North Carolina Hospital Rankings & Safety Report

zReports Research Institute · Updated September 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.09 Facilities analyzed120 Government sourcesthe state's licensing authority Last updatedSeptember 2026 MethodologyConsumer Z Score™ · Database v2026.09

North Carolina has 120 active licensed hospitals on the state's public file. zReports analyzed CMS Hospital Compare general information and quality data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

120active licensed hospitals across 95 North Carolina cities appear on the state's public file.
82.5%hold an A or B records layer grade, while 4 carry a D or F.
81is the statewide average records layer score across all graded hospitals.
Charlottehas the most licensed hospitals in the state (6).

Key statistics

StatisticValue
Active licensed hospitals120
Cities covered95
Statewide average records layer score81
Grade A facilities70 (58.3%)
Grade B facilities29 (24.2%)
Grade C facilities17 (14.2%)
Grade D facilities4 (3.3%)
Facilities with a clean record (no deficiencies on file)120 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
General Acute Care Hospital86
Critical Access Hospital20
Psychiatric Hospital14

By city

Charlotte (6)Durham (4)Raleigh (4)Winston-Salem (3)Asheville (2)Goldsboro (2)Salisbury (2)Hendersonville (2)Fayetteville (2)Statesville (2)Greenville (2)Jacksonville (2)Morganton (2)Hickory (2)Wilmington (2)Linville (2)Concord (1)Mount Airy (1)High Point (1)Laurinburg (1)Rutherfordton (1)Sylva (1)Sanford (1)Shelby (1)Clinton (1)Kinston (1)Gastonia (1)Lenoir (1)Lumberton (1)Boone (1)Eden (1)Chapel Hill (1)North Wilkesboro (1)Whiteville (1)Burlington (1)Dunn (1)Wadesboro (1)Thomasville (1)Marion (1)Smithfield (1)Greensboro (1)Lexington (1)Elkin (1)Ahoskie (1)Tarboro (1)Elizabeth City (1)Pinehurst (1)Albemarle (1)Camp Lejeune (1)Kenansville (1)Asheboro (1)Wilson (1)Oxford (1)Mooresville (1)Monroe (1)New Bern (1)Henderson (1)Morehead City (1)Lincolnton (1)Rocky Mount (1)Fort Bragg (1)Roanoke Rapids (1)Cherokee (1)Supply (1)Roxboro (1)Matthews (1)Cary (1)Huntersville (1)Clyde (1)Raeford (1)Troy (1)Windsor (1)Bryson City (1)Burgaw (1)Siler City (1)Plymouth (1)Elizabethtown (1)Highlands (1)Danbury (1)Edenton (1)Brevard (1)Sparta (1)Columbus (1)Nags Head (1)Jefferson (1)Franklin (1)Southport (1)Murphy (1)Spruce Pine (1)Butner (1)Winston Salem (1)Black Mountain (1)Erwin (1)Leland (1)Garner (1)

Statewide top 25

#1 Pardee Hospital Henderson County Hendersonville · A

#2 Adventhealth Hendersonville Hendersonville · A

#3 Duke University Hospital Durham · A

#4 Novant Health Presbyterian Medical Center Charlotte · A

#5 Unc Hospitals Chapel Hill · A

#6 Rex Hospital Raleigh · A

#7 Fayetteville Nc Va Medical Center Fayetteville · A

#8 Novant Health Medical Park Hospital Winston-Salem · A

#9 Duke Regional Hospital Durham · A

#10 Novant Health Matthews Medical Center Matthews · A

#11 Wakemed, Cary Hospital Cary · A

#12 Novant Health Mint Hill Medical Center Charlotte · A

#13 Carolinas Medical Center-Northeast Concord · A-

#14 Northern Regional Hospital Mount Airy · A-

#15 Novant Health Forsyth Medical Center Winston-Salem · A-

#16 Novant Health Rowan Medical Center Salisbury · A-

#17 Unc Lenoir Health Care Kinston · A-

#18 Caromont Regional Medical Center Gastonia · A-

#19 North Carolina Baptist Hospital Winston-Salem · A-

#20 Unc Rockingham Eden · A-

#21 Wakemed, Raleigh Campus Raleigh · A-

#22 Blue Ridge Healthcare Hospitals, INC Morganton · A-

#23 Johnston Health Smithfield · A-

#24 Carolinas Medical Center/Behav Health Charlotte · A-

#25 Firsthealth Moore Regional Hospital Pinehurst · A-

Don't see a name? Search it. Every hospital has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every hospital in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About hospital licensing in North Carolina

Hospitals in North Carolina are overseen by the state's licensing authority, whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Hospital Compare general information and quality data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many hospitals are there in North Carolina?

North Carolina has 120 active licensed hospitals on the state's public file, across 95 cities. Every one has a free records layer grade on zReports.

Which North Carolina city has the most hospitals?

Charlotte, with 6 licensed hospitals, followed by Durham (4) and Raleigh (4).

How are North Carolina hospital grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Hospital Compare general information and quality data, through one fixed rule, applied identically to every hospital in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever North Carolina republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of September 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.09 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: September 2026

Cite this report

APA, zReports Research Institute. (2026). North Carolina Hospital Rankings & Safety Report (v2026.09). zReports.org. https://zreports.org/rankings/hospital/nc

MLA, zReports Research Institute. “North Carolina Hospital Rankings & Safety Report.” zReports.org, v2026.09, September 2026, zreports.org/rankings/hospital/nc.

Plain, North Carolina Hospital Rankings & Safety Report, zReports Research Institute, v2026.09, updated September 2026, zreports.org/rankings/hospital/nc

Related research

Hospitals in all states → Charlotte rankings →Durham rankings →Raleigh rankings → zReports Data Blog → How the Consumer Z Score™ works →