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 18.7 health-inspection citations each, and 23 are flagged in the records analyzed by CMS for abuse. Federal penalties total $10,749,783. Every flagged and top-rated home is named below.
Source: CMS Care Compare records in Haven’s directory, which may lag CMS updates. Free to cite with attribution to Haven.
Staffing in North Carolina averages 3.91 nurse hours per resident per day (0.02 better than the national average). Citations average 18.7 per home (11.7 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 CMS currently flags for abuse
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, which are on each facility's page, and ask the administrator directly.
- Copperfield Health & Rehabilitation — Concord · 1★
- Fuquay-Varina Health and Rehabilitation Center — Fuquay Varina · 1★
- River Bend Health and Rehabilitation — Asheville · 1★
- Fletcher Rehabilitation and Healthcare Center — Fletcher · 1★
- Southpoint Rehabilitation and Healthcare Center — Durham · 1★
- Siler City Center — Siler City · 1★
- Willow Valley Center for Nursing and Rehabilitatio — Winston-Salem · 1★
- Davidson Health & Rehab Center — Lexington · 1★
- Hibriten Mountain Nursing and Rehabilitation — Lenoir · 1★
- Valley Nursing and Rehabilitation Center — Taylorsville · 1★
- Alamance Health Care Center — Burlington · 1★
- Davis Health Care Center — Wilmington · 1★
- Autumn Care of Myrtle Grove — Wilmington · 1★
- Dahlia Gardens Center for Nursing and Rehabilitati — Aberdeen · 1★
- Wilora Lake Healthcare — Charlotte · 2★
- Monroe Rehabilitation Center — Monroe · 2★
- Lexington Health Care Center — Lexington · 2★
- Huntersville Health & Rehabilitation Center — Huntersville · 3★
- Madison Health and Rehabilitation — Mars Hill · 3★
- Greenhaven Health and Rehabilitation Center — Greensboro · 3★
- Trinity Grove — Wilmington · 3★
- Blumenthal Health and Rehabilitation Center — Greensboro
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 — Charlotte · SFF Candidate
- Crestview Health & Rehabilitation — Mooresville · SFF Candidate
- Cabarrus Health and Rehabilitation Center — Concord · SFF Candidate
- Rockwell Park Rehabilitation and Healthcare Center — Charlotte · SFF
- Biltmore Haven Nursing and Rehabilitation — Arden · SFF Candidate
- Blumenthal Health and Rehabilitation Center — Greensboro · SFF
- Cedar Hills Center for Nursing and Rehabilitation — Clemmons · SFF Candidate
- O'berry Neuro-Medical Treatment Center — Goldsboro · SFF Candidate
Highest-rated nursing homes in North Carolina
Four and five-star homes with no abuse flag and no Special Focus status, ordered by Haven's Scout Score (federal ratings, staffing, and inspection history). Rankings cannot be purchased.
| Community | City | CMS stars | Nurse hrs/day |
|---|---|---|---|
| Novant Health Presbyterian Medical Center-Snu | Charlotte | 5 | 6.4703 |
| Willow Brooke Court at Park Pointe Village | Rock Hill | 5 | 3.80836 |
| Carolina Village INC | Hendersonville | 5 | 6.24916 |
| Black Mountain Neuro-Medical Treatment Center | Black Mountain | 5 | — |
| Conover Nursing and Rehabilitation Center | Conover | 5 | 4.78582 |
| Cypress Glen Retirement Community | Greenville | 5 | 7.29036 |
| Unc Rex Rehab & Nursing Care Center of Apex | Apex | 5 | 4.6205 |
| Maryfield Nursing Home | High Point | 5 | 4.04424 |
| Hillcrest Convalescent Center | Durham | 5 | 5.9521 |
| The Arbor | Pittsboro | 5 | 4.45595 |
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$338,513
- Perry Creek Health and Rehabilitation Center · Raleigh$326,170
- University Place Nursing and Rehabilitation Center · Charlotte$276,401
- Smithfield Manor Rehabilitation and Healthcare Cen · Smithfield$263,607
- Brunswick Health & Rehab Center · Ash$229,685
- Piedmont Hills Center for Nursing and Rehab · Greensboro$217,827
- Blumenthal Health and Rehabilitation Center · Greensboro$210,325
- Belaire Health Care Center · Gastonia$202,719
- The Citadel Mooresville · Mooresville$201,886
- Pruitthealth-Union Pointe · Monroe$197,532
Browse North Carolina by area
North Carolina nursing homes: common questions
How many nursing homes in North Carolina have been flagged for abuse?
23 of 293 CMS-certified nursing homes in North Carolina (7.8%) carry the federal abuse icon in the records analyzed, which CMS applies when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate is 9.9%. Every flagged 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 3.91 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 $10,749,783 in the current CMS release. 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?
Every facility page shows that home's own inspection record — what inspectors found, how severe, and when — alongside staffing and pricing. If you need help sorting real options fast, a Haven advisor is free to your family.