North Carolina: CMS Rating Breakdown
North Carolina has 420 CMS-certified nursing homes currently tracked in the Five-Star rating system. The state's average Five-Star overall rating stands at 2.94 out of 5. By ownership structure, the distribution breaks down as follows: 351 for-profit facilities, 60 nonprofit facilities, and 9 government-operated facilities. These figures represent official CMS data for the current rating cycle.
The Five-Star rating system carries documented limitations and should be understood as a broad indicator rather than a definitive assessment of any individual facility's quality or performance. State-level averages do not constitute judgments about specific nursing homes. When making a substantive decision regarding a particular facility, individuals should consult the facility's dedicated per-facility pages and its live Care Compare profile to access detailed, current information specific to that location.
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 |