These are the top 20 highest-rated nursing homes in North Carolina according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 5 stars or higher. The average rating across this list is 5.0/5. 18 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Hillcrest Convalescent Center | Durham | $0 | |
| 2 | Cypress Pointe Rehabilitation Center | Wilmington | $0 | |
| 3 | Silas Creek Rehabilitation Center | Winston Salem | $0 | |
| 4 | Clapps Nursing Center Inc | Pleasant Garden | $0 | |
| 5 | Anson Health and Rehabilitation | Wadesboro | $0 | |
| 6 | Carolina Rivers Nursing and Rehabilitation Center | Jacksonville | $4,271 | |
| 7 | Trinity Glen | Winston-Salem | $0 | |
| 8 | Chatham Nursing & Rehabilitation | Elkin | $0 | |
| 9 | Jesse Helms Nursing Center | Monroe | $0 | |
| 10 | Friends Homes at Guilford | Greensboro | $0 | |
| 11 | Alpine Health and Rehabilitation of Asheboro | Asheboro | $0 | |
| 12 | Abernathy Laurels | Newton | $0 | |
| 13 | Autumn Care of Marion | Marion | $0 | |
| 14 | Crystal Bluffs Rehabilitation and Health Care Cent | Morehead City | $0 | |
| 15 | Glenflora | Lumberton | $14,689 | |
| 16 | Mountain Vista Health Park | Denton | $0 | |
| 17 | Bethesda Health Care Facility | Eastover | $0 | |
| 18 | The Lodge at Mills River | Mills River | $0 | |
| 19 | Northern Regional Hospital | Mount Airy | $0 | |
| 20 | Scotia Village - SNF | Laurinburg | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.