North Carolina Nursing Home Rankings & Safety Report

zReports Research Institute · Updated August 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.08 Facilities analyzed420 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedAugust 2026 MethodologyConsumer Z Score™ · Database v2026.08

North Carolina has 420 active licensed nursing homes on the state's public file. zReports analyzed CMS Nursing Home Compare 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

420active licensed nursing homes across 201 North Carolina cities appear on the state's public file.
56.2%hold an A or B records layer grade, while 107 carry a D or F.
71.4is the statewide average records layer score across all graded nursing homes.
Raleighis the highest-scoring larger city (12 facilities, average score 74.3).
Charlottehas the most licensed nursing homes in the state (20).
43,869is the combined licensed capacity across 420 facilities reporting a capacity figure.

Key statistics

StatisticValue
Active licensed nursing homes420
Cities covered201
Statewide average records layer score71.4
Grade A facilities151 (36%)
Grade B facilities85 (20.2%)
Grade C facilities77 (18.3%)
Grade D facilities79 (18.8%)
Grade F facilities28 (6.7%)
Facilities with a clean record (no deficiencies on file)420 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Combined licensed capacity43,869

How cities compare

Average records layer score by city (cities with 10+ facilities), against the statewide average of 71.4.

CityFacilitiesAvg scorevs state
Raleigh1274.3+2.9
Asheville1073.3+1.9
Greensboro1167.5-3.9
Charlotte2067.4-4
Durham1164.5-6.9
Wilmington1162.5-8.9

By city

Charlotte (20)Raleigh (12)Durham (11)Wilmington (11)Greensboro (11)Asheville (10)Fayetteville (8)Winston-Salem (7)Salisbury (7)Gastonia (7)Hendersonville (6)Lumberton (5)Wilson (5)Burlington (5)Concord (5)Lexington (4)Pinehurst (4)Black Mountain (4)Hickory (4)Monroe (4)Albemarle (4)Greenville (4)Chapel Hill (4)New Bern (4)Winston Salem (3)Asheboro (3)Matthews (3)Kernersville (3)Rutherfordton (3)High Point (3)Huntersville (3)Waynesville (3)Goldsboro (3)Rocky Mount (3)Lenoir (3)Thomasville (3)Kinston (3)Lincolnton (3)Morganton (3)Mount Airy (3)Brevard (3)Sanford (3)Statesville (3)Henderson (3)Cary (3)Roxboro (2)Elizabeth City (2)Wadesboro (2)Jacksonville (2)Elkin (2)Clemmons (2)Wilkesboro (2)Yadkinville (2)Morehead City (2)Shelby (2)Lillington (2)Smithfield (2)Mooresville (2)Tarboro (2)Whiteville (2)Elizabethtown (2)Washington (2)Clinton (2)Reidsville (2)Eden (2)Cherryville (2)Kannapolis (2)Oxford (2)Laurinburg (2)Sylva (2)Clayton (2)Dunn (2)Louisburg (2)Windsor (2)Scotland Neck (2)King (2)North Wilkesboro (2)Garner (2)Pittsboro (2)Jamestown (2)Biscoe (1)Pleasant Garden (1)Blowing Rock (1)Madison (1)Walnut Cove (1)Maggie Valley (1)Zebulon (1)Southern Pines (1)Mount Olive (1)Tryon (1)Mocksville (1)Siler City (1)Williamston (1)Kenansville (1)Kings Mountain (1)Newton (1)Boone (1)Edenton (1)Marion (1)Danbury (1)Beaufort (1)Lake Waccamaw (1)Murphy (1)Bryson City (1)Denton (1)Banner Elk (1)Mars Hill (1)Eastover (1)Weaverville (1)Nags Head (1)Grover (1)Nebo (1)Warrenton (1)Granite Falls (1)Taylorsville (1)Warsaw (1)Mills River (1)Sparta (1)Hertford (1)Franklin (1)Stanley (1)Yanceyville (1)Plymouth (1)Marshville (1)Spruce Pine (1)Raeford (1)Spencer (1)Barco (1)Grantsboro (1)Hamlet (1)Shallotte (1)Jefferson (1)Burgaw (1)Burnsville (1)Weldon (1)Jackson (1)Forest City (1)Winnabow (1)Marshall (1)Wallace (1)Trinity (1)Roanoke Rapids (1)Graham (1)Canton (1)Hampstead (1)Saluda (1)Robbinsville (1)Rich Square (1)Ahoskie (1)Mebane (1)Snow Hill (1)Falcon (1)Southport (1)Rockingham (1)Farmville (1)Stokesdale (1)Candler (1)Pollocksville (1)Gatesville (1)Pembroke (1)Fairview (1)Pineville (1)Bermuda Run (1)Wake Forest (1)Swannanoa (1)Bostic (1)Andrews (1)Carthage (1)Hayesville (1)Knightdale (1)Highlands (1)Hillsborough (1)Connelly Springs (1)Archdale (1)Columbus (1)Cherokee (1)Arden (1)Havelock (1)Ayden (1)Newport (1)Flat Rock (1)Fuquay-Varina (1)Indian Trail (1)Apex (1)Aberdeen (1)Nashville (1)Harrisburg (1)Conover (1)Benson (1)Fletcher (1)Ramseur (1)Connelly Spring (1)Colfax (1)Advance (1)Mcleansville (1)Bolivia (1)Waxhaw (1)Fuquay Varina (1)Mint Hill (1)Cornelius (1)Ash (1)

Statewide top 25

#1 Hillcrest Convalescent Center Durham · A

#2 Cypress Pointe Rehabilitation Center Wilmington · A

#3 Silas Creek Rehabilitation Center Winston Salem · A

#4 Clapps Nursing Center INC Pleasant Garden · A

#5 Saint Joseph Of The Pines Health Center Pinehurst · A

#6 Anson Health And Rehabilitation Wadesboro · A

#7 Edgewood Place At The Village At Brookwood Burlington · A

#8 Maryfield Nursing Home High Point · A

#9 Chatham Nursing & Rehabilitation Elkin · A

#10 Jesse Helms Nursing Center Monroe · A

#11 Trinity Ridge Hickory · A

#12 Carolina Village INC Hendersonville · A

#13 Friends Homes At Guilford Greensboro · A

#14 Trinity Oaks Salisbury · A

#15 Alpine Health And Rehabilitation Of Asheboro Asheboro · A

#16 Abernathy Laurels Newton · A

#17 Crystal Bluffs Rehabilitation And Health Care Cent Morehead City · A

#18 Grace Heights Health & Rehabilitation Morganton · A

#19 Mountain Vista Health Park Denton · A

#20 Aston Park Health Care Center Asheville · A

#21 Carol Woods Chapel Hill · A

#22 Life Care Center Of Banner Elk Banner Elk · A

#23 Unc Rockingham Rehab & Nursing Care Center Eden · A

#24 The Lodge At Mills River Mills River · A

#25 Carolina Care Health And Rehabilitation Cherryville · A

Don't see a name? Search it. Every nursing home 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 nursing home 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 nursing home licensing in North Carolina

Nursing Homes in North Carolina are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Nursing Home Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many nursing homes are there in North Carolina?

North Carolina has 420 active licensed nursing homes on the state's public file, across 201 cities, with a combined licensed capacity of 43,869. Every one has a free records layer grade on zReports.

Which North Carolina city has the most nursing homes?

Charlotte, with 20 licensed nursing homes, followed by Raleigh (12) and Durham (11).

How are North Carolina nursing home grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Nursing Home Compare data, through one fixed rule, applied identically to every nursing home 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 August 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™ v2026.08 · 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: August 2026

Cite this report

APA, zReports Research Institute. (2026). North Carolina Nursing Home Rankings & Safety Report (v2026.08). zReports.org. https://zreports.org/rankings/nursing/nc

MLA, zReports Research Institute. “North Carolina Nursing Home Rankings & Safety Report.” zReports.org, v2026.08, August 2026, zreports.org/rankings/nursing/nc.

Plain, North Carolina Nursing Home Rankings & Safety Report, zReports Research Institute, v2026.08, updated August 2026, zreports.org/rankings/nursing/nc

Related research

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