Page 6 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
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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.
Liberty Commons
NH
AL
HOS
PC
RC
SNF
Wilmington (Liberty Commons Center)
82
Facility 82
NC AVG 92
Rank #46 / 80
95.4%
Facility 95.4%
NC AVG 81.3%
Rank #5 / 72
+17%
3.71
Facility 3.71
NC AVG 3.98
Rank #61 / 83
C -31%-7%
$30.6k
Facility $30.6k
NC AVG $74.6k
Rank #66 / 89
17
Facility 17
NC AVG 20.9
Rank #55 / 83
4.3
Facility 4.3
NC AVG 5.0
Rank #47 / 83
378-
52
Facility 52
NC AVG 33
Rank #22 / 112
Charles Duff
$11.6MFiscal year ending 09/2023
Facility $11.6MFiscal year ending 09/2023
NC AVG $15.7M
Rank #53 / 84
$5.0MFiscal year ending 09/2023
Facility $5.0MFiscal year ending 09/2023
NC AVG $8.2M
Rank #60 / 84
42.9%Fiscal year ending 09/2023
Facility 42.9%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #53 / 84
345468
Swift Creek Health Center
NH
AL
MC
SNF
Cary (Ponderosa)
3
Facility 3
NC AVG 92
Rank #79 / 80
86.7%
Facility 86.7%
NC AVG 81.3%
Rank #34 / 72
+7%-? - --
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
---3-
42
Facility 42
NC AVG 33
Rank #36 / 112
Cary Senior Housing I Jv Opco LLC
$22.2MFiscal year ending 09/2023
Facility $22.2MFiscal year ending 09/2023
NC AVG $15.7M
Rank #13 / 84
$14.6MFiscal year ending 09/2023
Facility $14.6MFiscal year ending 09/2023
NC AVG $8.2M
Rank #12 / 84
65.7%Fiscal year ending 09/2023
Facility 65.7%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #13 / 84
345577
Litchford Falls Health & Rehabilitation Center
NH
SNF
Raleigh (North Raleigh)
90
Facility 90
NC AVG 92
Rank #41 / 80
96.0%
Facility 96.0%
NC AVG 81.3%
Rank #3 / 72
+18%
3.29
Facility 3.29
NC AVG 3.98
Rank #75 / 83
C- -34%-17%
$181.9k
Facility $181.9k
NC AVG $74.6k
Rank #86 / 89
19
Facility 19
NC AVG 20.9
Rank #58 / 83
3.2
Facility 3.2
NC AVG 5.0
Rank #36 / 83
386-
51
Facility 51
NC AVG 33
Rank #23 / 112
Universal Health Care / Raleigh, Inc
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
NC AVG $15.7M
Rank #72 / 84
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
NC AVG $8.2M
Rank #61 / 84
54.5%Fiscal year ending 12/2023
Facility 54.5%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #24 / 84
345499
Clear Creek Nursing and Rehabilitation Center
NH
SNF
Mint Hill
120
Facility 120
NC AVG 92
Rank #19 / 80
93.1%
Facility 93.1%
NC AVG 81.3%
Rank #12 / 72
+15%
5.04
Facility 5.04
NC AVG 3.98
Rank #26 / 83
F +14%+27%
$105.4k
Facility $105.4k
NC AVG $74.6k
Rank #83 / 89
40
Facility 40
NC AVG 20.9
Rank #79 / 83
8.0
Facility 8.0
NC AVG 5.0
Rank #79 / 83
5112-
5
Facility 5
NC AVG 33
Rank #102 / 112
Coleen Anderson
$11.4MFiscal year ending 09/2023
Facility $11.4MFiscal year ending 09/2023
NC AVG $15.7M
Rank #56 / 84
$3.4MFiscal year ending 09/2023
Facility $3.4MFiscal year ending 09/2023
NC AVG $8.2M
Rank #79 / 84
29.9%Fiscal year ending 09/2023
Facility 29.9%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #78 / 84
345562
Hunter Woods Nursing and Rehabilitation Center
NH
MC
SNF
Charlotte (Hidden Valley)
120
Facility 120
NC AVG 92
Rank #19 / 80
76.6%
Facility 76.6%
NC AVG 81.3%
Rank #54 / 72
-6%
3.56
Facility 3.56
NC AVG 3.98
Rank #67 / 83
F -22%-10%
$71.2k
Facility $71.2k
NC AVG $74.6k
Rank #80 / 89
44
Facility 44
NC AVG 20.9
Rank #80 / 83
5.5
Facility 5.5
NC AVG 5.0
Rank #66 / 83
592-
42
Facility 42
NC AVG 33
Rank #36 / 112
Steven Sheets
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
NC AVG $15.7M
Rank #58 / 84
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
NC AVG $8.2M
Rank #64 / 84
44.9%Fiscal year ending 12/2023
Facility 44.9%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #46 / 84
345388
The Pavilion Health Center at Brightmore
NH
AL
HOS
PC
RC
SNF
Charlotte (Provincetowne)
108
Facility 108
NC AVG 92
Rank #26 / 80
94.9%
Facility 94.9%
NC AVG 81.3%
Rank #7 / 72
+17%
3.69
Facility 3.69
NC AVG 3.98
Rank #61 / 83
C -37%-7%
$103.4k
Facility $103.4k
NC AVG $74.6k
Rank #82 / 89
31
Facility 31
NC AVG 20.9
Rank #71 / 83
7.8
Facility 7.8
NC AVG 5.0
Rank #78 / 83
6103-
20
Facility 20
NC AVG 33
Rank #73 / 112
James Krob
$12.9MFiscal year ending 09/2023
Facility $12.9MFiscal year ending 09/2023
NC AVG $15.7M
Rank #39 / 84
$5.7MFiscal year ending 09/2023
Facility $5.7MFiscal year ending 09/2023
NC AVG $8.2M
Rank #49 / 84
44.5%Fiscal year ending 09/2023
Facility 44.5%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #47 / 84
345563
The Cypress of Charlotte
NH
AL
CCRC
HC
IL
MC
SNF
Charlotte (Beverly Woods)
65
Facility 65
NC AVG 92
Rank #55 / 80
87.4%
Facility 87.4%
NC AVG 81.3%
Rank #33 / 72
+8%
6.39
Facility 6.39
NC AVG 3.98
Rank #9 / 83
? +26%+61%
$58.0k
Facility $58.0k
NC AVG $74.6k
Rank #74 / 89
14
Facility 14
NC AVG 20.9
Rank #43 / 83
4.7
Facility 4.7
NC AVG 5.0
Rank #53 / 83
257-
15
Facility 15
NC AVG 33
Rank #84 / 112
The Cypress Of Charlotte LLC
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
NC AVG $15.7M
Rank #78 / 84
$14.1MFiscal year ending 12/2023
Facility $14.1MFiscal year ending 12/2023
NC AVG $8.2M
Rank #15 / 84
194.2%Fiscal year ending 12/2023
Facility 194.2%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #2 / 84
345495
Walnut Ridge
NH
AL
MC
Walnut Cove
63
Facility 63
NC AVG 92
Rank #58 / 80
100.0%
Facility 100.0%
NC AVG 81.3%
Rank #1 / 72
+23%
3.50
Facility 3.50
NC AVG 3.98
Rank #69 / 83
? -50%-12%
$40.1k
Facility $40.1k
NC AVG $74.6k
Rank #69 / 89
23
Facility 23
NC AVG 20.9
Rank #66 / 83
4.6
Facility 4.6
NC AVG 5.0
Rank #52 / 83
363A+
50
Facility 50
NC AVG 33
Rank #25 / 112
Nita Davis
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
NC AVG $15.7M
Rank #66 / 84
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
NC AVG $8.2M
Rank #74 / 84
37%Fiscal year ending 12/2023
Facility 37%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #72 / 84
345089
Trinity Elms Health and Rehab
NH
AL
IL
MC
SNF
Clemmons
100
Facility 100
NC AVG 92
Rank #34 / 80
90.8%
Facility 90.8%
NC AVG 81.3%
Rank #20 / 72
+12%
5.30
Facility 5.30
NC AVG 3.98
Rank #21 / 83
? +14%+33%
$15.6k
Facility $15.6k
NC AVG $74.6k
Rank #55 / 89
14
Facility 14
NC AVG 20.9
Rank #43 / 83
2.8
Facility 2.8
NC AVG 5.0
Rank #26 / 83
291-
26
Facility 26
NC AVG 33
Rank #63 / 112
-
$10.6MFiscal year ending 09/2023
Facility $10.6MFiscal year ending 09/2023
NC AVG $15.7M
Rank #61 / 84
$5.7MFiscal year ending 09/2023
Facility $5.7MFiscal year ending 09/2023
NC AVG $8.2M
Rank #47 / 84
54.2%Fiscal year ending 09/2023
Facility 54.2%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #26 / 84
345565
PruittHealth – Carolina Point
NH
HOS
RC
SNF
Durham
138
Facility 138
NC AVG 92
Rank #13 / 80
84.3%
Facility 84.3%
NC AVG 81.3%
Rank #41 / 72
+4%
3.35
Facility 3.35
NC AVG 3.98
Rank #72 / 83
C+ -5%-16%
$52.9k
Facility $52.9k
NC AVG $74.6k
Rank #72 / 89
18
Facility 18
NC AVG 20.9
Rank #56 / 83
3.0
Facility 3.0
NC AVG 5.0
Rank #30 / 83
2116-
9
Facility 9
NC AVG 33
Rank #95 / 112
Laticia Beatty
$11.7MFiscal year ending 06/2024
Facility $11.7MFiscal year ending 06/2024
NC AVG $15.7M
Rank #51 / 84
$6.0MFiscal year ending 06/2024
Facility $6.0MFiscal year ending 06/2024
NC AVG $8.2M
Rank #43 / 84
51.5%Fiscal year ending 06/2024
Facility 51.5%Fiscal year ending 06/2024
NC AVG 58.6%
Rank #32 / 84
345551

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

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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

Overview of Swift Creek Health Center

Swift Creek Health Center, located in Cary, NC, is the healthcare arm of Templeton of Cary, providing assisted living, memory care, and skilled nursing services to their residents. This healthcare facility offers skilled nursing services as well as rehabilitation services provided by their RNs, LPNs, and CNAs, under the supervision of a medical doctor who also serves as the medical director.
As part of Templeton of Cary, the residents of Swift Creek Health Center also receive the same services that provide both comfort and convenience. This included concierge, weekly housekeeping and linen service, peal preparation and delivery, and scheduled transportation among other things.

Contact Swift Creek Health Center

Overview of Litchford Falls Health & Rehabilitation Center

Maintain your maximum potential with Litchford Falls Health & Rehabilitation Center, a dedicated community in Raleigh, NC for those needing short-term rehabilitation and long-term care. Their compassionate and reliable care rehab team uses advanced therapy technology and equipment to help residents achieve excellent outcomes from their rehabilitation journey. Physicians and nursing team members are also available to help residents living with chronic illnesses or requiring more complex care services maintain a high quality of life.

Bright and spacious accommodations are provided with housekeeping and maintenance services, ensuring residents remain in a safe and organized environment without the hassles. Meals are prepared by talented chefs and served restaurant-style in a cozy dining room. With an array of activities designed based on residents’ abilities and interests, residents can make the most of their lives even as they recover or face the challenges of a health condition.

Contact Litchford Falls Health & Rehabilitation Center

Overview of Clear Creek Nursing and Rehabilitation Center

Maintain the skills you need to continue enjoying life in Clear Creek Nursing and Rehabilitation Center, a reliable and welcoming community in Mint Hill, NC for short-term and long-term care. Here, residents’ needs are met with compassionate and dignified care and assistance from an interdisciplinary care team. The community features a team of RNS, LPNs, therapists, dieticians, activity directors, and a community-based chaplain to ensure residents’ physical, social, nutritional, and mental health needs are met.

As a community surrounded by nature, lush trees, and vast green spaces, Clear Creek Nursing and Rehabilitation Center provides a healing and relaxing environment for maintaining your well-being. Fun opportunities for fitness, socialization, and hobbies are also available to keep residents active, connected, and entertained. Proper nourishment is also guaranteed with fresh and healthy meals served daily. Here, they go above and beyond in providing a nurturing environment that promotes overall wellness.

Contact Clear Creek Nursing and Rehabilitation Center

Overview of Hunter Woods Nursing and Rehabilitation Center

Owned by Steven Sheets, Hunter Woods Nursing and Rehabilitation Center is a 120-bed skilled nursing home in Charlotte, North Carolina. Medicare, Medicaid, and private pay are accepted to give families several routes to fund short-term rehabilitation and longer-term nursing care.

Hunter Woods Nursing and Rehabilitation Center sits on Tom Hunter Road in a somewhat walkable neighborhood where within walking reach are some errands and services, though most visits need a brief drive. Averaging a stay length of 151 days, the facility serves post-acute residents recuperating from surgery or illness and those wanting ongoing care. Daily nursing support averages 3 hours 27 minutes per resident, built from a mix of registered nurses (20 minutes per day), licensed practical nurses (1 hour 5 minutes per day), and certified nursing aides (1 hour 37 minutes per day). This staffing composition provides consistent, diligent care alongside clinical oversight. The facility also maintains on-site therapy services, including physical, occupational, and speech-language pathology. These can lessen needing outside appointments and bolster occupants’ recovery and functional goals.

For families contemplating Hunter Woods Nursing and Rehabilitation Center, an on-site tour is the best way to see it firsthand, meet the care team, and learn how the home structures its daily programs and services.

Contact Hunter Woods Nursing and Rehabilitation Center

Overview of The Pavilion Health Center at Brightmore

The Pavilion Health Center at Brightmore is a 108-bed nursing home in Charlotte’s Provincetowne neighborhood, part of the larger Brightmore of South Charlotte campus. Situated on Providence Road in a car-dependent area, it’s equipped to serve individuals needing rehabilitation post-hospitalization, surgery, or other acute events, plus those needing longer-term nursing care. Medicare, Medicaid, and private pay, offering multiple routes for coverage.

The facility supports an extensive array of care services: skilled nursing, assisted living, hospice, palliative care, and respite care. This variety lets families find the right level of support in one location as care needs change. With 108 beds and an occupancy rate running at about 83 percent, the home serves a mix of short-term rehabilitation occupants and those in long-term care. The typical stay length is around 60 days, reflecting post-acute admissions and ongoing residents. Clinical care rests on a groundwork of person-centered planning, where a dedicated clinical team works with residents to develop individualized care plans focused on their unique needs and goals. The home prioritizes helping occupants regain skills and independence where possible, aiming to decrease hospital readmissions. Nursing staffing includes a total of 3 hours 46 minutes per resident day, broken down among registered nurses, licensed practical nurses, licensed vocational nurses, and nurse aides. The location on Providence Road is moderately car-dependent, with a Walk Score of 20, so most errands and visits need a drive. However, the facility setting provides a contained atmosphere for residents and visiting family to spend time together.

An in-person tour by families considering this home gives a good sense of the facility’s layout, care team, and daily rhythm. This can help ensure it matches their loved one’s specific care and lifestyle needs.

Contact The Pavilion Health Center at Brightmore

Overview of The Cypress of Charlotte

Live a wondrous retirement with The Cypress of Charlotte, an astounding community set in the tranquil residential area of Cypress Club Drive, Charlotte, NC, that offers independent living. The community features luxurious and specially designed cottages and villas, providing residents with a wide range of choices for accommodation. Here, residents make the most out of their golden years with the community’s vibrant and inviting environment.

With a full calendar of enriching activities and extensive amenities, residents will not run out of things to do for leisure and wellness. Indulge in delightful and healthy meals through the community’s dining venues available all day. The community is equipped with a fireside bistro, a large community hall, a fitness center, an art studio, a library, and serene outdoor verandas, making it an enticing option for those looking to live independently in their golden years.

Contact The Cypress of Charlotte

Overview of Walnut Ridge

Located in Multnomah County, Walnut Cove, NC, Walnut Ridge is a blissful senior living community that offers assisted living and memory care services. Overlooking the scenic views of Walnut Cove’s rolling hills and picturesque cliffs, the community provides a relaxing retirement environment with access to excellent care and compassionate team. Residents here are able to maintain their independence and autonomy while benefiting from personalized care services, including assistance with daily living activities and medication management.

At Walnut Ridge, residents are free from the tiring hassles of chores with housekeeping, laundry, and in-house maintenance services offered. With more free time on their hands, residents are available to enjoy the community’s varied daily social activities planned by a full-time social director, including wellness programs, fun games, and excursions. Three restaurant-style meals are served daily in the elegant dining room with seasonal menus curated by dietitians. Here, residents are able to live worry-free with an extensive array of services, amenities, and activities that fosters a comfortable and meaningful lifestyle.

Contact Walnut Ridge

Overview of Trinity Elms Health and Rehab

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 Health and Rehab

Overview of PruittHealth – Carolina Point

PruittHealth, Carolina Point provides nursing home and skilled nursing care in Durham, NC, along with hospice and respite care. Short and long term nursing services support residents who need ongoing care, while skilled nursing provides licensed nursing care on site around the clock.

Hospice care supports residents receiving end of life care, and respite care offers a short stay when a regular caregiver needs temporary coverage. The community has 138 beds, with private and semi private rooms for residents who want a room to themselves or need shared accommodation.

Rehabilitation and therapy services support short term recovery within the facility, while the beauty salon and spa provide on site grooming services. Medicare, Medicaid, and private pay are accepted, and total nurse staffing is 3 hours and 21 minutes per resident per day, meaning the nursing staff time assigned to each resident across a day. PruittHealth, Carolina Point may be a good fit for someone who needs short term rehabilitation, ongoing nursing care, hospice support, or a temporary stay while a regular caregiver is unavailable.

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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
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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 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