ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

42 Best Medicaid Nursing Homes in North Carolina

42 of the 419 Medicare-certified nursing homes in North Carolina (10%) are top-graded Medicaid-certified, and all are listed below. 42 of the 42 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 32.8%, 16.2 points lower than the 49% across all homes there. River Landing At Sandy Ridge in Colfax grades highest at A (99 out of 100).

How top-graded Medicaid-certified homes in North Carolina compare

This group set against every nursing home in North Carolina, from the current CMS release.

Nursing hours per resident per day

5.11

All homes in North Carolina: 3.85

Better than the local average

Nurse staff turnover

32.8%

All homes in North Carolina: 49%

Better than the local average

Average ElderGrade score

90.3/100

All homes in North Carolina: 70.8/100

Better than the local average

Grade spread

A

42 grade A,

The best-graded top-graded Medicaid-certified home in North Carolina is River Landing At Sandy Ridge in Colfax, NC, grade A, 99/100.

Every top-graded Medicaid-certified nursing home in North Carolina

Showing 41 to 42 of 42, best-graded first.

A

85/100

The Oaks-Brevard

Brevard, NC · Transylvania County

CMS 3/5110 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
26%
Serious cites
0

The Oaks-Brevard runs lean on nurse hours, 3.30 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 14% below its own weekday coverage. What stands out is retention: 25.8% annual turnover is well under the 45.8% national figure, so the people who are there tend to stay. The inspection record is mixed: 27 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $6,936. The last inspection was March 5, 2026. A for-profit LLC with 110 certified beds.

A

85/100

Lake Park Nursing And Rehabilitation Center

Indian Trail, NC · Union County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Lake Park runs on 4.02 nurse hours per resident day, a bit above the national average, and its staff tends to stay, 34.5% turnover against a national rate near 46%. Weekends are thinner, though, running about 9% below weekdays. The tradeoff shows up in inspections: 22 deficiencies on record, four serious enough to involve harm or jeopardy, with $34,624 in fines across two penalties. No abuse citations, and the most recent inspection came in January 2026, so the picture is current. Corporate-owned, 120 beds, solid day-to-day care, but a citation history worth asking about directly.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in North Carolina?
There are 42 top-graded Medicaid-certified Medicare-certified nursing homes in North Carolina, 10% of the 419 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In North Carolina they average 5.11 total nursing hours per resident per day, against 3.85 for all nursing homes in North Carolina, a difference of +1.26 hours. Staff turnover averages 32.8% against 49%.
Which top-graded Medicaid-certified nursing home grades best in North Carolina?
River Landing At Sandy Ridge in Colfax, NC, grade A, 99 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 42 graded top-graded Medicaid-certified homes in North Carolina, 42 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in North Carolina accept Medicaid?
42 of the 42 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in North Carolina