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CMS Data · 2026

North Carolina Nursing Home Staffing Ratios

State average: 3.52 total HPRD · 0.58 RN · 0.95 LPN · 1.99 CNA

North Carolina vs. National Average

Total HPRD3.52
North Carolina: 3.52National: 3.89
RN HPRD0.58
North Carolina: 0.58National: 0.69
LPN HPRD0.95
North Carolina: 0.95National: 0.94
CNA HPRD1.99
North Carolina: 1.99National: 2.27
Avg Turnover56%
North Carolina: 56%National: 52%
Weekend RN0.38
North Carolina: 0.38National: 0.48

Bar = North Carolina average. Marker line = U.S. national average. Source: CMS PBJ 2024.

Browse by City in North Carolina

North Carolina Nursing Home Staffing — Top 50 Facilities

Sorted by CMS overall star rating. Click any facility for detailed staffing data.

Hillcrest Convalescent Center

Durham, NC · For profit

Above avg
Overall

5★

Staffing

5★

Total HPRD

5.95

RN HPRD

1.30

View staffing detail

Cypress Pointe Rehabilitation Center

Wilmington, NC · For profit

Below avg
Overall

5★

Staffing

4★

Total HPRD

3.40

RN HPRD

0.79

View staffing detail

Silas Creek Rehabilitation Center

Winston Salem, NC · For profit

Below avg
Overall

5★

Staffing

3★

Total HPRD

3.37

RN HPRD

0.57

View staffing detail

Clapps Nursing Center Inc

Pleasant Garden, NC · For profit

Near avg
Overall

5★

Staffing

3★

Total HPRD

3.67

RN HPRD

0.35

View staffing detail

Saint Joseph of the Pines Health Center

Pinehurst, NC · Non profit

Near avg
Overall

5★

Staffing

3★

Total HPRD

3.92

RN HPRD

0.57

View staffing detail

Jacob's Creek Nursing and Rehabilitation Center

Madison, NC · For profit

Below avg
Overall

5★

Staffing

3★

Total HPRD

3.32

RN HPRD

0.31

2 CMS fines on record

View staffing detail

Anson Health and Rehabilitation

Wadesboro, NC · For profit

Near avg
Overall

5★

Staffing

3★

Total HPRD

3.63

RN HPRD

0.47

View staffing detail

Highland Farms

Black Mountain, NC · Non profit

Above avg
Overall

5★

Staffing

5★

Total HPRD

4.92

RN HPRD

1.33

1 CMS fine on record

View staffing detail

Edgewood Place at the Village at Brookwood

Burlington, NC · Non profit

Above avg
Overall

5★

Staffing

5★

Total HPRD

5.34

RN HPRD

1.36

View staffing detail

Maryfield Nursing Home

High Point, NC · Non profit

Near avg
Overall

5★

Staffing

5★

Total HPRD

4.04

RN HPRD

0.61

View staffing detail

Chatham Nursing & Rehabilitation

Elkin, NC · For profit

Near avg
Overall

5★

Staffing

4★

Total HPRD

3.60

RN HPRD

0.70

View staffing detail

Jesse Helms Nursing Center

Monroe, NC · Non profit

Near avg
Overall

5★

Staffing

3★

Total HPRD

3.95

RN HPRD

0.40

View staffing detail

Trinity Ridge

Hickory, NC · Non profit

Above avg
Overall

5★

Staffing

5★

Total HPRD

4.57

RN HPRD

0.96

View staffing detail

Trinity Place

Albemarle, NC · Non profit

Above avg
Overall

5★

Staffing

5★

Total HPRD

4.65

RN HPRD

0.63

1 CMS fine on record

View staffing detail

Penick Village

Southern Pines, NC · Non profit

Above avg
Overall

5★

Staffing

5★

Total HPRD

6.76

RN HPRD

1.56

1 CMS fine on record

View staffing detail

Clapp's Convalescent Nursing Home Inc

Asheboro, NC · For profit

Near avg
Overall

4★

Staffing

3★

Total HPRD

3.60

RN HPRD

0.26

View staffing detail

Pettigrew Rehabilitation Center

Durham, NC · For profit

Near avg
Overall

4★

Staffing

2★

Total HPRD

3.52

RN HPRD

0.45

View staffing detail

Harmony Park at Wilson

Wilson, NC · For profit

Near avg
Overall

4★

Staffing

2★

Total HPRD

3.60

RN HPRD

0.48

View staffing detail

Carolina Rivers Nursing and Rehabilitation Center

Jacksonville, NC · For profit

Near avg
Overall

4★

Staffing

1★

Total HPRD

3.57

RN HPRD

0.40

1 CMS fine on record

View staffing detail

Trinity Glen

Winston-Salem, NC · Non profit

Near avg
Overall

4★

Staffing

4★

Total HPRD

4.16

RN HPRD

0.54

View staffing detail

Zebulon Rehabilitation Center

Zebulon, NC · For profit

Near avg
Overall

4★

Staffing

2★

Total HPRD

3.57

RN HPRD

0.38

View staffing detail

Autumn Care Of Biscoe

Biscoe, NC · For profit

Below avg
Overall

3★

Staffing

3★

Total HPRD

3.16

RN HPRD

0.38

1 CMS fine on record

View staffing detail

Bear Mountain Health and Rehabilitation

Asheville, NC · For profit

Below avg
Overall

3★

Staffing

3★

Total HPRD

3.28

RN HPRD

0.49

1 CMS fine on record

View staffing detail

Peak Resources - Charlotte

Charlotte, NC · For profit

Below avg
Overall

3★

Staffing

2★

Total HPRD

3.42

RN HPRD

0.21

1 CMS fine on record

View staffing detail

Summerstone Health and Rehabilitation Center

Kernersville, NC · For profit

Near avg
Overall

3★

Staffing

2★

Total HPRD

3.55

RN HPRD

0.37

1 CMS fine on record

View staffing detail

Raleigh Rehabilitation Center

Raleigh, NC · For profit

Near avg
Overall

3★

Staffing

2★

Total HPRD

3.63

RN HPRD

0.33

2 CMS fines on record

View staffing detail

Sunnybrook Rehabilitation Center

Raleigh, NC · For profit

Near avg
Overall

3★

Staffing

2★

Total HPRD

3.65

RN HPRD

0.34

3 CMS fines on record

View staffing detail

Hilltop Health and Rehabilitation

Rutherfordton, NC · For profit

Below avg
Overall

3★

Staffing

1★

Total HPRD

3.05

RN HPRD

0.34

1 CMS fine on record

View staffing detail

Westchester Manor at Providence Place

High Point, NC · Non profit

Above avg
Overall

3★

Staffing

4★

Total HPRD

4.84

RN HPRD

0.49

1 CMS fine on record

View staffing detail

Huntersville Oaks

Huntersville, NC · Non profit

Below avg
Overall

3★

Staffing

1★

Total HPRD

1.69

RN HPRD

0.21

1 CMS fine on record

View staffing detail

Linden Place Center for Nursing and Rehabilitation

Greensboro, NC · For profit

Near avg
Overall

2★

Staffing

3★

Total HPRD

3.66

RN HPRD

0.30

View staffing detail

Royal Park Rehabilitation & Health Center

Matthews, NC · For profit

Below avg
Overall

2★

Staffing

2★

Total HPRD

3.47

RN HPRD

0.37

2 CMS fines on record

View staffing detail

Elizabeth City Health and Rehabilitation

Elizabeth City, NC · For profit

Near avg
Overall

2★

Staffing

3★

Total HPRD

3.89

RN HPRD

0.25

1 CMS fine on record

View staffing detail

The Foley Center at Chestnut Ridge

Blowing Rock, NC · For profit

Below avg
Overall

2★

Staffing

3★

Total HPRD

3.45

RN HPRD

0.66

1 CMS fine on record

View staffing detail

PruittHealth-Durham

Durham, NC · For profit

Below avg
Overall

2★

Staffing

2★

Total HPRD

3.36

RN HPRD

0.73

1 CMS fine on record

View staffing detail

The Greens at Viewmont

Hickory, NC · For profit

Below avg
Overall

2★

Staffing

4★

Total HPRD

3.45

RN HPRD

0.67

3 CMS fines on record

View staffing detail

Accordius Health at Rose Manor LLC

Durham, NC · For profit

Near avg
Overall

2★

Staffing

3★

Total HPRD

3.94

RN HPRD

0.58

1 CMS fine on record

View staffing detail

Walnut Cove Health and Rehabilitation

Walnut Cove, NC · For profit

Below avg
Overall

2★

Staffing

2★

Total HPRD

2.96

RN HPRD

0.42

3 CMS fines on record

View staffing detail

Maggie Valley Health and Rehabilitation Center

Maggie Valley, NC · For profit

Below avg
Overall

2★

Staffing

3★

Total HPRD

3.05

RN HPRD

0.56

3 CMS fines on record

View staffing detail

Matthews Health & Rehab Center

Matthews, NC · For profit

Below avg
Overall

2★

Staffing

2★

Total HPRD

3.47

RN HPRD

0.52

2 CMS fines on record

View staffing detail

Willow Creek Nursing and Rehabilitation Center

Goldsboro, NC · For profit

Near avg
Overall

2★

Staffing

2★

Total HPRD

3.58

RN HPRD

0.51

3 CMS fines on record

View staffing detail

PERSON MEMORIAL HOSPITAL

ROXBORO, NC · For profit

Below avg
Overall

1★

Staffing

1★

Total HPRD

3.10

RN HPRD

0.78

8 CMS fines on record

View staffing detail

Blumenthal Health and Rehabilitation Center

Greensboro, NC · For profit

Near avg
Overall

1★

Staffing

2★

Total HPRD

3.56

RN HPRD

0.62

3 CMS fines on record

View staffing detail

Pine Acres Center for Nursing and Rehabilitation

Lexington, NC · For profit

Below avg
Overall

1★

Staffing

1★

Total HPRD

3.30

RN HPRD

0.11

2 CMS fines on record

View staffing detail

Mountain Ridge Rehabilitation and Healthcare Cente

Black Mountain, NC · For profit

Below avg
Overall

1★

Staffing

2★

Total HPRD

3.47

RN HPRD

0.32

2 CMS fines on record

View staffing detail

Woodhaven Nursing Center

Lumberton, NC · For profit

Near avg
Overall

1★

Staffing

2★

Total HPRD

3.89

RN HPRD

0.31

3 CMS fines on record

View staffing detail

Davidson Health & Rehab Center

Lexington, NC · For profit

Below avg
Overall

1★

Staffing

1★

Total HPRD

3.50

RN HPRD

0.35

3 CMS fines on record

View staffing detail

University Health and Rehabilitation Center

Durham, NC · For profit

Below avg
Overall

1★

Staffing

1★

Total HPRD

3.31

RN HPRD

0.51

3 CMS fines on record

View staffing detail

Willow Valley Center for Nursing and Rehabilitatio

Winston-Salem, NC · For profit

Below avg
Overall

1★

Staffing

2★

Total HPRD

3.49

RN HPRD

0.30

5 CMS fines on record

View staffing detail

Autumn Care of Waynesville

Waynesville, NC · For profit

Below avg
Overall

1★

Staffing

1★

Total HPRD

3.43

RN HPRD

0.48

1 CMS fine on record

View staffing detail

Frequently Asked Questions

What are the nursing home staffing requirements in North Carolina?
CMS requires all North Carolina nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. North Carolina's state average of 3.52 total HPRD is below the national average of 3.89.
What is the average RN staffing level in North Carolina nursing homes?
North Carolina nursing homes average 0.58 RN hours per resident per day — below the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
How do I find the best-staffed nursing home in North Carolina?
Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.

Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.