During the first quarter of 2026, Graybrier Nursing and Retirement Center held the position as Randolph County’s second largest nursing facility, the Centers for Medicare and Medicaid Services (CMS) reports.
The center made 128 beds available, which is eight above the county average for the period. They cared for an average of 103.3 residents during these months.
The CMS assigned Graybrier an overall rating of 3 out of 5—slightly higher than the 2.9 average for North Carolina nursing homes.
Alpine Health and Rehabilitation of Asheboro led as the largest facility in the county, providing 238 beds. The third largest, Asheboro Rehabilitation and Healthcare Center, offered 100 beds.
By the first quarter of 2026, Graybrier Nursing and Retirement Center had received one fine totaling $8,512 and been subject to one penalty.
There were six for-profit nursing homes operating in Randolph County, North Carolina, as of this reporting.
According to U.S. Census Bureau estimates, the nation’s population of older adults is growing while the number of children declines. From 2020 to 2024, Americans age 65 and older increased by 13%, as those under 18 fell by 1.7%. The older adult population has expanded significantly over the past 100 years, growing from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study found nearly half of these older adults—about 28 million—may need long-term services and support. The report also predicts more than one-third could require nursing home care in the future.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Alpine Health and Rehabilitation of Asheboro | 5 |
| 2 | The Graybrier Nursing and Retirement Center | 3 |
| 3 | Asheboro Rehabilitation and Healthcare Center | 2 |
| 4 | Clapp’s Convalescent Nursing Home, Inc. | 4 |
| 5 | Ramseur Rehabilitation and Healthcare Center | 2 |
| 6 | Westwood Health and Rehabilitation | 3 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
