42 Best Medicaid Nursing Homes in North Carolina

Nurse hours

5.52 /day

Staff turnover

30%

Serious cites

0

River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

Nurse hours

5.95 /day

Staff turnover

31%

Serious cites

0

Hillcrest Convalescent Center is a for-profit, 86-bed home in Durham with an unusually clean record: zero deficiencies on file, none at the harm level, none abuse-related, and its last inspection was in February 2025. Nurse staffing sits at 5.95 hours per resident day, about 54% above the national average, and weekend coverage holds within roughly 5% of weekday levels, a gap that trips up plenty of homes. Staff turnover is 31.4%, well below the 45.8% national figure, which matters because consistent caregivers know their residents. The federal stars back this up: five for staffing and inspections, four for quality measures. For-profit corporate ownership is the one thing here that isn't a strength on paper, but the numbers outweigh it.

Nurse hours

5.34 /day

Staff turnover

14%

Serious cites

0

Edgewood Place runs on unusually deep staffing for a 51-bed nonprofit home in Burlington, 5.34 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only slightly below its own weekday levels. That stability shows in the turnover number, which is where a lot of homes fall apart. Eight deficiencies on the current record, none rising to harm or jeopardy and none abuse-related, and the most recent inspection was in July 2025, so the picture is current rather than stale. The staffing rating and the inspection record tell a consistent story here. For a family weighing options, the main question isn't whether this home has problems, every home does, but whether the ones it has are minor and whether the people showing up to work keep showing up.

Nurse hours

5.11 /day

Staff turnover

33%

Serious cites

0

Piedmont Crossing runs on about 5.11 nurse hours per resident per day, roughly a third more than the national average, and its weekend hours dip only slightly below weekdays, a gap that's usually wider elsewhere. Staff turnover sits at 32.6%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The current record shows three deficiencies, none involving harm or abuse, and the most recent inspection was in April 2026. As a nonprofit with 104 beds, it isn't chasing quarterly returns; the numbers suggest steady, well-staffed care with no serious compliance problems on the books.

Nurse hours

4.78 /day

Staff turnover

31%

Serious cites

0

Wilkes Regional Medical Ctr Sn runs just 10 beds inside a hospital in North Wilkesboro, and its nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, but turnover of 30.8% is well under the 45.8% national figure, so the people caring for residents tend to stay. The state inspection history is thinner: 14 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent visit in April 2025. A 2-out-of-5 inspection rating paired with a 5-out-of-5 quality measure score tells you the care itself measures well even where paperwork and process have drawn scrutiny.

Nurse hours

7.42 /day

Staff turnover

37%

Serious cites

0

Glenaire runs 7.42 nurse hours per resident day, roughly double the national average, and that staffing shows up in the ratings: five stars each for staffing and quality measures, four for health inspections. Turnover sits at 36.8 percent against a national 45.8, so the people caring for residents tend to stick around. The current record carries four deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Weekend staffing dips about 9 percent below weekdays, which is common but still a real difference if your family visits on Saturdays. The last inspection was December 31, 2025, so the picture is recent, and as a nonprofit, this home answers to a board rather than shareholders.

Nurse hours

4.96 /day

Staff turnover

22%

Serious cites

0

Mountain Vista Health Park, a nonprofit home with 60 beds in Denton, runs on unusually strong staffing for a nursing home: 4.96 nurse hours per resident day, roughly 28 percent above the national average of 3.86. Weekend coverage does dip about 19 percent below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 21.9 percent, less than half the national average of 45.8 percent, so the people caring for residents tend to stay. One health deficiency on record, none involving harm or abuse, and a clean five-star inspection rating back up what the numbers suggest.

Nurse hours

4.79 /day

Staff turnover

18%

Serious cites

0

Northern Regional Hospital runs a small 33-bed unit in Mount Airy, and the numbers here are unusually clean. Nurse staffing sits at 4.79 hours per resident per day, roughly a quarter above the national average, and weekend coverage only dips about 20% below weekday levels, a gap that's common but manageable at this size. The turnover figure is the standout: 18.4% against a national average near 46%, which suggests people stay. On inspections, there's a single deficiency on record, none involving harm or abuse, with the most recent survey in March 2025. Government hospital-district ownership doesn't guarantee quality, but it does mean this home answers to a public board rather than shareholders.

Nurse hours

4.92 /day

Staff turnover

28%

Serious cites

0

Highland Farms runs on a nonprofit model with 60 certified beds in Black Mountain, and the staffing numbers are the first thing worth noticing. At 4.92 nurse hours per resident day, it sits roughly 27% above the national average, and weekend coverage only dips about 12% below its own weekday level, a smaller drop than many homes show. Staff turnover lands at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record backs this up: 14 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,271. State surveyors visited recently, in August 2025, so the picture is current.

Nurse hours

6.47 /day

Staff turnover

53%

Serious cites

0

Novant Health Presbyterian's skilled unit is tiny, just 12 certified beds inside a Charlotte hospital, and it runs on an unusual amount of nursing attention: 6.47 hours per resident day, roughly 68% above the national figure. Weekend coverage barely dips, about 1% off weekday levels, which is rare. Inspectors visited recently, in August 2025, and the record shows five deficiencies with none causing harm or involving abuse. The tradeoff is staff retention: 53.3% annual turnover sits above the 45.8% national average, meaning the people delivering that care keep changing. Five-star ratings across inspection, quality, and staffing round out the picture. For a short-term rehab stay after a hospital procedure, this is about as well-covered as it gets.

Nurse hours

11.41 /day

Staff turnover

17%

Serious cites

0

Transylvania Regional Hospital runs a small ten-bed nursing unit inside a hospital in Brevard, and it's owned by a for-profit corporation. The inspection record is genuinely strong: five deficiencies total, none causing harm or jeopardy, none tied to abuse, and the last survey came in late November 2025, so it's current. That's the profile of a place Medicare rates four stars for health inspections. Quality measures land at three, which is middle of the pack. With only ten beds, staff attention per resident tends to be easier to sustain than in a large facility, and nothing in the record suggests families should worry about safety or oversight here.

Nurse hours

4.79 /day

Staff turnover

27%

Serious cites

0

Conover Nursing and Rehabilitation runs about 4.79 nursing hours per resident each day, roughly a quarter above the national average, and its staff turnover of 27.4% sits well under the national 45.8%. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current inspection record shows four deficiencies, none causing harm or involving abuse, which is thin for a 90-bed home. Corporate-owned and for-profit, it was inspected in April 2026. The numbers point to steady staffing and a clean recent survey history rather than any single standout figure.

Nurse hours

4.36 /day

Staff turnover

33%

Serious cites

0

Abernathy Laurels runs on more nursing hours per resident than most homes in the country, about 13% above the national average, and its staff tends to stay, with turnover at 33.2% against a national rate near 46%. The inspection record is thin: three deficiencies, none causing harm or jeopardy, none tied to abuse, and the most recent state visit was in September 2025. Weekend coverage dips roughly 9% below weekday levels, which is common but worth asking about, since that's when families often visit. A nonprofit corporation operates the 174-bed home. There's no red flag in the numbers here, the weakest point is simply that weekend staffing gap.

Nurse hours

5.58 /day

Staff turnover

31%

Serious cites

0

The numbers here tell a steady story. Nurse staffing runs at 5.58 hours per resident day, roughly 45% above the national average, and that's the main reason the federal staffing rating comes back at the top of the scale. Weekend coverage dips about 13% below weekdays, which isn't unusual but is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 31.4%, well under the national figure, so the people doing the work tend to stay. Seven deficiencies on record, none causing harm and none tied to abuse, with the last inspection in June 2025. Nonprofit ownership, 121 beds. Nothing here looks like a warning sign.

Nurse hours

4.62 /day

Staff turnover

25%

Serious cites

0

Unc Rex Rehab & Nursing Care Center Of Apex runs on 4.62 nurse hours per resident day, about a fifth more staffing than the typical American nursing home, which sits at 3.86. That extra help shows up on weekends too, though weekend coverage runs roughly 9% lighter than weekdays. Staff turnover lands at 25.2%, well below the 45.8% national average, meaning the people caring for residents tend to stick around. The home carries five deficiencies, none at the harm or jeopardy level and none abuse-related, with a clean inspection as recent as May 2025. Nonprofit ownership rounds out a picture of steady, well-staffed care.

Nurse hours

5.26 /day

Staff turnover

32%

Serious cites

0

Givens Health Center in Asheville runs on 5.26 nurse staffing hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 18% below its own weekday level, so care may look thinner on Saturdays and Sundays. Staff turnover sits at 31.6%, well under the national 45.8%, a real advantage in a field where constant retraining erodes familiarity with residents. The nonprofit's inspection record carries 19 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a March 2026 survey. The quality measure score of 3/5 is the softer spot.

Nurse hours

4.04 /day

Staff turnover

18%

Serious cites

0

Maryfield runs on about 4.04 nurse hours per resident day, which puts it roughly 5% above the national average of 3.86. That margin matters less than the turnover number: 18% annually against a national average near 46%, meaning the people caring for residents here tend to stay. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your visits fall on Saturdays or Sundays. The health inspection record shows two deficiencies, neither at the harm level and none abuse-related, with the most recent inspection dated April 2026. For a 115-bed nonprofit in High Point, the staffing consistency and clean inspection history are the story.

Nurse hours

6.76 /day

Staff turnover

48%

Serious cites

0

Penick Village runs a small 32-bed nonprofit home in Southern Pines, and the numbers that stand out are the staffing ones: 6.76 nurse hours per resident day, roughly three-quarters more than the national average of 3.86, with weekend coverage holding almost level with weekdays. Turnover sits at 47.9%, only slightly above the 45.8% national figure, so that staffing depth isn't being erased by constant churn. The tradeoff is on the inspection side, nine deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,648, though the most recent inspection was April 2026 and nothing on file involves abuse.

Nurse hours

6.50 /day

Staff turnover

28%

Serious cites

0

Trinity Village in Hickory runs on a nonprofit model with 104 certified beds, and the staffing numbers stand out first: 6.50 nurse hours per resident day, roughly 68 percent above the national average, with weekend coverage dipping about 10 percent below its own weekday level. Turnover sits at 28.1 percent against a national 45.8 percent, so the people who work here tend to stay. What complicates the picture is the inspection record, five deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,512. The most recent inspection, from March 2026, earned four stars, and the low turnover may help explain why serious problems have stayed rare despite that history.

Nurse hours

4.30 /day

Staff turnover

33%

Serious cites

0

Rex Rehab & Nursing Care Center runs on 4.30 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 33.3% sits well below the typical 45.8%, numbers that suggest a steadier workforce than most. The catch is weekends, when staffing drops roughly 11% below the home's own weekday level, so coverage isn't uniform across the week. On inspections, the record shows 9 deficiencies with 1 at the harm level and one fine of $15,646; the last visit was August 2025. Government hospital-district ownership, 120 beds.