NursingHomeGrade

Lowest-Rated Nursing Homes in North Carolina

Facilities in North Carolina with the lowest NursingHomeGrade Scores. A low score does not guarantee poor care in all areas — but families should review inspection records, staffing levels, and deficiency details carefully before choosing.

⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.

Rankings

# Facility Location Grade Score RN Hours Deficiencies
1 Lotus Village Center for Nursing and Rehabilitatio Sparta, NC F 0 0.28 17
2 River Trace Nursing and Rehabilitation Center Washington, NC F 0 N/A 11
3 Premier Living and Rehab Center Lake Waccamaw, NC F 0 0.45 20
4 Cabarrus Health and Rehabilitation Center Concord, NC F 0 0.36 11
5 Blumenthal Health and Rehabilitation Center Greensboro, NC F 0 0.62 32
6 Davidson Health & Rehab Center Lexington, NC F 1 0.35 19
7 Cedar Hills Center for Nursing and Rehabilitation Clemmons, NC F 4 0.19 25
8 Peak Resources-Wilmington, Inc Wilmington, NC F 5 N/A 10
9 Biltmore Haven Nursing and Rehabilitation Arden, NC F 7 0.68 10
10 Mount Olive Center Mount Olive, NC F 7 0.28 14
11 River Bend Health and Rehabilitation Asheville, NC F 8 0.63 25
12 Piedmont Hills Center for Nursing and Rehab Greensboro, NC F 11 0.25 2
13 Windsor Rehabilitation and Healthcare Center Windsor, NC F 14 0.46 14
14 Woodhaven Nursing Center Lumberton, NC F 14 0.31 12
15 Pembroke Center Pembroke, NC F 15 0.50 20
16 Rich Square Health & Rehabilitation Center Rich Square, NC F 15 0.41 10
17 Pine Acres Center for Nursing and Rehabilitation Lexington, NC F 15 0.11 3
18 August Healthcare at Wilmington Wilmington, NC F 16 0.39 10
19 Deer Park Health and Rehabilitation Nebo, NC F 16 0.79 17
20 Willow Valley Center for Nursing and Rehabilitatio Winston-Salem, NC F 16 0.30 10
21 The Carrolton of Dunn Dunn, NC F 17 0.27 5
22 Mary Gran Nursing Center Clinton, NC F 17 0.35 8
23 Clayton Rehabilitation and Healthcare Center Clayton, NC F 19 0.45 19
24 Surry Community Health Center by Harborview Mount Airy, NC F 19 0.30 5
25 Copperfield Health & Rehabilitation Concord, NC F 19 0.37 4
26 Rockwell Park Rehabilitation and Healthcare Center Charlotte, NC F 20 0.59 7
27 Smithfield Manor Rehabilitation and Healthcare Cen Smithfield, NC F 20 0.57 14
28 Liberty Commons Nursing and Rehabilitation Center Whiteville, NC F 21 0.30 5
29 Highfield Nursing and Rehabilitation Cary, NC F 22 N/A 2
30 Senior Citizens Home Henderson, NC F 22 N/A 3
31 Fletcher Rehabilitation and Healthcare Center Fletcher, NC F 23 0.53 21
32 Oxford Health and Rehabilitation Center Oxford, NC F 23 0.15 9
33 Edgecombe Health Center by Harborview Tarboro, NC F 23 0.46 7
34 Crestview Health & Rehabilitation Mooresville, NC F 23 0.36 5
35 Lillington Health and Rehabilitation Center Lillington, NC F 24 0.29 15
36 Meridian Center High Point, NC F 24 0.36 7
37 Charlotte Health & Rehabilitation Center Charlotte, NC F 25 0.65 11
38 Currituck Health & Rehab Center Barco, NC F 25 0.36 4
39 Elevate Health and Rehabilitation Asheville, NC F 25 0.26 4
40 The Cardinal at North Hills Raleigh, NC F 26 N/A 2
41 Oak Forest Health and Rehabilitation Winston Salem, NC F 26 0.29 5
42 Wellington Rehabilitation and Healthcare Knightdale, NC F 26 0.26 10
43 PruittHealth-Durham Durham, NC F 26 0.73 32
44 Lexington Health Care Center Lexington, NC F 27 0.44 12
45 Autumn Care of Marshville Marshville, NC F 27 0.30 4
46 The Gardens of Taylor Glen Retirement Community Concord, NC F 28 N/A 1
47 Camellia Gardens Center for Nursing and Rehab Henderson, NC F 28 0.31 7
48 Cypress Valley Center for Nursing and Rehabilitati Reidsville, NC F 28 0.14 6
49 Laurel Park Rehabilitation and Healthcare Center Elizabeth City, NC F 28 0.36 12
50 The Carrolton of Williamston Williamston, NC F 29 0.34 11
51 The Cedars of Chapel Hill Chapel Hill, NC F 30 N/A 0
52 Greenville Health and Rehabilitation Center Greenville, NC F 30 0.50 2
53 Ridge Valley Center for Nursing and Rehabilitation Wilkesboro, NC F 30 0.21 1
54 The Forest At Duke Inc Durham, NC F 31 0.04 0
55 Westwood Health and Rehabilitation Archdale, NC F 31 0.33 14
56 The Greens at Gastonia Gastonia, NC F 31 0.44 8
57 Pavilion Health Center at Brightmore Charlotte, NC F 32 0.42 7
58 Wilkesboro Health and Rehabilitation North Wilkesboro, NC F 32 N/A 3
59 East Carolina Health and Rehabilitation Center Greenville, NC F 32 0.47 14
60 Kannapolis Health and Rehabilitation Kannapolis, NC F 32 0.44 11
61 Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain, NC F 32 0.32 7
62 Carver Living Center Durham, NC F 33 0.51 4
63 The Graybrier Nursing and Retirement Center Trinity, NC F 33 N/A 1
64 Orchard Valley Health and Rehabilitation Hendersonville, NC F 33 0.43 7
65 Arbor Acres United Methodist Retirement Community Winston Salem, NC F 34 N/A 1
66 Perry Creek Health and Rehabilitation Center Raleigh, NC F 34 0.54 5
67 Davis Health Care Center Wilmington, NC F 34 0.61 11
68 Lenoir Health and Rehabilitation Center Lenoir, NC F 34 0.43 14
69 The Oaks Winston-Salem, NC D 35 0.29 11
70 Glenwood Health & Rehabilitation Mooresville, NC D 35 0.57 4
71 Siler City Center Siler City, NC D 35 0.49 7
72 Liberty Commons Nursing and Rehabilitation Center Sanford, NC D 36 0.31 2
73 The Carrolton of Fayetteville Fayetteville, NC D 36 0.29 5
74 The Greens at Lincolnton Lincolnton, NC D 36 0.21 4
75 Glenbridge Health And Rehabilitation Boone, NC D 36 0.55 10
76 Autumn Care of Myrtle Grove Wilmington, NC D 37 0.59 7
77 Fleshers Fairview Health Care Fairview, NC D 37 0.95 23
78 Highland House Rehabilitation and Healthcare Fayetteville, NC D 37 0.28 6
79 The Carrolton of Lumberton Lumberton, NC D 37 0.30 9
80 Vero Health & Rehab of Sylva Sylva, NC D 37 0.93 7
81 Meadowbrook Health & Rehabilitation Salisbury, NC D 37 0.60 17
82 Sunnybrook Rehabilitation Center Raleigh, NC D 37 0.34 7
83 Fuquay-Varina Health and Rehabilitation Center Fuquay Varina, NC D 38 0.51 10
84 Bolivia Rehabilitation and Healthcare Center Bolivia, NC D 38 0.46 9
85 Greendale Forest Nursing and Rehabilitation Center Snow Hill, NC D 38 0.29 5
86 Rocky Mount Rehabilitation Center Rocky Mount, NC D 38 0.61 15
87 Autumn Care of Waynesville Waynesville, NC D 38 0.48 7
88 Alamance Health Care Center Burlington, NC D 39 0.27 10
89 Mountain View of Bryson City Bryson City, NC D 39 0.43 9
90 White Oak Manor-Kings Mountain Kings Mountain, NC D 39 0.42 9
91 University Place Nursing and Rehabilitation Center Charlotte, NC D 39 0.42 5
92 Peak Resources - Charlotte Charlotte, NC D 39 0.21 2
93 Litchford Falls Health and Rehabilitation Center Raleigh, NC D 40 0.58 6
94 PruittHealth-Trent New Bern, NC D 40 0.53 6
95 Shoreland Health Care and Retirement Center Inc Whiteville, NC D 41 0.32 4
96 Hibriten Mountain Nursing and Rehabilitation Lenoir, NC D 41 0.49 11
97 Pine Crest Health & Rehabilitation Charlotte, NC D 41 0.59 5
98 Asheboro Rehabilitation and Healthcare Center Asheboro, NC D 41 0.35 8
99 Valley Nursing and Rehabilitation Center Taylorsville, NC D 41 0.82 5
100 Valley Hill Health & Rehab Center Hendersonville, NC D 41 0.51 6
See highest-rated → Staffing failures report →

Methodology

Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.

Learn more about our methodology →