SeniorCareRatingSeniorCareRating
Top-rated · North Carolina

Top-Rated Nursing Homes in North Carolina

The 85 nursing homes in North Carolina that CMS rates 5 stars overall — the highest rating in the government’s five-star system. Listed exactly as CMS publishes it, grouped by county.

85 CMS 5-star facilitiesNorth CarolinaCMS data · updated 2026-07-18
Search all 5-star →Compare facilities

At a glance

CMS gives its highest overall rating — 5 stars — to 85 of North Carolina’s 416 rated nursing homes (about 20%). These facilities earned CMS’s top overall score across health inspections, staffing, and quality measures. SeniorCareRating.com reports CMS’s own ratings and adds no ranking or opinion of its own.
CMS 5-star nursing homes
85
Share of rated facilities
20%
of 416 rated
Rated 4 stars or better
156
All nursing homes in state
420
About the CMS 5-star rating (and what this list is not)
The overall five-star rating is calculated by CMS from three components — health inspections, staffing, and quality measures. It summarizes past reported data and is not a guarantee about a facility’s current conditions. This page lists the facilities CMS rates 5 stars; it is not a ranking, score, or recommendation from SeniorCareRating.com. Confirm any facility’s current rating on Medicare’s Care Compare, and visit in person before deciding.

CMS 5-star nursing homes in North Carolina

Open in search →

All 85 facilities, grouped by county. Each links to its full CMS record.

Buncombe County6

Guilford County6

Compare the top-rated facilities

Open Compare →

Put two to four of these facilities side by side on the same CMS fields — exact CMS values, no ranking or recommendation.

A 5-star overall rating does not mean two facilities are identical — they can differ on health inspections, staffing, penalties, and beds. Compare shows all of it side by side.

Start comparing →All nursing homes in North Carolina

Related research

Frequently asked questions

How many 5-star nursing homes are in North Carolina?

CMS gives its highest overall rating — 5 stars — to 85 of the 416 rated nursing homes in North Carolina (about 20%). Those 85 facilities are listed on this page, grouped by county.

Are these the best nursing homes in North Carolina?

They are the facilities CMS rates 5 stars overall — the highest rating in the government's five-star system, based on health inspections, staffing, and quality measures. SeniorCareRating.com does not add its own ranking or opinion; a CMS star rating is a summary of past data, not a guarantee about a facility's current care. Always visit in person and confirm current details with the facility.

What does a 5-star CMS rating mean?

CMS calculates an overall five-star rating from three components: health inspections, staffing levels relative to resident needs, and clinical quality measures. Five stars is "much above average" in CMS's own words. It reflects past reported data, so read it alongside the facility's individual records and a personal visit.

How current is this list?

The ratings on this page reflect the CMS data snapshot refreshed 2026-07-18. CMS updates its ratings over time, so confirm a facility's current rating on Medicare's Care Compare before making a decision.

Methodology and limits
This page lists the 85 nursing homes CMS rates 5 stars overall in North Carolina, from the CMS Provider Data Catalog. CMS star ratings are shown exactly as CMS publishes them and summarize past data, not current conditions. SeniorCareRating.com adds no ranking or opinion. See full methodology.
SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.