Other senior care options in North Carolina:

Best Nursing Homes in North Carolina

Why trust this guide? Our editorial team analyzed 87 nursing homes in North Carolina using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
Reviewed by
Last updated
Jun 2026
We analyzed
87 homes
Other senior care options in North Carolina:
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

Compare Nursing Homes around North Carolina

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

60 facilities compared · CMS & NC Dept. of Health data

Brookdale Carriage Club Providence
NH
AL
IL
MC
Charlotte (Olde Providence North)
77
Facility 77
NC AVG 72
Rank #168 / 390
71.5%
Facility 71.5%
NC AVG 76.4%
Rank #145 / 271
-6%
8.12
Facility 8.12
NC AVG 3.98
Rank #4 / 97
+78%+104%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
11
Facility 11
NC AVG 20.9
Rank #39 / 101
3.7
Facility 3.7
NC AVG 5.0
Rank #43 / 101
-7A+
12
Facility 12
NC AVG 33
Rank #440 / 572
Bkd Fm Holding Company LLC
$19.6M
Facility $19.6M
NC AVG $13.2M
Rank #99 / 104
$8.1M
Facility $8.1M
NC AVG $4.9M
Rank #39 / 104
41.6%
Facility 41.6%
NC AVG 39.8%
Rank #1 / 104
345482
Walnut Ridge
NH
AL
IL
MC
Walnut Cove (Windmill Street)
63
Facility 63
NC AVG 72
Rank #224 / 390
100.0%
Facility 100.0%
NC AVG 76.4%
Rank #1 / 271
+31%
3.12
Facility 3.12
NC AVG 3.98
Rank #94 / 97
-50%-22%
$40.1k
Facility $40.1k
NC AVG $74.6k
Rank #76 / 105
23
Facility 23
NC AVG 20.9
Rank #72 / 101
4.6
Facility 4.6
NC AVG 5.0
Rank #57 / 101
363A+
50
Facility 50
NC AVG 33
Rank #149 / 572
Nita Davis
$10.4M
Facility $10.4M
NC AVG $13.2M
Rank #68 / 104
$3.9M
Facility $3.9M
NC AVG $4.9M
Rank #97 / 104
37%
Facility 37%
NC AVG 39.8%
Rank #100 / 104
345089
Hillside Nursing & Rehab
NH
AL
NC
Wake Forest
130
Facility 130
NC AVG 72
Rank #24 / 390
74.1%
Facility 74.1%
NC AVG 76.4%
Rank #135 / 271
-3%
4.05
Facility 4.05
NC AVG 3.98
Rank #43 / 97
+3%+2%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
1
Facility 1
NC AVG 20.9
Rank #1 / 101
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 101
-111-
19
Facility 19
NC AVG 33
Rank #384 / 572
Mary Margaret Clifton
$13.7M
Facility $13.7M
NC AVG $13.2M
Rank #49 / 104
$7.8M
Facility $7.8M
NC AVG $4.9M
Rank #42 / 104
56.6%
Facility 56.6%
NC AVG 39.8%
Rank #26 / 104
345417
BellaRose Nursing and Rehab
NH
HC
RC
Garner
100
Facility 100
NC AVG 72
Rank #79 / 390
92.0%
Facility 92.0%
NC AVG 76.4%
Rank #46 / 271
+20%
3.20
Facility 3.20
NC AVG 3.98
Rank #89 / 97
-28%-20%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
2
Facility 2
NC AVG 20.9
Rank #8 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-94-
4
Facility 4
NC AVG 33
Rank #506 / 572
William Burroughs
$13.4M
Facility $13.4M
NC AVG $13.2M
Rank #42 / 104
$7.8M
Facility $7.8M
NC AVG $4.9M
Rank #41 / 104
58.2%
Facility 58.2%
NC AVG 39.8%
Rank #42 / 104
345574
Champions Assisted Living at the Davis Community
NH
AL
IL
MC
RC
Wilmington
115
Facility 115
NC AVG 72
Rank #55 / 390
60.7%
Facility 60.7%
NC AVG 76.4%
Rank #183 / 271
-21%
3.39
Facility 3.39
NC AVG 3.98
Rank #76 / 97
-19%-15%
$67.1k
Facility $67.1k
NC AVG $74.6k
Rank #87 / 105
14
Facility 14
NC AVG 20.9
Rank #50 / 101
3.5
Facility 3.5
NC AVG 5.0
Rank #41 / 101
398-
6
Facility 6
NC AVG 33
Rank #484 / 572
Charles Long
$14.9M
Facility $14.9M
NC AVG $13.2M
Rank #18 / 104
$13.1M
Facility $13.1M
NC AVG $4.9M
Rank #9 / 104
87.3%
Facility 87.3%
NC AVG 39.8%
Rank #30 / 104
345160
The Oaks at Whitaker Glen-
NH
AL
HC
IL
MC
Raleigh (Five Points)
139
Facility 139
NC AVG 72
Rank #18 / 390
-------------A+
28
Facility 28
NC AVG 33
Rank #328 / 572
$8.8M
Facility $8.8M
NC AVG $13.2M
Rank #90 / 104
$4.5M
Facility $4.5M
NC AVG $4.9M
Rank #90 / 104
50.5%
Facility 50.5%
NC AVG 39.8%
Rank #37 / 104
345009
Capital Nursing And Rehabilitation Center
NH
AL
HC
IL
Raleigh (East Raleigh)
125
Facility 125
NC AVG 72
Rank #29 / 390
75.9%
Facility 75.9%
NC AVG 76.4%
Rank #128 / 271
-1%
3.43
Facility 3.43
NC AVG 3.98
Rank #76 / 97
+1%-14%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
14
Facility 14
NC AVG 20.9
Rank #50 / 101
2.8
Facility 2.8
NC AVG 5.0
Rank #30 / 101
-100-
43
Facility 43
NC AVG 33
Rank #206 / 572
Liberty Commons Nursing And Rehabilitation Center Of Wake County, LLC
$12.0M
Facility $12.0M
NC AVG $13.2M
Rank #61 / 104
$6.2M
Facility $6.2M
NC AVG $4.9M
Rank #52 / 104
51.3%
Facility 51.3%
NC AVG 39.8%
Rank #22 / 104
345202
WhiteStone
NH
AL
IL
MC
Greensboro (Hewitt Area)
60
Facility 60
NC AVG 72
Rank #233 / 390
69.2%
Facility 69.2%
NC AVG 76.4%
Rank #152 / 271
-9%
4.22
Facility 4.22
NC AVG 3.98
Rank #35 / 97
-31%+6%
$25.5k
Facility $25.5k
NC AVG $74.6k
Rank #71 / 105
9
Facility 9
NC AVG 20.9
Rank #34 / 101
4.5
Facility 4.5
NC AVG 5.0
Rank #55 / 101
250A+
31
Facility 31
NC AVG 33
Rank #294 / 572
Pamela Stafford
$7.6M
Facility $7.6M
NC AVG $13.2M
Rank #26 / 104
$10.2M
Facility $10.2M
NC AVG $4.9M
Rank #26 / 104
134.2%
Facility 134.2%
NC AVG 39.8%
Rank #37 / 104
345506
River Landing At Sandy Ridge
NH
AL
IL
MC
Colfax
60
Facility 60
NC AVG 72
Rank #233 / 390
82.9%
Facility 82.9%
NC AVG 76.4%
Rank #89 / 271
+8%
6.51
Facility 6.51
NC AVG 3.98
Rank #9 / 97
-5%+64%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
1
Facility 1
NC AVG 20.9
Rank #1 / 101
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 101
-56-
7
Facility 7
NC AVG 33
Rank #476 / 572
Khashana Blake
$12.9M
Facility $12.9M
NC AVG $13.2M
Rank #5 / 104
$17.6M
Facility $17.6M
NC AVG $4.9M
Rank #7 / 104
135.9%
Facility 135.9%
NC AVG 39.8%
Rank #94 / 104
345528
The Cypress of Charlotte
NH
AL
HC
IL
MC
Charlotte (Beverly Woods)
65
Facility 65
NC AVG 72
Rank #210 / 390
78.2%
Facility 78.2%
NC AVG 76.4%
Rank #121 / 271
+2%- +26%-
$58.0k
Facility $58.0k
NC AVG $74.6k
Rank #83 / 105
14
Facility 14
NC AVG 20.9
Rank #50 / 101
4.7
Facility 4.7
NC AVG 5.0
Rank #58 / 101
258-
15
Facility 15
NC AVG 33
Rank #414 / 572
The Cypress Of Charlotte LLC
$7.3M
Facility $7.3M
NC AVG $13.2M
Rank #14 / 104
$14.1M
Facility $14.1M
NC AVG $4.9M
Rank #20 / 104
194.2%
Facility 194.2%
NC AVG 39.8%
Rank #79 / 104
345495
Givens Highland Farms
NH
HC
IL
NC
RC
Black Mountain
60
Facility 60
NC AVG 72
Rank #233 / 390
82.2%
Facility 82.2%
NC AVG 76.4%
Rank #92 / 271
+8%
5.57
Facility 5.57
NC AVG 3.98
Rank #16 / 97
+11%+40%
$4.3k
Facility $4.3k
NC AVG $74.6k
Rank #49 / 105
14
Facility 14
NC AVG 20.9
Rank #50 / 101
4.7
Facility 4.7
NC AVG 5.0
Rank #58 / 101
-51-
12
Facility 12
NC AVG 33
Rank #440 / 572
Givens Estates, Inc
$21.1M
Facility $21.1M
NC AVG $13.2M
Rank #31 / 104
$8.2M
Facility $8.2M
NC AVG $4.9M
Rank #30 / 104
38.9%
Facility 38.9%
NC AVG 39.8%
Rank #51 / 104
345078
Wesley Pines
NH
AL
IL
MC
Lumberton
62
Facility 62
NC AVG 72
Rank #225 / 390
86.1%
Facility 86.1%
NC AVG 76.4%
Rank #74 / 271
+13%
4.60
Facility 4.60
NC AVG 3.98
Rank #28 / 97
-29%+16%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-58A+
9
Facility 9
NC AVG 33
Rank #462 / 572
The United Methodist Retirement Homes, Incorporated
$10.2M
Facility $10.2M
NC AVG $13.2M
Rank #79 / 104
$5.8M
Facility $5.8M
NC AVG $4.9M
Rank #64 / 104
56.7%
Facility 56.7%
NC AVG 39.8%
Rank #17 / 104
345180
Carol Woods
NH
AL
IL
NC
Chapel Hill (Carol Woods)
30
Facility 30
NC AVG 72
Rank #329 / 390
76.7%
Facility 76.7%
NC AVG 76.4%
Rank #125 / 271
0%
5.94
Facility 5.94
NC AVG 3.98
Rank #11 / 97
+239%+49%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
7
Facility 7
NC AVG 20.9
Rank #27 / 101
3.5
Facility 3.5
NC AVG 5.0
Rank #41 / 101
-22-
13
Facility 13
NC AVG 33
Rank #432 / 572
The Chapel Hill Residential Retirement Center, Inc
$29.1M
Facility $29.1M
NC AVG $13.2M
Rank #8 / 104
$18.0M
Facility $18.0M
NC AVG $4.9M
Rank #8 / 104
61.7%
Facility 61.7%
NC AVG 39.8%
Rank #83 / 104
345199
Pineville Rehabilitation & Living Center
NH
AL
HC
RC
Pineville (Lakeview Drive)
106
Facility 106
NC AVG 72
Rank #68 / 390
68.3%
Facility 68.3%
NC AVG 76.4%
Rank #154 / 271
-11%
3.96
Facility 3.96
NC AVG 3.98
Rank #43 / 97
+39%0%
$15.5k
Facility $15.5k
NC AVG $74.6k
Rank #62 / 105
45
Facility 45
NC AVG 20.9
Rank #95 / 101
9.0
Facility 9.0
NC AVG 5.0
Rank #97 / 101
396A+
25
Facility 25
NC AVG 33
Rank #346 / 572
Ncnh Holdings LLC
$10.7M
Facility $10.7M
NC AVG $13.2M
Rank #73 / 104
$3.7M
Facility $3.7M
NC AVG $4.9M
Rank #75 / 104
34.5%
Facility 34.5%
NC AVG 39.8%
Rank #40 / 104
345415
University Place Nursing & Rehabilitation
NH
MC
Charlotte (University City North)
207
Facility 207
NC AVG 72
Rank #3 / 390
68.1%
Facility 68.1%
NC AVG 76.4%
Rank #158 / 271
-11%
4.12
Facility 4.12
NC AVG 3.98
Rank #39 / 97
-37%+4%
$276.4k
Facility $276.4k
NC AVG $74.6k
Rank #103 / 105
35
Facility 35
NC AVG 20.9
Rank #87 / 101
5.0
Facility 5.0
NC AVG 5.0
Rank #67 / 101
2158A+
29
Facility 29
NC AVG 33
Rank #321 / 572
-
$17.2M
Facility $17.2M
NC AVG $13.2M
Rank #40 / 104
$7.1M
Facility $7.1M
NC AVG $4.9M
Rank #32 / 104
41.5%
Facility 41.5%
NC AVG 39.8%
Rank #21 / 104
345142
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Nursing Home Explorer

Wesley Pines

1000 Wesley Pines Rd, Lumberton, NC 28358
Overview of Wesley Pines

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.

Contact Wesley Pines

Overview of Friends Homes

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.

Contact Friends Homes

Overview of Trinity Elms Assisted Living

Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.

Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.

Contact Trinity Elms Assisted Living

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

Carol Woods

750 Weaver Dairy Rd, Chapel Hill, Nc 27514, Usa
Overview of Carol Woods

Redefining senior living, Carol Woods is a tight-knit senior living community in Chapel Hill, NC, offering a peaceful environment for a continuum of care. Residents here thrive with access to a multitude of services, including assisted living, short-term rehabilitation, and an array of clinical services. Sprawled within 120 acres of certified natural wildlife backyard habitat, the community guarantees a relaxing living environment, combined with stunning accommodations in variations of apartments, cottages, and townhomes.

An array of traditional and complementary therapies are offered on-site to make sure residents have access to the services they need to maintain their mobility and highest functionality. Residents are also encouraged to participate in the community’s dynamic range of activities and events and enjoy a multitude of amenities, such as a dog park, fitness center, arts studio, and more. A delectable dining experience is also provided to make sure residents’ are always energized and full.

Contact Carol Woods

Trinity Grove

631 Junction Creek Dr, Wilmington, NC 28412
Overview of Trinity Grove

Trinity Grove, located in Wilmington, NC, is a distinguished senior living community primarily providing skilled nursing services with a focus on memory care. The accommodation options at Trinity Grove include private or semi-private rooms, each equipped with private bathrooms to ensure residents’ comfort and privacy. The community is dedicated to comprehensive healthcare services, offering 24-hour skilled nursing care, physician coverage, licensed dietician and social worker support, and various therapies such as speech, physical, and occupational therapies.

Residents at Trinity Grove enjoy a range of amenities designed to enhance their living experience. The community provides restaurant-style meals, snacks, and beverages, ensuring a delightful dining experience. Trinity Grove also offers modern conveniences such as wireless internet, cable TV, and personal telephone options. Leisure opportunities, outings, special events, an internet cafe, hair salon, and barber shop further contribute to a vibrant and engaging community. Courtyards, gardens, and amenities such as a children’s playground and transportation services add to the overall comfort and convenience at Trinity Grove.

Contact Trinity Grove

Overview of Salemtowne Retirement Community

Nestled in the picturesque landscape, Salemtowne Retirement Community stands as a tranquil haven for seniors seeking a vibrant and supportive lifestyle in their golden years. With a focus on holistic living, this community provides comfortable residential options, from spacious cottages to cozy apartments, ensuring every resident finds their ideal abode. The community’s commitment to promoting an active and fulfilling retirement is evident in its array of recreational facilities, including fitness centers, walking trails, and creative spaces. Salemtowne Retirement Community stands as more than just a place to reside; it’s a nurturing environment where seniors can embrace each day with enthusiasm and joy.
At Salemtowne Retirement Community, the essence of graceful aging is exemplified through a range of comprehensive services that cater to the evolving needs of its residents. From the assurance of healthcare access to the convenience of on-site dining options, the community places a premium on enhancing the quality of life for its senior members. Professional staff and caregivers are dedicated to providing personalized support, allowing residents to maintain their independence while knowing that assistance is readily available when required. The community’s serene surroundings and thoughtfully designed architecture create an atmosphere of serenity and relaxation, fostering a sense of belonging and security. Rooted in a tradition of respect for individuality and a commitment to well-being,

Contact Salemtowne Retirement Community

Brookdale at Home® Hendersonville

2601Chimney, Rock Road Suite Pl1, Hendersonville, NC 28792
Overview of Brookdale at Home® Hendersonville

Helping seniors stay comfortably at their homes, Brookdale at Home Hendersonville is a passionate home care provider in Hendersonville, NC, offering various in-home care services. The home care provider offers companion care, personal care, and respite care, designed to provide utmost comfort and support to seniors and their family caregivers.

Ensuring that seniors are at ease in welcoming their caregivers in their homes, Brookdale at Home Hendersonville conducts thorough background checks and screenings to select highly qualified and trustworthy caregivers. Offering various support, including assistance with activities of daily living, transportation, errands, light housekeeping, pet care and meal preparation, Brookdale at Home ensures residents live a maintenance-free lifestyle with plenty of time to spend with their families or doing their hobbies.

Contact Brookdale at Home® Hendersonville

Overview of Maple Grove Health & Rehabilitation Center

Maple Grove Health & Rehabilitation Center sits at 308 W Meadowview Rd in Greensboro, North Carolina. It is a 210-bed nursing home that also offers memory care. Everything is on one floor. The single-story layout means residents move between their rooms, the dining area, and care spaces without ever waiting on an elevator, which matters more than it sounds when mobility is part of the picture.

The neighborhood lands in the middle on walkability (Walk Score 51). Some trips work on foot. Others need a car. That is a reasonable spot for visiting family to plan around.

Who lives here tells you a lot about how the place runs. The average stay is about 231 days, a little over seven months. Some people come to recover and leave. Others stay for the long haul, and the memory care option means residents dealing with dementia have a place built for them too.

The daily care adds up to roughly 3 hours and 49 minutes of nursing time per resident, with about 45 minutes of that coming from a registered nurse and the rest from aides and licensed practical nurses. Those are the plain reported hours.

Money tends to be the hard part, so it helps that Maple Grove takes Medicare, Medicaid, and private pay. Put it together, nursing and memory care on a single level with three coverage routes, and you get a community shaped for older adults who need steady, hands-on help, including those whose needs deepen over time.

Contact Maple Grove Health & Rehabilitation Center

Overview of Liberty Commons

Liberty Commons, a healthcare facility in Wilmington, NC, is dedicated to providing a range of services, including assisted living and skilled nursing services. The accommodation options at Liberty Commons feature spacious private and semi-private suites equipped with amenities such as complimentary WiFi internet, flat-screen TVs with complimentary cable, and in-room refrigerators. The community’s focus on healthcare services extends to assisted living, where residents receive personalized support tailored to their individual needs, including dressing, bathing, and medication reminders.

Liberty Commons offers a variety of amenities to enhance the living experience for residents. In-room dining, outdoor and indoor gathering areas, salon services, and daily housekeeping and laundry services contribute to a comfortable and well-maintained environment. The community ensures convenience with admissions available seven days a week. Residents also engage in social activities, fostering a sense of community and connection. Liberty Commons stands as a healthcare facility committed to providing not only essential services but also a supportive and engaging living experience for its residents.

Contact Liberty Commons

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.

  • 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
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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 87 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.