The 10 Worst Nursing Homes in North Carolina

Compare the Worst Nursing Homes in North Carolina

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst North Carolina skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in North Carolina. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in North Carolina, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home	Rating
Premier Living and Rehab Center 106 CAMERON STREET LAKE WACCAMAW, NC	582.83 /
Alamance Health Care Center 1987 HILTON ROAD BURLINGTON, NC	532.00
Surry Community Health Center By Harborview 542 ALLRED MILL ROAD MOUNT AIRY, NC	481.83 /
Accordius Health at Mooresville 752 E CENTER AVENUE MOORESVILLE, NC	452.67 /
Vero Health and Rehab of Sylva 417 CLOVERDALE ROAD SYLVA, NC	437.83 /
Rich Square Nursing and Rehab 300 NORTH MAIN STREET RICH SQUARE, NC	419.33
Lotus Village Center For Nursing and Rehabilitation 179 COMBS STREET SPARTA, NC	401.33 /
The Oaks at Sweeten Creek 3864 SWEETEN CREEK ROAD ARDEN, NC	393.50
Ridge Valley Center For Nursing and Rehabilitation 1000 COLLEGE STREET WILKESBORO, NC	382.33
Accordius Health at Midwood, LLC 2727 SHAMROCK DRIVE CHARLOTTE, NC	380.33

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

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!

Skilled Nursing Home Abuse in North Carolina

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in North Carolina have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in North Carolina

If you run into an issue at a North Carolina nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a North Carolina nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest North Carolina Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in North Carolina go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Charlotte

Accordius Health at Midwood, LLC (380.333)

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)

Saturn Nursing and Rehabilitation (340.333)

Install corridor and hallway doors that block smoke. (2024-08-02)
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-08-02)

The Citadel at Myers Park, LLC (294.333)

Assist a resident in gaining access to vision and hearing services. (2024-08-19)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-08-19)

Pelican Health at Charlotte (218.667)

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2023-11-30)
Use approved construction type or materials. (2023-11-30)

Hunter Woods Nursing and Rehab (163)

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-09-04)
Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-09-04)

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)

University Place Nursing and Rehabilitation Center (123)

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (2024-08-30)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (2024-08-30)

Pelican Health Randolph LLC (111)

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)

Peak Resources - Charlotte (87.333)

Have generator or other power source capable of supplying service within 10 seconds. (2024-05-03)
Provide properly protected cooking facilities. (2024-05-03)

Charlotte Health and Rehabilitation Center (47.333)

Have approved installation, maintenance and testing program for fire alarm systems. (2023-09-10)
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-09-10)

Worst Nursing Homes in Raleigh

Universal Health Care/north Raleigh (331)

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-08-27)
Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-08-27)

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 (98.333)

Provide safe, appropriate pain management for a resident who requires such services. (2024-07-09)
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)

Raleigh Rehabilitation Center (95.333)

Install a fire alarm system that can be heard throughout the facility. (2023-12-22)
Provide large enough exits. (2023-12-22)

Pruitthealth-Raleigh (59.333)

Have approved installation, maintenance and testing program for fire alarm systems. (2023-11-24)
Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-11-24)

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)

The Cardinal at North Hills (26)

Install corridor and hallway doors that block smoke. (2023-11-17)
Install a fire alarm system that can be heard throughout the facility. (2023-11-17)

Capital Nursing and Rehabilitation Center (25.333)

Have restrictions on the use of portable space heaters. (2024-09-29)
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)

Ms Care Center of Raleigh (7.333)

Keep residents' personal and medical records private and confidential. (2023-09-08)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2020-04-10)

Worst Nursing Homes in Durham

Southpoint Rehabilitation and Healthcare Center (200.667)

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-06-07)
Allow residents to self-administer drugs if determined clinically appropriate. (2024-05-24)

Carver Living Center (143.667)

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 (122.5)

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 (122.333)

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. (2024-05-15)
Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-05-15)

Pruitthealth-Carolina Point (121.167)

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-05-02)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (2024-05-02)

Accordius Health at Rose Manor LLC (102.833)

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)

Durham Nursing and Rehabilitation Center (100.5)

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-08-16)
Ensure that residents are free from significant medication errors. (2024-08-16)

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 (30)

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-02-20)
Provide and implement an infection prevention and control program. (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 (319.333)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-07-17)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2024-07-17)

Mill Creek Center For Nursing and Rehabilitation (165.333)

Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-06-18)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-06-18)

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 (16)

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

Piedmont Hills Center For Nursing and Rehab (375.5)

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-08-01)
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. (2024-08-01)

Maple Grove Health and Rehabilitation Center (129.5)

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)

Universal Health Care/blumenthal (114.667)

Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-10-01)
Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2023-07-14)

Guilford Health Care Center (68.667)

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)

Linden Place Center For Nursing and Rehabilitation (59.333)

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. (2024-07-03)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (2024-07-03)

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)

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)

Camden Health and Rehabilitation (24)

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)

Greensboro Nursing Home (16.667)

Have properly sized and located compartments to protect residents from smoke. (2023-06-01)
Provide and implement an infection prevention and control program. (2023-02-27)

Worst Skilled Nursing Homes in Other States

See the worst skilled nursing homes in other states: