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

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 241 to 260 of 419 homes

C

68.5/100

The Laurels Of Salisbury

Salisbury, NC · Rowan County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
59%
Serious cites
0

The Laurels of Salisbury runs lean on nursing staff, 3.28 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops roughly 16% below the home's own weekday level. Turnover sits at 59.2%, well above the 45.8% national figure, which means the people providing most of the daily care are often the newest hires. Inspectors have logged 15 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $45,756 in fines across three penalties. The most recent inspection was February 13, 2026, so the record is current, not stale. A corporate-owned, 80-bed home where the quality scores look better than the staffing numbers behind them.

C

68/100

Willow Creek Nursing And Rehabilitation Center

Goldsboro, NC · Wayne County

CMS 2/5200 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
59%
Serious cites
0

Willow Creek runs 200 certified beds in Goldsboro under for-profit limited liability ownership, and the numbers split in two directions. The clinical quality measures look strong at four stars, but nurse staffing sits at 3.58 hours per resident day against a national average of 3.86, and weekends dip about 7% below the home's own weekday coverage. Staff turnover is 59.2%, well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. The inspection record shows 19 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus $15,358 in fines across three penalties. The most recent inspection was March 2026.

C

68/100

Yadkin Nursing And Care Center

Yadkinville, NC · Yadkin County

CMS 5/5147 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
60%
Serious cites
0

Yadkin Nursing and Care Center sits in Yadkinville with 147 certified beds and a corporate for-profit owner. The inspection record looks strong on paper, a five-out-of-five health inspection rating, only two deficiencies on file, and the most recent survey from March 2026. What pulls the numbers down is staffing: 3.27 nurse hours per resident day, roughly 15 percent under the national average of 3.86, with weekend coverage dropping about 12 percent below its own weekday level. Annual turnover runs 59.5 percent against a national 45.8 percent. One deficiency reached the harm level, and there's a single fine of $8,018 on record.

C

68/100

Goldsboro Rehabilitation And Healthcare Center

Goldsboro, NC · Wayne County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
36%
Serious cites
0

Goldsboro Rehabilitation runs 130 beds as a for-profit corporation, and its staffing sits at 3.36 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 7 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 36.1 percent, which actually beats the 45.8 percent national figure, so this isn't a churning building. The inspection record shows 9 deficiencies, including 1 at the harm or jeopardy level, with $16,153 in fines and a survey completed in December 2025, so the picture is current. Quality measures score 2 out of 5, the weakest of its three CMS ratings.

C

68/100

Piney Grove Nursing And Rehabilitation Center

Kernersville, NC · Forsyth County

CMS 3/592 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
66%
Serious cites
0

Piney Grove runs a 92-bed for-profit operation in Kernersville, and the staffing numbers are roughly at the national mark, 3.81 nurse hours per resident day against 3.86 nationally, with weekends dipping about 5% below its own weekday coverage. The bigger issue is retention: 66.1% annual turnover, well above the 45.8% national average, which means unfamiliar faces on the floor more often than you'd want. Fourteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, one tied to abuse. Two fines totaling $10,699 have been levied, and the last inspection was recent, in January 2026.

C

68/100

Pinehurst Healthcare & Rehabilitation Center

Pinehurst, NC · Moore County

CMS 2/5144 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
56%
Serious cites
0

Pinehurst Healthcare & Rehabilitation Center runs 144 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, and annual turnover sits at 56.1% against a national 45.8%, so the same faces aren't always there. Inspections turned up 17 deficiencies, one serious enough to involve harm or jeopardy, with one fine totaling $9,620. The last inspection was April 30, 2026. Quality measures score well, but the hours of hands-on care per resident are the piece families feel day to day.

C

68/100

Highfield Nursing And Rehabilitation

Cary, NC · Wake County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
53%
Serious cites
0

Highfield runs on 3.13 nurse hours per resident day, roughly 19% under the national average, and weekends dip about 13% below what the home itself staffs on weekdays. Annual turnover sits at 53.2%, well above the 45.8% national figure, which means the people showing up are often new. Inspectors have cited 20 deficiencies, four of them at harm or jeopardy level and three tied to abuse, with two fines totaling $175,559 and a 2/5 health inspection rating. Ownership is for-profit corporate. A 4/5 on quality measures doesn't offset a 1/5 staffing rating, especially with a March 2026 inspection already driving the enforcement record.

C

68/100

Adams Farm Living & Rehabilitation

Jamestown, NC · Guilford County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
57%
Serious cites
0

Adams Farm Living & Rehabilitation runs 120 beds in Jamestown under corporate ownership, and the numbers split in two directions. The care itself measures decently, a 4-out-of-5 on quality measures and a 3-out-of-5 on health inspections, with no abuse citations on the current record. But look at who's delivering that care. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and the federal staffing rating lands at the bottom of the scale. Weekend coverage drops about 13 percent below the home's own weekday level, and annual turnover hits 56.8 percent against a national 45.8. Eight deficiencies are on file, three serious enough to involve harm or jeopardy, plus one fine of $24,252.

C

68/100

Lakeside Health & Rehab Center

Huntersville, NC · Mecklenburg County

CMS 4/5114 bedsGovernmentMedicaid
Nurse hours
3.44 /day
Staff turnover
77%
Serious cites
0

Lakeside Health & Rehab Center runs 114 certified beds in Huntersville under federal government ownership, and the numbers split in two directions. The clinical quality measures look strong, but staffing sits at 3.44 hours per resident per day against a national average of 3.86, roughly 11% below, and weekends drop about 14% below the home's own weekday level. Staff turnover is the sharper concern: 77.2% annually, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection came in December 2025. Good outcomes depend on consistent hands, and this home struggles to keep them.

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.

C

67/100

Stonecreek Health And Rehabilitation

Asheville, NC · Buncombe County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
48%
Serious cites
0

Stonecreek runs on 3.30 nurse hours per resident per day, about 14% under the national average, and weekends drop another 13% below its own weekday pace. That staffing pattern matters because the home's last inspection in April 2025 left 15 deficiencies on record, two of them serious enough to involve harm or jeopardy, along with a $38,431 fine; the 47.6% turnover rate sits slightly above the national figure, so the aides and nurses cycling through aren't staying long. The five-star quality measure score looks reassuring, but it's built from self-reported resident data, while the one-star inspection result reflects what surveyors actually found on site.

C

67/100

Valley Hill Health & Rehab Center

Hendersonville, NC · Henderson County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
54%
Serious cites
0

Valley Hill runs 150 certified beds as a for-profit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekend coverage drops another 10% below its own weekday levels, which matters when families visit on Saturdays and Sundays. Staff turnover is 54.2%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record is the harder part to hear: 32 deficiencies on file, including 5 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $58,949, with the most recent inspection in June 2025. Quality measures score well, but that's a paper snapshot, not the daily staffing reality.

C

67/100

Rocky Mount Rehabilitation Center

Rocky Mount, NC · Nash County

CMS 2/5117 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
47%
Serious cites
0

Rocky Mount Rehabilitation Center runs 117 certified beds as a for-profit limited liability operation, and its staffing sits just under the national average at 3.76 nurse hours per resident day. Weekends dip about 9% below its own weekday level, and turnover is 47.2%, slightly above the 45.8% national figure, which means a lot of new faces on the floor. On inspections, the record shows 27 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse; CMS has fined the home twice for a total of $27,872, and the most recent inspection was November 2025. The inspection and quality ratings both sit at 2 out of 5.

C

67/100

Autumn Care Of Marshville

Marshville, NC · Union County

CMS 1/5110 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
53%
Serious cites
0

Autumn Care of Marshville runs on thin staffing. At 3.31 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 11 percent below its own weekday coverage, so the shifts most likely to be short are the ones families visit. Staff turnover is 53.1 percent, well above the 45.8 percent national figure, which means aides and nurses cycle through quickly. Inspectors cited 15 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, with four fines totaling $44,751 from a February 2026 inspection. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.

C

67/100

Asheboro Rehabilitation And Healthcare Center

Asheboro, NC · Randolph County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
59%
Serious cites
0

Asheboro Rehabilitation and Healthcare Center runs about 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average. Weekends fall another 13% below its own weekday level, and annual turnover is 59.1% against a national 45.8%, meaning nearly six in ten staff left within the year. The current record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Its last inspection was August 2025, and federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The staffing picture, not the inspection history, is what pulls the overall result down.

C

67/100

Compass Healthcare And Rehab Rowan, Llc

Spencer, NC · Rowan County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
35%
Serious cites
0

Compass Healthcare and Rehab Rowan runs 70 certified beds in Spencer, and it's owned by an individual for-profit operator. Nurse staffing sits at 3.25 hours per resident per day, roughly 16% under the national average of 3.86, with weekends running about 9% thinner than weekdays, so the coverage gap widens when families visit most. Turnover is 35.1%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours are light. The inspection record shows 9 deficiencies, one at the harm or jeopardy level, and a single fine of $10,039. The last inspection was December 10, 2025. A 2/5 staffing star and 3/5 marks on health inspections and quality measures tell you where the pressure sits.

C

67/100

Elderberry Health Care

Marshall, NC · Madison County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
39%
Serious cites
0

Elderberry Health Care runs on 2.94 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the inspection record: 18 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the state was last in the building in November 2025. Turnover of 38.7% is better than the 45.8% national figure, which matters for continuity of care, but the 1-out-of-5 quality measure rating is the weakest part of the picture. Corporate-owned, 80 beds, and staffing that asks a lot of the people who show up.

C

67/100

Signature Healthcare Of Kinston

Kinston, NC · Lenoir County

CMS 3/5106 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
47%
Serious cites
0

Signature Healthcare of Kinston runs 106 certified beds under for-profit limited liability ownership, and its staffing sits just under the national mark, 3.73 nurse hours per resident day against 3.86 nationally. Weekends drop roughly 14% below the home's own weekday coverage, and turnover lands at 46.7%, slightly above the 45.8% national average. What stands out most on the current record is the deficiency count: 21 total, including one at the harm or jeopardy level and four tied to abuse. The health inspection rating is 3 out of 5, while quality measures and staffing each come in at 2. The last inspection was December 9, 2025, so the record is recent.

C

67/100

Crown Haven Health And Rehabilitation

Charlotte, NC · Mecklenburg County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
57%
Serious cites
0

Crown Haven runs on 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 5% below its own weekday level. Staff turnover sits at 56.6%, nearly eleven points above the national figure, so the people around your family member keep changing. The current record shows 44 deficiencies, five at harm or jeopardy level and three tied to abuse, with four fines totaling $71,235; the last inspection was July 3, 2025. Its quality measure stars look strong, but that score reflects resident health outcomes, not the staffing and safety problems sitting underneath them.

C

67/100

The Laurels Of Forest Glenn

Garner, NC · Wake County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
40%
Serious cites
0

The Laurels of Forest Glenn runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 10% thinner than weekdays. Turnover is 40.2%, a bit better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. What stands out is the inspection record: 12 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and three fines totaling $182,083, with the most recent inspection in May 2025. The quality measure rating of four stars comes from resident data, but that inspection history is a real concern worth asking about directly.

Before you shortlist in North Carolina