Best Nursing Homes in North Carolina (2026 Rankings)

Top 20 facilities ranked by CMS star rating, staffing, and quality measures

418 total facilities81 five-star ratedAvg rating: 2.9 / 5

Top 20 Nursing Homes in North Carolina

1
TRANSYLVANIA REGIONAL HOSPITAL
BREVARD, 10 beds
5/5
2
Carolina Village Inc
Hendersonville, 58 beds
5/5
3
Penick Village
Southern Pines, 32 beds
5/5
4
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER-SNU
CHARLOTTE, 12 beds
5/5
5
Trinity Village
Hickory, 104 beds
5/5
6
Carol Woods
Chapel Hill, 30 beds
5/5
7
The Rosewood Health Center
Raleigh, 57 beds
5/5
8
Glenaire
Cary, 71 beds
5/5
9
Homestead Hills
Winston-Salem, 40 beds
5/5
10
Brookridge Retirement Community
Winston-Salem, 77 beds
5/5
11
Croasdaile Village
Durham, 102 beds
5/5
12
River Landing at Sandy Ridge
Colfax, 60 beds
5/5
13
Scotia Village - SNF
Laurinburg, 58 beds
5/5
14
Hillcrest Convalescent Center
Durham, 86 beds
5/5
15
Twin Lakes Community
Burlington, 104 beds
5/5
16
UNC Rockingham Rehab & Nursing Care Center
Eden, 121 beds
5/5
17
Edgewood Place at the Village at Brookwood
Burlington, 51 beds
5/5
18
Deerfield Episcopal Retirement
Asheville, 62 beds
5/5
19
Cypress Glen Retirement Community
Greenville, 6 beds
5/5
20
Courtland Terrace
Gastonia, 77 beds
5/5

Rankings based on CMS Overall Star Rating. Ties broken by staffing hours then quality rating. Data updated 2026.

Nursing Home Costs in North Carolina

$310/day
Private Room (daily)
$9,418/mo
Private Room (monthly)
$283/day
Semi-Private (daily)
$8,604/mo
Semi-Private (monthly)
$198/day
Medicaid Rate (approx)

Source: CareScout/Genworth Cost of Care Survey 2025. Private-pay rates shown.

Inspection Summary for North Carolina

413
Total Inspections
8,434
Total Deficiencies
20.4
Avg Deficiencies / Facility
27.6%
Infection Control Issues

Frequently Asked Questions

What is the best nursing home in North Carolina?

Based on CMS data, TRANSYLVANIA REGIONAL HOSPITAL in BREVARD ranks first with an overall rating of 5/5 stars. The top-rated facilities in North Carolina are listed above, sorted by CMS star rating and supplementary quality measures.

How much do nursing homes cost in North Carolina?

The average cost of a nursing home in North Carolina is $310/day for a private room ($9,418/month). Semi-private rooms average $283/day. Medicaid reimburses approximately $198/day for eligible residents.

How are these rankings determined?

Rankings use the CMS (Centers for Medicare and Medicaid Services) Overall Star Rating as the primary criterion. Ties are broken by total nurse staffing hours per resident day, then by quality measure ratings. All data is sourced from the CMS Nursing Home Care Compare dataset.

All nursing homes in North CarolinaBest by state index