Nursing Homes in North Carolina: Staffing, Turnover, and Penalties
North Carolina has 419 Medicare- or Medicaid-certified nursing homes in 199 cities. On CMS's August 2026 figures, nurse aides there log 2.34 hours per resident per day, about the same as the US average of 2.32, and 49.0% of nursing staff leave in a year (US 45.8%).
North Carolina averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Charlotte (20), Raleigh (12), Durham (11). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Aberdeen (1)
- Advance (1)
- Ahoskie (1)
- Albemarle (4)
- Andrews (1)
- Apex (1)
- Archdale (1)
- Arden (1)
- Ash (1)
- Asheboro (3)
- Asheville (10)
- Ayden (1)
- Banner Elk (1)
- Barco (1)
- Beaufort (1)
- Benson (1)
- Bermuda Run (1)
- Biscoe (1)
- Black Mountain (4)
- Blowing Rock (1)
- Bolivia (1)
- Boone (1)
- Bostic (1)
- Brevard (3)
- Bryson City (1)
- Burgaw (1)
- Burlington (5)
- Burnsville (1)
- Candler (1)
- Canton (1)
- Carthage (1)
- Cary (2)
- Chapel Hill (4)
- Charlotte (20)
- Cherokee (1)
- Cherryville (2)
- Clayton (2)
- Clemmons (2)
- Clinton (2)
- Colfax (1)
- Columbus (1)
- Concord (5)
- Connelly Spring (1)
- Connelly Springs (1)
- Conover (1)
- Cornelius (1)
- Danbury (1)
- Denton (1)
- Dunn (2)
- Durham (11)
- Eastover (1)
- Eden (2)
- Edenton (1)
- Elizabeth City (2)
- Elizabethtown (2)
- Elkin (2)
- Fairview (1)
- Falcon (1)
- Farmville (1)
- Fayetteville (8)
- Flat Rock (1)
- Fletcher (1)
- Forest City (1)
- Franklin (1)
- Fuquay Varina (2)
- Garner (2)
- Gastonia (7)
- Gatesville (1)
- Goldsboro (3)
- Graham (1)
- Granite Falls (1)
- Grantsboro (1)
- Greensboro (11)
- Greenville (4)
- Grover (1)
- Hamlet (1)
- Hampstead (1)
- Harrisburg (1)
- Havelock (1)
- Hayesville (1)
- Henderson (3)
- Hendersonville (6)
- Hertford (1)
- Hickory (4)
- Highlands (1)
- High Point (3)
- Hillsborough (1)
- Huntersville (3)
- Indian Trail (1)
- Jackson (1)
- Jacksonville (2)
- Jamestown (2)
- Jefferson (1)
- Kannapolis (2)
- Kenansville (1)
- Kernersville (3)
- King (2)
- Kings Mountain (1)
- Kinston (3)
- Knightdale (1)
- Lake Waccamaw (1)
- Laurinburg (2)
- Lenoir (3)
- Lexington (4)
- Lillington (2)
- Lincolnton (3)
- Louisburg (2)
- Lumberton (5)
- Madison (1)
- Maggie Valley (1)
- Marion (1)
- Marshall (1)
- Mars Hill (1)
- Marshville (1)
- Matthews (3)
- McLeansville (1)
- Mebane (1)
- Mills River (1)
- Mint Hill (1)
- Mocksville (1)
- Monroe (4)
- Mooresville (2)
- Morehead City (2)
- Morganton (3)
- Mount Airy (3)
- Mount Olive (1)
- Murphy (1)
- Nags Head (1)
- Nashville (1)
- Nebo (1)
- New Bern (4)
- Newport (1)
- Newton (1)
- North Wilkesboro (2)
- Oxford (2)
- Pembroke (1)
- Pinehurst (4)
- Pineville (1)
- Pittsboro (2)
- Pleasant Garden (1)
- Plymouth (1)
- Pollocksville (1)
- Raeford (1)
- Raleigh (12)
- Ramseur (1)
- Reidsville (2)
- Rich Square (1)
- Roanoke Rapids (1)
- Robbinsville (1)
- Rockingham (1)
- Rocky Mount (3)
- Roxboro (2)
- Rutherfordton (3)
- Salisbury (7)
- Saluda (1)
- Sanford (3)
- Scotland Neck (2)
- Shallotte (1)
- Shelby (2)
- Siler City (1)
- Smithfield (2)
- Snow Hill (1)
- Southern Pines (1)
- Southport (1)
- Sparta (1)
- Spencer (1)
- Spruce Pine (1)
- Stanley (1)
- Statesville (3)
- Stokesdale (1)
- Swannanoa (1)
- Sylva (2)
- Tarboro (2)
- Taylorsville (1)
- Thomasville (3)
- Trinity (1)
- Tryon (1)
- Wadesboro (2)
- Wake Forest (1)
- Wallace (1)
- Walnut Cove (1)
- Warrenton (1)
- Warsaw (1)
- Washington (2)
- Waxhaw (1)
- Waynesville (3)
- Weaverville (1)
- Weldon (1)
- Whiteville (2)
- Wilkesboro (2)
- Williamston (1)
- Wilmington (11)
- Wilson (5)
- Windsor (2)
- Winnabow (1)
- Winston Salem (10)
- Yadkinville (2)
- Yanceyville (1)
- Zebulon (1)
Largest nursing home chains in North Carolina
CMS links 247 of North Carolina's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in NC | Homes nationwide |
|---|---|---|
| Liberty Senior Living | 36 | 37 |
| Principle Long Term Care | 36 | 40 |
| Saber Healthcare Group | 27 | 126 |
| Sanstone Health & Rehabilitation | 18 | 18 |
| Avardis Health | 16 | 38 |
| Lifeworks Rehab | 16 | 64 |
| CCH Healthcare | 15 | 33 |
| Pruitthealth | 15 | 95 |
| Simcha Hyman & Naftali Zanziper | 14 | 79 |
| Alliance Health Group | 12 | 12 |
| Sovereign Healthcare Holdings | 10 | 43 |
| Lutheran Services Carolinas | 9 | 9 |
| Peak Resources, Inc. | 8 | 8 |
| Yad Healthcare | 8 | 13 |
| Century Care Management | 7 | 7 |
Chain as recorded in the CMS Provider Information file, August 2026 release