RankingsUpdated August 2026

The 25 Best-Rated Nursing Homes in North Carolina (2026)

The top 25 of 417 CMS-certified nursing homes in North Carolina, ranked by health inspection scores, staffing levels, and penalty history — never paid placement. See how our ranking method works

4191.2 per 30K residentsBelow national avg of 1.3 per 30KTotal Nursing Homes
2.9/5
-0.1 vs national avgNational avg: 3.00Statewide Avg Rating
$74K+$3K vs national avgNational avg: $71KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeMount Airy, NC

Northern Regional Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures4.0
33 BedsInspected Mar 2025

Above North Carolina avg of 2.9

830 Rockford StreetMount Airy, NC 27030

(336) 719-7000

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2No Penalties

Nursing HomeKernersville, NC

North Carolina State Veterans Home Kernersville

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • StaffingN/A
  • Quality MeasuresN/A
120 Beds

Above North Carolina avg of 2.9

1795 Kernersville Medical ParkwayKernersville, NC 27284

(743) 209-3042

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3No Penalties

Nursing HomeSalisbury, NC

Nc State Veterans Home - Salisbury

Government

★★★☆☆3 out of 5 stars3.0AverageCMS Overall
  • Health Inspection2.0
  • Staffing5.0
  • Quality Measures4.0
99 BedsInspected Dec 2025

Above North Carolina avg of 2.9

1601 Brenner Ave., Building #10Salisbury, NC 28145

(704) 638-4200

View Facility

State report

Why families compare nursing homes in North Carolina

#37of 51 states & DC
Health Ranking

Among the lowest-ranked states for overall health outcomes — long-term care demand runs high (rank 37 of 51).

America’s Health Rankings 2024
  • Population 65+19.6%

    About 11% higher than the national average of 17.7%.

    Census ACS 2023
  • Life expectancy75.9 yrs

    About the same as the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover50.4%

    About 9% higher than the national average of 46.4%.

    CMS PBJ 2024

See full demographics & care economics for North Carolina →

FAQ

Questions families ask about this page

How many nursing homes are in North Carolina?

North Carolina has 419 nursing homes in the full directory. This rankings page evaluated 417 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in North Carolina?

Nursing homes in North Carolina average 2.9 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in North Carolina is penalized?

Among North Carolina nursing homes that were fined, the average fine is $74K. The national nursing-home average is $71K.

How does North Carolina compare with the national average?

North Carolina averages 2.9 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $74K versus $71K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

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