Other senior care options in North Carolina:

Page 6 of Best Nursing Homes in North Carolina

Why trust this guide? Our editorial team analyzed 89 nursing homes in NC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
Reviewed by
Last updated
Jul 2026
We analyzed
89 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

Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The Rosewood Health Center – The Cypress of Raleigh
NH
MC
SNF
Raleigh (North Raleigh)
57
Facility 57
NC AVG 72
Rank #278 / 388
80.4%
Facility 80.4%
NC AVG 68
Rank #98 / 240
+18%
7.06
Facility 7.06
NC AVG 3.98
Rank #6 / 80
+2%+78%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
4
Facility 4
NC AVG 20.9
Rank #12 / 84
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 84
-46-
71
Facility 71
NC AVG 33
Rank #28 / 573
The Cypress Of Raleigh LLC
$28.0MFiscal year ending 12/2023
Facility $28.0MFiscal year ending 12/2023
NC AVG $13.2M
Rank #13 / 87
$15.8MFiscal year ending 12/2023
Facility $15.8MFiscal year ending 12/2023
NC AVG $4.9M
Rank #9 / 87
56.4%Fiscal year ending 12/2023
Facility 56.4%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #49 / 87
345546
River Landing At Sandy Ridge
NH
AL
IL
MC
Colfax
60
Facility 60
NC AVG 72
Rank #231 / 388
92.5%
Facility 92.5%
NC AVG 68
Rank #47 / 240
+36%
6.51
Facility 6.51
NC AVG 3.98
Rank #8 / 80
-5%+64%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
1
Facility 1
NC AVG 20.9
Rank #1 / 84
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 84
-56-
7
Facility 7
NC AVG 33
Rank #477 / 573
Khashana Blake
$12.9MFiscal year ending 09/2023
Facility $12.9MFiscal year ending 09/2023
NC AVG $13.2M
Rank #4 / 87
$17.6MFiscal year ending 09/2023
Facility $17.6MFiscal year ending 09/2023
NC AVG $4.9M
Rank #6 / 87
135.9%Fiscal year ending 09/2023
Facility 135.9%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #77 / 87
345528
Hillside Nursing & Rehab
NH
AL
SNF
Wake Forest
130
Facility 130
NC AVG 72
Rank #24 / 388
85.6%
Facility 85.6%
NC AVG 68
Rank #75 / 240
+26%
4.05
Facility 4.05
NC AVG 3.98
Rank #38 / 80
+3%+2%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
1
Facility 1
NC AVG 20.9
Rank #1 / 84
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 84
-111-
19
Facility 19
NC AVG 33
Rank #385 / 573
Mary Margaret Clifton
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
NC AVG $13.2M
Rank #44 / 87
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
NC AVG $4.9M
Rank #37 / 87
56.6%Fiscal year ending 09/2023
Facility 56.6%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #21 / 87
345417
St. Joseph of the Pines, a CCRC
NH
AL
IL
MC
SNF
Southern Pines
176
Facility 176
NC AVG 72
Rank #5 / 388
41.0%
Facility 41.0%
NC AVG 68
Rank #190 / 240
-40%
4.50
Facility 4.50
NC AVG 3.98
Rank #26 / 80
-9%+13%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
7
Facility 7
NC AVG 20.9
Rank #26 / 84
2.3
Facility 2.3
NC AVG 5.0
Rank #25 / 84
-72A+
2
Facility 2
NC AVG 33
Rank #527 / 573
Timothy Buist
$10.4MFiscal year ending 06/2024
Facility $10.4MFiscal year ending 06/2024
NC AVG $13.2M
Rank #9 / 87
$14.1MFiscal year ending 06/2024
Facility $14.1MFiscal year ending 06/2024
NC AVG $4.9M
Rank #13 / 87
135.4%Fiscal year ending 06/2024
Facility 135.4%Fiscal year ending 06/2024
NC AVG 39.8%
Rank #73 / 87
345044
Village Green Health and Rehabilitation
NH
SNF
Fayetteville (Terry Sanford)
170
Facility 170
NC AVG 72
Rank #7 / 388
68.8%
Facility 68.8%
NC AVG 68
Rank #134 / 240
+1%
3.31
Facility 3.31
NC AVG 3.98
Rank #71 / 80
-40%-17%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
8
Facility 8
NC AVG 20.9
Rank #30 / 84
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 84
-117-
48
Facility 48
NC AVG 33
Rank #168 / 573
Kaia Collins-Frye
$15.3MFiscal year ending 12/2023
Facility $15.3MFiscal year ending 12/2023
NC AVG $13.2M
Rank #37 / 87
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
NC AVG $4.9M
Rank #44 / 87
36.6%Fiscal year ending 12/2023
Facility 36.6%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #53 / 87
345380
Carol Woods
NH
AL
IL
SNF
Chapel Hill (Carol Woods)
30
Facility 30
NC AVG 72
Rank #327 / 388
72.7%
Facility 72.7%
NC AVG 68
Rank #127 / 240
+7%
5.94
Facility 5.94
NC AVG 3.98
Rank #10 / 80
+239%+49%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
7
Facility 7
NC AVG 20.9
Rank #26 / 84
3.5
Facility 3.5
NC AVG 5.0
Rank #38 / 84
-22-
13
Facility 13
NC AVG 33
Rank #433 / 573
The Chapel Hill Residential Retirement Center, Inc
$29.1MFiscal year ending 12/2023
Facility $29.1MFiscal year ending 12/2023
NC AVG $13.2M
Rank #7 / 87
$18.0MFiscal year ending 12/2023
Facility $18.0MFiscal year ending 12/2023
NC AVG $4.9M
Rank #7 / 87
61.7%Fiscal year ending 12/2023
Facility 61.7%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #69 / 87
345199
BellaRose Nursing and Rehab
NH
HOS
RC
SNF
Garner
100
Facility 100
NC AVG 72
Rank #78 / 388
93.9%
Facility 93.9%
NC AVG 68
Rank #43 / 240
+38%
3.20
Facility 3.20
NC AVG 3.98
Rank #74 / 80
-28%-20%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
2
Facility 2
NC AVG 20.9
Rank #8 / 84
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 84
-94-
4
Facility 4
NC AVG 33
Rank #507 / 573
William Burroughs
$13.4MFiscal year ending 09/2023
Facility $13.4MFiscal year ending 09/2023
NC AVG $13.2M
Rank #38 / 87
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
NC AVG $4.9M
Rank #36 / 87
58.2%Fiscal year ending 09/2023
Facility 58.2%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #36 / 87
345574
Perry Creek Health & Rehabilitation Center
NH
SNF
Raleigh (Northeast Raleigh)
90
Facility 90
NC AVG 72
Rank #117 / 388
84.0%
Facility 84.0%
NC AVG 68
Rank #81 / 240
+24%
3.81
Facility 3.81
NC AVG 3.98
Rank #51 / 80
+33%-4%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
2
Facility 2
NC AVG 20.9
Rank #8 / 84
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 84
-76-
24
Facility 24
NC AVG 33
Rank #350 / 573
-
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
NC AVG $13.2M
Rank #62 / 87
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
NC AVG $4.9M
Rank #69 / 87
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #51 / 87
345003
Givens Highland Farms
NH
HC
IL
RC
SNF
Black Mountain
60
Facility 60
NC AVG 72
Rank #231 / 388
84.7%
Facility 84.7%
NC AVG 68
Rank #79 / 240
+25%
5.57
Facility 5.57
NC AVG 3.98
Rank #15 / 80
+11%+40%
$4.3k
Facility $4.3k
NC AVG $74.6k
Rank #44 / 88
14
Facility 14
NC AVG 20.9
Rank #46 / 84
4.7
Facility 4.7
NC AVG 5.0
Rank #52 / 84
-51-
12
Facility 12
NC AVG 33
Rank #441 / 573
Givens Estates, Inc
$21.1MFiscal year ending 12/2023
Facility $21.1MFiscal year ending 12/2023
NC AVG $13.2M
Rank #29 / 87
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
NC AVG $4.9M
Rank #27 / 87
38.9%Fiscal year ending 12/2023
Facility 38.9%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #43 / 87
345078
Carolina Bay at Autumn Hall
NH
AL
IL
MC
SNF
Wilmington (Windemere)
30
Facility 30
NC AVG 72
Rank #327 / 388
94.3%
Facility 94.3%
NC AVG 68
Rank #39 / 240
+39%
4.36
Facility 4.36
NC AVG 3.98
Rank #28 / 80
+14%+10%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
6
Facility 6
NC AVG 20.9
Rank #21 / 84
3.0
Facility 3.0
NC AVG 5.0
Rank #31 / 84
-28-
18
Facility 18
NC AVG 33
Rank #395 / 573
Wilmington Ah Senior Housing Jv Opco LLC
$11.9MFiscal year ending 09/2023
Facility $11.9MFiscal year ending 09/2023
NC AVG $13.2M
Rank #53 / 87
$5.1MFiscal year ending 09/2023
Facility $5.1MFiscal year ending 09/2023
NC AVG $4.9M
Rank #71 / 87
43.3%Fiscal year ending 09/2023
Facility 43.3%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #70 / 87
345571
Given Estates
NH
AL
RC
SNF
Asheville (Stockwood)
70
Facility 70
NC AVG 72
Rank #184 / 388
82.0%
Facility 82.0%
NC AVG 68
Rank #91 / 240
+21%
5.59
Facility 5.59
NC AVG 3.98
Rank #15 / 80
-43%+41%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
20
Facility 20
NC AVG 20.9
Rank #57 / 84
6.7
Facility 6.7
NC AVG 5.0
Rank #73 / 84
-57-
29
Facility 29
NC AVG 33
Rank #322 / 573
John Cowan
$60.9MFiscal year ending 12/2023
Facility $60.9MFiscal year ending 12/2023
NC AVG $13.2M
Rank #1 / 87
$21.6MFiscal year ending 12/2023
Facility $21.6MFiscal year ending 12/2023
NC AVG $4.9M
Rank #1 / 87
35.6%Fiscal year ending 12/2023
Facility 35.6%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #76 / 87
345328
College Pines Health and Rehabilitation Center
NH
SNF
Connelly Springs (Locust Street)
100
Facility 100
NC AVG 72
Rank #78 / 388
93.7%
Facility 93.7%
NC AVG 68
Rank #44 / 240
+38%
3.98
Facility 3.98
NC AVG 3.98
Rank #38 / 80
-11%0%
$16.8k
Facility $16.8k
NC AVG $74.6k
Rank #57 / 88
4
Facility 4
NC AVG 20.9
Rank #12 / 84
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 84
294-
6
Facility 6
NC AVG 33
Rank #485 / 573
-
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
NC AVG $13.2M
Rank #46 / 87
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
NC AVG $4.9M
Rank #38 / 87
45.2%Fiscal year ending 12/2023
Facility 45.2%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #18 / 87
345446
Maple Grove Health & Rehabilitation Center
NH
MC
SNF
Greensboro
210
Facility 210
NC AVG 72
Rank #2 / 388
51.0%
Facility 51.0%
NC AVG 68
Rank #178 / 240
-25%
3.81
Facility 3.81
NC AVG 3.98
Rank #51 / 80
-7%-4%
$50.3k
Facility $50.3k
NC AVG $74.6k
Rank #69 / 88
24
Facility 24
NC AVG 20.9
Rank #64 / 84
6.0
Facility 6.0
NC AVG 5.0
Rank #67 / 84
3107-
51
Facility 51
NC AVG 33
Rank #138 / 573
-
$11.6MFiscal year ending 09/2023
Facility $11.6MFiscal year ending 09/2023
NC AVG $13.2M
Rank #67 / 87
$5.0MFiscal year ending 09/2023
Facility $5.0MFiscal year ending 09/2023
NC AVG $4.9M
Rank #33 / 87
42.8%Fiscal year ending 09/2023
Facility 42.8%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #4 / 87
345448
Carolina Village
NH
AL
IL
MC
SNF
Hendersonville
60
Facility 60
NC AVG 72
Rank #231 / 388
79.8%
Facility 79.8%
NC AVG 68
Rank #104 / 240
+17%
6.69
Facility 6.69
NC AVG 3.98
Rank #7 / 80
+43%+68%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 88
7
Facility 7
NC AVG 20.9
Rank #26 / 84
2.3
Facility 2.3
NC AVG 5.0
Rank #25 / 84
-46-
82
Facility 82
NC AVG 33
Rank #3 / 573
-
$32.3MFiscal year ending 03/2024
Facility $32.3MFiscal year ending 03/2024
NC AVG $13.2M
Rank #8 / 87
$16.4MFiscal year ending 03/2024
Facility $16.4MFiscal year ending 03/2024
NC AVG $4.9M
Rank #10 / 87
50.9%Fiscal year ending 03/2024
Facility 50.9%Fiscal year ending 03/2024
NC AVG 39.8%
Rank #70 / 87
345123
Croasdaile Village
NH
AL
HC
IL
MC
SNF
Durham
64
Facility 64
NC AVG 72
Rank #214 / 388
--
5.75
Facility 5.75
NC AVG 3.98
Rank #12 / 80
-45%+45%
$30.6k
Facility $30.6k
NC AVG $74.6k
Rank #63 / 88
5
Facility 5
NC AVG 20.9
Rank #17 / 84
1.7
Facility 1.7
NC AVG 5.0
Rank #9 / 84
-83-
9
Facility 9
NC AVG 33
Rank #463 / 573
Susan Ezekiel
$44.5MFiscal year ending 09/2023
Facility $44.5MFiscal year ending 09/2023
NC AVG $13.2M
Rank #2 / 87
$17.3MFiscal year ending 09/2023
Facility $17.3MFiscal year ending 09/2023
NC AVG $4.9M
Rank #4 / 87
38.9%Fiscal year ending 09/2023
Facility 38.9%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #81 / 87
345501
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Nursing Home Explorer
Overview of Cedar Hills Center for Nursing and Rehabilitation

With a rich legacy of 75 years in healthcare, Cedar Hills Center for Nursing and Rehabilitation, nestled in the serene suburbs of Clemmons, North Carolina, is a distinguished 93-bed skilled nursing facility. Their commitment extends to short-term and long-term care, further bolstered by a specialized group of full-time rehabilitation specialists dedicated to meeting every senior’s unique needs. The core objective at Cedar Hills is to ensure residents feel like guests and valued members of their extended family. They aim to provide a nurturing and supportive environment where seniors have everything essential for recovery and overall well-being. Experience compassionate care, personalized service, and a supportive community at Cedar Hills Center for Nursing and Rehabilitation – where senior well-being is paramount, and you’re treated as a valued family member.

Cedar Hills recognizes the individuality of each person they serve, understanding that everyone comes with their own set of unique needs. Consequently, they take a personalized approach to each senior resident’s care and rehabilitation journey. With its comprehensive array of services and a team of professionals who genuinely care about senior well-being, Cedar Hills is committed to helping seniors reclaim their lives and embrace their best selves. Cedar Hills offers extensive care services administered by a dedicated team of skilled professionals, ensuring patients receive care with warmth and hospitality reminiscent of family and friends. Here, they pride themselves on creating an environment that feels like a home away from home.

Contact Cedar Hills Center for Nursing and Rehabilitation

Overview of Myers Park Nursing Center

Myers Park Nursing Center is a leading community in Charlotte, NC, dedicated to offering outstanding skilled nursing care, rehabilitation services, and memory care to its residents. The community provides its residents with personalized care plans and a team of well-experienced caregivers and healthcare professionals to accommodate their unique needs. By offering assistance with daily living activities, medication management, therapy services, and essential medical interventions, the community makes sure residents are well-equipped to maintain their health and well-being.

The community also has an array of fun and engaging recreational activities to stimulate their minds and keep them active while receiving compassionate care. Nutritional meals are also served daily to help residents maintain proper nourishment and nutrition. At Myers Park Nursing Center, they strive to create a comfortable and nurturing environment for recovering their overall functioning and well-being.

Contact Myers Park Nursing 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 Peak Resources Wilmington

Peak Resources Wilmington, located in Wilmington, NC, is a rehabilitation and healthcare facility offering skilled nursing and rehabilitation services to both its long-term residents, and patients. Their skilled nursing services are committed to providing high quality care for their long-term residents as well as comfort, which is why part of the services they provide include dementia care, respite care, assisted living, and hospice care.

At Peak Resources Wilmington, residents are provided 24/7 nursing care, dietetic programming and nutrition management, medication management, wound and pain management, ostomy care and management and access to their nursing program, helping the residents to adapt and adjust to independent living, as safely as possible.

Contact Peak Resources Wilmington

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Willow Valley Center for Nursing and Rehabilitation

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 Mill Creek Center for Nursing & Rehabilitation

The sister home of Willow Valley Center, Mill Creek, is also the premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Mill Creek is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Mill Creek Center for Nursing & Rehabilitation

Flesher’s Fairview Rest Home

3016 Cane Creek Road Fairview, Nc 28730, Fairview, NC 28730
Overview of Flesher’s Fairview Rest Home

Flesher’s Fairview Rest Home is a 64-bed assisted living community at 3016 Cane Creek Road, Fairview, Buncombe County, North Carolina,, rated 3 out of 5 overall by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, and ranked 40th (tied) among 138 homes in the state. In operation since 1964, the facility offers assisted living, medical care, and nursing and rehabilitative care, accepting both Medicaid and Medicare.

Across nine inspections from December 2014 through June 2025, the facility accumulated 3.4 deficiencies per year, 35 percent better than the North Carolina average of 5.2. That record has improved noticeably in the most recent cycle.

The follow-up construction survey concluded June 16, 2025, found zero deficiencies and confirmed all previously cited issues corrected. Before that, a Construction Section Biennial Survey on April 30, 2025, cited 4 deficiencies: ceiling maintenance failures in the laundry room and exhaust fan grille, improperly stored oxygen bottles, incomplete fire rehearsal logs, and an unsecured light fixture in Room 23. The July 2023 annual inspection, which included a complaint investigation, produced 2 deficiencies, one of them a substantiated complaint in which Resident 4’s television remote was removed from her room, causing distress. The same inspection found failure to notify Resident 3’s family within 48 hours of multiple falls.

The May 2022 annual inspection cited improper medication recording and COVID-19 infection control lapses including absent visitor screening and inconsistent staff mask use. Earlier construction surveys in 2019 and 2017 flagged recurring issues with unsecured oxygen cylinders, fire-wall penetrations, missing grab bars, and odor control; a 2019 annual inspection added a physician-order compliance failure involving a CPAP and oxygen prescription. A 2016 annual inspection cited third-shift staffing insufficiency and failure to maintain administrator presence within regulatory distance. No fines or enforcement actions appear in the available record.

Current occupancy is 23 of 64 beds, or 36 percent, well below the North Carolina average of 76.4 percent. The facility sits in Fairview, an unincorporated community roughly 12 miles southeast of Asheville, with Mission Hospital serving as the primary nearby acute-care resource.

The clean June 2025 follow-up is encouraging; families should still ask about the April 2025 oxygen storage and fire safety corrections and fall notification protocols.

Contact Flesher’s Fairview Rest Home

Homestead Hills

3250 Homestead Club Dr, Winston-Salem, NC 27103
Overview of Homestead Hills

Situated in Winston-Salem, North Carolina, Homestead Hills stands as a premier retirement community with a rich tradition of commitment. Living options encompass Independent Living, Assisted Living, Memory Care, Skilled Nursing, and Short-Term Rehabilitation & Therapy, all unified by a dedicated mission: to help its Members live Longer, Healthier, Happier lives.

Homestead Hills extends a warm invitation to individuals eager to experience an ideal retirement. Within this community, residents find luxurious accommodations, a vibrant social calendar, restaurant-style fine dining, and an award-winning wellness program, all designed to make retirement genuinely fulfilling.

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Overview of Bradley Creek Health Center

Bradley Creek Health Center, located in Wilmington, NC, is a senior living community within Carolina Bay Autumn Hall, offering assisted living and memory care services, and skilled nursing care. The accommodation options include studio and one-bedroom units with baths, providing residents with comfortable and personalized living spaces. The community ensures 24/7 care availability, including medication administration and reminders, occupational therapy, physical therapy, and the expertise of registered nurses and speech therapists to support residents’ health and well-being.

Residents at Bradley Creek Health Center enjoy a range of amenities designed to enhance their living experience. The community prioritizes safety with 24-hour security and controlled building entry, along with an emergency notification system for residents’ peace of mind. Flexible meal plans, furnished meals, gardening, housekeeping services, and the opportunity for outings and day trips contribute to a well-rounded and enjoyable lifestyle. Outdoor enthusiasts can explore the outside walking paths, providing a scenic and relaxing environment.

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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.

  • 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 89 nursing homes in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in North Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in North Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.