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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 21 to 40 of 46, best-graded first.

A

86.5/100

Briar Creek Health Center

Charlotte, NC · Mecklenburg County

CMS 4/56 bedsFor-profit
Nurse hours
10.64 /day
Staff turnover
n/a
Serious cites
0

Briar Creek Health Center runs six certified beds in Charlotte under corporate for-profit ownership, and its nurse staffing sits at 10.64 hours per resident day, roughly 176% above the national average. Weekend coverage dips about 7% below its own weekday level, but that still leaves it unusually well staffed. The current record shows 8 deficiencies, 2 of them at the harm or jeopardy level, with no abuse citations and one fine totaling $8,606. Its last inspection was in May 2026, and CMS rates it 4 out of 5 on inspections, quality measures, and staffing alike. For a home this small, the staffing number is the headline; the harm-level deficiencies are what a family should ask about directly.

A

85.5/100

Willowbrooke Court Sc Ctr At Tryon Estates

Columbus, NC · Polk County

CMS 5/516 bedsNon-profit
Nurse hours
4.63 /day
Staff turnover
n/a
Serious cites
0

Willowbrooke Court is a small place, 16 certified beds, run by a nonprofit corporation in Columbus. The staffing is the headline: 4.63 nurse hours per resident day, roughly a fifth more than the national average of 3.86, and the weekend drop is mild at about 8 percent below its own weekday level. Its inspection record is thin in the good sense: one deficiency on the current record, none at the harm level, none abuse-related, and the last inspection came in December 2025, so it's recent. Quality measures score 4 out of 5, staffing and inspections both 5. With that few beds and that much nurse time per resident, the numbers suggest steady attention rather than a big operation spread thin.

B

84.5/100

Saint Joseph Of The Pines Health Center

Pinehurst, NC · Moore County

CMS 5/5176 bedsNon-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
n/a
Serious cites
0

Saint Joseph Of The Pines runs 3.92 nurse hours per resident day, a hair above the national average and enough to earn three stars for staffing, decent, not generous. Weekend coverage drops roughly 9% below its own weekday level, so ask how that gap gets filled. The inspection history is the stronger signal: a 4-star health inspection rating, seven deficiencies on record with none at the harm level, and a recent survey from July 2025. One abuse-related deficiency is worth a direct question about what happened and what changed. As a nonprofit, there's no ownership chain pulling money out, which tends to show up in how a building is staffed and maintained over time.

B

84.5/100

Twin Lakes Community

Burlington, NC · Alamance County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.32 /day
Staff turnover
41%
Serious cites
0

Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.

B

84/100

The Stewart Health Center

Charlotte, NC · Mecklenburg County

CMS 2/565 bedsNon-profit
Nurse hours
5.50 /day
Staff turnover
33%
Serious cites
0

The Stewart Health Center runs 5.50 nurse hours per resident day, roughly 42% above the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure. That's real consistency on the floor, though weekend coverage dips about 7% from weekday levels. Where the numbers get harder to explain is the inspection record: 14 deficiencies, two of them serious enough to involve harm or jeopardy, and two fines totaling $57,971. A 2-out-of-5 inspection rating against a 4-out-of-5 staffing rating is an unusual split, the people are there, but the last survey in May 2025 still found problems worth citing.

B

83/100

Bradley Creek Health Center

Wilmington, NC · New Hanover County

CMS 5/530 bedsFor-profit
Nurse hours
4.39 /day
Staff turnover
44%
Serious cites
0

Bradley Creek Health Center runs small, 30 certified beds in Wilmington, and the staffing numbers are the first thing worth noticing. At 4.39 nurse hours per resident day, it sits about 14% above the national average, though weekends dip roughly 10% below its own weekday coverage, so ask how that gap gets filled. Staff turnover of 43.8% is a touch better than the 45.8% national figure, and the inspection record is clean where it counts: six deficiencies, none at the harm level, none tied to abuse, with the most recent visit in May 2025. A for-profit corporate owner and a middling quality-measure score are the caveats.

B

81.5/100

The Sharon At Southpark

Charlotte, NC · Mecklenburg County

CMS 4/519 bedsNon-profit
Nurse hours
12.56 /day
Staff turnover
63%
Serious cites
0

The Sharon At Southpark runs 19 certified beds as a nonprofit, and its nurse staffing sits at 12.56 hours per resident day, roughly triple the national average of 3.86. That's an unusual number, and it shows up in the weekend data too, though weekend coverage still runs about 23% below the home's own weekday level. Turnover is the softer spot: 63.3% annually against a national 45.8%, meaning the people providing that care are changing over fairly often. On inspections, the record shows 10 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was November 25, 2025.

B

81/100

Friends Homes At Guilford

Greensboro, NC · Guilford County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
45%
Serious cites
0

Friends Homes At Guilford runs on a nonprofit model with 69 certified beds, and the staffing numbers stand out: 5.07 nurse hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 45.3%, essentially matching the national rate of 45.8%. Inspections tell a clean story, a 5/5 health inspection rating, just two deficiencies on record, none at the harm level and none abuse-related, with the last visit in January 2026. The quality measure score of 2/5 is the outlier here, so ask what specific clinical measures are pulling that down.

B

81/100

Croasdaile Village

Durham, NC · Durham County

CMS 4/5102 bedsNon-profitMedicaid
Nurse hours
5.32 /day
Staff turnover
43%
Serious cites
0

Croasdaile Village is a nonprofit continuing care community in Durham with 102 certified beds, and its staffing is the strongest card it holds: 5.32 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on time than most homes. Weekend coverage dips about 8% below its own weekday level, but that's a modest drop, and turnover at 42.7% actually runs slightly under the national rate. The caution is in the inspection record, six deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $25,275. The most recent inspection was August 2025, so the picture is current. Solid staffing, a recent serious finding worth asking about directly.

B

80.5/100

Stanley Total Living Center

Stanley, NC · Gaston County

CMS 4/5106 bedsFor-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
38%
Serious cites
0

Stanley Total Living Center has real staffing strength: 5.13 nurse hours per resident day is about a third more than the national average, and its 37.5% turnover beats the 45.8% norm. That's the good news. The rest is harder. Ten deficiencies sit on the current record, six at harm or jeopardy level and two tied to abuse, plus a $31,967 fine. Weekend staffing drops roughly 21% below weekdays, so the coverage families see on a Tuesday may not hold on a Sunday. The most recent inspection was January 2026, so the record is current. A for-profit corporation runs the 106-bed home. Strong hours and stable staff matter, but harm-level findings at that count are what pull the grade down.

B

78/100

Westchester Manor At Providence Place

High Point, NC · Guilford County

CMS 3/5129 bedsNon-profitMedicaid
Nurse hours
4.84 /day
Staff turnover
40%
Serious cites
0

Westchester Manor runs about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 39.5% sits below the national 45.8%, that combination usually means people stay long enough to know the residents. The catch is on the inspection side: seven deficiencies on the current record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Weekend staffing dips only slightly, so coverage doesn't fall off a cliff on Saturdays. The most recent inspection closed in July 2025, so the record is current rather than stale. Strong staffing, a thinner quality-measure score, and a mixed survey history, worth asking about those two serious deficiencies directly.

B

77/100

The Forest At Duke Inc

Durham, NC · Durham County

CMS 4/54 bedsNon-profit
Nurse hours
4.15 /day
Staff turnover
n/a
Serious cites
0

The Forest At Duke is a four-bed nonprofit unit in Durham, and its inspection record is close to spotless, one deficiency on the books, none of it involving harm, jeopardy, or abuse, with a survey as recent as November 2024. Where it slips is staffing, and the picture is odd: total nurse hours run about 4.15 per resident day, roughly 8% above the national average, yet weekend coverage drops about 11% below the home's own weekday level. With only four certified beds, a single callout can swing the numbers in ways they wouldn't at a larger home, so read the low staffing rating alongside the size rather than on its own.

B

77/100

Trinity Elms

Clemmons, NC · Forsyth County

CMS 2/5100 bedsNon-profitMedicaid
Nurse hours
4.96 /day
Staff turnover
51%
Serious cites
0

Trinity Elms runs a church-affiliated nonprofit home in Clemmons with 100 certified beds, and the staffing is the clearest strength here: 4.96 nurse hours per resident day, about 28% above the national average, with weekend coverage dipping only slightly below weekdays. That's a real cushion. The rest of the picture is thinner. Roughly half the nursing staff turned over in the past year, a bit worse than the national rate, and the current inspection record carries 14 deficiencies, including two at the harm level and one tied to abuse, along with $15,646 in fines. Quality measure scores sit at the low end. Good coverage, uneven execution.

B

76.5/100

Whitestone A Masonic And Eastern Star Community

Greensboro, NC · Guilford County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
58%
Serious cites
0

Whitestone A Masonic and Eastern Star Community runs 60 certified beds in Greensboro under nonprofit ownership. Nurse staffing sits at 4.70 hours per resident day, roughly 22% above the national average, though weekends run about 18% leaner than weekdays. Annual turnover is 57.9%, well above the 45.8% national figure, so residents see a fair amount of changing faces. The current inspection record shows nine deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $25,490; the most recent inspection was April 2025. Good weekday coverage and quality scores are real strengths here. The turnover number and those two harm-level findings are what a family should ask about directly.

B

75/100

White Oak Manor - Tryon

Tryon, NC · Polk County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
62%
Serious cites
0

White Oak Manor - Tryon runs 70 certified beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 4.11 nurse hours per resident day against a national average of 3.86. The catch is who's delivering that care and how long they stay. Annual turnover sits at 62.4%, well above the 45.8% national figure, and weekend coverage dips below the home's own weekday levels. Inspections tell the harder story, 11 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. The most recent inspection was July 2025, so the record is current. Good hours on paper, real instability underneath.

B

73.5/100

Inn At Quail Haven Village

Pinehurst, NC · Moore County

CMS 4/535 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

The Inn at Quail Haven Village runs 35 certified beds in Pinehurst under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, barely a percentage point apart. What's more telling is the shape of that coverage: weekends run about 17% leaner than weekdays, which is when families tend to visit and notice. Turnover at 36.8% is meaningfully better than the 45.8% national figure, suggesting workers stick around longer here than at the typical home. The inspection record carries 20 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent survey came in June 2025 and the health inspection rating landed at 4 out of 5. Quality measures scored lower, at 2 out of 5.

B

72/100

Windsor Point Continuing Care

Fuquay-Varina, NC · Harnett County

CMS 5/545 bedsFor-profit
Nurse hours
4.43 /day
Staff turnover
64%
Serious cites
0

Windsor Point runs 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staffing rating reflects that. Inspections are a strength too, a 5/5 star health inspection rating, ten deficiencies on record with none at the harm level and none abuse-related, and the most recent visit just weeks ago. The concerns sit elsewhere: quality measures score 2/5, weekend staffing drops about 10% below its own weekday levels, and annual turnover hits 63.8% against a national average of 45.8%. For a 45-bed corporate-owned home, that churn is worth asking about directly, who's actually at the bedside on a Saturday, and how long they've been there.

B

70/100

The Gardens Of Taylor Glen Retirement Community

Concord, NC · Cabarrus County

CMS 4/58 bedsNon-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

The Gardens of Taylor Glen is an 8-bed nonprofit home in Concord, and its inspection record is genuinely clean: 6 deficiencies on file, none of them causing harm or jeopardy, and nothing abuse-related. A 4-out-of-5 health inspection rating with a December 2025 survey means the state looked recently and found no serious problems, which is the main thing a small home's record can tell you. Where it gives ground is staffing, a B here reflects a home that passes its inspections comfortably but doesn't post the kind of nurse hours per resident that the strongest performers nationally do. For eight residents that gap matters less than it would at scale.

C

69/100

Asbury Health And Rehabilitation Center

Charlotte, NC · Mecklenburg County

CMS 2/5120 bedsNon-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
100%
Serious cites
0

Asbury Health And Rehabilitation Center runs on more nursing hours than most homes, 4.66 per resident day against a national average of 3.86, and its quality measure score is strong. But the same staff is almost entirely turning over every year, roughly double the national rate, which means the person caring for your relative this month is likely gone the next. Inspections back that up: 19 deficiencies on record, three serious enough to put residents in harm's way and one tied to abuse, with $47,996 in fines. Weekend coverage also dips below weekday levels. The staffing numbers look good on paper; the consistency behind them doesn't.

C

67.5/100

Arbor Acres United Methodist Retirement Community

Winston Salem, NC · Forsyth County

CMS 4/56 bedsNon-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Arbor Acres is a small unit, six certified beds, run by a nonprofit corporation, and its inspection record is clean: one deficiency on the books, nothing rising to harm or jeopardy, no abuse findings, and the most recent survey was in March 2026. Where it falls short is quality measures, which sit at two stars against a four-star inspection rating, a split that usually means the day-to-day care indicators aren't keeping pace with how well the home performs when surveyors show up. With only six beds, a single resident's outcome can swing those numbers hard, so read the quality score as a thin sample rather than a settled verdict.

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