Page 2 of Best Nursing Homes in North Carolina

Overview of Given Estates

Nestled in Asheville, North Carolina, Givens Estates is a senior life plan community where residents are empowered to lead extraordinary lives filled with purpose, passion, and possibility. Their mission is to offer assisted living, skilled nursing, and home care that fosters personal growth, meaningful connections, and spiritual development. Rooted in compassion and respect, Givens Estates values each individual’s journey, providing a safe and nurturing space where seniors can thrive and pursue their dreams.

At Givens Estates, residents enjoy a wealth of assisted living and nursing home amenities and facilities designed to enhance their quality of life. From spacious retirement homes to restaurant-style dining experiences, the community offers a range of options tailored to meet diverse needs and preferences. Residents benefit from daily housekeeping, personal transportation services, and access to a fully equipped therapy gym. With breathtaking mountain views and serene garden beds, Givens Estates provides a tranquil setting for residents to relax and rejuvenate. Whether participating in on-site activities or exploring the surrounding nature trails, residents find endless opportunities for enrichment and enjoyment at Givens Estates.

Overview of College Pines Health and Rehabilitation Center

Built for residents needing skilled nursing care and rehabilitation, College Pines Health and Rehabilitation Center is a 100-bed nursing home in Connelly Springs, near Raleigh, North Carolina. Medicare, Medicaid, and private pay are accepted to create flexible payment options for short-term rehabilitation stays and longer-term care. Averaging a stay length of 98 days, the home serves occupants in early recovery and those requiring continuous nursing support.

The facility is staffed with nursing professionals committed to daily diligent care. Total nursing support averages roughly 3 hours 59 minutes per resident day, combining registered nurses, licensed practical nurses, and certified nursing aides. The registered nurse component totals 34 minutes per resident daily, ensuring clinical oversight of resident care. Therapy services form a central part of College Pines Health and Rehabilitation Center’s rehabilitation focus. Physical therapists, occupational therapists, and speech-language pathologists work with occupants to bolster recovery and functional improvement. The home maintains an active resident council where residents meet regularly to discuss facility policies, life quality, and activities, giving them a voice in community decisions. Connelly Springs is car-dependent, with limited nearby walkable options, so visiting family and friends must plan for a brief drive. The facility runs at high occupancy, typically around 92 percent, denoting stable demand for its services in the area.

With a dedicated memory care program, Maple Grove Health & Rehabilitation Center is a one-story nursing home in Greensboro, North Carolina. The 210-bed facility is built on a single floor, which means occupants and family members navigate rooms, dining areas, and care spaces without needing elevators. For people with changing mobility, such a layout matters.

With a Walk Score of 51, the neighborhood is averagely walkable. Some errands can be finished on foot, while others need a car. The area suits visiting families planning regular trips. The average resident stay is about 231 days, roughly seven and a half months. This blend of shorter-term and longer-term residents, including those in memory care, mirrors the facility’s role in post-acute recovery and active skilled care for people whose needs have deepened over time. Nursing care here averages 3 hours 49 minutes per resident day, with about 45 minutes of that time coming from a registered nurse and the remainder from nursing aides and licensed practical nurses. That stable, hands-on support is the backbone of daily care. Medicare, Medicaid, and private pay are accepted to give families several ways to cover rehabilitation and longer-term care. Occupants benefit from on-site therapy services, social support programs, and structured activities.

Overview of Carolina Village

Residents at Carolina Village stay for an average of 84 days, meaning the facility mostly focuses on short-term rehab alongside some long-term care. Located in North Carolina, this 60-bed home runs at about 71 percent occupancy and accepts both Medicare and private pay. If you’re planning a visit, the neighborhood is very pedestrian-friendly, with a walkability score of 82 out of 100, so family members can easily run most errands on foot.

To handle daily medical routines, clinical operations supply an average of 6 hours and 42 minutes of total nursing care per resident each day. The 24-hour scheduling structure breaks this down into 1 hour and 31 minutes from registered nurses, 1 hour and 11 minutes from licensed practical nurses, and 3 hours and 58 minutes from nurse aides. This hands-on clinical volume supports individuals recovering from surgery, stroke, or acute medical transitions.

While older inspection logs noted tracking items regarding fire safety measures and medication administration protocols, the most recent health department files confirm that the administration updated its tracking systems to resolve these past issues, requiring no further action and keeping the overall cumulative citations-per-inspection rate at zero.

Prospective representatives will find a campus equipped with an exercise pool, a therapy pool, fitness centers, a library, a woodworking shop, and an arts studio. The grounds feature nature trails with mountain and lake views, while daily social options include a book group and a Spanish club. The dining setup provides a traditional dining room with tableside service alongside fast-casual options, a bar, and a coffee nook, with base fees covering utilities, WiFi, laundry, housekeeping, and property maintenance.

Overview of Croasdaile Village

Croasdaile Village operates a skilled nursing unit within its community in Durham, North Carolina, coordinating care across multiple payment tracks, including Medicare, Medicaid, and private pay. For visitors, the surrounding suburban area carries a walkability score of 3 out of 100, meaning the location is car-dependent and family members will need a personal vehicle to reach the property.

Clinical operations lean on a high volume of hands-on assistance, supplying an average of 5 hours and 45 minutes of total nursing care per resident each day. The daily schedule structures this time to prioritize direct personal care, allocating 4 hours and 52 minutes of that total to nurse aides who assist with daily living activities, alongside clinical monitoring from licensed nursing staff.

State records track the facility’s compliance history through recurring public health evaluations. Documentation verifies that the administration maintains its clinical routines and building operations in line with statutory rules, managing tracking protocols effectively to keep the facility’s cumulative citations-per-inspection rate at zero.

Interested individuals have access to general rehabilitation services, temporary respite stays, a dedicated memory care track called Heartfelt Connections, and a health navigation program to help coordinate care plans. The campus features five distinct dining venues that offer a range of casual and fine dining atmospheres. The daily routine balances these food service choices with structured wellness programs, housekeeping assistance, laundry services, and open visiting hours for families.

Overview of Homestead Hills Assisted Living

Homestead Hills Assisted Living is a 66-bed community at 2101 Homestead Hills Drive, Winston-Salem, Forsyth County, North Carolina. It provides independent living, assisted living, memory care, and skilled nursing services; operates 24/7; and holds a 3-star state rating tied for 40th of 138 North Carolina facilities. A 6X National Award winner designation reflects prior operational achievements. Current occupancy is 30 percent (20 of 66 beds) significantly below the state average of 76.4 percent.

Staff training, medication management, and building safety represent Homestead Hills’ persistent compliance challenges. Over five years and across seven inspections, the facility averaged 9.6 deficiencies annually, 85 percent above North Carolina’s 5.2-deficiency benchmark. The October 26, 2023 annual survey identified five deficiencies consolidating longstanding gaps in medication aide preparation and health professional competency. Five of six medication aides failed to complete required medication clinical skills checklists or medication aide training verification; four of six staff lacked competency validation for licensed health professional support tasks spanning fingerstick blood sugar checks, insulin injections, inhalation medications, and oxygen administration.

Two residents were not tested for tuberculosis upon admission; one resident’s required licensed health professional evaluation was not completed within 30 days. Three residents did not receive ordered medications for blood pressure regulation, antipsychotic therapy, and heart-rate management.

Medication aide deficiencies recur across the facility’s history. August 2015 substantiated complaint investigation documented seven deficiencies that parallel current findings: five of six staff lacked competency validation for blood glucose checks, insulin injections, oxygen administration, and nebulizer use; four of six had not received diabetic care training before administering insulin; three of five medication aides hired after October 2013 had not completed required 15-hour medication administration training or clinical skills validation. Additional deficiencies in that investigation included two residents not receiving ordered therapeutic diets (no concentrated sweets, mechanical soft), inadequate infection control for shared glucometers affecting three residents, inadequate restraint documentation for one resident, and absent annual infection control training for three staff.

Building and fire safety deficiencies span July 2015 through August 2019. July 2015 construction survey documented nine deficiencies including failed fire alarm components, unsecured oxygen cylinders (projectile hazards), wedged fire doors, breached fire-rated construction, unsealed gas and electrical ceiling penetrations, dragging or difficult-to-open exit doors, non-latching interior doors, and inadequate mechanical ventilation. September 2015 follow-up found five uncorrected deficiencies: continued oxygen cylinder storage hazards, fire-rated construction breaches, missing sprinkler escutcheon plates, unsealed ceiling penetrations, and non-functional laundry ventilation. July 2017 cited 13 violations spanning missing fire inspection reports, bathrooms used for storage, poor furniture and plumbing maintenance, unsecured oxygen cylinders, non-functional emergency lighting, improperly propped doors, fire-resistant ceiling breaches, difficult egress doors, misaligned kitchen hood suppression heads, missing ansul system documentation, and absent bathroom exhaust ventilation.

August 2019 identified eight deficiencies: particulate buildup on return-air grilles, non-illuminated exit signs, non-functional emergency lights, missing sprinkler escutcheons, wedged fire doors, non-latching doors, stored items blocking sprinkler coverage, and non-operational janitorial exhaust.

September 2021 documented one capacity violation: 20 residents occupied a Special Care Unit licensed for 18 beds. The facility offers wellness programs, full-time activity coordination, fine dining with flexible menus, concierge and salon services, housekeeping, transportation, and 24-hour emergency call systems. No fines or license suspensions appear in the record.

Families should ask about corrective actions taken following the October 2023 medication administration and staff competency deficiencies.

The Shaire Center is an 82-bed memory care and rehabilitation facility at 1450 Shaire Center Drive, Lenoir, Caldwell County, North Carolina. It accepts Medicaid and provides memory care unit, rehabilitation services, hospice services, discharge planning, and care planning. Voted Best Nursing Home 2025. 3-star state rating.

A substantiated complaint investigation in July 2025 revealed failure to report physical abuse. Staff A slapped Resident #2 after the resident pinched staff. The facility investigated and deemed the incident unsubstantiated but failed to complete required 24-hour initial allegation report and 5-day investigation report to the Health Care Personnel Registry. Medication order clarification also failed for two of five residents involving multivitamin starts, inhaler changes, incomplete insulin orders, and antifungal cream.

Therapeutic diet and medication management failures characterize The Shaire Center’s regulatory record. Over four years, the facility averaged 8.5 deficiencies annually, 63 percent above North Carolina’s 5.2-deficiency baseline. February 2024 annual survey documented failure to provide matching therapeutic diet menus for physician-ordered pureed diets and failure to ensure proper consistency; pureed foods contained small pieces and were not smooth, with staff using mechanical soft menu as guidance. March 2018 documented inaccurate medication administration records for controlled substances (Xanax, Ativan, Oxycodone, Tramadol, Guaifenesin cough syrup with codeine) showing significant discrepancies between controlled drug logs and MAR, and missing physician order for assist bed rails used as restraints for a resident with fall history.

Fire safety infrastructure failures recur across construction surveys. July 2018 construction survey identified 19 deficiencies spanning special magnetic locking exits failing to unlock on emergency release activation, missing bathroom hand grips, corridor obstructions, improperly stored oxygen cylinders, missing fire suppression and extinguisher inspection documentation, non-functional emergency lights and exit signs, compromised fire-rated walls and ceilings, non-latching corridor doors, exposed sharp edges on hold-open devices, and non-functioning exhaust ventilation. August 2016 construction survey documented missing current sanitation and fire safety inspection reports, unsecured oxygen cylinders, algae growth in ice machine drain, missing fire rehearsal records, special locking doors not unlocking on fire alarm, and compromised fire-resistant construction. February 2024 follow-up construction survey confirmed all prior corrections completed with no further action required.

No fines or license suspensions appear in the record.

Families should ask about corrections for the July 2025 failure to report physical abuse, medication order and physician communication protocols, therapeutic diets, and fire safety.

Overview of Brookdale Carriage Club Providence

Experience an all-encompassing care at Brookdale Carriage Club Providence, an exceptional senior living community in Charlotte, NC, offering comprehensive levels of care and healthcare services. These include independent living, assisted living, and memory care, ensuring that residents receive the support they need while enjoying a fulfilling lifestyle. Here, residents can enjoy gatherings in the elegant, light-filled lobby or savor nutritious meals in the stately dining room. The community features a lakeside porch, a year-round pool, and various activities for relaxation and recreation. At Brookdale Carriage Club Providence, residents have access to a range of supportive services tailored to their needs.

The community offers short-term respite stays, ideal for those needing a temporary break or recovery after surgery. Skilled nursing care is available around the clock, along with physical, occupational, and speech therapy for recovery. For those requiring long-term skilled care, Brookdale provides a comfortable setting with professional nursing services. Additionally, transitional care helps residents transition from hospital to home, and hospice care is available through a network of preferred providers, ensuring consistent, high-quality support.

Capital Nursing and Rehabilitation Center is an award-winning senior living community in Holston Lane, Raleigh, NC, that is dedicated to improving seniors’ quality of life and provides a wide array of care services. These include short-term rehabilitation, skilled nursing, outpatient therapy, hospice care, palliative care, respite care, and long-term care. A team of compassionate and highly trained professionals welcomes seniors and takes care of their needs and aspirations.

Remain well-engaged and do the things you enjoy with a well-thought-of calendar of enriching activities and exciting programs. Filled with extensive amenities, Capital Nursing and Rehabilitation Center strives to provide a comfortable and safe retirement for seniors to thrive and live their lives to the fullest.