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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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: 58.9% 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.
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
Located in Guilford County, Greensboro, NC, Friends Homes is an inviting senior living community that offers a safe haven far from the hustle and bustle of city life. The community features an array of living options, including independent living, assisted living, skilled nursing care, and memory care, ensuring a smooth transition should residents’ needs change. Residents can choose from a variety of thoughtfully designed floor plans for enjoying life without having to worry about everyday maintenance and upkeep, guaranteeing a worry-free lifestyle.
Dedicated to creating an enriching and vibrant environment, the community conducts a wide array of activities and offers plenty of relaxing spaces for peaceful personal times and vibrant interactions with friends and fellow residents. The community’s ideal location also provides easy access to a variety of shops, grocery stores, and restaurants whenever residents want to go out and explore. Residents also enjoy access to a wellness center with a state-of-the-art fitness center, indoor heated pool, and a sports court to foster fitness and well-being.
Set in 61 acres of beautifully landscaped grounds at Thomasville, NC, Piedmont Crossing is a charming senior living community that offers independent living, assisted living, and comprehensive continuing care services. A variety of beautifully designed cottages, villas, and apartments await residents, providing them a variety of options to choose their ideal residence. The community offers extensive services, including healthcare, memory care, and rehabilitation to ensure residents are provided compassionate care that meets their physical and safety needs.
With 24-hour emergency system and night security services, as well as access to continuum of care, residents can freely focus on continuing an active lifestyle, with plenty of activities and amenities to explore on-site. Explore your favorite hobbies or try something new with a wide array of activities, classes, and resident programs offered. A variety of dining options with menus developed to meet resident preferences and overseen by a registered dietician, is offered to ensure residents always have the energy to stay active and engaged.
Maryfield Nursing Home is a welcoming community located in High Point, North Carolina. This non-profit facility offers 115 beds and participates in Medicare and Medicaid to provide the best care possible. The community is located near High Point, Lincoln Park, West Fork, and Deep River, which offers tranquility and plenty of opportunities for outdoor recreation activities. They offer both short and long-term care, ensuring that residents have access to the care they need, when they need it. The facility also has a 24-hour emergency call response system in place to ensure the safety and well-being of all residents. On-site therapy and physicians help to monitor and manage medications, while also providing assistance with daily living activities. Delicious, dietician-approved, chef-prepared meals are available, ensuring that residents are well-fed and satisfied. Residents can enjoy a variety of amenities, including a library, a comfortable lounge, a beauty and barber salon, and fitness classes led by trained exercise specialists. They can choose between one or two bedroom units, complete with private bathrooms, and they do not have to worry about the hassle of home maintenance.
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.
Zebulon Rehabilitation Center prides itself on its exceptional staff who genuinely cares about the well-being of its residents. They offer short-term and residential inpatient stays and are committed to providing high-quality care. Their team of physicians and specialists delivers a comprehensive range of services, including enteral and infusion therapy, dietary counseling, and social and pastoral care, among others.
Seniors have access to their tranquil courtyard and beautifully landscaped grounds, which are open seven days a week for admission. The center’s outdoor areas are spacious and provide an ideal setting for patients to relax and find peace during their recovery process. Moreover, they use state-of-the-art telemedicine technology to provide top-quality care to senior patients. Zebulon Rehabilitation Center’s ultimate goal is to provide its patients with a sense of relief and comfort, knowing they are receiving the best possible care in all aspects.
Homestead Hills Assisted Living offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Winston-Salem, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication. Memory care is provided in a secured setting with supervision, and nursing home and skilled nursing care provide licensed nursing on site around the clock.
Several care levels allow a resident whose needs grow to move between types of care without leaving the community or starting over socially. Respite care offers short stays when a family caregiver needs to travel or recover, so the community may be a good fit for households planning for changing care needs or a temporary caregiving gap. The community has 66 beds, with 5 hours and 57 minutes of nurse staffing per resident per day, representing the daily hands-on nurse time allocated to each resident.
Medicare and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, while private pay means the cost is paid directly rather than through a listed benefit. Residents have access to a pool, on-site salon services for personal grooming, transportation services, and rehabilitation services. Dining uses a menu system similar to fine dining restaurants and offers flexible dining options, allowing residents to select menu-based meals. Pets are allowed, and Sandra Lebeau-Davis serves as director.
Hillcrest Raleigh at Crabtree Valley offers nursing home, home care, nursing care, and skilled nursing in Raleigh, NC. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while home care supports someone in their own residence. This combination may suit a person whose needs require nursing support in a residential setting or at home.
The community has 134 beds, with 70% occupancy, so not every bed is occupied at the same time. Total nurse staffing is 4 hours and 22 minutes per resident per day. That represents the daily hands on nursing time allocated to each resident.
Payment options include Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means paying directly for care.
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.
Conover Nursing & Rehab Center is a family-owned nursing home in Conover, NC, offering rehabilitation and skilled nursing. With a compassionate and nurturing environment, the community ensures older adults have a comfortable stay. Residents also experience a worry-free lifestyle with 24-hour care, well-balanced meals, and transportation services. The community also goes above and beyond to get to know residents’ unique needs and habits to provide the best possible care for their recovery and wellness.
Sensory stimulation, light exercises, and celebrations help enhance residents’ cognition and encourage them to live actively. With spacious common areas and state-of-the-art rehabilitation equipment, residents can rest and move around comfortably. Residents also experience a laid-back lifestyle, as it is conveniently located in the quiet residential area of Conover. This nursing home is a good option for senior living in North Carolina, especially with its commitment to helping older adults return to their routines.
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.
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.
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
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in North Carolina at a glance
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
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