419 nursing homes in North Carolina
Medicare and Medicaid certified, with CMS star ratings.
- nursing homes
- 419
- average CMS stars
- 3
- certified beds
- 43,850
- for profit
- 84%
How North Carolina nursing homes rate
CMS rates 415 of North Carolina's 419 certified nursing homes. The average overall rating is 3 stars.
| Overall rating | Nursing homes |
|---|---|
| 5 of 5 | 85 |
| 4 of 5 | 80 |
| 3 of 5 | 87 |
| 2 of 5 | 81 |
| 1 of 5 | 82 |
| Not rated | 4 |
The top-rated nursing homes in North Carolina
Sorted by overall stars, then health inspection stars, staffing and size.
| Nursing home | City | Overall | Beds |
|---|---|---|---|
| Willowbrooke Court SC Ctr at Matthews Glen | Matthews | 5 of 5 | 15 |
| Cypress Glen Retirement Community | Greenville | 5 of 5 | 6 |
| Abernathy Laurels | Newton | 5 of 5 | 174 |
| Maryfield Nursing Home | High Point | 5 of 5 | 115 |
| UNC Rex Rehab & Nursing Care Center of Apex | Apex | 5 of 5 | 107 |
| Piedmont Crossing | Thomasville | 5 of 5 | 104 |
| Hillcrest Convalescent Center | Durham | 5 of 5 | 86 |
| Mountain Vista Health Park | Denton | 5 of 5 | 60 |
| Carolina Village Inc | Hendersonville | 5 of 5 | 58 |
| Northern Regional Hospital | Mount Airy | 5 of 5 | 33 |
Nursing homes by city
The cities with the most certified nursing homes in North Carolina.
- Charlotte 20 homes
- Raleigh 12 homes
- Durham 11 homes
- Greensboro 11 homes
- Wilmington 11 homes
- Asheville 10 homes
- Fayetteville 8 homes
- Gastonia 7 homes
- Salisbury 7 homes
- Winston-Salem 7 homes
- Hendersonville 6 homes
- Burlington 5 homes
- Concord 5 homes
- Lumberton 5 homes
- Wilson 5 homes
Who owns them
| Ownership | Nursing homes | Share |
|---|---|---|
| For profit | 350 | 84% |
| Non-profit | 60 | 14% |
| Government | 9 | 2% |
Inspections and fines
At the most recent standard inspection, North Carolina's homes were cited for 1,905 deficiencies, an average of 4.6 each. 55 had none. 234 homes were fined $15,339,295 over 3 years.
Special focus facilities and abuse flags
29 homes carry the CMS abuse icon. 2 are special focus facilities and 10 are candidates: homes with a long record of serious problems that CMS inspects more often.
How to read a CMS star rating
One star is much below average and five stars much above, compared with other homes in the same state. Look at the health inspection stars first, then read the citations.
Questions families ask about North Carolina
How many nursing homes are in North Carolina?
419 certified by CMS.
What is the best rated nursing home in North Carolina?
We don't pick one. Willowbrooke Court SC Ctr at Matthews Glen in Matthews tops the CMS sort with 5 stars.
Will Medicare pay for a nursing home in North Carolina?
For up to 100 days of skilled care after a 3-day hospital stay, not for long-term custodial care. A shared room has a median of $9,733 a month here.
What does a CMS star rating mean?
How a home compares with others in the same state, from inspections, staffing and quality.
From the federal record: CMS Provider Information, October 2026 release.