The senior-care watchlist — North Carolina
46 facilities in North Carolina carry an official government warning that the referral sites — paid by those same facilities — will never show you: a CMS Special Focus designation, an active licensing probation, or an abuse-citation flag. Every one is a matter of public record, linked to its full file below.
What these labels mean. A Special Focus Facility (SFF) is one CMS has singled out nationally for a persistent pattern of serious problems; an SFF candidate is in the pool being considered. Probation means a state licensing agency has placed formal conditions on the facility's license. An abuse-citation flag marks a home cited by CMS for actual or potential resident harm. A warning is not a verdict — but it is exactly the kind of signal you want before you tour, not after.
| Grade | Facility & warning | Location | Subst. |
|---|---|---|---|
| D | Rockwell Park Rehabilitation And Healthcare Center Special Focus FacilityOn probation |
Charlotte, NC | 5 |
| D | Perry Creek Health And Rehabilitation Center Special Focus FacilityOn probation |
Raleigh, NC | 3 |
| F | Blumenthal Health And Rehabilitation Center SFF candidateAbuse-citation flag |
Greensboro, NC | 15 |
| F | Cabarrus Health And Rehabilitation Center SFF candidate |
Concord, NC | 13 |
| F | Deer Park Health And Rehabilitation SFF candidateAbuse-citation flag |
Nebo, NC | 11 |
| F | Biltmore Haven Nursing And Rehabilitation SFF candidate |
Arden, NC | 7 |
| D | Pelican Health At Charlotte SFF candidate |
Charlotte, NC | 5 |
| F | Crestview Health & Rehabilitation SFF candidate |
Mooresville, NC | 3 |
| F | Premier Living And Rehab Center SFF candidateAbuse-citation flag |
Lake Waccamaw, NC | 3 |
| F | Lotus Village Center For Nursing And Rehabilitatio SFF candidate |
Sparta, NC | 3 |
| D | Tsali Care Center SFF candidate |
Cherokee, NC | 2 |
| F | O'Berry Neuro-Medical Treatment Center SFF candidate |
Goldsboro, NC | 1 |
| F | River Bend Health And Rehabilitation Abuse-citation flag |
Asheville, NC | 15 |
| F | Lillington Health And Rehabilitation Center Abuse-citation flag |
Lillington, NC | 14 |
| F | Pembroke Center Abuse-citation flag |
Pembroke, NC | 14 |
| F | The Greens At Gastonia Abuse-citation flag |
Gastonia, NC | 11 |
| D | Lexington Health Care Center Abuse-citation flag |
Lexington, NC | 11 |
| F | Fletcher Rehabilitation And Healthcare Center Abuse-citation flag |
Fletcher, NC | 10 |
| F | Davidson Health & Rehab Center Abuse-citation flag |
Lexington, NC | 9 |
| F | Windsor Rehabilitation And Healthcare Center Abuse-citation flag |
Windsor, NC | 7 |
| F | Carver Living Center Abuse-citation flag |
Durham, NC | 7 |
| F | Hibriten Mountain Nursing And Rehabilitation Abuse-citation flag |
Lenoir, NC | 6 |
| F | Fuquay-Varina Health And Rehabilitation Center Abuse-citation flag |
Fuquay Varina, NC | 6 |
| F | Willow Valley Center For Nursing And Rehabilitatio Abuse-citation flag |
Winston-Salem, NC | 5 |
| C | Greenhaven Health And Rehabilitation Center Abuse-citation flag |
Greensboro, NC | 5 |
| F | Valley Nursing And Rehabilitation Center Abuse-citation flag |
Taylorsville, NC | 5 |
| F | Autumn Care Of Myrtle Grove Abuse-citation flag |
Wilmington, NC | 4 |
| F | Nc State Veterans Home-Kinston Abuse-citation flag |
Kinston, NC | 4 |
| F | Copperfield Health & Rehabilitation Abuse-citation flag |
Concord, NC | 3 |
| D | White Oak Manor-Kings Mountain Abuse-citation flag |
Kings Mountain, NC | 3 |
| D | Monroe Rehabilitation Center Abuse-citation flag |
Monroe, NC | 3 |
| F | The Carrolton Of Lumberton Abuse-citation flag |
Lumberton, NC | 3 |
| F | Southpoint Rehabilitation And Healthcare Center Abuse-citation flag |
Durham, NC | 3 |
| F | Alamance Health Care Center Abuse-citation flag |
Burlington, NC | 3 |
| F | Dahlia Gardens Center For Nursing And Rehabilitati Abuse-citation flag |
Aberdeen, NC | 3 |
| C | Huntersville Health & Rehabilitation Center Abuse-citation flag |
Huntersville, NC | 3 |
| F | Siler City Center Abuse-citation flag |
Siler City, NC | 2 |
| D | Westwood Hills Nursing And Rehabilitation Center Abuse-citation flag |
Wilkesboro, NC | 2 |
| F | Warsaw Rehabilitation And Healthcare Center Abuse-citation flag |
Warsaw, NC | 2 |
| D | Graham Healthcare And Rehabilitation Center Abuse-citation flag |
Robbinsville, NC | 2 |
| D | Wilora Lake Healthcare Abuse-citation flag |
Charlotte, NC | 2 |
| C | Madison Health And Rehabilitation Abuse-citation flag |
Mars Hill, NC | 1 |
| F | Mary Gran Nursing Center Abuse-citation flag |
Clinton, NC | 1 |
| D | Macon Valley Nursing And Rehabilitation Center Abuse-citation flag |
Franklin, NC | 1 |
| F | Currituck Health & Rehab Center Abuse-citation flag |
Barco, NC | 1 |
| C | Trinity Grove Abuse-citation flag |
Wilmington, NC | 1 |
Special Focus & abuse flags from CMS Care Compare / Medicare.gov (Jul 2026); probation from state licensing records (CA CDSS, Aug 2, 2026). One signal, not a verdict — verify directly with the facility and the licensing agency. How grades work →
Finding facilities to avoid in North Carolina
How do I find the nursing homes to avoid in North Carolina?
Start with the official warnings. This page lists the 46 facilities in North Carolina that federal or state regulators have formally flagged — 2 CMS Special Focus Facilities, 2 on licensing probation, and 37 cited for abuse. These are the homes to scrutinize hardest before you tour. A flag is a reason to ask hard questions, not an automatic disqualification — some flagged homes have since corrected.
What are the worst-rated senior-care facilities in North Carolina?
Senior Care Record Map doesn't crown a single "worst" home, but the strongest negative signal a regulator can give is the CMS Special Focus Facility designation — reserved for a persistent pattern of serious problems. Those, plus homes on probation or with abuse citations, are ranked at the top of the watchlist above by severity.
Why don't other senior-care sites show these warnings?
Most referral and listing sites are paid by the facilities they recommend, so surfacing a facility's Special Focus status, probation, or abuse citations works against their business. Senior Care Record Map takes zero referral fees, so it can show you the public records first.
Before you rule a facility in or out
A warning flag is a reason to ask hard questions, not always to walk away — some flagged homes have since corrected. Bring our free tour checklist, understand what care costs, and read when it's time to move. And know how referral sites make money so you can read their recommendations with clear eyes.
See exactly why a facility was flagged
$19.99 one-time · lifetime accessThe map and safety grades are free. When a home carries a Special Focus, probation, or abuse flag, Senior Care Record Map Pro shows you the specific deficiencies, citations and enforcement actions behind it — so you can ask the right questions instead of guessing. No referral fees, no salespeople, your data never sold.
- The full CMS deficiency, staffing & enforcement history behind every flag
- Direct links to the underlying government records
- Save, tag & rate facilities to follow up
- Side-by-side comparison & CSV shortlist export
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