The 10 Worst Nursing Homes in North Carolina

  Worst Nursing Homes in North Carolina By City

Every city in North Carolina has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Charlotte

• Accordius Health at Midwood, LLC (370.833)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-06-21)
• Install proper backup exit lighting. (2024-06-21)
• The Citadel at Myers Park, LLC (342.333)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-02-12)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-12-28)
• Rockwell Park Rehabilitation and Healthcare Center (312.333)
• Have approved installation, maintenance and testing program for fire alarm systems. (2025-03-14)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-03-14)
• Pelican Health at Charlotte (196.833)
• Have generator or other power source capable of supplying service within 10 seconds. (2025-03-05)
• Provide and implement an infection prevention and control program. (2025-02-28)
• Hunter Woods Nursing and Rehab (151.667)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-10-22)
• Provide and implement an infection prevention and control program. (2024-10-22)
• University Place Nursing and Rehabilitation Center (144)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-11-09)
• Ensure that residents are free from significant medication errors. (2024-09-20)
• Pavilion Health Center at Brightmore (136.333)
• Have approved installation, maintenance and testing program for fire alarm systems. (2024-07-19)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-07-19)
• Pelican Health Randolph LLC (106)
• Inspect, test, and maintain automatic sprinkler systems. (2024-08-09)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-08-09)
• Charlotte Health and Rehabilitation Center (96.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-23)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-12-23)
• Asbury Health and Rehabilitation Center (84.667)
• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (2024-12-27)
• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2024-12-27)

Worst Nursing Homes in Raleigh

• Universal Health Care/north Raleigh (620.833)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-10-14)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-14)
• Tower Nursing and Rehabilitation Center (122.667)
• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2024-04-19)
• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2024-04-19)
• Sunnybrook Rehabilitation Center (99.667)
• Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2024-10-18)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-07-09)
• Litchford Falls Healthcare and Rehabilitation Center (94.167)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-01-17)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-01-16)
• Raleigh Rehabilitation Center (64.667)
• Ensure each resident receives an accurate assessment. (2025-01-10)
• Provide safe and appropriate respiratory care for a resident when needed. (2025-01-10)
• Hillcrest Raleigh at Crabtree Valley (42.333)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-02-25)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-02-25)
• Pruitthealth-Raleigh (38.667)
• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (2025-02-27)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2025-02-06)
• Capital Nursing and Rehabilitation Center (25.333)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-10-24)
• Install corridor and hallway doors that block smoke. (2024-09-29)
• Rex Rehab and Nsg Care Center (25.333)
• Meet requirements for the installation and maintenance of electrical systems. (2024-07-22)
• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2024-07-22)
• The Cardinal at North Hills (16)
• Have generator or other power source capable of supplying service within 10 seconds. (2024-11-08)
• Have properly installed electrical wiring and gas equipment. (2024-11-08)

Worst Nursing Homes in Durham

• Southpoint Rehabilitation and Healthcare Center (200)
• Provide and implement an infection prevention and control program. (2024-11-29)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-06-07)
• Durham Nursing and Rehabilitation Center (167.167)
• Ensure each resident receives an accurate assessment. (2025-02-02)
• Reasonably accommodate the needs and preferences of each resident. (2025-02-02)
• Carver Living Center (141.667)
• Ensure each resident receives an accurate assessment. (2024-05-22)
• Provide enough food/fluids to maintain a resident's health. (2024-05-22)
• Treyburn Rehabilitation Center (121.167)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-07-08)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-07-08)
• Pruitthealth-Durham (117.667)
• Ensure that residents are free from significant medication errors. (2024-10-01)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-05-15)
• Accordius Health at Rose Manor LLC (102.167)
• Install an approved automatic sprinkler system. (2024-03-21)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-03-21)
• Pruitthealth-Carolina Point (98.333)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-02-07)
• Meet other general requirements. (2025-02-07)
• Pettigrew Rehabilitation Center (36.667)
• Have properly installed electrical wiring and gas equipment. (2024-07-05)
• Install smoke barrier doors that can resist smoke for at least 20 minutes. (2024-07-05)
• Twin Maples Healthcare, Inc (28.667)
• Provide and implement an infection prevention and control program. (2024-02-20)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-02-20)
• Croasdaile Village (5.333)
• Have properly installed electrical wiring and gas equipment. (2024-08-28)
• Use approved construction type or materials. (2024-08-28)

Worst Nursing Homes in Winston-Salem

• Willow Valley Center For Nursing and Rehab (242.667)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-11-22)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-10-27)
• Mill Creek Center For Nursing and Rehabilitation (168)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-01-22)
• Ensure that residents are free from significant medication errors. (2025-01-22)
• Brookridge Retirement Community (19.333)
• Install emergency lighting that can last at least 1 1/2 hours. (2024-09-01)
• Install proper backup exit lighting. (2024-09-01)
• Trinity Glen (6.667)
• Inspect, test, and maintain automatic sprinkler systems. (2023-12-27)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-12-27)
• Silas Creek Rehabilitation Center (3.333)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2024-04-19)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-04-19)

Worst Nursing Homes in Greensboro

• Blumenthal Health and Rehabilitation Center (388.167)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-01-09)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-09)
• Piedmont Hills Center For Nursing and Rehab (275)
• Install emergency lighting that can last at least 1 1/2 hours. (2025-03-07)
• Have stairways and smokeproof enclosures used as exits that meet safety requirements. (2025-03-07)
• Maple Grove Health and Rehabilitation Center (87.167)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-06-14)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-06-14)
• Guilford Health Care Center (67.333)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-04-03)
• Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. (2024-04-03)
• Greenhaven Health and Rehabilitation Center (55.333)
• Install a fire alarm system that can be heard throughout the facility. (2024-05-20)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-05-20)
• Linden Place Center For Nursing and Rehabilitation (41.333)
• Install corridor and hallway doors that block smoke. (2025-01-08)
• Inspect, test, and maintain automatic sprinkler systems. (2025-01-08)
• Whitestone A Masonic and Eastern Star Community (38.667)
• Install an approved automatic sprinkler system. (2024-02-29)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-02-29)
• Greensboro Nursing Home (34)
• Provide and implement an infection prevention and control program. (2024-08-24)
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (2024-08-24)
• Camden Health and Rehabilitation (22.667)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2024-05-07)
• Inspect, test, and maintain automatic sprinkler systems. (2024-05-07)
• Heartland Living and Rehab at The Moses H Cone Mem H (22.667)
• Install proper backup exit lighting. (2023-12-03)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-12-03)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in North Carolina
• Analysis of Nursing Homes in North Carolina

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in North Carolina:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in North Carolina

Every month, we rank all of the skilled nursing facilities in North Carolina. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in North Carolina is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates North Carolina nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in North Carolina nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!