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Why trust this guide?
Our editorial team analyzed 89 nursing homes in NC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
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.
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 to lowest based on our ranking 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.
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.
Situated in the heart of Winston-Salem, North Carolina, Arbor Acres is a distinguished continuing care retirement community. This tranquil haven provides a spectrum of living options, spanning independent living, assisted care, memory care, and skilled nursing, designed to cater to diverse senior needs.
Within the rare and beautiful setting of Arbor Acres, residents find a place to reside and a canvas where purpose, creativity, and motivation flourish. Life at Arbor Acres shines brilliantly, fostering an environment where friendships blossom and the art of living is embraced. All are welcome to experience the exceptional lifestyle offered at Arbor Acres, where each resident is invited to savor the richness of their journey in this vibrant and thriving community.
With its rich history of providing exceptional senior care since 1977, Wesley Pines Retirement Community in the beautiful setting of Wesley Pines Road, Lumberton, NC features independent living, assisted living, skilled nursing, and rehabilitation. Set on 49 acres of serene grounds, the community has a variety of cottages and villas with two-bedroom floor plans for seniors to live comfortably and safely. As a life plan community, Wesley Pines Retirement Community doubles its efforts to meet seniors’ ever-changing needs and aspirations.
Handling the maintenance and other household responsibilities, the community provides a full slate of enjoyable activities and fun programs for residents to remain happy and well-connected. Here, healthy and delightful dining options are served for a satisfactory mealtime. Wesley Pines Retirement Community offers top-tier services and incredible amenities, ensuring seniors optimize their freedom.
Make your dream retirement come true with The Sharon at SouthPark, a compassionate community in Charlotte, NC, offering a continuum of care. Residents here have access to independent living, assisted living, and skilled nursing care provided by a team of kind and compassionate care experts. Their relaxing community is peacefully set amidst a 28-acre campus with easy access to shops, recreational amenities, and entertainment options in the area.
In addition to convenient services like housekeeping, laundry, and maintenance, the community provides access to a wide selection of hotel-like amenities, including gathering venues, recreational spaces, and wellness & fitness areas. Multiple dining areas and diverse menus are also available to ensure residents’ cravings and nutritional needs are met. Whatever your interests and passions are, The Sharon at SouthPark provides the opportunities and spaces you need to enjoy them while receiving compassionate care and assistance.
Overview of Briar Creek Health Center at the Barclay at SouthPark
Enjoy a seamless transition between care levels in Briar Creek Health Center at the Barclay at SouthPark, a distinguished community in Charlotte, NC offering an array of care services. They provide access to assisted living, memory care, rehabilitation, and skilled nursing under one campus. The community also offers respite care to help family caregivers who need a break from caring for their loved ones, giving them their much-deserved rest and vacation.
With personalized care plans, daily living assistance, and personal care support, residents find plenty of free time to enjoy their passions and make new friends. Housekeeping services are also offered so residents can fully enjoy the community’s vibrant activities and thoughtful amenities like a salon and cozy sun room. At Briar Creek Health Center at the Barclay at SouthPark, residents are inspired and equipped to live their golden years fully.
Overview of Capital Nursing and Rehabilitation Center
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.
Recognized as the leading center for short-term rehabilitation, long-term skilled nursing care, and respite care in Statesville, North Carolina, Autumn Care of Statesville boasts a long-standing legacy of providing care with compassion and empathy to seniors. With a history of care, this community is committed to every senior’s well-being.
Autumn Care of Statesville is renowned for its specialized programs and personalized care plans to achieve the best possible outcomes for each resident. This community prioritizes individualized senior care to enhance residents’ physical and emotional well-being. Whether it’s short-term services or long-term care, their team is dedicated to addressing the unique needs of every senior. Experience the dedication and personalized care that has been the hallmark of Autumn Care of Statesville for years, where your well-being is their top priority.
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.
The Greens at Maple Leaf is a senior community located in Statesville, North Carolina, dedicated to supporting the seniors in the area. Iredell County’s skilled nursing facility offers a comprehensive range of services, including short-term rehabilitation, long-term care, and respite stays. Here, families can find reassurance in the capable and compassionate care provided.
Operated by CCH Healthcare, the staff at The Greens at Maple Leaf boasts extensive hands-on experience in skilled nursing facilities and is committed to delivering world-class care to all residents. At The Greens at Maple Leaf, the emphasis remains on the residents and ensuring they receive the exceptional care they deserve. With a goal centered on the well-being and happiness of senior residents, The Greens at Maple Leaf continues to be a trusted source of high-quality care in the Statesville area.
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.
WhiteStone is a blissful senior living community in Guilford County, Greensboro, NC, offering a vibrant independent living environment. Residents are provided plenty of options for their living space, including spacious apartments, cozy cottages, and free standing single residences, set in beautifully maintained 42-acre ground. In addition to a maintenance-free living, residents are also given access to an array of healthcare services, such as routine checkups, rehabilitation therapy, short- and long-term skilled nursing, and memory care should they need it.
Without the worries of housekeeping, maintenance, and meal preparation, residents can focus on living their life to the fullest. Hence, the community offers plenty of beautiful amenities and enriching activities. Here, residents are free to pursue their hobbies, explore new interests, make new friends, or visit all those places they’ve always wanted to explore.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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 89 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
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