CMS data processed
  • Compare
  • Watch list
Elder Care Record

Nursing homes in North Carolina

North Carolina has 419 certified nursing homes in 97 counties. Select a county or a city to see its homes in one table.

Counties

Counties of North Carolina with a certified nursing home, in order of name
CountyHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Alamance787639.8$151,658
Alexander1183115.3$88,557
Alleghany190157.8$337,573
Anson2161511.8$0
Ashe1210311.0$28,973
Avery111845.9$0
Beaufort2268222.8$43,859
Bertie2142440.8$249,991
Bladen218438.7$22,169
Brunswick5564225.9$420,333
Buncombe191,899320.2$776,899
Burke5531413.0$70,687
Cabarrus7675223.4$272,759
Caldwell4400423.8$254,472
Carteret430247.0$3,728
Caswell1157214.6$0
Catawba674258.2$43,109
Chatham3306219.3$24,786
Cherokee2210420.0$9,770
Chowan113047.7$0
Clay190218.9$0
Cleveland4534210.1$96,783
Columbus3323128.8$515,454
Craven5461218.0$271,389
Cumberland101,02949.5$111,157
Currituck1100123.0$120,975
Dare112636.3$0
Davidson9888324.5$204,335
Davie3249318.1$36,019
Duplin3272412.5$43,924
Durham131,412319.1$560,974
Edgecombe3377311.9$44,362
Forsyth141,477413.8$153,097
Franklin2258317.1$153,104
Gaston10934418.0$397,952
Gates170215.7$0
Graham180220.0$0
Granville2240411.3$0
Greene1115117.4$18,132
Guilford202,284415.1$756,702
Halifax4280415.7$16,471
Harnett5470223.6$69,944
Haywood5475317.9$166,911
Henderson9912325.2$317,245
Hertford1151315.2$0
Hoke113223.0$32,631
Iredell5506425.9$364,549
Jackson2200431.5$359,818
Johnston5615222.4$470,900
Jones180223.8$18,600
Lee3294426.2$18,805
Lenoir3381313.4$90,580
Lincoln3300317.0$103,504
Macon228057.5$5,689
Madison2180312.8$9,110
Martin1154231.2$45,102
McDowell2250318.8$283,831
Mecklenburg292,983221.3$1,596,969
Mitchell112739.4$153,439
Montgomery114149.9$15,350
Moore7705418.3$68,013
Nash3318318.2$27,872
New Hanover11977225.3$476,746
Northampton2149424.2$190,684
Onslow2359410.6$56,255
Orange3218418.3$0
Pamlico196510.4$0
Pasquotank2278219.8$88,628
Pender2210411.0$15,646
Perquimans178150.0$0
Person2196221.4$99,852
Pitt6546228.4$188,007
Polk3185216.2$32,954
Randolph6720313.3$126,810
Richmond2225418.7$0
Robeson6525323.2$180,238
Rockingham559559.1$43,143
Rowan9844319.1$147,485
Rutherford5420412.6$154,469
Sampson2312310.6$76,684
Scotland220754.3$0
Stanly4406316.5$26,084
Stokes4322319.9$150,262
Surry5472311.9$166,593
Swain2220254.1$171,686
Transylvania3267222.8$29,504
Union7697316.6$338,081
Vance3230131.7$167,484
Wake212,174317.2$1,096,274
Warren1140312.1$0
Washington1114318.4$0
Watauga2226227.0$49,463
Wayne4624214.7$370,474
Wilkes4417215.8$0
Wilson563748.8$158,403
Yadkin222353.6$8,018
Yancey1140215.7$59,631

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

North Carolina in figures

The nursing homes in North Carolina have 43,850 certified beds. They have about 36,219 residents on an average day. 42% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 80 homes have an overall rating of 5 stars.

The homes have 17.8 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 490 fines with a total of $15,188,573 for these homes in its penalties file. CMS also lists 75 payment denials. 34 homes have the CMS abuse icon.

Nursing homes in North Carolina by CMS overall rating
Overall ratingHomesShareUS share
5 of 58019%20%
4 of 57718%19%
3 of 58119%19%
2 of 58721%20%
1 of 59021%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in North Carolina, three survey cycles
F-tagRequirement (CMS text)Citations
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.390
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.355
F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.342
F0641Ensure each resident receives an accurate assessment.338
F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.314
F0880Provide and implement an infection prevention and control program.306
F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.214
F0695Provide safe and appropriate respiratory care for a resident when needed.193
F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.189
F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.185
F0677Provide care and assistance to perform activities of daily living for any resident who is unable.183
F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.177

Chains in the state

Chains with nursing homes in North Carolina, in order of name
ChainHomes in North Carolina
Alliance Health Group12
Ascent Healthcare Management6
Atrium Health5
August Healthcare5
Avardis Health16
Brighton Healthcare4
Carrolton Nursing Homes6
CCH Healthcare15
Century Care Management7
Ciena Healthcare/Laurel Health Care6
Everyage Senior Living2
Genesis Healthcare5
Harborview Health Systems4
Liberty Senior Living36
Life Care Services7
Lifeworks Rehab16
Lutheran Services Carolinas9
Peak Resources, Inc.8
Principle Long Term Care36
Pruitthealth15
Saber Healthcare Group27
Sanstone Health & Rehabilitation18
Signature Healthcare3
Sovereign Healthcare Holdings10
Yad Healthcare8

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in North Carolina by year, from the CMS penalties file
YearPenaltiesFines
202395$2,023,567
2024263$8,134,265
2025167$4,343,079
202640$687,662

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in North Carolina, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 202610210$00
June 2026421533$54,7560
May 2026381265$93,2100
April 20263512710$231,1640
March 2026441568$121,5610
February 20263614810$147,8680
January 2026361404$39,1030
December 20254414712$214,7610
November 2025361384$39,4230
October 2025104211$381,2900
September 20253315018$327,4800
August 2025412089$243,1570
July 20254515719$327,5550
June 20253720917$588,3420
May 20254721615$401,8680
April 20254419714$533,8150
March 20254320213$362,7930
February 20254427219$681,4620
January 20254213916$241,1330
December 20242515919$458,9530
November 20245119317$645,6210
October 20244117821$459,1700
September 20244418914$162,5540

The site has no recorded change for North Carolina. It records changes at each CMS update.

Questions

How many nursing homes in North Carolina are Special Focus Facilities?
CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in North Carolina?
F-tag 812 has 390 citations in the last three survey cycles. F-tag 689 has 355. F-tag 761 has 342.
What changed in North Carolina in the last CMS update?
The site has no recorded change for North Carolina. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in North Carolina.