North Carolina: CMS Rating Breakdown
North Carolina's nursing home sector comprises 420 CMS-certified facilities, according to current Centers for Medicare & Medicaid Services data. The facilities are distributed across ownership models, with 351 operating as for-profit entities, 60 as nonprofit organizations, and 9 as government-run operations. The state's average Five-Star overall rating stands at 2.94 out of 5.
The Five-Star rating system, while widely used for comparative purposes, operates within documented limitations. The state-level average serves as a broad indicator of sector performance rather than an assessment of any individual facility's quality. Prospective residents and their families should not rely on statewide averages when evaluating specific nursing homes. Instead, detailed information from each facility's individual Care Compare profile on the CMS website provides the most accurate basis for decision-making. The Five-Star rating is neither medical advice, financial guidance, nor legal counsel, and should be considered alongside other relevant factors when making facility choices.
How to read this. The star ratings here are official CMS Five-Star Quality figures, shown as the rating as of May2026 — a relative quality measure with documented limits, not a recommendation, guarantee, or medical/financial/legal advice. Always confirm the current rating and details on the facility’s live Medicare Care Compare profile, and involve the resident and their clinicians in any decision.
Ownership mix
| Ownership | Facilities |
|---|---|
| For Profit | 351 |
| Non Profit | 60 |
| Government | 9 |
North Carolina facility directory → · How to choose care →
Informational only — not medical, financial, or legal advice. Senior Care by State reports official CMS Five-Star Quality data, which is a relative measure with documented limitations — not a recommendation or a guarantee that any facility is right for you. Choosing care is a personal medical and financial decision: confirm the current details with the facility directly, talk with the resident’s physician and care team, and verify ratings and coverage on Medicare.gov or with your state’s long-term-care or health agency before relying on anything here. For medical, financial, or legal questions, consult a qualified professional.