Analysis Report of Nursing Homes in North Carolina
Key metrics for nursing homes in North Carolina including number and beds, staffing levels, occupancy, newest facilities, and more. Updated weekly.
Updated on January 5, 2025
Summary Analysis
According to the latest data compiled by NursingHomeDatabase.com, North Carolina has a total of 419 active skilled nursing facilities with 43,727 total beds. Based on the US Census estimates for the population of 10,698,973, the current total bed count represents one bed for every 244.68 persons in North Carolina.
There were 34,439 residents as of January 5, 2025 for a state wide occupancy level of 78.76%.
(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 120 new beds and lost 43 existing beds over the past year.
Staffing Levels Comparison
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) | 0.61 | 0.68 |
| Certified Nursing Assistants (CNA) | 2.33 | 2.33 |
| Licensed Practical Nurse (LPN) | 0.89 | 0.86 |
| All Staff | 3.84 | 3.87 |
Detailed Analysis for 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 184 new cases and 0 new deaths among residents for the week ending January 5, 2025.
New Nursing Homes
North Carolina added 1 new skilled nursing facilities and 120 beds over the past year.
| Facility | Beds |
|---|---|
| North Carolina State Veterans Home Kernersville | 120 |
Lost Nursing Homes
North Carolina lost 1 skilled nursing facilities and 43 beds over the past year.
| Facility | Beds |
|---|---|
| Pender Memorial Hosp Snf | 43 |
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
The chart below shows the overall occupancy for nursing home beds 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.
| Facility | Rating |
|---|---|
|
Hillcrest Convalescent Center 1417 W Pettigrew Street Durham, NC |
0.00
|
|
Silas Creek Rehabilitation Center 3350 Silas Creek Parkway Winston Salem, NC |
0.00
|
|
Clapps Nursing Center Inc 5229 Appomattox Road Pleasant Garden, NC |
0.00
|
|
Anson Health and Rehabilitation 405 South Greene Street Wadesboro, NC |
0.00
|
|
Chatham Nursing and Rehabilitation 700 Johnston Ridge Road Elkin, NC |
0.00
|
|
Alpine Health and Rehabilitation of Asheboro 230 East Presnell Street Asheboro, NC |
0.00
|
|
Crystal Bluffs Rehabilitation and Health Care Cent 4010 Bridges Street Extension Morehead City, NC |
0.00
|
|
The Lodge at Mills River 5593 Old Haywood Road Mills River, NC |
0.00
|
|
Haymount Rehabilitation and Nursing Center, Inc. 2346 Barrington Circle Fayetteville, NC |
0.00
|
|
Hillside Nursing Center of Wake Forest 968 East Wait Avenue Wake Forest, 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 |
|---|---|
|
Deer Park Health and Rehabilitation 306 Deer Park Road Nebo, NC |
564.50
Abuse Flag
|
|
Premier Living and Rehab Center 106 Cameron Street Lake Waccamaw, NC |
410.75
Abuse Flag
|
|
Cabarrus Health and Rehabilitation Center 430 Brookwood Avenue NE Concord, NC |
309.25
|
|
O'berry Neuro-Medical Treatment Center 400 Old Smithfield Road Goldsboro, NC |
294.00
|
|
Blumenthal Health and Rehabilitation Center 3724 Wireless Drive Greensboro, NC |
292.00
Abuse Flag
|
|
Pelican Health at Charlotte 2616 East 5th Street Charlotte, NC |
260.25
|
|
Tsali Care Center 267 Tsali Care Way Cherokee, NC |
255.00
|
|
Crestview Health and Rehabilitation 752 E Center Avenue Mooresville, NC |
249.00
|
|
Vero Health and Rehab of Sylva 417 Cloverdale Road Sylva, NC |
247.25
|
|
Biltmore Haven Nursing and Rehabilitation 3864 Sweeten Creek Road Arden, NC |
246.75
|
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.
| Metric | Value | Comparison |
|---|---|---|
| Overall Rating | 2.90 | Lower |
| Health Inspection Rating | 2.90 | Higher |
| Qm Rating | 3.30 | Lower |
| Staffing Rating | 2.70 | Lower |
| Cycle 1 Total Number Of Health Deficiencies | 5.10 | Lower |
| Cycle 1 Total Number Of Fire Safety Deficiencies | 3.90 | Lower |
| Cycle 2 Total Number Of Health Deficiencies | 6.90 | Lower |
| Cycle 2 Total Number Of Fire Safety Deficiencies | 4.30 | Lower |
| Cycle 3 Total Number Of Health Deficiencies | 7.30 | Lower |
| Cycle 3 Total Number Of Fire Safety Deficiencies | 2.30 | Lower |
| Average Number Of Residents Per Day | 86.00 | Higher |
| Reported Nurse Aide Staffing Hours Per Resident Per Day | 2.33 | Lower |
| Reported Lpn Staffing Hours Per Resident Per Day | 0.89 | Higher |
| Reported Rn Staffing Hours Per Resident Per Day | 0.61 | Lower |
| Reported Licensed Staffing Hours Per Resident Per Day | 1.50 | Lower |
| Reported Total Nurse Staffing Hours Per Resident Per Day | 3.84 | Lower |
| Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend | 3.40 | Lower |
| Registered Nurse Hours Per Resident Per Day On The Weekend | 0.40 | Lower |
| Reported Physical Therapist Staffing Hours Per Resident Per Day | 0.09 | Higher |
| Total Nursing Staff Turnover | 49.60 | Higher |
| Registered Nurse Turnover | 46.60 | Higher |
| Number Of Administrators Who Have Left The Nursing Home | 0.70 | Higher |
| Nursing Case-mix Index | 1.33 | Lower |
| Case-mix Rn Staffing Hours Per Resident Per Day | 0.65 | Lower |
| Case-mix Total Nurse Staffing Hours Per Resident Per Day | 3.71 | Lower |
| Case-mix Weekend Total Nurse Staffing Hours Per Resident Per Day | 3.29 | Lower |
| Number Of Fines | 1.20 | Higher |
| Fine Amount In Dollars | 38,899.00 | Higher |
| Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased | 16.39 | Higher |
| Percentage Of Long Stay Residents Who Lose Too Much Weight | 7.24 | Higher |
| Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder | 0.78 | Lower |
| Percentage Of Long Stay Residents With A Urinary Tract Infection | 2.52 | Higher |
| Percentage Of Long Stay Residents Who Have Depressive Symptoms | 5.43 | Lower |
| Percentage Of Long Stay Residents Who Were Physically Restrained | 0.03 | Lower |
| Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury | 3.54 | Higher |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 91.70 | Lower |
| Percentage Of Long Stay Residents Who Received An Antipsychotic Medication | 14.08 | Lower |
| Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 80.10 | Lower |
| Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication | 1.46 | Lower |
| Percentage Of Long Stay Residents Whose Ability To Walk Independently Worsened | 20.21 | Higher |
| Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication | 21.45 | Higher |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine | 94.12 | Lower |
| Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine | 78.11 | Lower |
| Percentage Of Long Stay Residents With Pressure Ulcers | 5.79 | Higher |
| Percentage Of Long Stay Residents With New Or Worsened Bowel Or Bladder Incontinence | 20.98 | Higher |
| Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission | 22.97 | Lower |
| Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit | 13.34 | 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 | 1.81 | Higher |