North Carolina · CMS Data August 2026
Highest-Rated Nursing Homes in North Carolina
Where Are the Highest-Rated Nursing Homes in North Carolina?
CMS Care Compare lists 157 nursing homes rated 4 or 5 stars overall by CMS in North Carolina, out of 419 certified nursing homes (data from August 2026). The most are in Winston Salem (6), Asheville (5) and Charlotte (5). 80 hold the top rating of 5 stars.
- Matching homes
- 157
- All homes in North Carolina
- 419
- Rated 4 or 5 stars
- 157
- Average overall stars
- 4.5
How this list is made: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures. Homes are ordered by CMS's overall rating, then its inspection rating.
- 805 stars overall
- 1414+ stars for inspections
- 704+ stars for staffing
- 122No fines or payment denials
- 79Antipsychotic use below the national median
- 47Nonprofit
The Top 40 by CMS Rating
Stars are out of 5; blank cells are ratings CMS doesn't report for that home. Every matching home is on its city page, linked below.
Matching Homes by City
More About This List
Read how CMS star ratings work. For assisted living and memory care rules, Medicaid limits and the ombudsman, see senior care in North Carolina. For local services, call the Eldercare Locator at 1-800-677-1116.
Other lists for North Carolina: nursing homes that accept medicaid in North Carolina, nonprofit nursing homes in North Carolina, nursing homes with low antipsychotic use in North Carolina.
Frequently Asked Questions
How Many Highest-Rated Nursing Homes Are in North Carolina?
157 of the 419 CMS-certified nursing homes in North Carolina meet this rule: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures.
Which Highest-Rated Nursing Home in North Carolina Rates Highest?
By CMS's overall rating, then its inspection rating, Abernathy Laurels in Newton (5 stars), Alpine Health and Rehabilitation of Asheboro in Asheboro (5 stars) and Anson Health and Rehabilitation in Wadesboro (5 stars) rank highest. Visit and check the latest inspection report before you decide.
How Do You Check a Nursing Home in North Carolina?
Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. North Carolina's Long-Term Care Ombudsman Program can answer questions about residents' rights.