Nursing Homes in North Carolina- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in North Carolina- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, North Carolina has a total of 420 active skilled nursing facilities and 44,760 beds. Based on the US Census estimates for the population of 10,698,973, the current total bed count represents one bed for every 239.03 persons in North Carolina. There were 35,391 residents as February 11, 2024 for a state wide occupancy level of 79.07 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, North Carolina has added 0 new beds and lost 309 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for North Carolina and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.58 0.65
Certified Nursing Assistants (CNA) 2.31 2.26
Licensed Practical Nurse (LPN) 0.90 0.88
All Staff 3.79 3.79

Detailed analysis pages for the largest cities in North Carolina:

COVID-19 Infections in North Carolina Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in North Carolina there were a total of 240 new cases and 240 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in North Carolina

No new homes were reported by CMS over the past twelve months.

North Carolina lost 3 skilled nursing facilities and 309 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Accordius Health at Statesville 147
The Fountains at The Albemarle 40
Harborview Health Care Center 122

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for North Carolina Nursing Homes

The chart below shows the overall occupancy for nursing home beds in North Carolina. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in North Carolina

The list below shows the best skilled nursing facilities in North Carolina based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Friends Homes at Guilford
925 NEW GARDEN ROAD
GREENSBORO, NC
0.00
The Cedars of Chapel Hill
101 GREEN CEDAR LANE
CHAPEL HILL, NC
0.00
White Oak of Waxhaw
700 HOWIE MINE ROAD
WAXHAW, NC
0.00
Maryfield Nursing Home
1315 GREENSBORO ROAD
HIGH POINT, NC
0.00
Clapps Nursing Center Inc
5229 APPOMATTOX ROAD
PLEASANT GARDEN, NC
0.00
Bethesda Health Care Facility
3532 DUNN ROAD
EASTOVER, NC
0.00
Briar Creek Health Center
6041 PIEDMONT ROW DRIVE
CHARLOTTE, NC
0.00
Deerfield Episcopal Retirement
1617 HENDERSONVELLE ROAD
ASHEVILLE, NC
0.00
River Landing at Sandy Ridge
1575 JOHN KNOX DRIVE
COLFAX, NC
0.00
Kindred Hospital East Greensboro
2401 SOUTH SIDE BOULEVARD
GREENSBORO, NC
0.00

The list below shows the worst skilled nursing facilities in North Carolina based on their most recent weighted average inspection score.

Facility Rating
Alamance Health Care Center
1987 HILTON ROAD
BURLINGTON, NC
721.33
Rating Not Available /
Ridge Valley Center For Nursing and Rehabilitation
1000 COLLEGE STREET
WILKESBORO, NC
701.00
/
Pine Ridge Health and Rehabilitation Center
706 PINEYWOOD ROAD
THOMASVILLE, NC
442.67
Saturn Nursing and Rehabilitation Center
1930 WEST SUGAR CREEK ROAD
CHARLOTTE, NC
414.00
/
The Citadel at Myers Park, LLC
300 PROVIDENCE ROAD
CHARLOTTE, NC
361.83
/
Accordius Health at Creekside Care
604 STOKES STREET EAST
AHOSKIE, NC
336.33
The Ivy at Gastonia LLC
4414 WILKINSON BLVD
GASTONIA, NC
309.33
Lotus Village Center For Nursing and Rehabilitation
179 COMBS STREET
SPARTA, NC
300.67
/
Accordius Health at Mooresville
752 E CENTER AVENUE
MOORESVILLE, NC
295.33
Universal Health Care/north Raleigh
5201 CLARKS FORK DRIVE NW
RALEIGH, NC
290.50

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in North Carolina Compared to Nationwide

We have compared North Carolina nursing homes to the nationwide average on several metrics. North Carolina performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 7.00 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 4.10 Lower
Cycle 2 Total Number Of Health Deficiencies 7.00 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 1.40 Lower
Cycle 3 Total Number Of Health Deficiencies 5.70 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 3.30 Lower
Average Number Of Residents Per Day 81.10 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.31 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.90 Higher
Reported Rn Staffing Hours Per Resident Per Day 0.58 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.48 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.79 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.31 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.37 Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.09 Higher
Total Nursing Staff Turnover 56.40 Higher
Registered Nurse Turnover 52.40 Higher
Number Of Administrators Who Have Left The Nursing Home 0.80 Higher
Case-mix Rn Staffing Hours Per Resident Per Day 0.40 Higher
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.25 Higher
Number Of Fines 1.90 Lower
Fine Amount In Dollars 52,357.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 18.81 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 7.91 Higher
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 56.67 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.14 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.07 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 3.97 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.04 Lower
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.74 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 89.09 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 12.73 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 76.88 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.62 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 22.04 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 21.74 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 9.77 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 93.07 Lower
Percentage Of Short Stay Residents Who Made Improvements In Function 74.68 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 74.85 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 22.40 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 13.75 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.76 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.29 Higher