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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
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.
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.
Situated on the harmonious Cowan Highway, Winchester, TN, Franklin Manor is an idyllic senior living community providing assisted living and respite care. Moreover, several snug and well-designed studio, one-bedroom, and two-bedroom residences await seniors as they move into the community. Let go of your worries and make the most out of your best years with top-notch care and support from a reliable and highly qualified team around the clock.
With a jam-packed calendar of exciting activities and enjoyable events, residents learn new things and gain meaningful experiences. Eat to your heart’s content and satiate your cravings with healthy and delicious meals for a delightful dining experience. Franklin Manor is great for seniors looking to enjoy the most out of their best years.
Brookdale Carriage Club Providence II is found on Old Providence Road in the southern part of Charlotte, North Carolina. This big home works as a place where old people can stay forever, which means that help with daily life and medical care are all offered in one spot. The area has a very low score for walking, so you should expect to use a car whenever you need to go to the store or see a doctor.
The part for people who need a lot of medical help is small with only 34 beds, and right now 27 of those beds are being used. For health needs, the home helps people get stronger after being sick and gives family members a break from taking care of their loved ones. Workers are there to help at all times of the day and night. Every building is easy to move through with a wheelchair and has a special button to push if there is a sudden problem.
You can find a pool outside, a room for exercise, a place to read books, and a small church right on the land. In the yard, the people living there can enjoy paths for walking, a garden, a spot for golf, and a small pond for catching fish. Rides to places, help with chores, a hair shop, and extra rooms for family to stay in are also provided, and everyone eats together like they are at a food shop; animals are allowed to live there too.
The main things that leaders look at in the records are how medicine is given, the plans for taking care of people, and the tools for stopping fires.
Living there without much help starts at $3,430 every month, but the price goes up if you need more help with your memory or your body. The reports show a small place with many fun things to do in a part of Charlotte where you must drive, but it has the good point of changing how it helps you as you get older.
Families in Burlington considering Twin Lakes Memory Care should know it is just one part of a bigger location. This 32-bed home is found inside the Twin Lakes Community, which is a retirement campus on Heritage Drive offering many levels of support, including memory care, assisted living, and nursing home services. With a Walk Score of 72, the area is very easy to walk around, meaning most daily errands and needs can be met just a short walk away.
Residents have access to rehab and short-term care, and staff are available around the clock. Along with regular activities, the community provides a special wellness plan called the Thrive Wellness Program. When state inspectors visit, they typically look at standard areas like how medicine is handled, fire safety, keeping the area safe from hazards, and checking that care plans are written down correctly.
Since the community takes Medicare, it is easier for families to plan how to pay for care over time. Because this facility is part of a larger retirement community, families get a benefit that smaller, independent places cannot provide: an easy way to move to skilled nursing or other levels of care without having to move to a new campus. This setup is a good choice for families who think their needs might change over the next few years, rather than just needing memory care right now.
Hock Family Pavilion is an intimate community in Durham, NC, dedicated to those needing compassionate hospice care. They have 12 private accommodations where residents can easily and comfortably receive the physical, emotional, and spiritual support they need to go through their end-of-life journey pain-free and peacefully. Their team of nurses, social workers, chaplains, nursing assistants, volunteers, and counselors work together to provide residents with well-rounded care tailored to improve their comfort and well-being.
With 24/7 skilled nursing care, residents and their families can enjoy their peace of mind knowing that someone is always available to provide comfort to their loved ones. For further comfort, their community is also ready to accommodate residents’ mobility needs with their accessibility services. Here at Hock Family Pavilion, residents and their loved ones can get through this difficult journey with all the care and support they need.
Nestled within the vibrant landscape of Durham, North Carolina, LiveWell at Birchwood Lake Estates is an esteemed assisted living community. Standing proudly, this assisted living community presents an alternative vision of assisted living within the charming confines of Chapel Hill. Each dwelling within this community is meticulously crafted to exude warmth and hospitality, ensuring an environment that extends its embrace to friends and family alike.
Whether seniors are engaged in a stroll outdoors or savoring a delectable meal, the ethos of LiveWell encourages your presence, inviting you to share in their moments of joy and togetherness. Experience a different kind of assisted living community that redefines the essence of welcome and inclusivity at LiveWell at Birchwood Lake Estates.
Offering independent living within a full continuum of care, The Residences at the Davis Community is a senior living community in Wilmington, North Carolina. The larger campus provides services ranging from independent living to skilled nursing, allowing residents to move between care levels as their needs change. The Residences includes 11 apartment-style homes and 2 cottage-style homes for residents who want private living with nearby support.
Residents can choose one-bedroom or two-bedroom residences. Each home includes a living room, modern kitchen, dining area, and a walk-in dressing room connected to a private bathroom. Home repairs and housekeeping are included, allowing residents to spend less time on household upkeep. A 24-hour security and emergency response system provides added peace of mind. Property taxes and utilities are also included in the monthly rent to make budgeting more predictable.
The community is located in the Porters Neck Road area of Wilmington, about 8.8 miles from the city center. The car-dependent area has a Walk Score of 3 out of 100. Residents and visiting family should drive for most errands and outings. That tradeoff may be worthwhile for those who prefer a quieter suburban setting over a walkable downtown neighborhood.
Families looking for an independent living option should ask how the campus-wide continuum of care works. Having independent living through skilled nursing on one campus can make it easier for residents to transition to a different level of care without relocating.
Overview of The East Tower at Cardinal North Hills
The East Tower at Cardinal North Hills is a nursing home in Raleigh, North Carolina. It occupies one building on the wider Cardinal at North Hills campus, where independent living, assisted living, memory care, and skilled nursing all operate together. For families thinking several years ahead, that structure means a change in care needs does not automatically mean a change in address.
The East Tower holds 49 beds; thirty-six of them are filled, putting occupancy at 74%. Smaller buildings like this one often strike a workable balance. Residents get more individual attention than a large facility can offer, while still drawing on a campus worth of shared space and programming.
Clinical care rests on two things: rehabilitation services and staffing available around the clock. Both point toward short-term recovery work. Someone coming out of a hospital stay or a surgery needs therapy to begin quickly, and needs someone there at three in the morning. Housekeeping is covered by the community.
The amenity list runs long; there’s an aquatic center, more than one fitness center, a spa, salons, a creative arts studio, and libraries. Meals are served across multiple dining venues, and the activity calendar mixes social, cultural, and educational programming. Outside there is a game area and a dog park. Pets are welcome, and family suites mean out-of-town relatives can stay on site rather than book a hotel.
Getting around is a different story: the Walk Score sits at 34, rated somewhat walkable. A few errands work on foot, but most will need a car.
State inspection attention here has clustered around medication management and around staffing and staff credentials. For a family weighing this option, the picture is a mid-sized building with strong campus amenities, a rehab-focused clinical model, and available capacity.
Salemtowne is a not-for-profit Life Plane home that has been one of the trusted communities for years. The professional caregivers ensure that residents don’t have to worry about living alone by encouraging them to engage with others and enrich their knowledge and social life. The independent living and assisted living community strives to create an atmosphere of warmth, respect, and fellowship where seniors feel like they belong in a nurturing environment.
Salemtowne’s resort-style community boasts its quintessential services that essentially make the lives of each resident stress-free so seniors can pursue and continue their interests every day. Community features center on life-enriching and engaging amenities and services such as housekeeping, laundry, social events, recreational activities, fitness classes, medication management, and transportation.
Tucked in the serene Candlewood Street, Kinston, NC, is the astounding senior living community of Agape Multi Assisted Housing Service providing assisted living. A team of kind and highly skilled professionals helps seniors with daily activities such as bathing and dressing. The community goes above and beyond to deliver top-notch care and assistance for seniors to thrive and live to their potential.
The community promotes a bright and welcoming environment, ensuring residents are happy and well-cared for. Moreover, residents enjoy hassle-free dining with the community assisting in meal preparation with meals catering to dietary needs and tastes. Agape Multi Assisted Housing Service is great for seniors who require extra assistance in their daily living for a worry-free retirement.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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