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