Page 3 of Best Nursing Homes in North Carolina

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
Reviewed by
Last updated
We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every nursing home provider in North Carolina.
114 homes
Other senior care options in North Carolina:

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. 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. 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.
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.
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.
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.
Heartland Living and Rehabilitation
NH
RC
Greensboro
107
Facility 107
NC AVG 92
Rank #28 / 80
85.9%
Facility 85.9%
NC AVG 81.3%
Rank #37 / 72
+6%
4.11
Facility 4.11
NC AVG 3.98
Rank #45 / 83
B+ -80%+3%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
13
Facility 13
NC AVG 20.9
Rank #40 / 83
4.3
Facility 4.3
NC AVG 5.0
Rank #47 / 83
-92-
39
Facility 39
NC AVG 33
Rank #40 / 112
Horace Wilson
$11.8MFiscal year ending 09/2023
Facility $11.8MFiscal year ending 09/2023
NC AVG $15.7M
Rank #49 / 84
$4.8MFiscal year ending 09/2023
Facility $4.8MFiscal year ending 09/2023
NC AVG $8.2M
Rank #66 / 84
40.2%Fiscal year ending 09/2023
Facility 40.2%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #64 / 84
345391
Given Estates
NH
AL
RC
SNF
Asheville (Stockwood)
70
Facility 70
NC AVG 92
Rank #50 / 80
78.1%
Facility 78.1%
NC AVG 81.3%
Rank #52 / 72
-4%
5.96
Facility 5.96
NC AVG 3.98
Rank #15 / 83
? -43%+50%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
19
Facility 19
NC AVG 20.9
Rank #58 / 83
6.3
Facility 6.3
NC AVG 5.0
Rank #70 / 83
-55-
29
Facility 29
NC AVG 33
Rank #57 / 112
John Cowan
$60.9MFiscal year ending 12/2023
Facility $60.9MFiscal year ending 12/2023
NC AVG $15.7M
Rank #1 / 84
$21.6MFiscal year ending 12/2023
Facility $21.6MFiscal year ending 12/2023
NC AVG $8.2M
Rank #1 / 84
35.6%Fiscal year ending 12/2023
Facility 35.6%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #75 / 84
345328
Abernethy Laurels
NH
AL
HC
IL
MC
RC
SNF
Newton
174
Facility 174
NC AVG 92
Rank #6 / 80
90.5%
Facility 90.5%
NC AVG 81.3%
Rank #21 / 72
+11%
4.59
Facility 4.59
NC AVG 3.98
Rank #30 / 83
? +38%+16%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
3
Facility 3
NC AVG 20.9
Rank #9 / 83
1.5
Facility 1.5
NC AVG 5.0
Rank #7 / 83
-158--Everyage
$27.8MFiscal year ending 09/2023
Facility $27.8MFiscal year ending 09/2023
NC AVG $15.7M
Rank #10 / 84
$13.8MFiscal year ending 09/2023
Facility $13.8MFiscal year ending 09/2023
NC AVG $8.2M
Rank #17 / 84
49.5%Fiscal year ending 09/2023
Facility 49.5%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #37 / 84
345161
Brookdale Carriage Club Providence
NH
AL
CCRC
IL
MC
SNF
Charlotte (Olde Providence North)
77
Facility 77
NC AVG 92
Rank #48 / 80
--
10.16
Facility 10.16
NC AVG 3.98
Rank #4 / 83
? +78%+156%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
11
Facility 11
NC AVG 20.9
Rank #37 / 83
3.7
Facility 3.7
NC AVG 5.0
Rank #40 / 83
-8A+
12
Facility 12
NC AVG 33
Rank #90 / 112
Bkd Fm Holding Company LLC
$19.6MFiscal year ending 12/2023
Facility $19.6MFiscal year ending 12/2023
NC AVG $15.7M
Rank #17 / 84
$8.1MFiscal year ending 12/2023
Facility $8.1MFiscal year ending 12/2023
NC AVG $8.2M
Rank #28 / 84
41.6%Fiscal year ending 12/2023
Facility 41.6%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #58 / 84
345482
Autumn Care of Statesville
NH
AL
HOS
MC
RC
SNF
Statesville (Eastfield Estates)
103
Facility 103
NC AVG 92
Rank #32 / 80
94.6%
Facility 94.6%
NC AVG 81.3%
Rank #9 / 72
+16%
3.56
Facility 3.56
NC AVG 3.98
Rank #67 / 83
B -44%-10%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
18
Facility 18
NC AVG 20.9
Rank #56 / 83
6.0
Facility 6.0
NC AVG 5.0
Rank #69 / 83
297-
34
Facility 34
NC AVG 33
Rank #44 / 112
2011) William I Weisberg Family Dynasty Trust (Dated June 1
$14.3MFiscal year ending 12/2023
Facility $14.3MFiscal year ending 12/2023
NC AVG $15.7M
Rank #29 / 84
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
NC AVG $8.2M
Rank #56 / 84
37.6%Fiscal year ending 12/2023
Facility 37.6%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #71 / 84
345511
Carolina Bay at Autumn Hall
NH
AL
CCRC
IL
MC
SNF
Wilmington (Windemere)
30
Facility 30
NC AVG 92
Rank #71 / 80
99.3%
Facility 99.3%
NC AVG 81.3%
Rank #2 / 72
+22%
4.29
Facility 4.29
NC AVG 3.98
Rank #39 / 83
? +14%+8%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
6
Facility 6
NC AVG 20.9
Rank #20 / 83
3.0
Facility 3.0
NC AVG 5.0
Rank #30 / 83
-30-
18
Facility 18
NC AVG 33
Rank #80 / 112
Wilmington Ah Senior Housing Jv Opco LLC
$11.9MFiscal year ending 09/2023
Facility $11.9MFiscal year ending 09/2023
NC AVG $15.7M
Rank #46 / 84
$5.1MFiscal year ending 09/2023
Facility $5.1MFiscal year ending 09/2023
NC AVG $8.2M
Rank #58 / 84
43.3%Fiscal year ending 09/2023
Facility 43.3%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #51 / 84
345571
Perry Creek Health & Rehabilitation Center
NH
SNF
Raleigh (Northeast Raleigh)
90
Facility 90
NC AVG 92
Rank #41 / 80
88.1%
Facility 88.1%
NC AVG 81.3%
Rank #31 / 72
+8%
3.69
Facility 3.69
NC AVG 3.98
Rank #61 / 83
? +33%-7%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
2
Facility 2
NC AVG 20.9
Rank #5 / 83
2.0
Facility 2.0
NC AVG 5.0
Rank #16 / 83
-79-
24
Facility 24
NC AVG 33
Rank #67 / 112
-
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
NC AVG $15.7M
Rank #68 / 84
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
NC AVG $8.2M
Rank #53 / 84
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #29 / 84
345003
The Shaire Center
NH
AL
MC
PC
SNF
Lenoir
82
Facility 82
NC AVG 92
Rank #46 / 80
--
5.10
Facility 5.10
NC AVG 3.98
Rank #25 / 83
? -31%+28%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
11
Facility 11
NC AVG 20.9
Rank #37 / 83
2.8
Facility 2.8
NC AVG 5.0
Rank #26 / 83
-50-
76
Facility 76
NC AVG 33
Rank #4 / 112
Katherine Haire
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
NC AVG $15.7M
Rank #81 / 84
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
NC AVG $8.2M
Rank #69 / 84
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #12 / 84
345483
Central Care
NH
SNF
Mount Airy
53
Facility 53
NC AVG 92
Rank #66 / 80
58.5%
Facility 58.5%
NC AVG 81.3%
Rank #66 / 72
-28%
3.82
Facility 3.82
NC AVG 3.98
Rank #58 / 83
? +23%-4%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
10
Facility 10
NC AVG 20.9
Rank #34 / 83
5.0
Facility 5.0
NC AVG 5.0
Rank #58 / 83
-31-
74
Facility 74
NC AVG 33
Rank #5 / 112
Robert Vernon
$11.8MFiscal year ending 09/2023
Facility $11.8MFiscal year ending 09/2023
NC AVG $15.7M
Rank #50 / 84
$4.5MFiscal year ending 09/2023
Facility $4.5MFiscal year ending 09/2023
NC AVG $8.2M
Rank #68 / 84
38.2%Fiscal year ending 09/2023
Facility 38.2%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #70 / 84
345510
Hillcrest Convalescent Center
NH
AL
RC
SNF
Durham
86
Facility 86
NC AVG 92
Rank #45 / 80
86.7%
Facility 86.7%
NC AVG 81.3%
Rank #34 / 72
+7%
6.30
Facility 6.30
NC AVG 3.98
Rank #12 / 83
? -6%+58%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
---75-
81
Facility 81
NC AVG 33
Rank #3 / 112
William Hoover
$25.2MFiscal year ending 09/2023
Facility $25.2MFiscal year ending 09/2023
NC AVG $15.7M
Rank #12 / 84
$14.6MFiscal year ending 09/2023
Facility $14.6MFiscal year ending 09/2023
NC AVG $8.2M
Rank #11 / 84
58%Fiscal year ending 09/2023
Facility 58%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #18 / 84
345001

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

Rows per page:
Nursing Home Explorer
1234...8
Overview of Heartland Living and Rehabilitation

Heartland Living and Rehabilitation is a unique family-owned facility located in Greensboro, North Carolina. With 138 beds and a rehabilitation suite right next to the hospital and medical office park, they provide a welcoming and comfortable environment that feels like home. The team at Heartland is dedicated to enhancing the senior care experience by offering long-term residential nursing care, short and long-term residential rehabilitation services, and respite care. Heartland is certified to participate in Medicare and Medicaid programs, and they accept most insurance plans. 
They also offer a diverse range of activities such as field trips, special events, worship services, and seasonal celebrations. Meals are prepared with great care to meet individual dietary requirements and personal preferences as well. As a locally owned, managed, and operated facility, they take pride in building strong relationships with residents and their families. At Heartland, providing care is not just a job, it’s a calling, and they truly have a heart for those they serve.

Contact Heartland Living and Rehabilitation

Given Estates

2360 Sweeten Creek Rd, Asheville, NC 28803
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.

Contact Given Estates

Abernethy Laurels

102 Leonard Ave, Newton, NC 28658
Overview of Abernethy Laurels

Set on the scenic lands of Leonard Avenue, Newton, NC, Abernethy Laurels is a trusted Continuing Care Retirement Community that offers a wide array of care options including assisted living, independent living, memory care, long-term care, skilled nursing, and rehabilitation services. Experience unparalleled comfort and convenience with meticulously designed and well-built residences of Abernethy Laurels in varied studio, one-bedroom, and two-bedroom floor plans. With its dedication to seniors’ well-being, the community strives to deliver top-tier care and assistance tailored to their special needs and preferences.

Optimize your independence and enjoy the things you love through engaging activities and exciting events. Abernethy Laurels values residents’ choices, considering their interests in every aspect of their stay on its premises. Have the finest dining experience with delicious and healthy meals catering to nutritional needs and tastes. With its inviting spaces and tranquil landscapes, Abernethy Laurels is ideal for seniors looking to live a meaningful retirement.

Contact Abernethy Laurels

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.

Contact Brookdale Carriage Club Providence

Overview of Autumn Care of Statesville

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.

Contact Autumn Care of Statesville

Overview of Carolina Bay at Autumn Hall

Carolina Bay at Autumn Hall is a luxury retirement home in Wilmington. With an emphasis on memory care living, the premier home provides a comfortable environment for assisted living, independent living, and skilled nursing residents. The upscale home offers a professional care staff that ensures that residents can create memorable moments through the elevated lifestyle and experiences provided in the community. A home that encourages, empowers, and elevates the lifestyles of its seniors for an enhanced aging experience.

Carolina Bay at Autumn Hall has designed residential living to help fulfill a sense of independence and individuality for each resident. Community accommodations offer all-inclusive services, including spacious common areas, recreational rooms, housekeeping, assisted living for Alzheimer’s and dementia, and transportation services.

Contact Carolina Bay at Autumn Hall

Overview of Perry Creek Health & Rehabilitation Center

Perry Creek Health & Rehabilitation Center is a nursing home in Raleigh, NC, offering long-term care and rehabilitation. Dedicated to older adults’ comfort and healing, the community continuously promotes a supportive and welcoming environment. With scheduled therapy daily, restaurant-style dining, and 24-hour care, residents can focus on their rehabilitation and recovery. Along with a highly trained team and top-tier therapy technology, personalized care plans are also provided to improve residents’ quality of life.

With an on-site activities director, residents are encouraged to participate in various recreational activities and social events to maintain their holistic well-being. A state-of-the-art gym and equipment, and spacious rooms also ensure residents’ relaxation and wellness. Residents also experience a stress-free retirement, as it is conveniently located near bus stops and shops in the quiet neighborhood of Raleigh. As one of the best choices for senior living in North Carolina, this nursing home provides the best possible care for older adults’ welfare.

Contact Perry Creek Health & Rehabilitation Center

The Shaire Center

1450 Shaire Center Drive Lenoir, Nc 28645, Lenoir, NC 28645
Overview of The Shaire Center

At 1450 Shaire Center Drive in Lenoir, Caldwell County, The Shaire Center runs an 82-bed operation that combines nursing home, assisted living, memory care, and skilled nursing under one roof. The surrounding part of Lenoir scores 76 on the Walk Score index, high enough that most errands don’t require a car.

Rehabilitation services and a doctor on staff cover the medical side of daily operations. A dedicated memory care unit sits alongside hospice services, discharge planning, and care planning, the kind of structure that matters for residents whose needs shift between short-term recovery and longer-term support.

Nursing coverage averages 4 hours and 49 minutes per resident each day, drawn from registered nurses, nurse aides, and licensed practical nurses working in combination. Medicaid, Medicare, and private pay are all accepted, which widens the field of families who can plan around the cost of a stay.

Inspections of The Shaire Center have touched on medication management, staffing and staff credentials, and resident rights and protections. Between the rehab services, the memory care unit, and the hospice and discharge planning on offer, the facility is built for residents moving through different stages of care rather than staying in one lane.

Contact The Shaire Center

Central Care

139 Apex Lane Mount Airy, Nc 27030, Mount Airy, NC 27030
Overview of Central Care

Central Care is a nursing home in Mount Airy, NC, providing skilled nursing. Licensed nursing care is available on site around the clock, so residents who need ongoing clinical oversight can receive it throughout the day and night. Central Care has 53 beds. It is a smaller community where staff and residents get to know each other.

Total nurse staffing is 3 hours and 49 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several ways to cover care. Central Care opened in 1991 and may be a good fit for someone who needs ongoing nursing care in a smaller setting.

Contact Central Care

Overview of Hillcrest Convalescent Center

Set in Durham, North Carolina, Hillcrest Convalescent Center is a distinguished assisted living community offering various services, including Short-term Inpatient Rehabilitation, 24/7 Skilled Nursing, and Assisted Living. Hillcrest Durham is positioned just on the outskirts of the bustling downtown area, providing residents with easy access to local treasures. Rooted in seven decades of dedicated experience in senior care, it ensures that the level of care and contentment provided meets the highest standards. Their grounds exude tranquility, fostering an atmosphere of privacy and serenity.
Hillcrest Durham stands out by affording residents unparalleled privacy, personalized attention, and utmost convenience at the heart of Bull City, bolstered by round-the-clock skilled nursing care. Whether one requires a moderate level of assistance or a comprehensive care approach, Hillcrest Durham stands steadfast in delivering exceptional support. Within its spacious accommodations—featuring choices between private, semi-private, and even fully-appointed two-room suites—seniors find the ideal setting.

Contact Hillcrest Convalescent Center

Ranking Methodology

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

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
02

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
03

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
04

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
05

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
No paid rankings Facilities cannot pay to influence placement.
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
Submit a correction
Who we are

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 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.

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