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Other Senior care options in North Carolina:

Best Senior Communities in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 539 homes in North Carolina

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Senior Communities facilities in North Carolina.

Watch this Video to see North Carolina's Top-rated Senior Communities

Compare Senior Communities around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Click column headers to sort
Brookdale South Charlotte
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charlotte (Wessex Square)
82Yes 16 74.4% A+101.50/2002080%Private Rooms / Semi-Private Rooms
Calyx Living of Fuquay-Varina
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Fuquay-Varina (East Academy Street)
84No 24 --103.50/200683.3%Studio / 1 Bed
Woodland Terrace
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Woodland Terrace)
84No 55 --95.75/2001984.2%-
The Arboretum at Woodland Terrace
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Woodland Terrace)
84Yes 55 39.3% -95.75/2001984.2%Studio / 1 Bed / 2 Bed
Brookdale Skeet Club
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

High Point (Deep River)
79Yes 30 --99.50/2001877.8%Private Rooms
Brookdale Eden
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Eden (Central Area)
82Yes 37 --91.00/2001984.2%Studio / Suite
Brookdale MacArthur Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Carolina House Of Cary)
80Yes 12 --101.50/2002479.2%Studio / Suite / 1 Bed
Spring Arbor of Cary
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Cary (Kildaire Farm Road)
80Yes 35 --95.50/2001050%Studio / Cottage/ Alcove
Sunrise on Providence
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Charlotte (Olde Providence North)
95Yes 15 70.5% -90.00/2002382.6%Studio / Companion Suite / 1 Bed
Sunrise of Cary
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (West Chatham Street)
85Yes 34 40.0% A-103.50/2001866.7%Studio / Suite / 1 Bed
TerraBella Newton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Newton
96No 20 --105.50/2001650%-
Brookdale Robinwood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gastonia
89Yes 4 -A+91.50/2001776.5%Private Rooms / Semi-Private Rooms
Brookdale Reidsville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Reidsville
76Yes 32 100.0% -104.50/2001764.7%Studio / Suite
Brookdale Dickinson Avenue
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Greenville
76Yes 38 67.1% A+96.50/2001586.7%Studio / Suite / 1 Bed
Harmony at Greensboro
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Greensboro (British Woods)
92No 37 43.5% A+101.50/20017100%-
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Overview of Falls River Village Assisted Living

Located in Raleigh, North Carolina, Falls River Village Assisted Living offers a helping hand for seniors seeking a safe and supportive environment. With 24/7 on-site team, residents can expect a personalized approach to their well-being. Care plans are meticulously crafted to address each individual’s needs, ensuring they receive the right amount of assistance with daily tasks like dressing, bathing, and medication management. This personalized approach fosters a sense of independence while offering a helping hand when needed.

Falls River recognizes that well-being extends beyond just physical care. They offer a vibrant social atmosphere through engaging activities and social events. This not only promotes mental stimulation but also fosters a sense of community and belonging. Residents can enjoy participating in these events or simply relax in the secure knowledge that a caring team is always available. Falls River Village Assisted Living goes the extra mile to create a fulfilling and enriching experience for seniors.

Contact Falls River Village 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

Overview of Roxboro Assisted Living

Roxboro Assisted Living, situated in the quaint beauty of North Carolina, offers seniors an array of services designed to elevate the senior living experience. With in-house physicians, podiatrists, and psychiatrists, this facility ensures residents have access to specialized medical care. The home also features physical, occupational, and speech therapy services delivered by a dedicated and professional team. Beyond medical assistance, the staff serves as companions, fostering meaningful connections and brightening each resident’s day.
Moreover, the close-knit community goes the extra mile to cater to memory care needs, offering a specialized unit that provides constant supervision and personalized support. Medication management and supervision are seamlessly integrated into daily routines, and residents enjoy nourishing three-course meals that delight the palate. The community offers a hair salon and a cozy café as well, providing spaces for relaxation and socialization. With engaging activities and amenities, staying active and engaged becomes second nature in this vibrant senior living community.

Contact Roxboro Assisted Living

Overview of College Pines Health and Rehabilitation Center

College Pines Health & Rehabilitation in Connelly Springs, North Carolina delivers expert rehabilitative services to seniors requiring a higher level of care than what is available at home. Their physical therapists, nutritionists, and registered nurses work together to develop customized treatment strategies for each patient, ensuring they receive the support they need every step.

The facility is fully equipped with skilled nurses, comfortable beds, and engaging events to make the recovery process more relaxing and delightful. They are immensely committed to providing well-rounded care to its residents, whether for a short-term stay or long-term care. At College Pines Health & Rehabilitation, seniors can expect to find a nurturing and encouraging community that provides a haven while they recover. 

Contact College Pines Health and Rehabilitation Center

Overview of Brookdale Winston-salem

Set amidst the beautiful setting of Winston Salem, NC, Brookdale Winston-salem is a classic senior living community that offers compassionate memory care for seniors with Alzheimer’s and dementia. The community provides a secure and supportive environment designed to enhance residents’ quality of life while addressing their unique needs. With trained staff available around the clock, residents receive personalized attention and emergency support whenever necessary.

At Brookdale Winston-salem, residents benefit from a variety of amenities and engaging programs tailored to their cognitive abilities and interests. Their Clare Bridge Daily Path program offers a structured routine with six planned activities each day, fostering a sense of purpose and achievement. The community features secure entrances and enclosed outdoor areas, allowing residents to safely enjoy gardening and outdoor activities. Inside, cozy living spaces and thoughtful details like large windows create a comfortable, homelike atmosphere that promotes well-being and independence.

What does this home offer?

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Room Sizes: 360 / 417 sq. ft

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Housing Options: Studio

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Building Type: Single-story

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Fitness and Recreation

Contact Brookdale Winston-Salem

Preston House

4910 Harris Woods Blvd, Charlotte, NC 28269
Overview of Preston House

Preston House is an unparalleled memory care community in Charlotte, North Carolina. Nestled in a picturesque suburban setting, this residence offers the perfect blend of comfort and convenience, providing seniors with a well-balanced and fulfilling lifestyle. Step into a place that feels like home, where a dedicated team of specially trained professionals with extensive memory care training understands the unique needs of those with memory impairment.

From spacious and comfortable apartment options to thoughtfully equipped, handicapped-accessible bathrooms, every aspect is designed to enhance the well-being of individuals with memory care needs. The wireless emergency response system provides peace of mind, offering immediate assistance whenever needed. Engaging social activities, overseen by a full-time social director, create a vibrant community where connections are formed and cherished. Rest easy knowing that memory care facilities at Preston House go beyond just physical comfort. With specialized memory care training, the dedicated team is equipped to provide the highest level of care and support.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Contact Preston House

Overview of Eno Pointe Assisted Living

Surrounded by verdant trees in Durham, NC, Eno Pointe Assisted Living provides a relaxing setting for those seeking compassionate assisted living services. Their excellent team is always available to support residents who need assistance with their daily living activities, medication management, and personal care, without affecting their independence. For added care, doctors are available on-site to monitor residents’ medical needs and help coordinate their care with several healthcare providers.

Residents are also given plenty of opportunities to have fun and stay active with their brimming calendar of social activities and events. For proper nourishment, dietician-approved meals and snacks are served three times a day. Residents also have optional access to various therapy services allowing them to conveniently recover or maintain their mobility and abilities. At Eno Pointe Assisted Living, they make sure residents are given the care, support, and opportunities they need to live fully.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Dining Services

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Exercise Programs

Contact Eno Pointe Assisted Living

Overview of Hillside Nursing & Rehab

Enjoy an improved quality of life with Hillside Nursing & Rehab, a compassionate community in Wake Forest, NC, offering assisted living, rehabilitation, and skilled nursing services. Residents here are given a warm and comforting environment where they can receive round-the-clock care, supervision, and assistance with their daily living activities. Those living with chronic illnesses and require long-term care have access to comprehensive nursing care and physician services from Hillside’s Medical Directors.

With access to physical, occupational, and speech therapy services, residents recovering from an injury or hospitalization can enjoy a quick and smooth healing journey in the community. They also feature a vibrant activity program designed to keep residents moving and actively engaged in their community. Proper nutrition is always observed by their registered dietitian who carefully curates residents’ meal plans. At Hillside Nursing & Rehab, residents are given diverse opportunities to enjoy life even as they face serious illness or recover from an injury.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Recreational Activities

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Exercise Programs

Contact Hillside Nursing & Rehab

Overview of Carmel Hills

Live your golden years in a relaxing retirement environment with Carmel Hills, a non-profit, Christian community in Charlotte, NC for residents needing independent living and assisted living. With its intimate and welcoming setting, residents enjoy closer relationships with the care team and fellow residents. Those needing extra care and support can feel at ease with a highly trained team of care professionals available round-the-clock to help them with their personal care, daily living activities, medication management, and more.

By handling the housekeeping and laundry for residents, Carmel Hills gives residents more free time to enjoy their passions and focus on their well-being. The community also organizes an array of activities to bring residents closer together and make sure they have plenty of opportunities to stay active and motivated. Well-balanced meals and replenishing snacks are also available to ensure residents never skip meal times and maintain proper nutrition. With Carmel Hills, residents can enjoy a fulfilling lifestyle without worrying about mundane chores or their finances.

What does this home offer?

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Minimum Age: 55 Years Old

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Housing Options: 1 Bed / 2 Bed

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Building Type: Single-story

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Exercise Programs

Contact Carmel Hills

Overview of Magnolia Creek

Dedicated to empowering seniors to live their best lives, Magnolia Creek in Multnomah County, Winston-Salem, NC, is an inspiring senior living community that offers assisted living, memory care, and respite care. The community offers an ideal blend of comfortable residence and exceptional health and personal care needed to live fully and comfortably. Residents enjoy compassionate care and assistance provided by a dedicated care team.

The community makes sure residents are provided with plenty of opportunities for an active and vibrant living experience with an array of fitness and wellness programs. Housekeeping and maintenance services are also offered to give residents plenty of time to enjoy their retirement life fully. With comprehensive services, friendly care team, and convenient amenities, residents at Magnolia Creek are able to live their lives fully and comfortably.

What does this home offer?

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Building Type: Single-story

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Contact Magnolia Creek

Ranking Methodology

How we rank these communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
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.

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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 4 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.