Page 8 of Best Nursing Homes in North Carolina

Why trust this guide? Our editorial team analyzed 115 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.
115 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-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. 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. CCRC( (Continuing Care Retirement Communities (CCRC)):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Oaks at Whitaker Glen-
NH
AL
CCRC(
HC
IL
MC
SNF
Raleigh (Five Points)
139
Facility 139
NC AVG 92
Rank #12 / 80
-------------A+
28
Facility 28
NC AVG 33
Rank #60 / 112
$8.8M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.5M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.50.5%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.345009
Twin Lakes Memory Care-
NH
ADC
AL
MC
SNF
Burlington
32
Facility 32
NC AVG 92
Rank #70 / 80
--------------
72
Facility 72
NC AVG 33
Rank #7 / 112
$2.7M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.1M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.78%*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.345545

Rank badges are statewide: each nursing home is ranked against every NC nursing home we track that reports that metric, not just the 115 on this page. See how we rank facilities

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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.

Contact Homestead Hills

Overview of Arbor Acres United Methodist Retirement Community

Arbor Acres United Methodist Retirement Community operates as a memory care facility in Winston-Salem, North Carolina, under Methodist Church affiliation. The facility is not currently CMS-certified for Medicare or Medicaid. Bert Sanders has served as Healthcare Administrator since 2024. Walk score of 38 reflects somewhat walkable neighborhood access, though most resident errands and outings require transportation.

The community provides skilled nursing care, memory care, rehabilitation services, and respite care. The facility’s stated philosophy emphasizes hospitality, stress-free lifestyle, and support for purposeful living within a residential, resort-style environment.

Licensed nurses and certified nursing assistants staff the facility. Programming includes Fountain Hill Home Care and arts activities designed for cognitive support and resident engagement. Amenities encompass housekeeping, physical therapy, organized social events, 24-hour concierge service, hair salon, library access, and restaurant-style dining.

The facility does not participate in CMS certification. Residents access the facility through private pay arrangements and potentially through North Carolina’s financial assistance programs including Community Alternatives Program for Disabled Adults, Program of All-Inclusive Care for the Elderly (PACE), and State/County Special Assistance programs, though direct facility-level participation in these programs is not confirmed.

The Methodist Church affiliation may indicate nonprofit status and long-standing community presence.

Family evaluation of Arbor Acres necessarily relies on in-person facility visits, direct interviews with current residents and family members, review of individual care agreements and service specifications, and assessment of observed staff-resident interactions and physical environment conditions rather than comparative public benchmarking.

Arbor Acres presents itself as a specialized memory care community emphasizing lifestyle amenities and personalized support.

Contact Arbor Acres United Methodist Retirement Community

Trinity Elms

3750 Harper Road Clemmons, Nc 27012, Clemmons, NC 27012
Overview of Trinity Elms

Trinity Elms is a 104-bed community at 3750 Harper Road in Clemmons, North Carolina. Accordius Health At Clemmons, LLC operates it. The building holds licensure for nursing home care, assisted living, independent living, memory care, and skilled nursing, which is a wide span for one address. A resident whose needs change does not necessarily have to move.

The surrounding area carries a Walk Score of 56, which places it in moderately walkable territory. Some errands work on foot, and some do not.

Short-term rehab and general rehabilitation services are both offered, alongside respite care for families managing a caregiving gap at home. The mix suggests a census divided between people recovering from a hospitalization and people who have settled in for longer stays.

Total nursing care runs four hours and six minutes per resident per day. Nurse aides account for two hours and 49 minutes of that, licensed practical nurses for 56 minutes, and registered nurses for 32 minutes.

Medicare, Medicaid, and private pay are all accepted here, which covers the funding routes most families end up using. Trinity Elms is built for older adults who need skilled nursing or memory care, with enough licensure range that a change in condition does not automatically mean a change in address.

Contact Trinity Elms

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.

Contact Bradley Creek Health Center

Croasdaile Village

2600 Croasdaile Farm Pkwy, Durham, NC 27705
Overview of Croasdaile Village

Croasdaile Village is the ideal backdrop for a fulfilling and delightful retirement in Durham’s vibrant embrace. Set against the former dairy farm spanning over 100 acres, this assisted living community blends the serenity of rural surroundings seamlessly with the convenience of urban living. Croasdaile Village’s expansive campus caters to a diverse community. The allure lies not only in the sprawling open spaces but also in the sought-after location of Durham itself.
For senior residents at Croasdaile, the vista of native hardwoods, meadows, and the tranquil private lake unfolds from maintained walking paths—a serene panorama capturing North Carolina’s splendor. Here, a newfound sense of liberation blossoms, where the avenues for camaraderie and personal fulfillment are limitless. At Croasdaile Village, the power to shape days around passions and happiness becomes a reality, ushering in an era of boundless opportunity and cherished companionship with farm-to-table dining experiences, world-renowned museums, and captivating sporting events, the community revels in the best Durham offers. Yet, above all, it’s the strong sense of belonging that genuinely transforms Croasdaile Village into a cherished home.

Contact Croasdaile Village

Overview of The Stewart Health Center

Thrive in your golden years with The Stewart Health Center, an excellent community in Charlotte, NC, offering short-term rehabilitation, long-term care, and memory care. Their excellent care team consists of nurses, doctors, specialists, and support team members to ensure residents receive well-rounded care and support. The community features 67 private rooms & 6 shared rooms that foster privacy and safety, alongside an outstanding staff-to-resident ratio that guarantees personalized care and high-level supervision.

With the help of their dedicated recreation specialist, the community provides residents with a wide selection of fun and engaging activities to enjoy and participate in. To ensure residents are receiving proper nourishment, the community has a talented culinary team to serve residents delicious and nutritionally balanced meals. The community also has access to physical, occupational, and speech therapy, ensuring residents recovering from hospitalization can get back on their feet as quickly as possible. The Stewart Health Center provides a relaxing, healing environment with plenty of opportunities for fun and recreation.

Contact The Stewart Health Center

Overview of Guilford Health Care Center

Guilford Holdings III operates Guilford Health Care Center, a 110-bed nursing home in Greensboro, North Carolina, that focuses on short-term surgical recovery and illness rehabilitation. The building runs at a high 92.6 percent occupancy level, meaning room openings are limited due to steady local demand. Most residents here are covered by Medicaid and stay for an average of 151 days, a timeline indicating that daily operations are split between post-hospital therapy turnarounds and intermediate long-term care.

The daily care routine centers on a hands-on nursing schedule that logs an average of 2 hours and 54 minutes of direct attention per resident each day. Nurses and assistants use these hours to coordinate clinical monitoring alongside a structured physical therapy program. For visitors, the property holds a walk score of 33, meaning the neighborhood is mostly car-dependent, though a few local services might be reachable on foot.

Families looking over regional care options can connect with the admissions coordinator to check on open beds or to discuss the standard move-in checklist. The business office organizes billing through traditional Medicare, state Medicaid, and private pay, while the floor staff can tell you about their restaurant-style dining setup, where chefs prepare meals on demand.

Contact Guilford Health Care Center

Overview of Autumn Care of Fayetteville

In the field of dependable skilled nursing facilities, Autumn Care of Fayetteville stands unwavering, a testament to its reliability. Set in the heart of West Fayetteville, North Carolina, this community not only boasts a tranquil and serene atmosphere but also offers unparalleled accessibility through major highways. Its scenic surroundings, adorned with lush greenery, create a picturesque backdrop for a vibrant community buzzing with engaging events and activities.
Autumn Care of Fayetteville takes pride in its dedicated senior living team, offering a spectrum of services from short-term senior care and rehabilitation to long-term skilled nursing care and respite care. Their commitment to excellence is reflected in their state-of-the-art equipment, including cutting-edge tools like the OmniCycle, Virtual Rehab Systems, ultrasound, and Vital Stim. Amidst these advanced resources, Autumn Care manages to retain a warm, home-like ambiance, ensuring not only reliability but also a sense of comfort and familiarity for its residents. Their stellar reputation is further validated by glowing nursing home reviews, affirming the exceptional care provided within their walls.

Contact Autumn Care of Fayetteville

Ashton Health and Rehabilitation

Off Wendover East, 5533 Burlington Rd, Mcleansville, NC 27301
Overview of Ashton Health and Rehabilitation

Located in Burlington Road, McLeansville, NC, Ashton Health and Rehabilitation is a blissful senior living community offering a wide array of care services including rehabilitation, long-term care, physical therapy, occupational therapy, speech therapy, wound and skin care, and nutritional care. With its dedication to providing the highest quality of care and assistance, the community features a team of kind and highly skilled professionals.

Live without worries for medical assistance with Ashton Health and Rehabilitation. Ashton Health and Rehabilitation fosters a warm and friendly environment, creating opportunities for residents to meet different people. The community ensures not only seniors’ well-being but also its team’s wellness, providing a wonderful working environment for its team. Ashton Health and Rehabilitation is committed to enhancing residents’ quality of life while retaining their independence.

Contact Ashton Health and Rehabilitation

Overview of Southpoint Rehabilitation and Healthcare Center

Southpoint Rehabilitation and Healthcare Center is a nursing home and skilled nursing community in Durham, NC that also provides hospice, palliative, and respite care. Skilled nursing means licensed nurses are on site around the clock, while nursing home care supports residents who need ongoing assistance and supervision in a residential setting.

Hospice care focuses on comfort for residents nearing the end of life. Palliative care addresses comfort and symptom management for people with serious illness, and respite care offers a short stay for a family whose usual caregiver needs time to travel, recover, or manage other responsibilities.

The facility provides sub-acute and long-term care, with rehabilitation available on site so therapy can be included in a resident’s care plan. Sub-acute care can support continued medical and rehabilitation needs after hospital treatment, while long-term care serves residents who need ongoing care. Meals are planned and prepared under the oversight of an in-house registered dietitian, and individualized special diets are developed with families and physicians to match medical needs. Transportation is available for residents who need help traveling to appointments or other destinations, and Medicare, Medicaid, and private pay are accepted.

Contact Southpoint Rehabilitation and Healthcare 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.

  • 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 115 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.