Selling a skilled nursing facility in North Carolina
What moves the price of a North Carolina nursing home, how a sale runs from first call to change of ownership, and where to see the record for every North Carolina building.
North Carolina at a glance
North Carolina has 419 Medicare- and Medicaid-certified skilled nursing facilities with 43,850 certified beds, and on average 82.6% of those beds are occupied, above the national average of 80.3%.
Source: CMS Provider Information file, August 2026. The full North Carolina picture, rates and every building are on SNFRadar, the market record we built and publish free.
What a buyer reads first in North Carolina
The numbers a buyer pulls before the first call, for the typical North Carolina building against the nation. Your own building's are on its SNFRadar page.
Sources: CMS Provider Information file, August 2026 (occupancy, staffing, turnover, star ratings: averages across certified buildings); Medicare cost reports (full-year filings), as SNFRadar compares them (medians, the same figures each building's SNFRadar page is compared against).
What moves value in North Carolina
Competition among buyers. In our North Carolina sale, multiple qualified offers from reputable groups lifted the final offer more than 50% over the initial bid.
Confidentiality for a local owner. A long-standing local owner can exit quietly when buyers are vetted and under confidentiality before they learn the name.
Per licensed and per occupied bed. That sale set record pricing on both measures, which is why we look at occupancy as closely as bed count.
Survey and staffing record. Buyers read both before they price. Both are on each building's SNFRadar page.
Where the beds are
North Carolina's largest counties by certified beds. Each opens that county's buildings on SNFRadar.
| County | Facilities | Certified beds |
|---|---|---|
| Mecklenburg | 29 | 2,983 |
| Guilford | 20 | 2,284 |
| Wake | 21 | 2,174 |
| Buncombe | 19 | 1,899 |
| Forsyth | 14 | 1,477 |
All 97 North Carolina counties
How a sale works
- A first call. What you want from the sale, and when. No listing, no blast.
- A value from the record. Your building's own numbers and the trades around it. How valuation works
- Vetted buyers under confidentiality, bidding against each other, not against you.
- Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
- Change of ownership. North Carolina's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid
Our North Carolina closings
Recent closing: North Carolina.
A single North Carolina facility, valued over $21M, with an offer more than 50% over the initial bid.
Read the deal sheetQuestions owners ask
How many nursing homes are in North Carolina?
North Carolina has 419 Medicare- and Medicaid-certified skilled nursing facilities with 43,850 certified beds, according to the CMS Provider Information file (August 2026).
What is the average occupancy of North Carolina nursing homes?
On average 82.6% of certified beds in North Carolina are occupied, above the national average of 80.3% (CMS Provider Information, August 2026).
Can a sale in North Carolina stay confidential in a small community?
Yes. In our North Carolina sale a long-standing local owner exited confidentially; buyers signed confidentiality agreements before they learned the name.
How much of North Carolina's nursing home care does Medicaid pay for?
In the median North Carolina building, Medicaid pays for 66% of resident days, against 66% nationally (Medicare cost reports (full-year filings), as SNFRadar compares them). That share is why North Carolina's Medicaid rate method decides so much of a building's value.
Are North Carolina nursing homes profitable?
The median North Carolina building that filed a full-year Medicare cost report shows a net margin of 6.6%, against 3.6% nationally. Margins vary widely from building to building; each building's own filing is on its SNFRadar page.
Is the first conversation confidential?
Yes. Nothing about you or your building goes to a buyer without your say.
Do you represent buyers?
No. We represent sellers. Buyers can share their acquisition criteria with us so we know who to call when a building fits; that does not make us their broker.