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Nursing Homes in North Carolina
Total Facilities:1351
Avg Nursing Home Score:57.1
High-Performing NHs:11.9%
Quick Answer
North Carolina has 420 nursing homes, 692 assisted living communities, and 163 home health agencies in our database. Its nursing homes average a SunsetWell Score of 6.1/10, with 11.9% scoring 75 or higher. Average monthly cost: $7,800-$11,400.
Finding Care in North Carolina
If you're looking for nursing home care in North Carolina—from Charlotte and Raleigh to the mountains or coast—you're carrying a heavy emotional burden. You might be feeling guilty, scared about costs, or worried about quality. These feelings are completely normal. Choosing nursing home care when your loved one needs professional medical support is not failure—it's love in action.
North Carolina has over 400 skilled nursing facilities, regulated by the Division of Health Service Regulation. Many facilities specialize in memory care, post-acute rehabilitation, or ventilator care. North Carolina nursing homes range from large urban centers to smaller community-based facilities, many of which have strong reputations for person-centered care.
Costs in North Carolina are below the national average, which can provide some financial breathing room. North Carolina Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid—though many require a period of private pay first. North Carolina's Community Advisory Committees (CACs) and ombudsman program provide strong resident protections.
North Carolina at a Glance
Facility Breakdown
Skilled Nursing Facilities:420
Assisted Living Communities:692
Home Health Agencies:163
Other provider types:76
The total includes every provider type in the database; the categories above explain the largest groups and show the remainder separately.
Quality Metrics
Avg Nursing Home Score:57.1
Median Nursing Home Score:58.0
Nursing Homes Scoring 75+:50 (11.9%)
Staffing Reliability Context
State averages can hide whether staffing is steady day to day. Our Weekend Effect report uses CMS daily payroll data to compare weekend staffing drops, volatility, and contract labor reliance at individual nursing homes.
Request help from SunsetWell
You can store a research request with SunsetWell. Individual review and a response are not guaranteed, so contact facilities directly for current details.
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Compare Nursing Homes in North Carolina
#1
Arbor Acres United Methodist Retirement Community
Winston Salem • 1250 Arbor Road
Health: 4 stars
Staffing: 1 stars
Quality: 2 stars
95
Exceptional · 100th percentile in NC
#2
Life Care Center of Banner Elk
Banner Elk • 185 Norwood Hollow Road
Health: 4 stars
Staffing: 2 stars
Quality: 5 stars
90
Exceptional · 100th percentile in NC
#3
Northampton Nursing and Rehabilitation Center
Jackson • HWY 305 North
Health: 4 stars
Staffing: 1 stars
Quality: 3 stars
90
Excellent · 100th percentile in NC
#4
Peak Resources - Gastonia
Gastonia • 2780 X-Ray Drive
Health: 4 stars
Staffing: 2 stars
Quality: 5 stars
89
Excellent · 99th percentile in NC
#5
Madison Health and Rehabilitation
Mars Hill • 345 Manor Road
Health: 2 stars
Staffing: 4 stars
Quality: 5 stars
87
Excellent · 99th percentile in NC
#6
Emerald Health & Rehab Center
Lillington • 54 Red Mulberry Way
Health: 2 stars
Staffing: 1 stars
Quality: 4 stars
86
Excellent · 99th percentile in NC
#7
StoneCreek Health and Rehabilitation
Asheville • 455 Victoria Road
Health: 1 stars
Staffing: 2 stars
Quality: 5 stars
85
Excellent · 99th percentile in NC
#8
Brookridge Retirement Community
Winston-Salem • 1199 Hayes Forest Drive
Health: 4 stars
Staffing: 1 stars
Quality: 5 stars
85
Excellent · 98th percentile in NC
Browse by City
Charlotte44 facilitiesRocky Mount24 facilitiesGreensboro23 facilitiesRaleigh22 facilitiesWilson17 facilitiesDurham16 facilitiesWinston-Salem15 facilitiesHendersonville15 facilitiesBurlington13 facilitiesAsheville13 facilitiesWilmington12 facilitiesGoldsboro12 facilitiesNew Bern11 facilitiesFayetteville11 facilitiesCHARLOTTE10 facilities
Medicaid Coverage in North Carolina
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in North Carolina.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); North Carolina uses an income cap, but those above can establish a Qualified Income Trust (QIT)
$2,982 (2026); North Carolina uses an income cap, but those above can establish a Qualified Income Trust (QIT)
Asset Limit:
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
Processing Time:
45-60 days for initial determination
45-60 days for initial determination
How to Apply
Apply through your county Department of Social Services or online at epass.nc.gov. You'll need financial documents, medical assessments, and proof of citizenship.
Important Tips for North Carolina Families
- •North Carolina's 'special income limit' is $2,982/month (2026). If your loved one exceeds this, a Qualified Income Trust (QIT) is required.
- •Work with a North Carolina elder law attorney to understand spousal asset protections—NC allows community spouses to retain significant resources.
- •North Carolina has Medicaid estate recovery, but exemptions exist for surviving spouses, disabled children, and caretaker children.
- •Veterans in NC may qualify for VA Aid & Attendance, providing up to $2,424/month toward care costs.
- •Many NC facilities require 30-60 days of private pay before accepting Medicaid—confirm policies upfront.
Nursing Home Costs in North Carolina
$260-$380/day average
Monthly Range: $7,800-$11,400
North Carolina nursing home costs are below the national average. Urban areas (Charlotte, Raleigh, Durham) are more expensive than rural counties. Medicare covers skilled nursing for up to 100 days post-hospitalization. Medicaid covers long-term care for eligible NC residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
North Carolina Resources & Advocacy
Oversight & Complaints
North Carolina Long-Term Care Ombudsman Program
1-800-662-7030Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
NC Division of Health Service Regulation
View inspection reports →Support & Guidance
North Carolina Division of Aging and Adult Services
1-919-855-3400Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in North Carolina.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, NC Division of Health Service Regulation, SunsetWell Analysis