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Why trust this guide?
Our editorial team analyzed 114 nursing homes in NC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
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 TableAL (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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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: 59.2% 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.
$14.6M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$14.6M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NC AVG$15.3M
Rank#26 / 81
$9.3M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$9.3M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NC AVG$8.1M
Rank#23 / 81
63.7%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility63.7%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$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.
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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
Salemtowne, the Moravian Community offers independent living, assisted living, nursing home, and skilled nursing care in Winston-Salem, NC. Independent living means having a private home with community services and no daily care, while assisted living adds help with bathing, dressing, and medication.
Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Rehabilitation services are also available through the community, so residents can receive rehabilitation without arranging it elsewhere. As a Life Plan Community, Salemtowne brings these care levels together, allowing a resident whose needs change to potentially move between them without leaving the community. It may suit someone who wants independent living now and could need more support over time.
Well-Spring Retirement Community in Greensboro, North Carolina isn’t built around one type of resident. The campus covers nursing home care, assisted living, independent living, memory care, and respite care, all in the same place. That matters because it means a move here doesn’t have to be a one-time decision. This way care can shift as a resident’s needs do.
Getting around the area without a car is hard fo residentents and their visitors. The Walk Score lands at 11, car-dependent, which is about as low as that scale goes. Families considering the community may want to plan on driving for most errands.
The memory care side is secured and supervised, set up for residents who need that extra layer of safety day to day. Outside of memory care, there’s rehabilitation, skilled nursing, short-term rehab, and respite stays for people who need a temporary place to recover rather than a permanent one.
A community garden, an aquatic and fitness center, a woodworking shop, and art studios all point toward a campus built for residents who want to stay active, not just supervised. There’s also a theatre on-site, and Well-Spring Solutions runs home care services tied to the community for residents who need support outside the main campus.
This is a full-continuum setup: it works for families who want one place that can handle independent living now and skilled nursing or memory care later, without starting the search over.
Offering independent living within a full continuum of care, The Residences at the Davis Community is a senior living community in Wilmington, North Carolina. The larger campus provides services ranging from independent living to skilled nursing, allowing residents to move between care levels as their needs change. The Residences includes 11 apartment-style homes and 2 cottage-style homes for residents who want private living with nearby support.
Residents can choose one-bedroom or two-bedroom residences. Each home includes a living room, modern kitchen, dining area, and a walk-in dressing room connected to a private bathroom. Home repairs and housekeeping are included, allowing residents to spend less time on household upkeep. A 24-hour security and emergency response system provides added peace of mind. Property taxes and utilities are also included in the monthly rent to make budgeting more predictable.
The community is located in the Porters Neck Road area of Wilmington, about 8.8 miles from the city center. The car-dependent area has a Walk Score of 3 out of 100. Residents and visiting family should drive for most errands and outings. That tradeoff may be worthwhile for those who prefer a quieter suburban setting over a walkable downtown neighborhood.
Families looking for an independent living option should ask how the campus-wide continuum of care works. Having independent living through skilled nursing on one campus can make it easier for residents to transition to a different level of care without relocating.
Overview of Greenhaven Health Care and Rehabilitation Center
Greenhaven Health Care and Rehabilitation Center runs a residential nursing home in Greensboro, North Carolina, that combines long-term clinical care with dedicated physical therapy. The building features an exceptionally walkable layout with a walk score of 70, allowing visitors and mobile residents to walk to nearby storefronts, restaurants, and local services without getting into a car.
The floor team maintains continuous 24-hour staffing, relying on a rotation of registered nurses, licensed practical nurses, and nurse aides to manage medical care and personal hygiene tasks. On-site culinary workers serve meals restaurant-style in a central dining room to encourage social interaction among residents. The facility handles all clothing laundry and room cleaning chores, provides an on-site hair and beauty salon, and arranges group transportation for off-site local entertainment and neighborhood events.
Prospective representatives can contact the admissions coordinator to discuss the current room availability or to review insurance eligibility rules. The office team can show you how they structure their daily rehabilitation schedules, explain private or public payment setups, and arrange a time for you to see the common areas.
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Nursing Homes in North Carolina at a glance
Avg Overall CMS Rating:2.9/ 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:2.9/ 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
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