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Best Nursing Homes in Wilmington, NC

Reviewed by Dr. Jordan Weiss
Updated Dec 2025
We analyzed 8 homes in Wilmington, NC

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in Wilmington, North Carolina.

Watch this Video to see Wilmington's Top-rated Senior Communities

Compare Nursing Homes around Wilmington (Metro Area)

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

5 facilities compared · CMS & NC Dept. of Health data

Click column headers to sort
Champions Assisted Living at the Davis Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

N

Nursing

Wilmington
179
Facility 179
NC AVG 116
Rank #8 / 397
60.7%
Facility 60.7%
NC AVG 76.4%
Rank #176 / 264
-21%
3.39
Facility 3.39
NC AVG 3.98
Rank #70 / 90
-19%-15%
$12.0k
Facility $12.0k
NC AVG $74.6k
Rank #58 / 97
14
Facility 14
NC AVG 20.9
Rank #45 / 95
3.5
Facility 3.5
NC AVG 5.0
Rank #36 / 95
3
Facility 3
NC AVG 2.2
96
6
Facility 6
NC AVG 33
Rank #485 / 572
Charles Long
$33.7M
Facility $33.7M
NC AVG $13.2M
Rank #17 / 97
$16.6M
Facility $16.6M
NC AVG $4.9M
Rank #8 / 97
49.2%
Facility 49.2%
NC AVG 39.8%
Rank #29 / 97
345160
Carolina Bay at Autumn Hall
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wilmington (Windemere)
108
Facility 108
NC AVG 116
Rank #81 / 397
89.5%
Facility 89.5%
NC AVG 76.4%
Rank #52 / 264
+17%
4.36
Facility 4.36
NC AVG 3.98
Rank #30 / 90
+14%+10%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 97
6
Facility 6
NC AVG 20.9
Rank #19 / 95
3.0
Facility 3.0
NC AVG 5.0
Rank #29 / 95
-
Facility -
NC AVG 2.2
28
18
Facility 18
NC AVG 33
Rank #395 / 572
Wilmington Ah Senior Housing Jv Opco LLC
$14.0M
Facility $14.0M
NC AVG $13.2M
Rank #54 / 97
$5.2M
Facility $5.2M
NC AVG $4.9M
Rank #75 / 97
37.5%
Facility 37.5%
NC AVG 39.8%
Rank #80 / 97
345571
Trinity Grove
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wilmington
100
Facility 100
NC AVG 116
Rank #96 / 397
94.3%
Facility 94.3%
NC AVG 76.4%
Rank #40 / 264
+23%
5.22
Facility 5.22
NC AVG 3.98
Rank #19 / 90
+21%+31%
$38.2k
Facility $38.2k
NC AVG $74.6k
Rank #75 / 97
16
Facility 16
NC AVG 20.9
Rank #54 / 95
3.2
Facility 3.2
NC AVG 5.0
Rank #33 / 95
4
Facility 4
NC AVG 2.2
95
19
Facility 19
NC AVG 33
Rank #385 / 572
-
$20.4M
Facility $20.4M
NC AVG $13.2M
Rank #33 / 97
$8.3M
Facility $8.3M
NC AVG $4.9M
Rank #35 / 97
40.6%
Facility 40.6%
NC AVG 39.8%
Rank #67 / 97
345554
Liberty Commons
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Wilmington (Liberty Commons Center)
122
Facility 122
NC AVG 116
Rank #44 / 397
77.8%
Facility 77.8%
NC AVG 76.4%
Rank #119 / 264
+2%
3.66
Facility 3.66
NC AVG 3.98
Rank #60 / 90
-31%-8%
$21.0k
Facility $21.0k
NC AVG $74.6k
Rank #67 / 97
22
Facility 22
NC AVG 20.9
Rank #65 / 95
5.5
Facility 5.5
NC AVG 5.0
Rank #69 / 95
5
Facility 5
NC AVG 2.2
77
52
Facility 52
NC AVG 33
Rank #130 / 572
Charles Duff
$13.6M
Facility $13.6M
NC AVG $13.2M
Rank #58 / 97
$6.2M
Facility $6.2M
NC AVG $4.9M
Rank #63 / 97
45.6%
Facility 45.6%
NC AVG 39.8%
Rank #42 / 97
345468
Peak Resources Wilmington
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Wilmington (Lakeside Park)
110
Facility 110
NC AVG 116
Rank #77 / 397
86.2%
Facility 86.2%
NC AVG 76.4%
Rank #69 / 264
+13%
3.85
Facility 3.85
NC AVG 3.98
Rank #47 / 90
-52%-3%
$35.5k
Facility $35.5k
NC AVG $74.6k
Rank #74 / 97
23
Facility 23
NC AVG 20.9
Rank #67 / 95
5.8
Facility 5.8
NC AVG 5.0
Rank #73 / 95
1
Facility 1
NC AVG 2.2
88
33
Facility 33
NC AVG 33
Rank #281 / 572
Deborah Jean Nunn Mrtl Tr
$10.1M
Facility $10.1M
NC AVG $13.2M
Rank #79 / 97
$4.9M
Facility $4.9M
NC AVG $4.9M
Rank #79 / 97
48.7%
Facility 48.7%
NC AVG 39.8%
Rank #32 / 97
345537
Overview of Champions Assisted Living at the Davis Community

Champions Assisted Living, located within The Davis Communities in Wilmington, NC, is a senior living community specifically designed for The Davies Communities’ residents living with Alzheimer’s and other forms of dementia. They provide assisted living services along with memory care, in their one-to-two bedroom units equipped with living area, ample closet space, kitchenette, and private bathroom. As part of their assisted living services, the residents are provided round-the-clock availability of staff for supervision and assistance, diabetic care, medication management, and monthly wellness checkup, as well as therapy services.

The residents of Champions Assisted Living are also able to enjoy a myriad of amenities they offer including meal preparation services and dining options within the community, assistance with daily living activities, mobility and transportation assistance, access to fitness rooms and pool, and grooming services at the salon and spa. Being conveniently situated within the Davis Communities, Champions Assisted Living Services are also provided access to their auditorium, club room, and art studio. Lastly, they offer laundry and housekeeping services, to ensure the overall comfort of their residents’ stay.

What does this home offer?

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Pets Allowed

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Housing Options: 1 Bed / 2 Bed

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Building Type: Mid-rise

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Transportation Services

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Fitness and Recreation

Contact Champions Assisted Living at the Davis Community

Overview of Carolina Bay at Autumn Hall

Carolina Bay at Autumn Hall is a luxury retirement home in Wilmington. With an emphasis on memory care living, the premier home provides a comfortable environment for assisted living, independent living, and skilled nursing residents. The upscale home offers a professional care staff that ensures that residents can create memorable moments through the elevated lifestyle and experiences provided in the community. A home that encourages, empowers, and elevates the lifestyles of its seniors for an enhanced aging experience.

Carolina Bay at Autumn Hall has designed residential living to help fulfill a sense of independence and individuality for each resident. Community accommodations offer all-inclusive services, including spacious common areas, recreational rooms, housekeeping, assisted living for Alzheimer’s and dementia, and transportation services.

What does this home offer?

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Housing Options: 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Carolina Bay at Autumn Hall

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

Porters Neck Village

1200 Porters Neck Rd, Wilmington, NC 28411
Overview of Porters Neck Village

Porters Neck Village, situated in Wilmington, NC, stands as a comprehensive senior living community providing independent living, assisted living, memory care, and skilled nursing services. Porters Neck Village offers spacious and modern accommodations with open floor plans, spacious closets, and full-sized kitchens featuring quartz/granite countertops and stainless steel appliances. Each home is designed with abundant storage and offers breathtaking views, creating a comfortable and visually appealing living space.

The community provides a range of amenities to enhance the overall well-being and lifestyle of its residents. Porters Neck Village boasts apartments with water views, a bar and bistro for social gatherings, a wellness center to support residents’ health, and a heated saltwater pool for relaxation. The state-of-the-art fitness center caters to residents’ physical well-being, while the renovated library offers a tranquil space for intellectual enrichment. Additionally, the 375-seat auditorium provides a venue for performances and guest lectures, contributing to a vibrant and engaging community of Porters Neck Village.

Contact Porters Neck Village

Trinity Grove

631 Junction Creek Dr, Wilmington, NC 28412
Overview of Trinity Grove

Trinity Grove, located in Wilmington, NC, is a distinguished senior living community primarily providing skilled nursing services with a focus on memory care. The accommodation options at Trinity Grove include private or semi-private rooms, each equipped with private bathrooms to ensure residents’ comfort and privacy. The community is dedicated to comprehensive healthcare services, offering 24-hour skilled nursing care, physician coverage, licensed dietician and social worker support, and various therapies such as speech, physical, and occupational therapies.

Residents at Trinity Grove enjoy a range of amenities designed to enhance their living experience. The community provides restaurant-style meals, snacks, and beverages, ensuring a delightful dining experience. Trinity Grove also offers modern conveniences such as wireless internet, cable TV, and personal telephone options. Leisure opportunities, outings, special events, an internet cafe, hair salon, and barber shop further contribute to a vibrant and engaging community. Courtyards, gardens, and amenities such as a children’s playground and transportation services add to the overall comfort and convenience at Trinity Grove.

Contact Trinity Grove

Overview of Liberty Commons

Liberty Commons, a healthcare facility in Wilmington, NC, is dedicated to providing a range of services, including assisted living and skilled nursing services. The accommodation options at Liberty Commons feature spacious private and semi-private suites equipped with amenities such as complimentary WiFi internet, flat-screen TVs with complimentary cable, and in-room refrigerators. The community’s focus on healthcare services extends to assisted living, where residents receive personalized support tailored to their individual needs, including dressing, bathing, and medication reminders.

Liberty Commons offers a variety of amenities to enhance the living experience for residents. In-room dining, outdoor and indoor gathering areas, salon services, and daily housekeeping and laundry services contribute to a comfortable and well-maintained environment. The community ensures convenience with admissions available seven days a week. Residents also engage in social activities, fostering a sense of community and connection. Liberty Commons stands as a healthcare facility committed to providing not only essential services but also a supportive and engaging living experience for its residents.

What does this home offer?

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Pets allowed icon

Pets Allowed

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Housing Options: Private Rooms / Semi-Private Rooms

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Building type icon

Building Type: Single-story

Transportation services icon
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Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Contact Liberty Commons

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 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

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
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Frequently Asked Questions about Nursing Homes in Wilmington, NC

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 8 nursing homes in Wilmington, NC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Wilmington, NC?

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 Wilmington, NC, 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 Wilmington, NC?

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.