RankingsCMS data: August 2026

Best Nursing Homes in North Carolina (2026)

The top 25 of 415 CMS-certified nursing homes in North Carolina, ranked by CMS overall rating, then penalties, health inspections and staffing — 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
$65K$5K vs national avgNational avg: $70KAvg 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 BedsStandard health inspection 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
  • Staffing4.0
  • Quality Measures4.0
120 BedsStandard health inspection Dec 2025

Above North Carolina avg of 2.9

1795 Kernersville Medical ParkwayKernersville, NC 27284

(743) 209-3042

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3No Penalties

Nursing HomeBlack Mountain, NC

Black Mountain Neuro-Medical Treatment Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • StaffingN/A
  • Quality Measures5.0
163 BedsStandard health inspection Sep 2025

Above North Carolina avg of 2.9

932 Old Us Highway 70Black Mountain, NC 28711

(828) 259-6700

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41 Penalty

Nursing HomeRaleigh, NC

Rex Rehab & Nursing Care Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
120 BedsStandard health inspection Aug 2025

Above North Carolina avg of 2.9

4210 Lake Boone TrailRaleigh, NC 27607

(919) 784-6600

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5No Penalties

Nursing HomeHuntersville, NC

Lakeside Health & Rehab Center

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection3.0
  • Staffing2.0
  • Quality Measures5.0
114 BedsStandard health inspection Dec 2025

Above North Carolina avg of 2.9

13825 Hunton LaneHuntersville, NC 28078

(704) 897-2700

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61 Penalty

Nursing HomeSalisbury, NC

Nc State Veterans Home - Salisbury

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection2.0
  • Staffing5.0
  • Quality Measures5.0
99 BedsStandard health inspection Dec 2025

Above North Carolina avg of 2.9

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

(704) 638-4200

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74 Penalties

Nursing HomeWilson, NC

Longleaf Neuro-Medical Treatment Center

Government

★★★☆☆3 out of 5 stars3.0AverageCMS Overall
  • Health Inspection2.0
  • Staffing5.0
  • Quality Measures2.0
248 BedsStandard health inspection Jun 2025

Above North Carolina avg of 2.9

4761 Ward BoulevardWilson, NC 27893

(252) 399-2112

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82 Penalties

Nursing HomeGoldsboro, NC

O'Berry Neuro-Medical Treatment Center

Government

★★☆☆☆2 out of 5 stars2.0Below AverageCMS Overall
  • Health Inspection1.0
  • Staffing5.0
  • Quality Measures3.0
144 BedsStandard health inspection Oct 2025

Below North Carolina avg of 2.9

400 Old Smithfield RoadGoldsboro, NC 27533

(919) 581-4001

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95 Penalties

Nursing HomeKinston, NC

Nc State Veterans Home-Kinston

Government

★★☆☆☆2 out of 5 stars2.0Below AverageCMS Overall
  • Health Inspection2.0
  • Staffing4.0
  • Quality Measures3.0
100 BedsStandard health inspection Nov 2025

Below North Carolina avg of 2.9

2150 Hull RoadKinston, NC 28504

(252) 939-8000

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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%Census ACS 2023
  • Life expectancy75.9 yrs

    About the same as the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover49.0%

    A little higher than the national average of 45.8%.

    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 active CMS data. This rankings page evaluated 415 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 $65K. The national nursing-home average is $70K.

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 $65K versus $70K 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.

What do the CMS data and inspection dates mean?

CMS data: August 2026. The inspection date is the latest standard health inspection reported in the CMS survey summary, including inspections with no deficiencies. Complaint and fire safety surveys are separate. A recent CMS release can include an older inspection date. Listings absent from the latest imported CMS provider release remain available on the platform but are excluded from current rankings.

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