In the opening quarter of 2026, Carrolton of Nash emerged as the nursing home with the most capacity in Nash County, according to the Centers for Medicare and Medicaid Services (CMS).
Records show the facility contained 141 available beds—35 more than the county’s average for the first quarter of 2026—and served an average of 119.5 residents each day during that span.
The Carrolton of Nash received a 4 out of 5 overall quality rating from the CMS, surpassing North Carolina’s average of 2.9 for nursing homes.
Rocky Mount Rehabilitation Center ranked as the county’s second largest nursing home in the same period, with 117 beds. Autumn Care of Nash secured third place with 60 beds.
At the close of the 2026 first quarter, The Carrolton of Nash reported zero fines or penalties.
Nash County, North Carolina, counted three for-profit nursing facilities in total.
Estimates from the U.S. Census Bureau show the U.S. population of older adults is on the rise, while youth numbers are declining. Between 2020 and 2024, Americans age 65 and older increased by 13%, contrasted with a 1.7% drop in the population under 18. Over the past 100 years, the country’s older adult population expanded significantly from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 study found that nearly half of seniors—about 28 million—will likely need long-term services and support, with more than a third projected to 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, an education group. “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 | The Carrolton of Nash | 4 |
| 2 | Rocky Mount Rehabilitation Center | 2 |
| 3 | Autumn Care of Nash | 3 |
Details in this article are sourced from the Centers for Medicare and Medicaid Services. View the original data set here.

