabilitation Center

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.

Contact Roxboro Healthcare & Rehabilitation Center

Overview of Franklin Manor

Situated on the harmonious Cowan Highway, Winchester, TN, Franklin Manor is an idyllic senior living community providing assisted living and respite care. Moreover, several snug and well-designed studio, one-bedroom, and two-bedroom residences await seniors as they move into the community. Let go of your worries and make the most out of your best years with top-notch care and support from a reliable and highly qualified team around the clock.

With a jam-packed calendar of exciting activities and enjoyable events, residents learn new things and gain meaningful experiences. Eat to your heart’s content and satiate your cravings with healthy and delicious meals for a delightful dining experience. Franklin Manor is great for seniors looking to enjoy the most out of their best years.

Contact Franklin Manor

Overview of Village Green Health & Rehabilitation

Tucked gracefully in Fayetteville, North Carolina, Village Green Health & Rehabilitation stands as a reliable haven, especially for individuals recovering from orthopedic surgery or grappling with Alzheimer’s disease. This community places a premium on independence and confidence, dedicating every effort to provide top-notch care and exceptional healthcare and rehabilitation services.
Specifically tailored skilled nursing services, including rehabilitation, long-term care, physical therapy, occupational therapy, and more, create an ideal environment for individuals and their families seeking a place to recover. Indeed, Village Green Health & Rehabilitation is a compassionate partner on the road to recovery, offering personalized care that prioritizes individual needs and fosters a sense of trust and well-being.

Contact Village Green Health & Rehabilitation

Overview of Agape Multi Assisted Housing Service

Tucked in the serene Candlewood Street, Kinston, NC, is the astounding senior living community of Agape Multi Assisted Housing Service providing assisted living. A team of kind and highly skilled professionals helps seniors with daily activities such as bathing and dressing. The community goes above and beyond to deliver top-notch care and assistance for seniors to thrive and live to their potential.

The community promotes a bright and welcoming environment, ensuring residents are happy and well-cared for. Moreover, residents enjoy hassle-free dining with the community assisting in meal preparation with meals catering to dietary needs and tastes. Agape Multi Assisted Housing Service is great for seniors who require extra assistance in their daily living for a worry-free retirement.

Contact Agape Multi Assisted Housing Service

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 115 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.