Page 11 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
Reviewed by
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. 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. 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.
Twelve Oaks
SC
AL
MC
RC
Mount Airy
112
Facility 112
NC AVG 72
Rank #58 / 387
No
74
Facility 74
NC AVG 36
Rank #14 / 536
25.9%
Facility 25.9%
NC AVG 70.6%
Rank #222 / 232
-
90.75/200
Facility 90.75/200
NC AVG 92.2
Rank #259 / 321
12
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
-
Open Arms Retirement Center
SC
AL
MC
RC
Raeford
90
Facility 90
NC AVG 72
Rank #116 / 387
No
63
Facility 63
NC AVG 36
Rank #50 / 536
55.6%
Facility 55.6%
NC AVG 70.6%
Rank #170 / 232
-
89.25/200
Facility 89.25/200
NC AVG 92.2
Rank #266 / 321
15
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
TerraBella Knightdale
SC
AL
MC
Knightdale
96
Facility 96
NC AVG 72
Rank #89 / 387
No
40
Facility 40
NC AVG 36
Rank #226 / 536
59.4%
Facility 59.4%
NC AVG 70.6%
Rank #160 / 232
-
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
18
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Waltonwood Lake Boone
SC
AL
IL
MC
Raleigh
68
Facility 68
NC AVG 72
Rank #194 / 387
Yes
61
Facility 61
NC AVG 36
Rank #66 / 536
60.3%
Facility 60.3%
NC AVG 70.6%
Rank #157 / 232
-
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Chatham Ridge
SC
AL
MC
Chapel Hill
91
Facility 91
NC AVG 72
Rank #115 / 387
Yes
33
Facility 33
NC AVG 36
Rank #281 / 536
-A-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite
Brookdale Hickory Northeast
SC
AL
Hickory
88
Facility 88
NC AVG 72
Rank #123 / 387
Yes
31
Facility 31
NC AVG 36
Rank #295 / 536
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
7
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite
Brookdale Smithfield
SC
AL
MC
Smithfield
74
Facility 74
NC AVG 72
Rank #173 / 387
Yes
45
Facility 45
NC AVG 36
Rank #191 / 536
-A+
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
13
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
Studio / Suite
Sunrise of Raleigh
SC
AL
MC
Raleigh (Northwest Raleigh)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes
49
Facility 49
NC AVG 36
Rank #162 / 536
-A-
77.50/200
Facility 77.50/200
NC AVG 92.2
Rank #296 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 2 Bed
Brookdale Monroe Square
SC
MC
Monroe (Council Oaks)
65
Facility 65
NC AVG 72
Rank #207 / 387
Yes
26
Facility 26
NC AVG 36
Rank #339 / 536
-A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 2 Bed
Brookdale Pinehurst
SC
AL
MC
Pinehurst
76
Facility 76
NC AVG 72
Rank #166 / 387
Yes
7
Facility 7
NC AVG 36
Rank #476 / 536
43.4%
Facility 43.4%
NC AVG 70.6%
Rank #188 / 232
-
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
12
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 1 Bed / 2 Bed

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.

Rows per page:
View all Nearby Homes
1...101112...55

Twelve Oaks

1297 Galax Trail Mount Airy, Nc 27030, Mount Airy, NC 27030
Overview of Twelve Oaks

Twelve Oaks sits at 1297 Galax Trail in Mount Airy, North Carolina. It offers assisted living, memory care, and respite care under one roof. The neighborhood scores a 74 on Walk Score, which puts it firmly in very walkable territory. Most errands can be handled on foot from here.

The community is licensed for 112 beds. Only 29 of those are filled right now, an occupancy rate of 26 percent. That is a lot of empty space in a building designed as a larger shared setting with common areas and group programming. What it means in practice is a quieter hallway and fewer residents competing for a staff member’s time.

Twelve Oaks pairs memory care with a secured perimeter and an emergency alert system, which is the infrastructure that matters when a resident with dementia starts to wander. Staffing covers all 24 hours of the day. Respite care rounds out the offering for families who need a short-term placement rather than a permanent one.

The community accepts Medicaid. That single fact reshapes the math for a lot of North Carolina families who cannot carry private-pay rates indefinitely. North Carolina’s Department of Health and Human Services, Division of Health Service Regulation, runs unannounced surveys of adult care homes across the state. At Twelve Oaks, inspection themes have centered on medication management.

So the picture here is a large, underfilled building in a walkable stretch of Mount Airy, with dementia care, around-the-clock staffing, and a Medicaid pathway all in place.

Contact Twelve Oaks

Open Arms Retirement Center

612 Health Drive Raeford, Nc 28376, Raeford, NC 28376
Overview of Open Arms Retirement Center

Open Arms Retirement Center sits at 612 Health Drive in Raeford, North Carolina. The community is licensed for 90 beds and provides assisted living, memory care, and respite care. Its neighborhood scores 63 for walkability, which places it in moderate territory. Some errands work on foot from here. Most others will call for a car.

Fifty of the 90 beds are currently occupied, putting the community at 56 percent capacity. For families working against a hospital discharge date, that available room is the practical detail. It means a bed can likely be secured without a long wait.

Licensed nurses and certified nursing assistants handle resident care, and staffing coverage runs 24 hours. Rehabilitation services are offered on site, which keeps therapy appointments from becoming a separate logistical problem. The memory care option matters for a specific reason: a resident whose cognitive needs grow may be able to stay put rather than move to a new building and a new set of faces.

State inspections here have focused on medication management, care planning and documentation, and housekeeping and upkeep. Those three areas govern how reliably daily care actually gets delivered.

The community fits older adults in and around Raeford who need hands-on daily support, particularly families who want assisted living and memory care available under a single roof.

Contact Open Arms Retirement Center

TerraBella Knightdale

2408 Hodge Road Knightdale, Nc 27545, Knightdale, NC 27545
Overview of TerraBella Knightdale

TerraBella Knightdale sits on Hodge Road in Knightdale, a short drive east of Raleigh. It offers assisted living and memory care in the same building. The Walk Score is 40. A few errands are doable on foot. Most aren’t, so plan on driving.

With ninety-six beds in total and fifty-seven residents, that works out to 59% occupancy, which is worth knowing if you’re looking at a timeline and don’t want to sit on a waitlist. It’s a larger shared setting, so there’s more common space and more organized group activity than a small home can put together.

Licensed nurses and CNAs handle care. Memory support runs through a program the company calls GLOW℠. There’s also a Military Veterans Program for residents who served. Assisted Senior Living is the track for people who need a hand with daily routines but not skilled nursing.

Meals are chef-prepared. The community keeps a craft room, a salon and barber, outdoor grounds, and transportation on a schedule. Staff take care of housekeeping, laundry, and the grounds themselves.

North Carolina inspects assisted living residences in areas such as medication management, fire-safety systems, staff credentials, and dietary service. The starting rate is $4,085 a month. If you’re looking near Raleigh and want assisted living with a memory care option in the same place, this one has capacity now and nursing staff on site. That’s the practical place to begin.

Contact TerraBella Knightdale

Waltonwood Lake Boone

3560 Horton Street Raleigh, Nc 27607, Raleigh, NC 27607
Overview of Waltonwood Lake Boone

Waltonwood Lake Boone sits on Horton Street in Raleigh, about 3.2 miles out from the city center. Three levels of care operate here: independent living, assisted living, and memory care. A resident whose needs grow can move up a level without packing up and starting over somewhere new. For a lot of families, that single fact does most of the work.

The neighborhood earns a Walk Score of 61. Moderately walkable. Some errands are doable on foot, and there is a reasonable mix of things nearby. Drivers coming in from elsewhere in the Triangle will find it straightforward to reach.

the community is 68 beds, and 41 of them are filled. Occupancy at 60 percent tells you two things worth knowing. There is room right now, which is not always true of Raleigh communities. And a lighter census often means staff are stretched less thin across the floor.

Pets are welcome. That is not a small thing when someone is being asked to leave a house behind. Tours run every day of the week, 9:00am to 5:00pm, weekends included, so no one has to burn a vacation day to see the place. North Carolina inspectors have looked at medication management and at staffing and staff credentials here.

What Waltonwood Lake Boone offers is three care levels in one building, current availability, and a Raleigh address that keeps family visits short.

Contact Waltonwood Lake Boone

Chatham Ridge

114 Polks Village Ln, Chapel Hill, NC 27516
Overview of Chatham Ridge

Located in the enticing neighborhood of Chapel Hill, NC, the Catham Ridge is an inviting senior living community that offers assisted living and memory care services. A wide range of spacious and comfortable accommodations, including private studios and shared suites are available. Having a highly skilled and empathetic team, this community offers a cutting-edge memory care program named Pathways to Discover that is thoughtfully designed for those with cognitive conditions like Alzheimer’s disease and dementia. This community also renders an emergency response system and 24/7 personalized care services.

Having above-and-beyond amenities and other services, residents can enjoy weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Experience delicious dining with delightful meals and snacks every day. Engage in diverse social activities and community events. Equipped with the right tools and people, seniors can acquire a wondrous living experience.

Contact Chatham Ridge

Overview of Brookdale Hickory Northeast

Committed to enhancing seniors independence while offering personalized care as needed, Brookdale Hickory Northeast is a remarkable senior living community in Hickory, North Carolina, offering personalized assisted living care in a cozy setting. Conveniently located near shopping, banks, and healthcare facilities, our community ensures residents receive attentive service and enjoy a worry-free lifestyle. A dedicated team is available around the clock for emergencies, providing peace of mind to residents and their families.

From assistance with daily tasks like dressing and medication management to organizing engaging activities such as fitness classes, bingo, and shopping trips, the community fosters an active and fulfilling lifestyle. Residents relish delicious, chef-prepared meals in our elegant dining room, where their preferences shape the weekly menus, ensuring every dining experience is enjoyable and satisfying. With amenities like an emergency alert system, pet-friendly environment, and convenient transportation services, residents live a comfortable and convenient life.

Contact Brookdale Hickory Northeast

Overview of Brookdale Smithfield

Enjoy a life of independence while still receiving the care you need at Brookdale Smithfield, an excellent senior living community based in Smithfield, NC, offering assisted living and memory care. The community offers pet-friendly apartments featuring large windows with plenty of natural light, along with a compassionate team available 24/7 to provide assistance in emergencies. To ensure residents dealing with cognitive challenges receive the proper care and support they need, the community provides a gentle daily structure of six planned programs, complemented with consistent care assignments.

Residents at Brookdale Smithfield find fun and entertainment with a jam-packed calendar of activities, such as joining a walking club, fun exercise classes, or stimulating brain games, aroma therapy, and daily music programs for memory care residents. A culinary team ensures residents get the nourishment they need with tasty and nutritious meals, tailored to residents’ dietary needs and preferences. Amenities include a library, a game room, community kitchen, and beautiful walking paths and courtyard, where they can enjoy nature alone or with friends.

Contact Brookdale Smithfield

Overview of Sunrise of Raleigh

Sunrise of Raleigh is a leader in promoting engaging senior living for residents who crave independence and variety, situated in a prime Raleigh, North Carolina location. The community offers a personalized experience where residents can enjoy a variety of programs and hobbies, as well as fresh cuisine tailored to their tastes, with room rates starting at $5,411 per month. Sunrise of Raleigh is led by designated care managers and nurturing team members who dedicate each day to championing residents’ quality of life, partnering with them to develop individualized plans that respond to their needs and preferences and can be adjusted to meet future needs.

The community’s activities program is exceptional, led by a team member who has been with Sunrise of Raleigh since 1997, and has earned a reputation strong enough that universities place students with the community to earn internship credits. Residents at Sunrise of Raleigh are engaged and fulfilled, enjoying a variety of activities such as puzzles, scenic cruises, live entertainment, reading, and more. The in-house chef uses only fresh, top-quality ingredients to craft signature dishes and resident favorites, while the community actively introduces new programs and facilitates intergenerational relationships. Conveniently located in Raleigh, NC, just 15 minutes from Raleigh-Durham International Airport, Sunrise of Raleigh is close to downtown Raleigh’s theaters, museums, shopping, dining, entertainment, and walking distance to Crabtree Valley Mall, with nearby NC State football and Carolina Hurricanes ice hockey games, and medical support within a 10-mile radius.

Contact Sunrise of Raleigh

Overview of Brookdale Monroe Square

Operating for over 48 years, Brookdale Monroe Square is a memory care community in Monroe, North Carolina, dedicated to supporting older adults living with Alzheimer’s disease and other forms of dementia. With 65 beds in a single-story setting, it features studio and two-bedroom residences starting at $7,910 per month. Licensed nurses and certified nursing assistants also provide 24-hour care to support ongoing supervision, personal care, and medication assistance.

Three home-style meals and snacks are served daily in a supportive dining setting designed to encourage comfort and social interaction. Respite care is also available, providing temporary support for families caring for loved ones at home.

Additionally, the pet-friendly community features landscaped grounds with a courtyard and garden where residents and families can spend time outdoors. Transportation and concierge services may help residents and visitors access appointments and local destinations, as it is set in a car-dependent neighborhood.

Contact Brookdale Monroe Square

Overview of Brookdale Pinehurst

Built to feel and function like a cozy residence, Brookdale Pinehurst is a warm and welcoming senior living community, offering assisted living and memory care in Pinehurst, NC. The community ensures a cozy residence with spacious apartment options, including a studio and one-bedroom apartment. Located in a quiet residential neighborhood but still close to local shops and restaurants, residents are guaranteed a perfect blend of a vibrant lifestyle and peaceful environment.

Believing that sustaining social relationships and friendships is key to aging well and living well, Brookdale Pinehurst conducts various social activities and programs. Residents can stay fit with fitness classes from the B-Fit exercise program or enjoy music and meals, crafts, games, and devotional services. With their exclusive Clare Bridge community, residents dealing with memory loss are guaranteed gentle programming and support. Amenities include a library, meeting rooms, beautiful walking paths, courtyard, and landscaped grounds, perfect for relaxing or socializing with friends.

Contact Brookdale Pinehurst

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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.