Page 11 of Best Senior Communities in North Carolina

Why trust this guide? Our editorial team analyzed 574 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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We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every senior community provider in North Carolina.
574 homes
Other senior care options in North Carolina:

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-ranked to lowest-ranked based on our 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
TerraBella Cramer Mountain
SC
AL
MC
Cramerton
128B+Yes 19 39.1% -101.50/2001464%-
Zebulon House
SC
AL
MC
RC
Zebulon
60B+No 58 100.0% -103.50/20014--
TerraBella Salisbury
SC
AL
MC
RC
Salisbury (Lockeland)
128C+Yes 8 23.4% A+96.50/2001776%-
Peace Haven Assisted Living
SC
AL
Winston-Salem
5B-No 44 100.0% -102.50/200333%-
Brookdale Pinehurst
SC
AL
MC
Pinehurst
76CYes 7 43.4% -100.00/2001776%Studio / 1 Bed / 2 Bed
Cadence Garner by Cogir
SC
AL
MC
Garner
84C-Yes 40 -A+88.50/2001080%Studio / 1 Bed
TerraBella Hendersonville
SC
AL
MC
RC
Hendersonville
96-Yes 22 43.8% -103.50/20013100%-
House of Peace
SC
ADC
AL
MC
RESC
RC
Charlotte
6A-No 7 100.0% -89.50/2001050%Private Rooms
Atria Southpoint Walk
SC
AL
IL
RC
Durham (Crooked Creek)
20A+Yes 59 --103.50/2001258%Studio / 1 Bed / 2 Bed
The Hermitage
SC
AL
MC
RC
Sylva
90A-No 55 71.1% -102.75/20017--
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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

Zebulon House

551 Pony Road Zebulon, Nc 27597, Zebulon, NC 27597
Overview of Zebulon House

Zebulon House in Zebulon, North Carolina, delivers assisted living, memory care, and short-term respite stays within a single campus. Assisted living residents maintain private apartments while receiving assistance with daily living activities. A secure memory care section provides continuous supervision for residents prone to wandering, and respite care offers temporary stays to relieve primary caregivers.

This 60-bed facility accepts Medicaid to help families cover long-term costs when personal savings run short. Daily amenities include restaurant-style dining tailored to specific dietary requirements, a reading library, and an entertainment room for social activities. Scheduled local transportation helps residents travel off-site without booking separate rides, while a 58 walk score allows direct foot access to select nearby stores and services.

Prospective families exploring care options or short-term relief solutions can contact Zebulon House directly to gather information on room vacancies or arrange a tour of the area.

Contact Zebulon House

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

Overview of Peace Haven Assisted Living

Peace Haven Assisted Living provides assisted living in Winston-Salem, NC. Assisted living here supports residents with daily tasks such as bathing, dressing, and medication while allowing them to maintain a private living space. With five beds, the home has a small community where staff and residents can get to know one another, which may suit someone who prefers a smaller setting.

All five beds are occupied. A Walk Score of 44 places the area in a car-dependent setting, so most errands require a car or a ride, and a resident who no longer drives would need transportation for those trips. Programs include Where to Begin, Financial Planning, Making the Move, Finding the Right Option, Dealing with Guilt, and Having the Conversation, giving families structured topics for considering care and a move. Kimberly Neal is the owner, and Kimberly Neal, RN, is the director.

Contact Peace Haven Assisted Living

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.

$4,295/Month

Contact Brookdale Pinehurst

Overview of Cadence Garner by Cogir

Cadence Garner by Cogir provides assisted living and memory care in Garner, NC. Assisted living includes help with bathing, dressing, and medication while the resident keeps a private living space; Memory care offers a secured setting with supervision for someone who may be at risk of wandering. Having both care levels available can allow a resident’s needs to grow over time without requiring a move to another community.

The community has 84 beds, including companion studios, private studios, and one-bedroom residences. A companion studio can suit two people moving together or someone who wants a roommate, while a private studio gives one resident a single living space. Residents may keep a pet here. The area has a Walk Score of 40 and is car-dependent, so most errands require a car or a ride for a resident who no longer drives. Shanda Hill is the director.

Contact Cadence Garner by Cogir

TerraBella Hendersonville

3851 Howard Gap Rd, Hendersonville, NC 28792
Overview of TerraBella Hendersonville

Overlooking the picturesque nature of Henderson County, Terra Bella Hendersonville is a blissful senior living community located in Howard Gap Road, Hendersonville, NC, providing assisted living and memory care. The community offers suite and one-bedroom apartments for seniors looking to experience a cozy and graceful retirement. Received the Great Place to Work Award, the community ensures round-the-clock customized care and assistance.

Terra Bella Hendersonville fosters a warm and welcoming community, paving the way for its residents to connect with their peers and participate in wonderful activities. Catering to its residents’ dietary needs and meal preferences, the community serves healthy and delicious meals from breakfast to dinner daily. Amenities include an arts and crafts studio, a multifunction game room, a library, a covered outdoor patio, a private courtyard and community garden, and peaceful walking paths.

Contact TerraBella Hendersonville

Overview of House of Peace

Nestled in the neighborhood of Charlotte, North Carolina, House of Peace is an inviting residential care home, offering various assisted living and memory care services. Residents enjoy their peace of mind with 24-hour supervision from an expert care team and a registered nurse that curates individualized care plans for individual preferences and needs. The community makes sure residents have access to various services, including assistance with daily living activities, medication management, and in-home physician services for a comfortable living experience.

Utilizing a holistic approach to care, the community also offers residents plenty of opportunities for life enrichment through a wide variety of activities, including social activities, horticulture program, recreational activities, and more. Meals and snacks are provided daily with accommodations for special diets for residents’ daily sustenance needs. State-of-the-art amenities, including lush gardens, cozy living areas, and therapeutic spaces are available for a more fulfilling experience.

Contact House of Peace

Overview of Atria Southpoint Walk

Atria Southpoint Walk is a retirement community catering to independent and assisted living needs. It is Just a short distance from Old West Durham and just minutes away from the Duke University Golf Club. Atria Southpoint Walk places a strong focus on residents’ well-being and connections.

Experience a fulfilling and satisfying lifestyle within the community and its inviting surroundings. This assisted living community prides itself on amenities that enhance residents’ lives. Residents can shape their days according to their preferences with chef-prepared meals, a modern fitness center, a cinematic theater, and an enjoyable game room.

Contact Atria Southpoint Walk

The Hermitage

185 Brick Farm Road Sylva, Nc 28779, Sylva, NC 28779
Overview of The Hermitage

The Hermitage in Sylva, North Carolina, offers assisted living apartments, memory care, and temporary respite options. Assisted living teams assist with daily activities, including medication management, dressing, and bathing. Secured memory care units provide continuous supervision for individuals prone to wandering, while respite stays give family caregivers brief periods of relief.

This 90-bed location accepts Medicaid to assist families in covering long-term care costs. Residents receive balanced, dietary-tailored meals prepared on site. Community transportation options assist with appointments, and a 55 walk score allows residents who do not drive to accomplish errands nearby.

Prospective representatives looking for specialized memory support or temporary respite coverage can connect with The Hermitage to learn about admissions or request a facility tour.

Contact The Hermitage

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 574 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.

Senior Communities in North Carolina at a glance

Avg Walk Score: 34/ 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: 69The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90