Last Updated: October 2026

🏆 Top 25 Nursing Homes in North Carolina

View our comprehensive rankings of the highest quality facilities in North Carolina, based on CMS data, staffing, safety, and quality measures.

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North Carolina at a Glance

877
Total Facilities
2.8
Average Rating
0.61
Avg RN Hours/Day
49.0%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
153
17.4%
(4-Star)
149
17.0%
(3-Star)
162
18.5%
(2-Star)
175
20.0%
(1-Star)
228
26.0%

About Nursing Homes in North Carolina

North Carolina has 877 Medicare-certified nursing homes with an average quality rating of 2.8 stars. 153 facilities (17.4%) earn the top five-star rating. Facilities in North Carolina average 0.61 RN hours per resident per day.

Staff turnover averages 49.0% across North Carolina facilities. Research shows facilities with turnover above 60% rarely achieve top ratings.

All nursing homes in North Carolina are regulated by state and federal agencies, undergo regular CMS inspections, and must meet federal quality standards. Use our search tool to compare facilities based on Medicare ratings, staffing levels, quality measures, and safety records.

Nursing Home Costs in North Carolina

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Statewide Average

Nursing home costs in North Carolina average $290-$325 per day ($8,700-$9,750/month) for skilled nursing care, which is 6% below the national median according to the 2024 Genworth Cost of Care Survey.

Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents.

Cost Variation by Metro Area

We have city-level cost data for 14 metro areas in North Carolina. Costs can vary significantly by location:

Asheville
$300-$310/day ($9,000-$9,300/month)
Burlington
$310-$340/day ($9,300-$10,200/month)
Charlotte
$290-$308/day ($8,700-$9,240/month)
Durham
$280-$327/day ($8,400-$9,810/month)
Fayetteville
$305-$335/day ($9,150-$10,050/month)
Greensboro
$324-$349/day ($9,720-$10,470/month)

+ 8 more metro areas with cost data

Calculate detailed costs for North Carolina →

Browse by City in North Carolina

View nursing homes in specific cities across North Carolina. Each city page shows facilities ranked by quality.

Charlotte
24 facilities
CHARLOTTE
21 facilities
Raleigh
14 facilities
Durham
13 facilities
RALEIGH
12 facilities
Greensboro
11 facilities
Wilmington
11 facilities
GREENSBORO
11 facilities
DURHAM
11 facilities
WILMINGTON
11 facilities

🏆 Top 10 Nursing Homes by City

See our expert rankings of the best facilities in major cities across North Carolina.

Top 10 in CharlotteTop 10 in CHARLOTTETop 10 in RaleighTop 10 in DurhamTop 10 in RALEIGHTop 10 in GreensboroTop 10 in WilmingtonTop 10 in GREENSBOROTop 10 in DURHAMTop 10 in WILMINGTON

All Nursing Homes in North Carolina

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

Showing 877 of 877 facilities in North Carolina

The Arbor

300 Clynelish Close, Pittsboro, NC 27312

Phone: (919)545-2690

Distance: 0 miles | Beds: 16 | Est. Occupancy: 73% (~4 available)

NonprofitCMS Rating: 5/5 Stars

Carolina Village Inc

600 Carolina Village Road SUITE Z, Hendersonville, NC 28792

Phone: (828)692-6275

Distance: 0 miles | Beds: 58 | Est. Occupancy: 80% (~12 available)

NonprofitCMS Rating: 5/5 Stars
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Search All North Carolina Facilities

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How Does North Carolina Compare?

Explore nursing home quality in neighboring states and regions:

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National State Rankings

See where North Carolina ranks among all 50 states for quality, staffing, and safety.

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📚 Expert Guides to Evaluating Nursing Homes

Learn how to interpret quality ratings and staffing metrics with our data-driven guides based on 14,751 facilities nationwide.

The Truth About Star Ratings

Only 18.9% of facilities earn 5 stars. Learn what ratings really mean and how to use them effectively.

Read Guide →

Understanding Staffing Levels

North Carolina averages 0.61 RN hours/day. Learn what staffing metrics reveal about care quality.

Read Guide →

Facility Tour Checklist

Essential questions to ask and red flags to watch for when visiting North Carolina facilities.

Read Guide →

Warning Signs of Neglect

Critical red flags that indicate neglect, abuse, or substandard care at any facility.

Read Guide →
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Decoding CMS Data

Learn how to read health inspections, quality measures, and compliance reports.

Read Guide →
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All Expert Guides

Browse our complete library of nursing home evaluation resources.

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