42 Best Medicaid Nursing Homes in North Carolina

Nurse hours

4.30 /day

Staff turnover

30%

Serious cites

0

Trinity Oaks runs a lean but well-staffed operation: 4.30 nurse hours per resident day, roughly 11% above the national average, which helps explain its top CMS staffing rating. Turnover sits at 30.1% against a national average near 46%, so the people caring for residents tend to stick around longer than is typical, though weekend coverage dips about 14% below weekday levels, worth asking about if you're planning visits. The record shows 15 deficiencies, none at the harm or jeopardy level, but three flagged as abuse-related, which deserves a direct question. Inspections are recent, and the nonprofit structure matters less than the numbers themselves.

Nurse hours

5.44 /day

Staff turnover

41%

Serious cites

0

Scotia Village runs a rare staffing profile: 5.44 nurse hours per resident day, roughly 41% above the national average, which helps explain the top marks on both staffing and health inspections. The record isn't flawless, four deficiencies, one tied to abuse, though none at the harm or jeopardy level. Weekend coverage drops about 13% below weekday levels, a gap worth asking about. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. As a nonprofit with a December 2025 inspection behind it, the numbers suggest a home that's well-resourced where it counts most.

Nurse hours

4.55 /day

Staff turnover

34%

Serious cites

0

Shaire Nursing Center runs on a corporate for-profit model with 60 certified beds in Lenoir, and the numbers behind its record are mostly solid. Nurse staffing sits at 4.55 hours per resident day, roughly 18 percent above the national average, though weekends drop about 18 percent below what the home covers on weekdays. Staff turnover lands at 34.4 percent, well under the 45.8 percent national figure, and its last inspection was recent, in August 2025. The current deficiency record shows 11 citations with none at the harm or jeopardy level, but two are abuse-related, which families should ask about directly.

Nurse hours

4.79 /day

Staff turnover

44%

Serious cites

0

Nc State Veterans Home - Salisbury runs on strong staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average, and a five-out-of-five staffing rating to match. But weekends dip about 20% below the home's own weekday coverage, and the inspection record is thinner, a two-out-of-five health inspection rating, 17 deficiencies including one at the harm level and two tied to abuse, plus a $12,444 fine. Staff turnover at 43.9% is a touch better than the national average, and the most recent inspection came in December 2025. State-run ownership here buys generous weekday staffing, not a clean survey history.

Nurse hours

7.23 /day

Staff turnover

n/a

Serious cites

0

If you want the numbers that actually matter here, start with nurse staffing: 7.23 hours per resident per day against a national average of 3.86. Even with weekends running about 14 percent lighter than weekdays, that leaves a floor most homes never reach. The inspection record is clean, zero deficiencies, none tied to harm or abuse, with the most recent visit in December 2025. State-run ownership shows up in how steady the place is, not in frills. Quality measures land at 4 out of 5, which is strong without being flawless. What you're looking at is a home that's well above average on the things families worry about most.

Nurse hours

4.17 /day

Staff turnover

27%

Serious cites

0

Wesley Pines runs a leaner operation than most: 4.17 nurse hours per resident day against a national average near 3.86, and weekend staffing that dips only about 9% below weekdays. Staff turnover sits at 26.6%, well under the national 45.8%, a real advantage in a county where finding and keeping nurses is hard. The trade-offs show up elsewhere. Nine deficiencies are on file, two tied to abuse, though none rose to the level of documented harm or jeopardy, and the last inspection was recent, in January 2026. Quality measures score at the top of CMS's scale, which is worth noticing for a corporation-owned home of this size.

Nurse hours

3.70 /day

Staff turnover

32%

Serious cites

0

Parkview Health and Rehabilitation Center runs 108 certified beds in Chapel Hill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, only four deficiencies on the current record, and none of them at the harm or jeopardy level. The caveat sits in the day-to-day staffing. At 3.70 nurse hours per resident day, this home runs about 4% under the national average, and weekends dip roughly 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31.8% against a national 45.8%, meaning the staff who are there tend to stay.

Nurse hours

4.17 /day

Staff turnover

38%

Serious cites

0

The Laurels of Summit Ridge runs on better-than-average nurse hours, 4.17 per resident day, roughly 8 percent above the national figure, and its staff turnover of 38.2 percent actually beats the national rate instead of trailing it. That's not nothing in a for-profit building where aides cycling out the door is the usual problem. What tempers the picture is a 2-out-of-5 inspection history: 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none involved abuse. Weekend staffing drops about 18 percent below weekday levels, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. The inspection from May 2025 is recent, at least, so those findings reflect how the place runs now.

Nurse hours

5.43 /day

Staff turnover

45%

Serious cites

0

Nc State Veterans Home - Black Mountain runs a 100-bed for-profit operation where the nursing hours look strong on paper, 5.43 per resident day, well clear of the 3.86 national figure, but weekends drop roughly 20% below the home's own weekday coverage, so the care your family member gets depends heavily on which day it is. Turnover sits at 45.3%, essentially the national rate. What troubles me is the inspection record: 20 deficiencies, three at harm or jeopardy level, two tied to abuse, and a single $12,759 fine. The most recent inspection was December 2025. Ask directly what changed since then.

Nurse hours

4.09 /day

Staff turnover

36%

Serious cites

0

The Laurels Of Pender runs 4.09 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.5% is meaningfully lower than the 45.8% typical elsewhere, a sign people tend to stick around. Weekend coverage drops about 15% from weekday levels, so ask how that plays out on Saturdays and Sundays. Ten deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The most recent inspection was January 15, 2026. Resident care measures score at the top of CMS's five-point scale, while inspections land in the middle.

Nurse hours

6.17 /day

Staff turnover

52%

Serious cites

0

Iredell Memorial Hospital's nursing home unit in Statesville runs on unusually heavy staffing: 6.17 nurse hours per resident day, roughly 60% above the national average, with a five-star staffing rating and a five-star health inspection record. The current file shows just three deficiencies, none causing harm or involving abuse, and the most recent inspection was in March 2026, a current, clean picture. The caveats are real but modest. Weekend coverage dips about 14% below weekday levels, and annual turnover sits at 51.6%, above the 45.8% national figure, so continuity of caregivers isn't a given. Quality measures land at three stars, mid-range. For families weighing a nonprofit hospital-based unit, the inspection and staffing numbers carry the weight here.

Nurse hours

5.72 /day

Staff turnover

39%

Serious cites

0

Salemtowne runs on unusually heavy staffing for a nursing home: 5.72 nurse hours per resident day, roughly half again the national figure of 3.86. That margin matters most on weekends, when coverage dips only about 5% below its own weekday level, so care doesn't thin out the way it does at many homes. Staff turnover sits at 38.5%, below the 45.8% national average, which suggests people tend to stay. Four deficiencies on the current record, none causing harm and none abuse-related, with a December 2025 inspection, means surveyors found nothing serious and looked recently. The nonprofit ownership and a 4 out of 5 on health inspections round out a record without red flags.

Nurse hours

4.42 /day

Staff turnover

50%

Serious cites

0

Brookridge is a nonprofit home in Winston-Salem with a recent inspection on the books and a clean record on serious problems, five deficiencies total, none of them causing harm or involving abuse. The quality measures look strong too, which suggests residents' conditions are being tracked well. Where it falls short is staffing: the federal staffing rating sits at the bottom of the scale, and annual turnover runs about 50 percent, a bit above the national average. Inspection and quality scores can both look good even when the people doing the daily work are stretched thin or constantly changing. That's the number to ask about when you visit.

Nurse hours

4.55 /day

Staff turnover

28%

Serious cites

0

Kerr Lake runs on a corporate for-profit model, and the staffing numbers are genuinely better than most: 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 28.2% against a national 45.8%. That retention matters more than any single star rating, since consistent aides know the residents. The catch is the inspection record, ten deficiencies, including one at harm level and one abuse-related, plus a $19,620 fine, with the most recent inspection dated February 2026. Weekend staffing also dips about 12% below weekday levels, which is when families tend to visit and notice. Solid floor, real blemishes on top of it.

Nurse hours

3.96 /day

Staff turnover

28%

Serious cites

0

The Greens at Maple Leaf runs a 94-bed for-profit operation in Statesville, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. That edge shrinks on weekends, when coverage drops roughly 15% below the home's own weekday levels, worth asking about if your family visits mostly on Saturdays or Sundays. Staff turnover is 28.4%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 19 deficiencies on record, three serious enough to reach harm or jeopardy level, three tied to abuse, and $18,655 in fines across two penalties. The most recent inspection was July 2025.

Nurse hours

5.06 /day

Staff turnover

n/a

Serious cites

0

Bermuda Village Retirement Center runs 36 certified beds in Davie County under for-profit LLC ownership, and its nurse staffing sits at 5.06 hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the strong weekday numbers soften somewhat on Saturdays and Sundays. The current record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine totaling $7,976 and a health inspection from March 2025. The 20-deficiency count is on the higher side, but the staffing margin and clean harm record carry real weight.

Nurse hours

4.35 /day

Staff turnover

37%

Serious cites

0

Eckerd Living Center runs 4.35 nurse hours per resident day, about 13% above the national average, and that staffing shows up in a five-star CMS staffing rating. Weekend coverage dips roughly 20% below its own weekday level, which is common but still worth knowing if you're visiting Saturdays. Staff turnover sits at 36.7%, better than the 45.8% national figure. The home has seven deficiencies on record, none at the harm level and none abuse-related, and its last inspection was April 10, 2026, so the picture is current. A for-profit partnership with 80 beds and a four-star health inspection rating, it looks steady on paper.

Nurse hours

3.64 /day

Staff turnover

25%

Serious cites

0

Wilson Pines runs on leaner nurse staffing than most homes, 3.64 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday levels. That's the kind of gap that shows up as slower response times on a Saturday afternoon. The tradeoff is stability: 25.3% annual turnover, well under the 45.8% national figure, so the aides and nurses here are more likely to know your mother's routines. Fourteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean inspection in April 2025. A for-profit LLC, 108 beds. Solid marks on inspections and quality measures, the staffing margin is the piece worth asking about in person.

Nurse hours

4.18 /day

Staff turnover

41%

Serious cites

0

Village Green runs 170 beds in Fayetteville under individual for-profit ownership, and the numbers suggest a home that mostly gets the basics right. Nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekends drop about 14% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover, at 40.7%, is actually a bit better than the 45.8% national figure. The inspection record is where this one stands out: six deficiencies on file, none at harm or jeopardy level and none abuse-related, with a four-star health inspection rating and a recent survey in May 2026. Quality measures score a full five stars. The staffing rating of three stars is the soft spot, but nothing here points to danger.

Nurse hours

4.36 /day

Staff turnover

37%

Serious cites

0

Haymount runs on more nursing hours than most homes, 4.36 per resident per day, roughly 13% above the national figure. That staffing holds up on weekends too, though weekend coverage does dip about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record is the strongest part of the picture: a 5-star health inspection rating, no deficiencies on the current record, and nothing at the harm or abuse level, with the most recent survey done in May 2025. Staff turnover sits at 37%, below the 45.8% national average. Corporate for-profit ownership, 98 certified beds.