Other senior care options in North Carolina:

Page 8 of Best Nursing Homes in North Carolina

Why trust this guide? Our editorial team analyzed 86 nursing homes in North Carolina using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NC
Reviewed by
Last updated
Jul 2026
We analyzed
86 homes
Other senior care options in North Carolina:
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in North Carolina. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in North Carolina. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in North Carolina. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around North Carolina

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

CMS & NC Dept. of Health data

River Landing At Sandy Ridge
NH
AL
IL
MC
Colfax
60
92.5%
Facility 92.5%
NC AVG 68.1
Rank #49 / 243
+36%
6.51
Facility 6.51
NC AVG 3.98
Rank #9 / 97
-5%+64%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
1
Facility 1
NC AVG 20.9
Rank #1 / 101
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 101
-56- 7 Khashana Blake
$12.9MFiscal year ending 09/2023
Facility $12.9MFiscal year ending 09/2023
NC AVG $13.2M
Rank #5 / 104
$17.6MFiscal year ending 09/2023
Facility $17.6MFiscal year ending 09/2023
NC AVG $4.9M
Rank #7 / 104
135.9%Fiscal year ending 09/2023
Facility 135.9%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #92 / 104
345528
St. Joseph of the Pines, a CCRC
NH
AL
IL
MC
SNF
Southern Pines
176
41.0%
Facility 41.0%
NC AVG 68.1
Rank #193 / 243
-40%
4.50
Facility 4.50
NC AVG 3.98
Rank #29 / 97
-9%+13%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
7
Facility 7
NC AVG 20.9
Rank #27 / 101
2.3
Facility 2.3
NC AVG 5.0
Rank #26 / 101
-72A+ 2 Timothy Buist
$10.4MFiscal year ending 06/2024
Facility $10.4MFiscal year ending 06/2024
NC AVG $13.2M
Rank #10 / 104
$14.1MFiscal year ending 06/2024
Facility $14.1MFiscal year ending 06/2024
NC AVG $4.9M
Rank #14 / 104
135.4%Fiscal year ending 06/2024
Facility 135.4%Fiscal year ending 06/2024
NC AVG 39.8%
Rank #86 / 104
345044
Hillside Nursing & Rehab
NH
AL
SNF
Wake Forest
130
85.6%
Facility 85.6%
NC AVG 68.1
Rank #77 / 243
+26%
4.05
Facility 4.05
NC AVG 3.98
Rank #43 / 97
+3%+2%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
1
Facility 1
NC AVG 20.9
Rank #1 / 101
1.0
Facility 1.0
NC AVG 5.0
Rank #1 / 101
-111- 19 Mary Margaret Clifton
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
NC AVG $13.2M
Rank #49 / 104
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
NC AVG $4.9M
Rank #42 / 104
56.6%Fiscal year ending 09/2023
Facility 56.6%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #26 / 104
345417
Carol Woods
NH
AL
IL
SNF
Chapel Hill (Carol Woods)
30
72.7%
Facility 72.7%
NC AVG 68.1
Rank #129 / 243
+7%
5.94
Facility 5.94
NC AVG 3.98
Rank #11 / 97
+239%+49%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
7
Facility 7
NC AVG 20.9
Rank #27 / 101
3.5
Facility 3.5
NC AVG 5.0
Rank #41 / 101
-22- 13 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 #8 / 104
$18.0MFiscal year ending 12/2023
Facility $18.0MFiscal year ending 12/2023
NC AVG $4.9M
Rank #8 / 104
61.7%Fiscal year ending 12/2023
Facility 61.7%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #81 / 104
345199
The Rosewood Health Center – The Cypress of Raleigh
NH
MC
SNF
Raleigh (North Raleigh)
57
80.4%
Facility 80.4%
NC AVG 68.1
Rank #100 / 243
+18%
7.06
Facility 7.06
NC AVG 3.98
Rank #7 / 97
+2%+78%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-46- 71 The Cypress Of Raleigh LLC
$28.0MFiscal year ending 12/2023
Facility $28.0MFiscal year ending 12/2023
NC AVG $13.2M
Rank #15 / 104
$15.8MFiscal year ending 12/2023
Facility $15.8MFiscal year ending 12/2023
NC AVG $4.9M
Rank #10 / 104
56.4%Fiscal year ending 12/2023
Facility 56.4%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #57 / 104
345546
BellaRose Nursing and Rehab
NH
HOS
RC
SNF
Garner
100
93.9%
Facility 93.9%
NC AVG 68.1
Rank #44 / 243
+38%
3.20
Facility 3.20
NC AVG 3.98
Rank #89 / 97
-28%-20%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
2
Facility 2
NC AVG 20.9
Rank #8 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-94- 4 William Burroughs
$13.4MFiscal year ending 09/2023
Facility $13.4MFiscal year ending 09/2023
NC AVG $13.2M
Rank #42 / 104
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
NC AVG $4.9M
Rank #41 / 104
58.2%Fiscal year ending 09/2023
Facility 58.2%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #42 / 104
345574
Perry Creek Health & Rehabilitation Center
NH
SNF
Raleigh (Northeast Raleigh)
90
84.0%
Facility 84.0%
NC AVG 68.1
Rank #83 / 243
+23%
3.81
Facility 3.81
NC AVG 3.98
Rank #58 / 97
+33%-4%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
2
Facility 2
NC AVG 20.9
Rank #8 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-76- 24 -
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
NC AVG $13.2M
Rank #69 / 104
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
NC AVG $4.9M
Rank #80 / 104
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #59 / 104
345003
Givens Highland Farms
NH
HC
IL
RC
SNF
Black Mountain
60
84.7%
Facility 84.7%
NC AVG 68.1
Rank #81 / 243
+24%
5.57
Facility 5.57
NC AVG 3.98
Rank #16 / 97
+11%+40%
$4.3k
Facility $4.3k
NC AVG $74.6k
Rank #49 / 105
14
Facility 14
NC AVG 20.9
Rank #50 / 101
4.7
Facility 4.7
NC AVG 5.0
Rank #58 / 101
-51- 12 Givens Estates, Inc
$21.1MFiscal year ending 12/2023
Facility $21.1MFiscal year ending 12/2023
NC AVG $13.2M
Rank #33 / 104
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
NC AVG $4.9M
Rank #30 / 104
38.9%Fiscal year ending 12/2023
Facility 38.9%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #51 / 104
345078
Carolina Bay at Autumn Hall
NH
AL
IL
MC
SNF
Wilmington (Windemere)
30
94.3%
Facility 94.3%
NC AVG 68.1
Rank #39 / 243
+38%
4.36
Facility 4.36
NC AVG 3.98
Rank #32 / 97
+14%+10%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
6
Facility 6
NC AVG 20.9
Rank #21 / 101
3.0
Facility 3.0
NC AVG 5.0
Rank #32 / 101
-28- 18 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 #59 / 104
$5.1MFiscal year ending 09/2023
Facility $5.1MFiscal year ending 09/2023
NC AVG $4.9M
Rank #82 / 104
43.3%Fiscal year ending 09/2023
Facility 43.3%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #83 / 104
345571
Given Estates
NH
AL
RC
SNF
Asheville (Stockwood)
70
82.0%
Facility 82.0%
NC AVG 68.1
Rank #93 / 243
+20%
5.59
Facility 5.59
NC AVG 3.98
Rank #16 / 97
-43%+41%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
20
Facility 20
NC AVG 20.9
Rank #67 / 101
6.7
Facility 6.7
NC AVG 5.0
Rank #87 / 101
-57- 29 John Cowan
$60.9MFiscal year ending 12/2023
Facility $60.9MFiscal year ending 12/2023
NC AVG $13.2M
Rank #1 / 104
$21.6MFiscal year ending 12/2023
Facility $21.6MFiscal year ending 12/2023
NC AVG $4.9M
Rank #1 / 104
35.6%Fiscal year ending 12/2023
Facility 35.6%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #91 / 104
345328
Village Green Health and Rehabilitation
NH
SNF
Fayetteville (Terry Sanford)
170
68.8%
Facility 68.8%
NC AVG 68.1
Rank #136 / 243
+1%
3.31
Facility 3.31
NC AVG 3.98
Rank #84 / 97
-40%-17%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
8
Facility 8
NC AVG 20.9
Rank #31 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
-117- 48 Kaia Collins-Frye
$15.3MFiscal year ending 12/2023
Facility $15.3MFiscal year ending 12/2023
NC AVG $13.2M
Rank #41 / 104
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
NC AVG $4.9M
Rank #49 / 104
36.6%Fiscal year ending 12/2023
Facility 36.6%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #61 / 104
345380
College Pines Health and Rehabilitation Center
NH
SNF
Connelly Springs (Locust Street)
100
93.7%
Facility 93.7%
NC AVG 68.1
Rank #46 / 243
+38%
3.98
Facility 3.98
NC AVG 3.98
Rank #43 / 97
-11%0%
$16.8k
Facility $16.8k
NC AVG $74.6k
Rank #67 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
2.0
Facility 2.0
NC AVG 5.0
Rank #13 / 101
294- 6 -
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
NC AVG $13.2M
Rank #51 / 104
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
NC AVG $4.9M
Rank #43 / 104
45.2%Fiscal year ending 12/2023
Facility 45.2%Fiscal year ending 12/2023
NC AVG 39.8%
Rank #23 / 104
345446
Maple Grove Health & Rehabilitation Center
NH
MC
SNF
Greensboro
210
51.0%
Facility 51.0%
NC AVG 68.1
Rank #180 / 243
-25%
3.81
Facility 3.81
NC AVG 3.98
Rank #58 / 97
-7%-4%
$50.3k
Facility $50.3k
NC AVG $74.6k
Rank #81 / 105
24
Facility 24
NC AVG 20.9
Rank #75 / 101
6.0
Facility 6.0
NC AVG 5.0
Rank #80 / 101
3107- 51 -
$11.6MFiscal year ending 09/2023
Facility $11.6MFiscal year ending 09/2023
NC AVG $13.2M
Rank #76 / 104
$5.0MFiscal year ending 09/2023
Facility $5.0MFiscal year ending 09/2023
NC AVG $4.9M
Rank #38 / 104
42.8%Fiscal year ending 09/2023
Facility 42.8%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #5 / 104
345448
Conover Nursing & Rehab Center
NH
MC
RC
SNF
Sw Conover (Tri-City)
90
84.9%
Facility 84.9%
NC AVG 68.1
Rank #79 / 243
+25%
4.54
Facility 4.54
NC AVG 3.98
Rank #29 / 97
-9%+14%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 105
4
Facility 4
NC AVG 20.9
Rank #12 / 101
4.0
Facility 4.0
NC AVG 5.0
Rank #49 / 101
-76- 59 Jason Sherrill
$9.1MFiscal year ending 09/2023
Facility $9.1MFiscal year ending 09/2023
NC AVG $13.2M
Rank #65 / 104
$5.7MFiscal year ending 09/2023
Facility $5.7MFiscal year ending 09/2023
NC AVG $4.9M
Rank #78 / 104
62.4%Fiscal year ending 09/2023
Facility 62.4%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #62 / 104
345516
Croasdaile Village
NH
AL
HC
IL
MC
SNF
Durham
64--
5.75
Facility 5.75
NC AVG 3.98
Rank #13 / 97
-45%+45%
$30.6k
Facility $30.6k
NC AVG $74.6k
Rank #73 / 105
5
Facility 5
NC AVG 20.9
Rank #17 / 101
1.7
Facility 1.7
NC AVG 5.0
Rank #9 / 101
-83- 9 Susan Ezekiel
$44.5MFiscal year ending 09/2023
Facility $44.5MFiscal year ending 09/2023
NC AVG $13.2M
Rank #2 / 104
$17.3MFiscal year ending 09/2023
Facility $17.3MFiscal year ending 09/2023
NC AVG $4.9M
Rank #5 / 104
38.9%Fiscal year ending 09/2023
Facility 38.9%Fiscal year ending 09/2023
NC AVG 39.8%
Rank #96 / 104
345501
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Nursing Home Explorer
Overview of Springmoor Life Care Retirement Community

Springmoor Life Care Retirement Community invites residents to experience a truly exceptional lifestyle in a setting that embraces the beauty of nature. With a refreshing atmosphere and thoughtful design, Springmoor offers a unique and engaging living experience for retirees. Nestled in a mild climate, Springmoor provides the perfect backdrop for a slower, more relaxed pace of life. Whether a villa, home, or apartment, one can find a variety of floor plans to suit particular preferences and needs.

Seniors can enjoy chef-prepared meals and personalized diets, as well as access to hair, nail, and massage services for added indulgence. Spiritual services are available to nourish one’s soul, and a plethora of amenities, including a library, movie theater, private chapel, greenhouse, and indoor pool, provide endless opportunities for recreation and relaxation. With around-the-clock security measures, families can have peace of mind knowing their loved ones are safe and secure. 

Contact Springmoor Life Care Retirement Community

Twin Lakes Memory Care

3810 Heritage Drive Burlington, Nc 27215, Burlington, NC 27215
Overview of Twin Lakes Memory Care
Twin Lakes Memory Care is part of Twin Lakes Community, a Continuing Care Retirement Community located in Burlington, NC. It offers a range of services including independent living, assisted living, skilled nursing, and memory care. The community is designed to provide a supportive environment for seniors, with a focus on wellness and engagement.

Contact Twin Lakes Memory Care

Overview of The Templeton of Cary

The Templeton of Cary is a top-rated retirement community in Cary, NC, offering independent living, assisted living, memory care, rehabilitation, and skilled nursing. The community’s nurturing and home-like setting ensures older adults’ comfort and safety. Exceptional services, including weekly housekeeping, concierge, and well-balanced meals, are also provided to enrich residents’ living experiences. Focusing on residents’ holistic well-being, the community provides care plans tailored to their ever-changing needs and habits.

Arts and crafts, games, and seminars are among the many recreational programs that aim to help residents explore new hobbies and have fun. Residents can also focus on relaxation and wellness, with first-class amenities including a saltwater pool, a library, and an outdoor grassy area. WakeMed Cary Hospital, restaurants, shops, and bus stops are also available in the area, providing convenient access to healthcare and other necessities. This retirement community is a great choice for senior living in North Carolina, especially with its wide range of care dedicated to helping older adults age gracefully.

Contact The Templeton of Cary

Overview of Searstone Retirement Community

Searstone Retirement Community, located in Cary, NC, is a senior living community offering a range of services from assisted living, memory support and skilled nursing services. Their professional caring staff works closely with the residents as well as their families, in creating individualized care plans, in order to determine and meet the residents’ specific care needs.

Their First class skilled nursing services provides residents with 24/7 staff availability for supervision and assistance, round the clock personalized care, medication administration and management, and access to medical care on site as well as other professional services. Additionally their amenities like concierge and transportation services, meal provision and housekeeping and linen service, as well as 24/hr security and emergency call response, enhances the residents experiences during their stay at Searstone.

Contact Searstone Retirement Community

Overview of Trinity Elms Assisted Living

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

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

Contact Trinity Elms Assisted Living

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

The East Tower at Cardinal North Hills

320 St. Albans Drive Raleigh, Nc 27609, Raleigh, NC 27609
Overview of The East Tower at Cardinal North Hills
The Cardinal at North Hills is a luxury senior living community located in Raleigh, North Carolina. It offers a range of services including independent living, assisted living, memory care, and skilled nursing. Residents enjoy a vibrant lifestyle with numerous amenities and activities designed to enhance their quality of life.

Contact The East Tower at Cardinal North Hills

Overview of The Residences at the Davis Community

The Residences at the Davis Community is a senior living community in Wilmington NC, providing independent living services. This senior living community offers eleven apartment-style and two cottage-style units featuring either one-to-two bedrooms, and also equipped with a living area, a modern kitchen, dining area, walk-in dressing room connected to the private bathrooms.
The Residences at the Davis Community promises an easy independent living experience that is worry free, providing home repair services and housekeeping, to ensure that residents have more time and energy to do the things they enjoy. This senior living community also  provides a 24hr security and emergency response system for an added peace of mind. Furthermore, property taxes and utilities are already included in the monthly rent.

Contact The Residences at The Davis Community

Overview of Asbury Health & Rehabilitation Center

Asbury Health & Rehabilitation Center provides skilled nursing, assisted living, and memory support on the Aldersgate campus at 3211 Bishops Way Ln in Charlotte, North Carolina. The multi-floor residential building includes internal elevators, allowing residents to travel between private rooms and shared dining halls without climbing stairs. The everyday routine coordinates continuous medical monitoring, physical therapy, and daily lodging about 3.4 miles from Novant Health Presbyterian Medical Center.

The clinical team delivers an average of 4 hours and 50 minutes of daily nursing care per resident, which is structured as 3 hours and 5 minutes from nurse aides, 1 hour and 28 minutes from LPNs, and 27 minutes from registered nurses. On-site physical therapists add an average of 12 minutes of daily rehabilitation support per resident.

The surrounding Windsor Park neighborhood has a walkability score of 43 out of 100, which means the location is mostly car-dependent and visitors generally need a vehicle for local errands.

Prospective residents evaluating regional nursing homes can contact the admissions office to check on current bed availability.

Contact Asbury Health & Rehabilitation Center

Overview of Salemtowne Retirement Community

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

Contact Salemtowne Retirement Community

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 86 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.