Premier Nursing and Rehabilitation Center emerged as the largest nursing home in Onslow County during the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) indicates.
The facility offered a total of 239 available beds—59 above the Onslow County average for the first quarter of 2026. On average, 133 residents received care there during that period.
The CMS gave Premier Nursing and Rehabilitation Center an overall rating of 3 out of 5, a figure slightly above North Carolina’s average rating of 2.9 for nursing homes.
Carolina Rivers Nursing and Rehabilitation Center was identified as the second largest facility in Onslow County for the quarter, with 120 available beds.
Premier Nursing and Rehabilitation Center had incurred one fine totaling $51,984 and received one penalty as of the first quarter of 2026.
There were two for-profit nursing homes operating in Onslow County, North Carolina, during that period.
U.S. Census Bureau estimates show the country’s older adult population is increasing, while the number of younger people declines. From 2020 to 2024, Americans age 65 and older grew by 13%, as the under-18 population dropped by 1.7%. Over the past century, the older adult population expanded from 4.9 million in 1920 to more than 61 million in 2024.
According to a 2021 study, nearly half of adults over 65—about 28 million—are likely to require long-term services and support. The analysis also indicates that more than a third could eventually need 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 | Premier Nursing and Rehabilitation Center | 3 |
| 2 | Carolina Rivers Nursing and Rehabilitation Center | 5 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
