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Here are 419 Nursing Homes in North Carolina

Every Medicare-certified nursing home in North Carolina, graded on inspections, staffing, turnover and enforcement history. 12 homes in the state sit in the federal Special Focus programme.

Homes

419

Certified beds

43,850

Avg CMS stars

2.9/5

Avg staff turnover

49%

Showing 201 to 220 of 419 homes

B

71/100

Barbour Court Nursing And Rehabilitation Center

Smithfield, NC · Johnston County

CMS 4/5165 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
33%
Serious cites
0

Barbour Court runs lean on nursing hours, 3.15 per resident day against a national average of 3.86, roughly 19% below, and weekends dip about 6% under its own weekday level, so coverage thins exactly when families tend to visit. The trade-off shows up elsewhere: staff turnover of 33% beats the 45.8% national figure, suggesting people stay longer here than at the typical home, and the four-star health inspection rating with a February 2026 survey date means state inspectors recently walked the building. There are 14 deficiencies on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. Quality measures, at two stars, are the weakest piece of the picture.

B

71/100

Skyland Terrace And Rehabilitation

Waynesville, NC · Haywood County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
53%
Serious cites
0

Skyland Terrace runs 90 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends get thinner still, about 12 percent below the home's own weekday coverage, and annual turnover of 53.3 percent runs well above the 45.8 percent national figure. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, plus a single fine of $8,512. Its most recent inspection was February 2026, so the picture is current. A 4-star health inspection score sits alongside middling marks for quality measures and staffing, steady state oversight, but leaner day-to-day coverage than most homes.

B

71/100

Hillside Nursing Center Of Wake Forest

Wake Forest, NC · Wake County

CMS 5/5130 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
46%
Serious cites
0

Hillside Nursing Center Of Wake Forest runs 130 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: one deficiency on the current record, none at the harm or jeopardy level, none abuse-related, with the last inspection in September 2025. Staffing is where it thins out. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so a family visiting on a Sunday may notice less coverage than midweek. Annual turnover of 45.7% essentially matches the national rate of 45.8%, meaning nearly half the nursing staff turns over in a year.

B

71/100

Azalea Health & Rehab Center

Wilmington, NC · New Hanover County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
51%
Serious cites
0

Azalea Health & Rehab Center runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, with weekends dropping another 14% below its own weekday levels. Staff turnover is 51.3%, well above the 45.8% national figure, meaning the people caring for residents are cycling through faster than typical. The inspection record is the harder problem: 33 deficiencies on file, two of them serious enough to reach harm or jeopardy, plus two fines totaling $24,470. The last inspection was May 30, 2025. A 2-out-of-5 health inspection rating against a 3-out-of-5 on quality measures tells you the clinical picture may look steadier than the building's compliance history actually is.

B

70.5/100

Central Continuing Care

Mount Airy, NC · Surry County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
43%
Serious cites
0

Central Continuing Care sits in Mount Airy with 120 certified beds, run as a for-profit partnership. The nurse staffing number is the strongest part of the picture: 4.36 hours per resident day, roughly 13% above the national average, and turnover at 42.6% actually comes in slightly under the national rate. Weekends run about a fifth thinner than weekdays, so coverage isn't even across the week. Ten deficiencies show on the current record, none rising to harm or jeopardy, though three are abuse-related, that's the detail worth asking about. One fine totaling $5,597, and a September 2025 inspection means the record is recent.

B

70/100

Summerstone Health And Rehabilitation Center

Kernersville, NC · Forsyth County

CMS 3/5138 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
70%
Serious cites
0

Summerstone runs a 138-bed for-profit home in Kernersville, and the staffing numbers are the first thing worth noticing. Nurses provide 3.55 hours per resident day, about 8% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Annual turnover sits at 70.3%, well above the 45.8% national figure, which means the people caring for your relative are, statistically, likely to be new. Its current record carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $14,511 fine. The last inspection was in March 2026, so the picture is recent. Quality measures score well; staffing and inspection history are where the concerns sit.

B

70/100

The Foley Center At Chestnut Ridge

Blowing Rock, NC · Watauga County

CMS 2/592 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
65%
Serious cites
0

Nurse staffing at The Foley Center runs about 3.45 hours per resident per day, roughly 11% under the national average, and weekends are thinner still, about 5% below its own weekday level. That means the coverage gaps families worry about most aren't hypothetical here; they're built into the schedule. Turnover sits at 64.5% against a national 45.8%, so the aides and nurses caring for residents are cycling through faster than average, which matters for anyone who needs consistent hands and familiar faces. The inspection record backs that up: 20 deficiencies, four at harm or jeopardy level, two tied to abuse, plus a $17,114 fine. Quality measures look decent, but staffing and safety are where this one struggles.

B

70/100

Bethesda Health Care Facility

Eastover, NC · Cumberland County

CMS 4/585 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
41%
Serious cites
0

Bethesda Health Care Facility runs about 3.18 nurse staffing hours per resident day against a national average of 3.86, roughly 18% less hands-on time, and weekend coverage drops about 7% below its own weekday level. Staff turnover sits at 40.6%, a bit better than the national 45.8%, so the people who are there tend to stay. The current record shows four deficiencies, none involving harm or abuse, and the last inspection was February 2026. What the numbers describe is a home that passes inspection cleanly but staffs leaner than most, which matters most on weekends when residents need help.

B

70/100

Signature Healthcare Of Chapel Hill

Chapel Hill, NC · Orange County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
58%
Serious cites
0

Signature Healthcare of Chapel Hill runs 108 beds under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, which matters if your family tends to visit Saturday or Sunday. Annual turnover is 58.3%, well above the 45.8% national figure, so the aide or nurse your relative sees most may not stay long. The current record shows 20 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was June 19, 2025, so the picture is reasonably current.

B

70/100

Hickory Falls Health And Rehabilitation

Granite Falls, NC · Caldwell County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
33%
Serious cites
0

Hickory Falls runs a bit lean on nursing hours, 3.62 per resident day against a national average of 3.86, and weekends are thinner still, about 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems can sit longer. Turnover sits at 32.5%, well under the national 45.8%, so the staff you meet are more likely to still be there next year. The current inspection record shows three deficiencies, including one at the harm level and one tied to abuse, plus a $51,188 fine. The most recent inspection was in June 2026, so the picture is fairly fresh.

B

70/100

The Carrolton Of Nash

Rocky Mount, NC · Nash County

CMS 4/5141 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
35%
Serious cites
0

The Carrolton of Nash runs lean on nurse staffing, 3.79 hours per resident day sits just under the national average, and weekends drop about 12% below its own weekday coverage, so the hours aren't evenly spread across the week. Turnover is the brighter spot: 35.1% is well below the national 45.8%, meaning the aides and nurses who are there tend to stay. The 17 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and a January 2026 inspection gives a current picture. Ownership is for-profit partnership, with 141 certified beds. Quality and staffing both earned 2 of 5 stars from CMS, and the 4-star health inspection is the outlier.

B

70/100

Scotland Manor Health And Rehabilitation Center

Scotland Neck, NC · Halifax County

CMS 4/562 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
43%
Serious cites
0

Scotland Manor runs about 15% leaner on nursing hours than the typical U.S. home, 3.30 per resident day against a national 3.86, and weekends dip another 9% below its own weekday coverage. That's the weak spot the staffing star reflects. What keeps it from being a bigger concern: 11 deficiencies on record with none at the harm level, no abuse findings, and $7,361 in total fines, which is modest. Turnover at 43.2% is slightly better than average, and a November 2025 inspection means the record is current. It's a small Halifax County for-profit where the care numbers look better than the coverage numbers.

B

70/100

Autumn Care Of Statesville

Statesville, NC · Iredell County

CMS 4/5103 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
55%
Serious cites
0

Autumn Care of Statesville runs 103 beds under for-profit LLC ownership, and its inspection record is genuinely solid, 18 deficiencies on file, only two at the harm level, none tied to abuse, and the most recent inspection came in April 2025. Quality measures also score well. Where the picture darkens is staffing: 3.54 nurse hours per resident day sits about 8% under the national average, weekend coverage drops roughly 14% below the home's own weekday level, and annual turnover hits 55.2% against a national 45.8%. A good survey history paired with thin, churning direct care means your questions should focus on who's actually on the floor, especially Saturdays and Sundays.

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.

B

70/100

The Shannon Gray Rehabilitation & Recovery Center

Jamestown, NC · Guilford County

CMS 3/5150 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
57%
Serious cites
0

The Shannon Gray Rehabilitation & Recovery Center runs 150 certified beds in Jamestown under corporate ownership, and its inspection record is the strongest part of the picture, nine deficiencies on file, none at the harm or jeopardy level, none tied to abuse, with a survey done in April 2025. Staffing is where it thins out: 3.83 nurse hours per resident day sits just under the national average, weekend coverage drops about 12% below its own weekday level, and turnover hits 56.9% against a national 45.8%. That churn rate is the number worth sitting with. Consistent caregivers matter more than almost anything else for someone adjusting to a new home, and nearly six in ten leaving each year makes that harder to promise.

C

69.5/100

The Greens At Lincolnton

Lincolnton, NC · Lincoln County

CMS 2/5117 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
52%
Serious cites
0

The Greens at Lincolnton runs 3.70 nurse hours per resident per day, about 4% under the national average, and weekend coverage drops roughly 17% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52% against a national 45.8%, meaning more than half the nursing staff turns over in a year. On its current record: 18 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and four fines totaling $32,387. That combination, below-average staffing, high turnover, and a recent inspection in February 2026, is what pulls the inspection and staffing ratings down to 2 out of 5.

C

69.5/100

Pruitthealth-Trent

New Bern, NC · Craven County

CMS 1/5116 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
18%
Serious cites
0

Pruitthealth-Trent runs 116 certified beds in New Bern under for-profit LLC ownership, and its inspection record is the part that stands out: 16 deficiencies on file, two of them serious enough to involve actual harm or jeopardy, with two fines totaling $16,152. The most recent inspection was May 2026, so that history is current. Nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average, and weekends drop about 17% below the home's own weekday levels, that gap matters most when families visit. One genuine bright spot: turnover is 17.6%, well under the 45.8% national figure, so the people caring for residents tend to stay.

C

69.5/100

Skyland Care Center

Sylva, NC · Jackson County

CMS 4/594 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
46%
Serious cites
0

Skyland Care Center runs 3.51 nurse staffing hours per resident day, roughly 9% under the national average, and weekends drop about 16% below what the home staffs on weekdays. Turnover sits at 46%, essentially matching the national rate. The current record shows 10 deficiencies, two of them at the harm or jeopardy level and one abuse-related, though the most recent inspection was in January 2026 and the health inspection rating came in at 4 out of 5. Put those together and you get a home that inspects well but runs lean on the floor, especially Saturdays and Sundays.

C

69.5/100

Pruitthealth-Union Pointe

Monroe, NC · Union County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
47%
Serious cites
0

Pruitthealth-Union Pointe runs 90 certified beds in Monroe under for-profit limited liability ownership, and its numbers pull in two directions. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, though weekends run about 15% thinner than weekdays and annual turnover of 47.2% means the faces change often. The trouble shows up on the inspection side: 31 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, with two fines totaling $197,532. The most recent inspection was in May 2025. Quality and staffing measures score reasonably; the health inspection record is where a family's questions should focus.

C

69/100

Royal Park Rehabilitation & Health Center

Matthews, NC · Mecklenburg County

CMS 2/5169 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
46%
Serious cites
0

Royal Park runs about 3.47 nursing hours per resident day, roughly 10% under the national average of 3.86, and weekends get thinner still, about 11% below its own weekday staffing. Turnover sits at 46.2%, almost exactly the national rate, so the shortfall isn't a retention problem so much as a bare-bones schedule. On inspections, the record shows 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $39,811 and a 2/5 inspection rating. That combination of thin coverage and serious findings is what drags the score down, even though the quality measures look better at 4/5.

Before you shortlist in North Carolina