Harmony Hall Nursing and Rehabilitation Center was the largest nursing facility in Lenoir County for the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.
Records indicate that the center offered 175 beds—48 more than the county average at the time. It served an average of 106.9 residents during the same quarter.
The overall rating for Harmony Hall Nursing and Rehabilitation Center from CMS was 3 out of 5, edging out the statewide North Carolina nursing home average of 2.9.
Signature Healthcare of Kinston, with 106 beds, was the second largest nursing home in Lenoir County during the reporting period. NC State Veterans Home-Kinston followed with 100 beds available.
By the end of the first quarter of 2026, Harmony Hall Nursing and Rehabilitation Center had received two fines totaling $15,593, resulting in two penalties.
There were two for-profit nursing facilities operating in Lenoir County, North Carolina.
The U.S. Census Bureau estimates that shifts in demographics show an increasing population of older adults and a decrease among younger age groups. Americans age 65 and older grew by 13% between 2020 and 2024, while those under 18 declined by 1.7%. The nation’s older adult population has increased considerably during the last century, going from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study estimates that around half of adults in this age category—about 28 million—might experience a need for long-term services and support. That study also anticipates that more than one-third could eventually require care in a nursing home.
“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 | Harmony Hall Nursing and Rehabilitation Center | 3 |
| 2 | Signature Healthcare of Kinston | 2 |
| 3 | NC State Veterans Home-Kinston | 2 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
