Page 10 of Best Senior Communities in North Carolina

Why trust this guide? Our editorial team analyzed 543 senior communities in NC using NC Dept. of Health & Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in NC
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Last updated
We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every senior community provider in North Carolina.
543 homes
Other senior care options in North Carolina:
Avg Walk Score: 36/ 100The average Walk Score across facilities in North Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 72The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90

Compare Senior Communities around North Carolina

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. SC (Senior Communities):
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Cedar Mountain House
SC
AL
MC
Brevard
64
Facility 64
NC AVG 72
Rank #213 / 387
No
74
Facility 74
NC AVG 36
Rank #14 / 536
54.7%
Facility 54.7%
NC AVG 70.6%
Rank #173 / 232
-
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
LiveWell at Birchwood Lake Estates
SC
AL
HC
MC
NH
Chapel Hill
6
Facility 6
NC AVG 72
Rank #335 / 387
No-
83.3%
Facility 83.3%
NC AVG 70.6%
Rank #87 / 232
A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
8
88%
Facility 88%
NC AVG 91.8%
Rank #57 / 333
Private Rooms / Semi-Private Rooms
Fayetteville Manor
SC
MC
Fayetteville (Tartan Place Apartments)
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
29
Facility 29
NC AVG 36
Rank #322 / 536
88.3%
Facility 88.3%
NC AVG 70.6%
Rank #67 / 232
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
10
90%
Facility 90%
NC AVG 91.8%
Rank #84 / 333
-
Alpha Care One Assisted Living
SC
AL
Greenville
120
Facility 120
NC AVG 72
Rank #35 / 387
No
88
Facility 88
NC AVG 36
Rank #1 / 536
68.3%
Facility 68.3%
NC AVG 70.6%
Rank #137 / 232
-
82.00/200
Facility 82.00/200
NC AVG 92.2
Rank #291 / 321
22
95%
Facility 95%
NC AVG 91.8%
Rank #131 / 333
-
The Little Flower
SC
AL
Charlotte (Silverstone)
49
Facility 49
NC AVG 72
Rank #300 / 387
Yes
45
Facility 45
NC AVG 36
Rank #191 / 536
53.1%
Facility 53.1%
NC AVG 70.6%
Rank #177 / 232
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
6
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
-
TerraBella Cramer Mountain
SC
AL
MC
Cramerton
128
Facility 128
NC AVG 72
Rank #25 / 387
Yes
19
Facility 19
NC AVG 36
Rank #384 / 536
39.1%
Facility 39.1%
NC AVG 70.6%
Rank #198 / 232
-
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
9
89%
Facility 89%
NC AVG 91.8%
Rank #71 / 333
-
Yadkin Valley Senior Living
SC
AL
IL
RC
Elkin
60
Facility 60
NC AVG 72
Rank #230 / 387
No
60
Facility 60
NC AVG 36
Rank #72 / 536
55.0%
Facility 55.0%
NC AVG 70.6%
Rank #172 / 232
-
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
14
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Waltonwood Cotswold
SC
AL
MC
Charlotte (Sherwood Forest)
125
Facility 125
NC AVG 72
Rank #28 / 387
Yes
18
Facility 18
NC AVG 36
Rank #394 / 536
--
107.00/200
Facility 107.00/200
NC AVG 92.2
Rank #2 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 1 Bed / 2 Bed
Pineville Rehabilitation & Living Center
SC
AL
HOS
NH
RC
SNF
Pineville
106
Facility 106
NC AVG 72
Rank #66 / 387
No
25
Facility 25
NC AVG 36
Rank #346 / 536
92.0%
Facility 92.0%
NC AVG 70.6%
Rank #50 / 232
A+--6
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
Private / Semi-Private Rooms
TerraBella Salisbury
SC
AL
MC
RC
Salisbury (Lockeland)
128
Facility 128
NC AVG 72
Rank #25 / 387
Yes
8
Facility 8
NC AVG 36
Rank #472 / 536
23.4%
Facility 23.4%
NC AVG 70.6%
Rank #225 / 232
A+
97.00/200
Facility 97.00/200
NC AVG 92.2
Rank #189 / 321
12
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 543 on this page.

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Cedar Mountain House

11 Sherwood Ridge Road Brevard, Nc 28712, Brevard, NC 28712
Overview of Cedar Mountain House

Cedar Mountain House sits at 11 Sherwood Ridge Road in Brevard, North Carolina, offering assisted living alongside a secured memory care wing. Brevard is mountain country in the western end of the state. The address itself carries a Walk Score of 74, putting it solidly in the very walkable range, so errands are reachable on foot and visiting relatives can get around without keys in hand.

The community has sixty-four beds, with thirty-five of them filled, which works out to 55 percent occupancy. For a family on a short timeline, that open capacity means the waiting list is not the obstacle it can be elsewhere. It also means staff are spread across fewer residents on any given shift.

Two kinds of care run under one roof here. Assisted living covers the daily rhythm of bathing, dressing, and medication reminders, with caregivers on the floor around the clock. The secured wing serves residents with dementia whose safety depends on a controlled exit. Staffing holds at 24 hours throughout the building.

A fair amount of clinical support happens on the premises. Therapy, pharmacy, and visiting providers all operate on site, which strips out a real number of car trips for someone juggling several conditions at once. Housekeeping, maintenance, and scheduled transportation handle the ordinary logistics.

Residents have a library, an entertainment room, and outdoor common space to use, the last of which earns its keep in a setting like this one. Dining is restaurant style rather than tray service. Medicaid is accepted, and that carries real weight in North Carolina, where assisted living coverage moves through state and county channels rather than Medicare.

Inspection records here go back more than a decade. Over that stretch, the themes have clustered around medication management, emergency preparedness, environmental and hazardous materials safety, and housekeeping and upkeep. For a family weighing this community, the picture is a mid sized building with room to accept new residents, dementia care available without a second move, and a walkable pocket of Brevard just outside the door.

Contact Cedar Mountain House

Overview of LiveWell at Birchwood Lake Estates

Nestled within the vibrant landscape of Durham, North Carolina, LiveWell at Birchwood Lake Estates is an esteemed assisted living community. Standing proudly, this assisted living community presents an alternative vision of assisted living within the charming confines of Chapel Hill. Each dwelling within this community is meticulously crafted to exude warmth and hospitality, ensuring an environment that extends its embrace to friends and family alike.

Whether seniors are engaged in a stroll outdoors or savoring a delectable meal, the ethos of LiveWell encourages your presence, inviting you to share in their moments of joy and togetherness. Experience a different kind of assisted living community that redefines the essence of welcome and inclusivity at LiveWell at Birchwood Lake Estates.

Contact LiveWell at Birchwood Lake Estates

Overview of Fayetteville Manor

Located on Treetop Drive in the Tartan Place Apartments neighborhood of Fayetteville, North Carolina, Fayetteville Manor is a memory care community about 6 miles from downtown Fayetteville. The single-story community has 60 beds, with an occupancy rate of 88%, reflecting its established presence among local senior living options.

Care is designed for residents living with Alzheimer’s disease and other forms of dementia. Residents receive 24-hour nursing support, daily housekeeping, and laundry services, so families do not have to manage those responsibilities themselves. Meals are prepared with residents’ nutritional needs in mind. Daily life includes recreational activities and programs created specifically for memory care. This can help provide residents with a familiar routine in a smaller, more structured setting.

The community also provides transportation services, fitness and recreation programs, and welcomes pets. This can make the transition easier for residents who are moving from a home where a companion animal was part of everyday life. Torrey Locklear owns and leads the community.

State inspections have focused on building maintenance, safety systems, staff training, and medication administration practices. The community has taken corrective action to address findings identified during previous inspections. Inspection history reflects a mix of findings over time rather than one consistent pattern.

The neighborhood has a Walk Score of 29 out of 100, so most errands and outings require a car. It’s common for memory care communities where outings are typically supported by staff. Families touring Fayetteville Manor should ask how staffing is coordinated daily within the memory care program.

Contact Fayetteville Manor

Alpha Care One Assisted Living

2060 West Fifth Street Greenville, Nc 27834, Greenville, NC 27834
Overview of Alpha Care One Assisted Living

Alpha Care One Assisted Living sits at 2060 West Fifth Street in Greenville, North Carolina, operated by Alpha Care One Assisted Living LLC. The surrounding blocks earn a Walk Score of 88, which lands squarely in very walkable range. Most errands can be handled on foot from the front door. Visiting family can park once and stay put.

Licensing covers 120 beds, and 82 of them are currently filled. That works out to 68 percent occupancy, which means real availability for families working against a deadline. The building itself is a larger shared setting rather than a converted house, so common areas and group programming have room to operate.

The care model rests on continuous supervision paired with hands-on daily assistance. Residents receive help with bathing, feeding, dressing, toileting, and getting around the building. Licensed nurses and CNAs are part of the staff, and coverage holds at 24 hours rather than tapering after business hours.

Programming runs through a mix of regular activities and seasonal events across the calendar. An aviary occupies part of the living room, which gives residents a reason to sit down together in the middle of an ordinary afternoon.

State inspection activity at this community has concentrated on medication management, infection prevention and control, fire-safety systems, and care planning and documentation. What the record describes is a large, centrally located Greenville community with licensed nursing coverage around the clock, room to accept new residents, and inspection attention clustered in four identifiable areas.

Contact Alpha Care One Assisted Living

Overview of The Little Flower

The Little Flower offers a bright and healthy lifestyle for its residents. As a premier assisted living community, professional caregivers practice compassion and kindness, ready to attend to any individual’s needs; they excel in creating an environment that is warm and welcoming and continues to balance a top-notch quality of service for its residents. When setting the standard for quality care and going above and beyond for its seniors, The Little Flower is an exquisite home that meets timeless care.

The lifestyle of Little Flower is designed to inspire the everyday living of its residents, found in the beautiful amenities and essential services provided– maintained spacious studio suites, well-lit common areas, outdoor lounge areas, healthy dining experience, and social activities.

Contact The Little Flower

TerraBella Cramer Mountain

500 Cramer Mountain Rd, Cramerton, NC 28032
Overview of TerraBella Cramer Mountain

Terra Bella Cramer Mountain is a trusted senior living community nestled in the serene neighborhood of Cramerton, NC, providing assisted living and memory care. The community features elegant floor plans ranging from suites to one-bedroom apartments. Proving its top-notch quality, the community was recognized as one of the Top Assisted Living Communities in 2020 by Best of Gaston County.

The community features a variety of signature programs for the betterment of its residents. With a variety of activities and programs scheduled over the month such as live entertainment and local outings, residents experience fun and relaxation. Moreover, meals are prepared based on the seniors’ dietary needs and cravings. Terra Bella Cramer Mountain provides residents with amenities to enhance their well-being including a jacuzzi spa, an arts and crafts studio, a multifunction game room, a library, a covered outdoor patio, a private courtyard and community garden, and serene walking paths.

Contact TerraBella Cramer Mountain

Yadkin Valley Senior Living

500 Johnson Ridge Road Elkin, Nc 28621, Elkin, NC 28621
Overview of Yadkin Valley Senior Living

Yadkin Valley Senior Living is a senior living community in Elkin, North Carolina, at 500 Johnson Ridge Road. The community offers assisted living and independent living, along with respite care for families who need short-term coverage. Its neighborhood carries a Walk Score of 60, described as moderately walkable, meaning some errands can be handled on foot with a mix of nearby amenities within reach.

The community is licensed for 60 beds and currently houses 33 residents, putting occupancy at 55 percent. That leaves meaningful room in the building, which can matter for families who need a placement without a long wait. A community of this size tends to sit between the intimacy of a small home and the broader activity calendar of a larger campus.

Care services include rehabilitation services and respite care, with licensed nurses and CNAs on staff. The respite option supports families managing a caregiver’s recovery, a planned absence, or a trial stay before committing to a longer arrangement. Rehabilitation services on site mean residents working through a recovery period can continue therapy without arranging outside transportation.

Activity programming runs at more than 14 hours of planned group activities each week. The schedule covers Bingo, exercise sessions, socials, craft projects, and outings away from the building.

State inspections of this community have surfaced themes around fire-safety systems, environmental and hazardous-materials safety, and housekeeping and upkeep. Families reviewing the community will find its regulatory record concentrated in that facilities-management area.

Contact Yadkin Valley Senior Living

Overview of Waltonwood Cotswold

Waltonwood Cotswold is an exquisite assisted senior living community nestled in the charming city of Charlotte. The commitment to exceptional service and care is unparalleled, ensuring that each resident receives the utmost attention and support. With a range of services that include assisted living and memory care senior living, the community caters to the unique needs of every individual. The culinary team creates delectable meals that are both satisfying and memorable. From gourmet dishes to diverse dining options, every bite is a celebration of flavor and quality.

Located in the southeastern suburbs of Charlotte, Waltonwood Cotswold provides easy access to a wealth of conveniences. Residents can immerse themselves in the vibrant local community, with nearby restaurants, golf courses, healthcare centers, places of worship, and convenient expressway connections. The active community offers endless possibilities for exploration and engagement. With its captivating charm and inviting atmosphere, the community sets the stage for an enriching and fulfilling lifestyle. Experience the warmth and hospitality that permeate every aspect of the community, ensuring a truly exceptional assisted senior living and memory care senior living experience.

Contact Waltonwood Cotswold

Overview of Pineville Rehabilitation & Living Center

Make the most of your golden years with Pineville Rehabilitation & Living Center, an excellent community in Pineville, NC, offering skilled nursing care, short-term rehabilitation, and long-term care. They also help caregivers get their much-deserved break by offering respite stays. Their team of compassionate caregivers and nurses is available 24/7 to oversee residents’ personalized care plans, provide them with comprehensive care, and assist them with their daily living activities.

Access to physical, occupational, and speech therapies is offered 7 days a week to make sure residents can quickly gain back their strength and mobility to continue doing the things they enjoy. Daily activities, weekly outings, and social activities are available to ensure residents never feel bored and always have something fun and purposeful to do. Gourmet meals are also served daily to energize residents and help them maintain proper nutrition. From comprehensive care services to enriching activities and thoughtful amenities, Pineville Rehabilitation & Living Center provides it all for a convenient and enriching experience.

Contact Pineville Rehabilitation & Living Center

TerraBella Salisbury

1915 Mooresville Rd, Salisbury, NC 28147
Overview of TerraBella Salisbury

TerraBella Salisbury is a vibrant senior living community in Salisbury, North Carolina, offering assisted living and memory care. The community provides 24/7 care and a maintenance-free lifestyle to its active residents, while its award-winning SHINE Memory Care Program offers evidence-based memory care to residents living with Alzheimer’s and dementia. Featuring cozy suites and one-bedroom apartments with emergency call systems, individual climate control settings, and kitchenettes, residents are guaranteed a comfortable residence.

The community does its absolute best to ensure that residents have everything they need. From a jam-packed active social calendar and long-term health and wellness programs to concierge and housekeeping services, residents have everything they need to live a worry-free and convenient retirement. Residents also enjoy access to various amenities, including restaurant-style dining with tableside service, short-term respite care, a private courtyard & community garden, a professional beauty salon & barber shop, a jacuzzi spa, and a multifunction game room.

Contact TerraBella Salisbury

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Senior Communities in North Carolina

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 543 senior communities in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community in North Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting senior communities in North Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.