For the first quarter of 2026, The Graybrier Nursing and Retirement Center was the second largest nursing facility in Randolph County, as reported by the Centers for Medicare and Medicaid Services (CMS).
The facility offered a total of 128 beds—eight more than Randolph County’s average during Q1 2026—and cared for an average of 103.3 residents in that time frame.
The CMS gave The Graybrier Nursing and Retirement Center an overall score of 3 out of 5, surpassing North Carolina’s average rating of 2.9 for nursing homes.
Within the quarter, Alpine Health and Rehabilitation of Asheboro led as the largest county nursing home with 238 available beds. Asheboro Rehabilitation and Healthcare Center placed third, providing 100 beds.
As of the first quarter of 2026, The Graybrier Nursing and Retirement Center had accrued one fine totaling $8,512 and received one penalty.
There were six for-profit nursing homes operating in Randolph County, North Carolina.
U.S. Census Bureau estimates show continued growth in the nation’s older adult population as younger age groups decline. From 2020 to 2024, Americans age 65 and older increased by 13%, while those under 18 fell by 1.7%. The older adult population has expanded significantly over the past century, growing from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study finds nearly half of adults in this age group—about 28 million people—may need long-term services and supports. The study also projects that over a third might eventually require nursing home care.
“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. “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.
