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Top 10 Worst Nursing Homes in North Carolina

Top 10 of 419 nursing homes in North Carolina, ranked using our review score, based on Medicare warnings, ratings, inspection problems, and fines. Not a legal finding — use it to prioritize which report cards to read first.

  1. 1.Premier Living and Rehab CenterMedicare rating: 1 out of 5 · 56 inspection problems · $383,791 in fines
    Lake Waccamaw, Columbus CountyMedicare abuse warningSFF Candidate
  2. 2.Deer Park Health and RehabilitationMedicare rating: 1 out of 5 · 39 inspection problems · $273,467 in fines
    Nebo, Mc Dowell CountyMedicare abuse warningSFF Candidate
  3. 3.Windsor Rehabilitation and Healthcare CenterMedicare rating: 1 out of 5 · 52 inspection problems · $249,991 in fines
    Windsor, Bertie CountyMedicare abuse warning
  4. 4.River Bend Health and RehabilitationMedicare rating: 1 out of 5 · 52 inspection problems · $147,579 in fines
    Asheville, Buncombe CountyMedicare abuse warning
  5. 5.Autumn Care of Myrtle GroveMedicare rating: 1 out of 5 · 41 inspection problems · $141,604 in fines
    Wilmington, New Hanover CountyMedicare abuse warning
  6. 6.Willow Valley Center for Nursing and RehabilitatioMedicare rating: 1 out of 5 · 51 inspection problems · $43,838 in fines
    Winston-Salem, Forsyth CountyMedicare abuse warning
  7. 7.Biltmore Haven Nursing and RehabilitationMedicare rating: 1 out of 5 · 50 inspection problems · $189,174 in fines
    Arden, Buncombe CountySFF Candidate
  8. 8.Hibriten Mountain Nursing and RehabilitationMedicare rating: 1 out of 5 · 46 inspection problems · $53,110 in fines
    Lenoir, Caldwell CountyMedicare abuse warning
  9. 9.Fletcher Rehabilitation and Healthcare CenterMedicare rating: 1 out of 5 · 43 inspection problems · $62,868 in fines
    Fletcher, Henderson CountyMedicare abuse warning
  10. 10.Davidson Health & Rehab CenterMedicare rating: 1 out of 5 · 43 inspection problems · $54,389 in fines
    Lexington, Davidson CountyMedicare abuse warning

What the records show for North Carolina ranking

Homes with a CMS overall rating
10 of 10
Homes rated 1 or 2 stars
10
Homes with a CMS abuse warning
9

Medicare file dates: Aug 1, 2026. These dates are not the dates of individual inspections.

Counts describe the homes in this displayed list, not every nursing home or every care incident. A missing rating or warning is not a clean bill of health. Sources and limitations.

Local records to explore

These examples come from the list above. File dates are not inspection dates; open a report for the dated findings.

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