Senior Care in North Carolina — Independent Report Cards
661 nursing homes, home-health agencies, hospices and assisted-living communities in North Carolina — 643 graded from public regulatory data. We take $0 from any facility we grade.
How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.
Metro areas: Charlotte
What senior care costs in North Carolina (2025 medians)
| Care setting | North Carolina median | National median |
|---|---|---|
| Assisted living, private one-bedroom | $6,496/mo | $6,200/mo |
| Nursing home, semi-private room | $320/day | $315/day |
| Nursing home, private room | $355/day | $355/day |
| In-home care, non-medical (private pay) | $30/hr | $35/hr |
Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Nursing Homes (418 graded of 420)
| Facility | City | Grade | Price | Rubric coverage | Beds |
|---|---|---|---|---|---|
| Cypress Glen Retirement Community | Greenville | A+ | $$$$$ | 75% | 6 |
| The Forest At Duke Inc | Durham | A+ | $$$$$ | 40% | 4 |
| Novant Health Presbyterian Medical Center-Snu | Charlotte | A+ | — | 75% | 12 |
| Willowbrooke Court Sc Ctr At Tryon Estates | Columbus | A+ | $$$$$ | 75% | 16 |
| Mountain Vista Health Park | Denton | A+ | $ | 75% | 60 |
Home Health Agencies (149 graded of 165)
| Facility | City | Grade | Rubric coverage | Beds |
|---|---|---|---|---|
| Adoration Home Health | Salisbury | A+ | 70% | — |
| Centerwell Home Health | Youngsville | A | 70% | — |
| Nhrmc Home Care | Rocky Point | A | 70% | — |
| Carolina Home Care | Spindale | A | 70% | — |
| Unc Health Johnston Home Care And Hospice | Smithfield | A | 70% | — |
Hospice Agencies (76 graded of 76)
| Facility | City | Grade | Rubric coverage | Beds |
|---|---|---|---|---|
| Johnston Health Home Care And Hospice | Smithfield | A | 90% | — |
| Hospice Of Carteret County | Morehead City | A | 90% | — |
| Richmond County Hospice Inc | Rockingham | A | 90% | — |
| Vidant Home Health And Hospice | Ahoskie | A | 90% | — |
| Lower Cape Fear Lifecare | Wilmington | A | 90% | — |