Nursing home safety in North Carolina
North Carolina has 293 Medicare-certified nursing homes. They average 3 out of 5 CMS stars (0.02 better than the national average), carry 19 health-inspection citations each, and 24 are listed with an abuse icon by CMS in this source snapshot. Federal penalties total $11,308,753. CMS abuse-icon records and a separate star-record sample are named below.
Source: CMS Care Compare — Provider Information released 2026-08-06; source data last modified 2026-07-29. Free to cite with attribution to Haven.
CMS source snapshot: 20 days old. These are historical CMS fields from a dated source release, not live proof of availability, certification status, an inspection outcome, or an individual's care fit.
Staffing in North Carolina averages 3.88 nurse hours per resident per day (0.01 worse than the national average). Citations average 19 per home (11.3 better than the national average)— though citation counts reflect how aggressively a state's survey agency inspects, so they compare poorly across state lines.
North Carolina homes listed with a CMS abuse icon
CMS applies this icon when a facility was cited for abuse-related deficiencies on a recent inspection. It is a serious signal, not a verdict — read the specific citations in the linked record and ask the administrator directly.
- Copperfield Health & Rehabilitation (opens the official CMS Care Compare record) — Concord · 1★
- The Greens at Gastonia (opens the official CMS Care Compare record) — Gastonia · 1★
- Fuquay-Varina Health and Rehabilitation Center (opens the official CMS Care Compare record) — Fuquay Varina · 1★
- Willow Valley Center for Nursing and Rehabilitatio (opens the official CMS Care Compare record) — Winston-Salem · 1★
- Davidson Health & Rehab Center (opens the official CMS Care Compare record) — Lexington · 1★
- Blumenthal Health and Rehabilitation Center (opens the official CMS Care Compare record) — Greensboro · 1★
- River Bend Health and Rehabilitation (opens the official CMS Care Compare record) — Asheville · 1★
- Fletcher Rehabilitation and Healthcare Center (opens the official CMS Care Compare record) — Fletcher · 1★
- Southpoint Rehabilitation and Healthcare Center (opens the official CMS Care Compare record) — Durham · 1★
- Siler City Center (opens the official CMS Care Compare record) — Siler City · 1★
- Carver Living Center (opens the official CMS Care Compare record) — Durham · 1★
- Hibriten Mountain Nursing and Rehabilitation (opens the official CMS Care Compare record) — Lenoir · 1★
- Valley Nursing and Rehabilitation Center (opens the official CMS Care Compare record) — Taylorsville · 1★
- Autumn Care of Myrtle Grove (opens the official CMS Care Compare record) — Wilmington · 1★
- Alamance Health Care Center (opens the official CMS Care Compare record) — Burlington · 1★
- Dahlia Gardens Center for Nursing and Rehabilitati (opens the official CMS Care Compare record) — Aberdeen · 1★
- Wilora Lake Healthcare (opens the official CMS Care Compare record) — Charlotte · 2★
- Monroe Rehabilitation Center (opens the official CMS Care Compare record) — Monroe · 2★
- Lexington Health Care Center (opens the official CMS Care Compare record) — Lexington · 2★
- Huntersville Health & Rehabilitation Center (opens the official CMS Care Compare record) — Huntersville · 3★
- Greenhaven Health and Rehabilitation Center (opens the official CMS Care Compare record) — Greensboro · 3★
- Madison Health and Rehabilitation (opens the official CMS Care Compare record) — Mars Hill · 3★
- Trinity Grove (opens the official CMS Care Compare record) — Wilmington · 3★
Special Focus Facilities in North Carolina
CMS's own list of homes with a persistent record of poor care. They are inspected about twice as often as other facilities and can be terminated from Medicare and Medicaid if they do not improve.
- Pelican Health at Charlotte (opens the official CMS Care Compare record) — Charlotte · SFF Candidate
- Crestview Health & Rehabilitation (opens the official CMS Care Compare record) — Mooresville · SFF Candidate
- Cabarrus Health and Rehabilitation Center (opens the official CMS Care Compare record) — Concord · SFF Candidate
- Rockwell Park Rehabilitation and Healthcare Center (opens the official CMS Care Compare record) — Charlotte · SFF
- Perry Creek Health and Rehabilitation Center (opens the official CMS Care Compare record) — Raleigh · SFF
- Blumenthal Health and Rehabilitation Center (opens the official CMS Care Compare record) — Greensboro · SFF Candidate
- Biltmore Haven Nursing and Rehabilitation (opens the official CMS Care Compare record) — Arden · SFF Candidate
- O'berry Neuro-Medical Treatment Center (opens the official CMS Care Compare record) — Goldsboro · SFF Candidate
CMS four- and five-star records in North Carolina
Four and five-star homes with no abuse flag and no Special Focus status in this CMS snapshot. The first 10 are shown in neutral name order; these source fields are not a Haven recommendation.
| Community | City | CMS stars | Nurse hrs/day |
|---|---|---|---|
| Abbotts Creek Center (opens the official CMS Care Compare record) | Lexington | 4 | 3.46475 |
| Abernathy Laurels (opens the official CMS Care Compare record) | Newton | 5 | 4.3617 |
| Accordius Health at Gastonia (opens the official CMS Care Compare record) | Gastonia | 4 | 3.16303 |
| Alpine Health and Rehabilitation of Asheboro (opens the official CMS Care Compare record) | Asheboro | 5 | 3.34112 |
| Anson Health and Rehabilitation (opens the official CMS Care Compare record) | Wadesboro | 5 | 3.62625 |
| Arbor Acres United Methodist Retirement Community (opens the official CMS Care Compare record) | Winston Salem | 4 | — |
| Ashton Health and Rehabilitation (opens the official CMS Care Compare record) | Mcleansville | 5 | 3.61272 |
| Aston Park Health Care Center (opens the official CMS Care Compare record) | Asheville | 5 | 3.67284 |
| Autumn Care of Drexel (opens the official CMS Care Compare record) | Morganton | 4 | 3.66475 |
| Autumn Care of Fayetteville (opens the official CMS Care Compare record) | Fayetteville | 5 | 3.50478 |
Largest federal penalties in North Carolina
Civil monetary penalties follow serious deficiencies. A large fine history is a question to raise, not an automatic disqualification — some homes correct course, and the citations tell you which.
- Rockwell Park Rehabilitation and Healthcare Center · Charlotte (opens the official CMS Care Compare record)$338,513
- Perry Creek Health and Rehabilitation Center · Raleigh (opens the official CMS Care Compare record)$326,170
- University Place Nursing and Rehabilitation Center · Charlotte (opens the official CMS Care Compare record)$276,401
- Willow Valley Center for Nursing and Rehabilitatio · Winston-Salem (opens the official CMS Care Compare record)$275,518
- Smithfield Manor Rehabilitation and Healthcare Cen · Smithfield (opens the official CMS Care Compare record)$263,607
- Brunswick Health & Rehab Center · Ash (opens the official CMS Care Compare record)$252,827
- Piedmont Hills Center for Nursing and Rehab · Greensboro (opens the official CMS Care Compare record)$217,827
- Blumenthal Health and Rehabilitation Center · Greensboro (opens the official CMS Care Compare record)$210,325
- Belaire Health Care Center · Gastonia (opens the official CMS Care Compare record)$202,719
- The Citadel Mooresville · Mooresville (opens the official CMS Care Compare record)$201,886
North Carolina nursing homes: common questions
How many nursing homes in North Carolina have been flagged for abuse?
24 of 293 CMS-certified nursing homes in North Carolina (8.2%) are listed with the federal abuse icon in the CMS snapshot used for this report. CMS applies the icon when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate in this same snapshot is 9.9%. Every listed home is named on this page.
What is the average nursing home rating in North Carolina?
North Carolina nursing homes average 3 out of 5 on the CMS overall star rating, across 290 rated facilities. The national average is 2.98. Staffing averages 3.88 total nurse hours per resident per day versus 3.89 nationally.
Which nursing homes in North Carolina are on the Special Focus list?
8 North Carolina facilities are designated a Special Focus Facility or candidate — CMS's list of homes with a persistent record of poor care, which face roughly double the normal inspection frequency and possible termination from Medicare and Medicaid. They are listed by name on this page.
How much have North Carolina nursing homes been fined?
Federal civil monetary penalties against North Carolina nursing homes total $11,308,753 in the CMS release used for this report. Fines follow serious deficiencies, so a large penalty history is worth asking a facility about directly — they are required to discuss their inspection record with you.
Worried about a specific home in North Carolina?
Open a named home's linked CMS record to review the source fields behind this report, then use the assessment and comparison tools to prepare questions, then confirm current price, availability, and care acceptance directly with each home.