Nursing Homes in North Carolina

North Carolina has 421 facilities certified by Medicare or Medicaid, as of the CMS penalty file published October 1, 2026. CMS publishes what it fined them, when it stopped paying for new admissions, how many nursing hours they staffed, and what its inspectors wrote up. These are those records counted. A penalty is an enforcement action on a date, not a verdict on the care a resident receives today.

Facilities with a federal penalty

59%249 of 421 (59%)

A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and September 23, 2026.

Facilities where CMS stopped paying for new admissions

16%66 of 421 (16%)

A payment denial is CMS refusing to pay for newly admitted Medicare and Medicaid residents until the facility corrects the problem it cited.

Median penalty total, among facilities that were fined

$33,794in fines · 234 facilities

The middle facility's total across every civil money penalty CMS recorded for it in this window, not the amount of a single fine.

Median nurse staffing hours per resident day

3.56hours · 407 facilities

0.16 hours below the national median of 3.72 hours.

Total nurse hours per resident per day from payroll records CMS collects, quarter Q2 2026. Staffing is an input, not an outcome.

Facilities with an inspection citation in the last 12 months

56%237 of 421 (56%)

Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated August 25, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.