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46 Continuing Care Retirement Communities in North Carolina

46 of the 419 Medicare-certified nursing homes in North Carolina (11%) are CCRC, and all are listed below. 22 of the 45 graded homes earn an A and 1 earn a D or F. They average 5.38 nursing hours per resident per day, 1.53 hours above the 3.85 for every home in North Carolina. River Landing At Sandy Ridge in Colfax grades highest at A (99 out of 100).

How CCRC 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

5.38

All homes in North Carolina: 3.85

Better than the local average

Nurse staff turnover

40.8%

All homes in North Carolina: 49%

Better than the local average

Average ElderGrade score

82.4/100

All homes in North Carolina: 70.8/100

Better than the local average

Grade spread

A
B
C

22 grade A, 16 grade B, 6 grade C, 1 grade D,

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

Every CCRC nursing home in North Carolina

Showing 1 to 20 of 46, best-graded first.

A

99/100

Carolina Village Inc

Hendersonville, NC · Henderson County

CMS 5/558 bedsNon-profit
Nurse hours
6.25 /day
Staff turnover
22%
Serious cites
0

Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.

A

99/100

River Landing At Sandy Ridge

Colfax, NC · Guilford County

CMS 5/560 bedsNon-profitMedicaid
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.

A

96/100

Edgewood Place At The Village At Brookwood

Burlington, NC · Alamance County

CMS 5/551 bedsNon-profitMedicaid
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.

A

96/100

Carol Woods

Chapel Hill, NC · Orange County

CMS 5/530 bedsNon-profit
Nurse hours
4.92 /day
Staff turnover
35%
Serious cites
0

Carol Woods runs 30 certified beds as a nonprofit, and the staffing number stands out: 4.92 nurse hours per resident day, roughly 27% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 35.1%, better than the 45.8% national figure. On the inspection side, there are 7 deficiencies on record but none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 26, 2025. A small nonprofit with strong nurse hours and clean harm-level findings, that combination is uncommon.

A

96/100

Piedmont Crossing

Thomasville, NC · Davidson County

CMS 5/5104 bedsNon-profitMedicaid
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.

A

96/100

Glenaire

Cary, NC · Wake County

CMS 5/571 bedsNon-profitMedicaid
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.

A

94/100

Highland Farms

Black Mountain, NC · Buncombe County

CMS 5/560 bedsNon-profitMedicaid
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.

A

93/100

Abernathy Laurels

Newton, NC · Catawba County

CMS 5/5174 bedsNon-profitMedicaid
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.

A

92/100

The Arbor

Pittsboro, NC · Chatham County

CMS 5/516 bedsNon-profit
Nurse hours
4.46 /day
Staff turnover
0%
Serious cites
0

The Arbor is small, 16 certified beds, and that size shows up in the staffing numbers. At 4.46 nurse hours per resident day, it runs about 15 percent above the national average of 3.86, and weekend staffing actually sits slightly above its own weekday level, which is unusual. No staff turnover in the past year, against a national average near 46 percent, means the same people are showing up shift after shift. Six deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related; two fines total $6,350. The last inspection was April 2026, so the picture is current, and Chatham County's nonprofit owner has no profit motive pulling hours off the floor.

A

91.5/100

Givens Health Center

Asheville, NC · Buncombe County

CMS 5/570 bedsNon-profitMedicaid
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.

A

91.5/100

Cypress Glen Retirement Community

Greenville, NC · Pitt County

CMS 5/56 bedsNon-profit
Nurse hours
7.29 /day
Staff turnover
n/a
Serious cites
0

Cypress Glen runs six certified beds in Greenville, which puts it in a category most families never encounter, a small, nonprofit operation where the numbers look almost too good. Nurse staffing sits at 7.29 hours per resident day, roughly 89% above the national average of 3.86, though weekend coverage drops about 13% from its own weekday level. The inspection record shows one deficiency total, none at the harm level and none tied to abuse, with the most recent visit in August 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five. For a six-bed home, that consistency across every measure is the story.

A

91/100

Penick Village

Southern Pines, NC · Moore County

CMS 5/532 bedsNon-profitMedicaid
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.

A

90/100

Trinity Oaks

Salisbury, NC · Rowan County

CMS 5/5115 bedsNon-profitMedicaid
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.

A

90/100

Scotia Village - Snf

Laurinburg, NC · Scotland County

CMS 5/558 bedsNon-profitMedicaid
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.

A

90/100

Brookdale Carriage Club Providence

Charlotte, NC · Mecklenburg County

CMS 5/514 bedsFor-profit
Nurse hours
8.55 /day
Staff turnover
n/a
Serious cites
0

Brookdale Carriage Club Providence runs 14 certified beds, and its nurse staffing sits at 8.55 hours per resident day, roughly 121% above the national average of 3.86. That's an unusually high number, though weekend coverage drops about 17% below what the home staffs on weekdays, so the weekday figure isn't the whole story. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality and inspection measures both come in at the top of CMS's five-star scale, and the corporate, for-profit owner operates a small home where the staffing-to-resident ratio is the clearest signal in the data.

A

89/100

Deerfield Episcopal Retirement

Asheville, NC · Buncombe County

CMS 5/562 bedsNon-profit
Nurse hours
5.44 /day
Staff turnover
29%
Serious cites
0

Deerfield Episcopal runs a lean, well-staffed operation: 5.44 nurse hours per resident day against a national average of 3.86, and turnover at 28.7% is far below the 45.8% norm, which matters because consistent caregivers know the residents. Inspections back that up, a five-star health inspection rating, three total deficiencies, none causing harm, none abuse-related. The soft spot is quality measures, where the home scores just two stars, and weekend staffing dips about 14% below weekday levels, so ask specifically who's on the floor on Saturdays and Sundays. It's a nonprofit with 62 beds and a recent inspection, and the numbers suggest solid care with one area worth a direct question.

A

88.5/100

Willowbrooke Court Sc Ctr At Matthews Glen

Matthews, NC · Mecklenburg County

CMS 5/515 bedsNon-profit
Nurse hours
4.67 /day
Staff turnover
n/a
Serious cites
0

Willowbrooke Court is a small place, 15 certified beds, run by a nonprofit corporation in Matthews. The numbers that matter most here are the staffing ones: 4.67 nurse hours per resident day, roughly 21% above the national average, with weekend coverage dipping about 7% below its own weekday level. Six deficiencies sit on the current record, none at the harm level and none abuse-related, and the most recent inspection was July 8, 2025, so the picture is recent enough to trust. A 4/5 on health inspections and 4/5 on quality measures round out a record that looks steady rather than spectacular, which for a home this size is usually what families are hoping to find.

A

88/100

Wesley Pines Retirement Community

Lumberton, NC · Robeson County

CMS 4/562 bedsFor-profitMedicaid
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.

A

88/100

The Rosewood Health Center

Raleigh, NC · Wake County

CMS 5/557 bedsNon-profit
Nurse hours
5.98 /day
Staff turnover
21%
Serious cites
0

The Rosewood Health Center runs on unusually deep staffing for a 57-bed nonprofit in Raleigh, 5.98 nurse hours per resident day against a national average of 3.86, and a 21.3% turnover rate that's less than half the national figure. That kind of retention matters, because it means the people caring for your family member have usually been there a while. Its four deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in June 2025, so the picture is current rather than stale. The weaker spot is the quality measure rating, which sits at 2 out of 5, worth asking about directly when you visit.

A

87/100

Salemtowne

Winston-Salem, NC · Forsyth County

CMS 4/5100 bedsNon-profitMedicaid
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.

Frequently asked questions

How many CCRC nursing homes are there in North Carolina?
There are 46 CCRC Medicare-certified nursing homes in North Carolina, 11% of the 419 nursing homes there.
Are CCRC nursing homes better staffed?
In North Carolina they average 5.38 total nursing hours per resident per day, against 3.85 for all nursing homes in North Carolina, a difference of +1.53 hours. Staff turnover averages 40.8% against 49%.
Which CCRC nursing home grades best in North Carolina?
River Landing At Sandy Ridge in Colfax, NC, grade A, 99 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 45 graded CCRC homes in North Carolina, 22 grade A and 1 grade D or F.
Do CCRC nursing homes in North Carolina accept Medicaid?
27 of the 46 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in North Carolina