2026 Rankings

Best Nursing Homes in North Carolina

Top 25 nursing homes in North Carolina ranked by CareGrader’s A-F grading system, based on real CMS government inspection data.

419 total facilities2.9 avg rating2 Special Focus Facilities

How we rank: Facilities are ranked by CareGrader composite score (0-100), which combines CMS health inspections (35%), staffing levels (25%), quality measures (25%), and penalty history (15%). Read our methodology

#1
A

Glenaire

Cary, North Carolina

Score: 95.8/1005/5 CMS71 bedsNon profit - Corporation
#2
A

Cypress Glen Retirement Community

Greenville, North Carolina

Score: 95.8/1005/5 CMS6 bedsNon profit - Corporation
#3
A

Hillcrest Convalescent Center

Durham, North Carolina

Score: 93.3/1005/5 CMS86 bedsFor profit - Corporation
#4
A

Penn Nursing Center

Reidsville, North Carolina

Score: 93.3/1005/5 CMS82 bedsNon profit - Corporation
#5
A

Abernathy Laurels

Newton, North Carolina

Score: 93.3/1005/5 CMS174 bedsNon profit - Corporation
#6
A

Mountain Vista Health Park

Denton, North Carolina

Score: 93.3/1005/5 CMS60 bedsNon profit - Corporation
#7
A

The Laurels of Pender

Burgaw, North Carolina

Score: 93.3/1005/5 CMS98 bedsFor profit - Corporation
#8
A

Homestead Hills

Winston-Salem, North Carolina

Score: 93.3/1005/5 CMS40 bedsFor profit - Corporation
#9
A

River Landing at Sandy Ridge

Colfax, North Carolina

Score: 93.3/1005/5 CMS60 bedsNon profit - Corporation
#10
A

UNC Rex Rehab & Nursing Care Center of Apex

Apex, North Carolina

Score: 93.3/1005/5 CMS107 bedsNon profit - Corporation
#11
A

Piedmont Crossing

Thomasville, North Carolina

Score: 93.3/1005/5 CMS104 bedsNon profit - Corporation
#12
A

Bradley Creek Health Center

Wilmington, North Carolina

Score: 93.3/1005/5 CMS30 bedsFor profit - Corporation
#13
A

NORTHERN REGIONAL HOSPITAL

MOUNT AIRY, North Carolina

Score: 93.3/1005/5 CMS33 bedsGovernment - Hospital district
#14
A

NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER-SNU

CHARLOTTE, North Carolina

Score: 93.3/1005/5 CMS12 bedsNon profit - Corporation
#15
A

Carolina Village Inc

Hendersonville, North Carolina

Score: 92.3/1005/5 CMS58 bedsNon profit - Corporation
#16
A

Carol Woods

Chapel Hill, North Carolina

Score: 92.3/1005/5 CMS30 bedsNon profit - Corporation
#17
A

Willowbrooke Court SC Ctr at Matthews Glen

Matthews, North Carolina

Score: 92.3/1005/5 CMS15 bedsNon profit - Corporation
#18
A

Fair Haven Home Inc

Bostic, North Carolina

Score: 90.8/1005/5 CMS30 bedsFor profit - Corporation
#19
A

Clapps Nursing Center Inc

Pleasant Garden, North Carolina

Score: 90.8/1005/5 CMS118 bedsFor profit - Individual
#20
A

Autumn Care of Marion

Marion, North Carolina

Score: 90.8/1005/5 CMS110 bedsFor profit - Corporation
#21
A

Jesse Helms Nursing Center

Monroe, North Carolina

Score: 90.8/1005/5 CMS70 bedsNon profit - Corporation
#22
A

Anson Health and Rehabilitation

Wadesboro, North Carolina

Score: 90.8/1005/5 CMS95 bedsFor profit - Limited Liability company
#23
A

Willowbrooke Court SC Ctr at Tryon Estates

Columbus, North Carolina

Score: 90.8/1005/5 CMS16 bedsNon profit - Corporation
#24
A

Cypress Pointe Rehabilitation Center

Wilmington, North Carolina

Score: 90.8/1005/5 CMS90 bedsFor profit - Partnership
#25
A

Clapp's Convalescent Nursing Home Inc

Asheboro, North Carolina

Score: 90.8/1005/5 CMS96 bedsFor profit - Individual
View All Nursing Homes in North Carolina

About Nursing Homes in North Carolina

North Carolina has 419 Medicare-certified nursing homes. CareGrader grades every facility from A to F using official CMS (Centers for Medicare & Medicaid Services) government data, including surprise health inspections, Payroll-Based Journal staffing audits, quality measures, and enforcement actions.

The average CMS star rating across all nursing homes in North Carolina is 2.9 out of 5 stars. There are currently 2 Special Focus Facilities in North Carolina — nursing homes flagged by CMS for a persistent history of serious quality issues.

The rankings above show the top 25 nursing homes in North Carolina by CareGrader composite score. Scores are recalculated monthly when CMS publishes updated datasets. Read our full methodology to understand how grades are calculated.

Frequently Asked Questions

What is the best nursing home in North Carolina?

Based on CareGrader's analysis of CMS government data, Glenaire in Cary is the highest-rated nursing home in North Carolina with a grade of A (score: 95.8/100). Rankings are based on health inspections (35%), staffing (25%), quality measures (25%), and penalty history (15%).

How many nursing homes are in North Carolina?

There are 419 Medicare-certified nursing homes in North Carolina. CareGrader grades each one from A to F based on CMS health inspection, staffing, quality, and penalty data.

How does CareGrader rank nursing homes in North Carolina?

CareGrader assigns A-F grades using a composite score (0-100) that combines four dimensions of CMS government data: health inspections (35% weight), staffing levels from Payroll-Based Journal data (25%), quality measures (25%), and penalty history including fines (15%). Grade A = 90-100 (Excellent), B = 80-89 (Good), C = 70-79 (Average), D = 60-69 (Below Average), F = below 60 (Poor). Data is updated monthly.

What is the average nursing home rating in North Carolina?

The average CMS star rating for nursing homes in North Carolina is 2.9 out of 5 stars. Use CareGrader to find facilities that score above this average.