Salemtowne is a not-for-profit Life Plane home that has been one of the trusted communities for years. The professional caregivers ensure that residents don’t have to worry about living alone by encouraging them to engage with others and enrich their knowledge and social life. The independent living and assisted living community strives to create an atmosphere of warmth, respect, and fellowship where seniors feel like they belong in a nurturing environment.
Salemtowne’s resort-style community boasts its quintessential services that essentially make the lives of each resident stress-free so seniors can pursue and continue their interests every day. Community features center on life-enriching and engaging amenities and services such as housekeeping, laundry, social events, recreational activities, fitness classes, medication management, and transportation.
Where in North Carolina are you looking?
Browse communities by city and county.
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
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.
Concordia Transitional Care and Rehabilitation – Rose Manor is a distinguished Durham, North Carolina, assisted living community. This exceptional community with nursing home care specializes in delivering targeted short-term rehabilitation services, effectively bridging the transition between hospital stays, the comfort of home, and long-term care.
Experience a transformative approach to care that values well-being and autonomy in Concordia Transitional Care and Rehabilitation – Rose Manor. Within their nurturing and empathetic environment, the emphasis lies on cultivating independence and preserving dignity for each senior resident under their care.
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.
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.
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
Your Senior Care Partner, Every Step of the Way
We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
Contact us Today
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.
