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State data · CMS September 2026

Nursing homes in North Carolina

North Carolina has 419 nursing homes certified for Medicare or Medicaid, with 43,850 certified beds and a median occupancy of 87.4% (US median 85.7%). 84% are for-profit, 14% nonprofit and 2% government-owned, and 76% belong to a chain or affiliated group. HUD has endorsed 110 FHA-insured Section 232 nursing home loans in North Carolina since fiscal 2001, totaling $0.9 billion in original principal, 23 of them since fiscal 2021.

Facilities
419
Certified beds
43,850
Median occupancy
87.4%
Median nurse hours / resident day
3.53
HUD 232 loans since FY2001
110

Star ratings

CMS overall ratings for the 415 rated North Carolina facilities. 2 are Special Focus Facilities and 10 are candidates, the CMS list for homes with a history of serious quality problems.

Ownership

MeasureNorth CarolinaShare
For-profit35084%
Nonprofit6014%
Government92%
Changed ownership in the last 12 months00%
Private equity owner self-reported to CMS10%
REIT owner self-reported to CMS317%

Largest chains and affiliated groups in North Carolina

  1. Liberty Senior Living: 36 facilities
  2. Principle Long Term Care: 36 facilities
  3. Saber Healthcare Group: 27 facilities
  4. Sanstone Health & Rehabilitation: 18 facilities
  5. Avardis Health: 16 facilities
  6. Lifeworks Rehab: 16 facilities
  7. Pruitthealth: 15 facilities
  8. Cch Healthcare: 15 facilities
  9. Simcha Hyman & Naftali Zanziper: 14 facilities
  10. Alliance Health Group: 13 facilities

Facilities with HUD Section 232 history

53 North Carolina facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.

FacilityCityBedsLatest endorsementAmount
Smoky Ridge Health and RehabilitationBurnsville140Jun 25, 2026$20,581,100
Pinehurst Healthcare & Rehabilitation CenterPinehurst144May 14, 2026$12,463,800
The Greens at CabarrusConcord90Dec 11, 2025$17,040,000
The Greens at HendersonvilleHendersonville120Dec 11, 2025$13,120,000
The Greens at ViewmontHickory104Dec 11, 2025$17,760,000
Roxboro Healthcare & Rehab CenterRoxboro140Nov 14, 2025$12,080,000
Clayton Rehabilitation and Healthcare CenterClayton90Sep 30, 2025$20,400,000
Eden Rehabilitation and Healthcare CenterEden112Sep 30, 2025$22,640,000
Wallace Rehabilitation and Healthcare CenterWallace80Sep 30, 2025$21,200,000
Wilson Rehabilitation and Nursing CenterWilson90Sep 30, 2025$18,880,000
Yanceyville Rehabilitation and Healthcare CenterYanceyville157Sep 30, 2025$35,840,000
Alpine Health and Rehabilitation of AsheboroAsheboro238Sep 3, 2025$19,309,700
Autumn Care of StatesvilleStatesville103Feb 26, 2025$16,124,300
The Laurels of HendersonvilleHendersonville100Aug 29, 2023$15,888,000
Hickory Falls Health and RehabilitationGranite Falls120Aug 2, 2023$22,453,900
The Foley Center at Chestnut RidgeBlowing Rock92Aug 16, 2022$10,462,100
Accordius Health at Rose Manor LLCDurham111May 26, 2022$15,120,000
The Greens at Pinehurst Rehabilitation & Living CePinehurst120Jun 23, 2021$7,896,000
Carver Living CenterDurham232Apr 20, 2021$17,160,000
StoneCreek Health and RehabilitationAsheville120Sep 26, 2018$14,560,000
Madison Health and RehabilitationMars Hill100Sep 26, 2018$8,320,000
Anson Health and RehabilitationWadesboro95Sep 26, 2018$7,200,000
Treyburn Rehabilitation CenterDurham132Oct 30, 2017$8,952,500
Scottish Pines Rehabilitation and Nursing CenterLaurinburg149Apr 27, 2017$10,653,000
Valley View Care and RehabilitationAndrews76Oct 25, 2016$2,751,700
Oak Grove HealthcareRutherfordton60Oct 25, 2016$7,513,500
Crystal Bluffs Rehabilitation and Health Care CentMorehead City92Sep 30, 2015$8,245,200
Whispering Pines Nursing & Rehab CenterFayetteville86May 28, 2015$6,225,700
Bayview Nursing & Rehabilitation CenterNew Bern60May 28, 2015$3,917,500
Huntersville Health & Rehabilitation CenterHuntersville90Mar 20, 2015$9,600,000
Rich Square Health & Rehabilitation CenterRich Square69Dec 11, 2014$7,392,000
Liberty Commons Nursing & Rehabilitation Center ofBurlington122Dec 10, 2014$7,357,200
Haymount Rehabilitation & Nursing Center, Inc.Fayetteville98Sep 10, 2014$5,544,700
Capital Nursing and Rehabilitation CenterRaleigh125Aug 27, 2014$5,185,500
Lenoir Health and Rehabilitation CenterLenoir120Aug 14, 2014$8,535,600
Westfield Rehabilitation and Health CenterSanford83Mar 26, 2014$7,488,000
Bermuda Commons Nursing and Rehabilitation CenterAdvance117May 29, 2013$6,019,900
Southwood Nursing and RetirementClinton100Feb 26, 2013$5,630,700
Lexington Health Care CenterLexington100Dec 14, 2012$1,619,300
Guilford Health Care CenterGreensboro110Nov 29, 2012$2,491,800
Belaire Health Care CenterGastonia80Oct 31, 2012$2,095,700
Shoreland Health Care and Retirement Center IncWhiteville89Oct 31, 2012$4,199,300
The Oaks-BrevardBrevard110Jun 20, 2012$5,256,500
Mary Gran Nursing CenterClinton212Apr 30, 2012$12,023,200
PruittHealth-Town CenterHarrisburg70Mar 21, 2012$3,049,100
Life Care Center of HendersonvilleHendersonville80Dec 28, 2011$6,965,600
Pelican Health at CharlotteCharlotte120May 21, 2004$2,001,700
Alamance Health Care CenterBurlington180May 18, 2004$3,010,000
Five Oaks Rehabilitation and Care CenterConcord160Apr 20, 2004$6,024,100
Elizabethtown Healthcare & Rehab CenterElizabethtown94Mar 31, 2003$3,397,100
The Laurels of ChathamPittsboro140Nov 15, 2002$5,005,800
The Laurels of SalisburySalisbury80Nov 15, 2002$2,860,200
Life Care Center of Banner ElkBanner Elk118May 8, 2002$1,987,800

Largest by certified beds

  1. Longleaf Neuro-Medical Treatment Center, Wilson: 248 beds
  2. Premier Nursing and Rehabilitation Center, Jacksonville: 239 beds
  3. Alpine Health and Rehabilitation of Asheboro, Asheboro: 238 beds
  4. Carver Living Center, Durham: 232 beds
  5. Willow Valley Center for Nursing and Rehabilitatio, Winston-Salem: 230 beds
  6. Mary Gran Nursing Center, Clinton: 212 beds
  7. Maple Grove Health and Rehabilitation Center, Greensboro: 210 beds
  8. Margate Health and Rehabilitation, LLC, Jefferson: 210 beds
  9. University Place Nursing and Rehabilitation Center, Charlotte: 207 beds
  10. Macon Valley Nursing and Rehabilitation Center, Franklin: 200 beds

Every North Carolina facility

The full list is sorted by city, 3 pages of up to 200.

Aberdeen to HuntersvilleHuntersville to WilsonWilson to Zebulon

Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.