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Other senior care options in North Carolina:

Best Senior Communities in North Carolina

Reviewed by
Last updated
Jun 2026
We analyzed
543 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.

Other senior care options in North Carolina:

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.

Brookdale South Charlotte
SC

Senior Communities

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 (Wessex Square)
82
Facility 82
NC AVG 72
Rank #145 / 390
Yes
16
Facility 16
NC AVG 33
Rank #407 / 572
74.4%
Facility 74.4%
NC AVG 69.9%
Rank #122 / 246
A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 322
20
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Private Rooms / Semi-Private Rooms
The Arboretum at Woodland Terrace
SC

Senior Communities

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)
84
Facility 84
NC AVG 72
Rank #138 / 390
Yes
55
Facility 55
NC AVG 33
Rank #110 / 572
39.3%
Facility 39.3%
NC AVG 69.9%
Rank #211 / 246
-
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #210 / 322
19
84.2%
Facility 84.2%
NC AVG 76.2%
Rank #239 / 335
Studio / 1 Bed / 2 Bed
Brookdale Robinwood
SC

Senior Communities

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
89
Facility 89
NC AVG 72
Rank #125 / 390
Yes
4
Facility 4
NC AVG 33
Rank #506 / 572
-A+
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #253 / 322
17
76.5%
Facility 76.5%
NC AVG 76.2%
Rank #137 / 335
Private Rooms / Semi-Private Rooms
Sunrise of Cary
SC

Senior Communities

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.

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.

Cary (West Chatham Street)
85
Facility 85
NC AVG 72
Rank #135 / 390
Yes
34
Facility 34
NC AVG 33
Rank #271 / 572
40.0%
Facility 40.0%
NC AVG 69.9%
Rank #208 / 246
A-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 322
18
66.7%
Facility 66.7%
NC AVG 76.2%
Rank #69 / 335
Studio / Suite / 1 Bed
Brookdale Dickinson Avenue
SC

Senior Communities

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
76
Facility 76
NC AVG 72
Rank #169 / 390
Yes
38
Facility 38
NC AVG 33
Rank #235 / 572
67.1%
Facility 67.1%
NC AVG 69.9%
Rank #150 / 246
A+
84.50/200
Facility 84.50/200
NC AVG 92.2
Rank #285 / 322
16
87.5%
Facility 87.5%
NC AVG 76.2%
Rank #274 / 335
Studio / Suite / 1 Bed
Terrabella Asheboro
SC

Senior Communities

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.

Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 72
Rank #91 / 390
Yes
0
Facility 0
NC AVG 33
Rank #548 / 572
-A+
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 322
26
80.8%
Facility 80.8%
NC AVG 76.2%
Rank #181 / 335
Studio / 1 Bed
Chatham Ridge
SC

Senior Communities

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.

Chapel Hill
91
Facility 91
NC AVG 72
Rank #118 / 390
Yes
33
Facility 33
NC AVG 33
Rank #280 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
23
87%
Facility 87%
NC AVG 76.2%
Rank #268 / 335
Studio / Suite
Brookdale Union Park
SC

Senior Communities

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.

Monroe (Lakeview Estates)
87
Facility 87
NC AVG 72
Rank #129 / 390
Yes
10
Facility 10
NC AVG 33
Rank #457 / 572
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / Companion Rooms
Brookdale Union
SC

Senior Communities

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
78
Facility 78
NC AVG 72
Rank #164 / 390
Yes
35
Facility 35
NC AVG 33
Rank #260 / 572
100.0%
Facility 100.0%
NC AVG 69.9%
Rank #1 / 246
A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
28
75%
Facility 75%
NC AVG 76.2%
Rank #120 / 335
Studio
Brookdale Elizabeth City
SC

Senior Communities

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.

Elizabeth City
76
Facility 76
NC AVG 72
Rank #169 / 390
Yes
30
Facility 30
NC AVG 33
Rank #308 / 572
28.9%
Facility 28.9%
NC AVG 69.9%
Rank #229 / 246
A+
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 322
20
90%
Facility 90%
NC AVG 76.2%
Rank #298 / 335
Studio / 1 Bed / 2 Bed
Brookdale Carriage Club Providence
SC

Senior Communities

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.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Charlotte (Olde Providence North)
77
Facility 77
NC AVG 72
Rank #168 / 390
Yes
12
Facility 12
NC AVG 33
Rank #440 / 572
71.5%
Facility 71.5%
NC AVG 69.9%
Rank #135 / 246
A+
98.75/200
Facility 98.75/200
NC AVG 92.2
Rank #167 / 322
15
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Raleigh
SC

Senior Communities

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.

Raleigh (Northwest Raleigh)
100
Facility 100
NC AVG 72
Rank #79 / 390
Yes
49
Facility 49
NC AVG 33
Rank #161 / 572
-A-
77.50/200
Facility 77.50/200
NC AVG 92.2
Rank #297 / 322
24
79.2%
Facility 79.2%
NC AVG 76.2%
Rank #161 / 335
Studio / 2 Bed
Brookdale Wake Forest
SC

Senior Communities

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.

Wake Forest
70
Facility 70
NC AVG 72
Rank #186 / 390
Yes
54
Facility 54
NC AVG 33
Rank #124 / 572
52.9%
Facility 52.9%
NC AVG 69.9%
Rank #190 / 246
A+
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #225 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / 1 Bed / 2 Bed
Phoenix Assisted Care
SC

Senior Communities

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 (Parkway Retirement Center)
120
Facility 120
NC AVG 72
Rank #36 / 390
No
24
Facility 24
NC AVG 33
Rank #349 / 572
52.5%
Facility 52.5%
NC AVG 69.9%
Rank #191 / 246
A+-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #306 / 322
42
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Private Rooms / Semi-Private Rooms
Brookdale Durham
SC

Senior Communities

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.

Durham (Northeast Durham)
119
Facility 119
NC AVG 72
Rank #49 / 390
Yes
9
Facility 9
NC AVG 33
Rank #462 / 572
62.2%
Facility 62.2%
NC AVG 69.9%
Rank #167 / 246
A+
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #276 / 322
38
92.1%
Facility 92.1%
NC AVG 76.2%
Rank #311 / 335
Studio
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Overview of Brookdale Asheville Walden Ridge

Nestled in the picturesque town of Asheville, NC, Brookdale Asheville Walden Ridge is a warm and welcoming senior living community that offers compassionate memory care for seniors. The community provides a serene and secure environment tailored to meet the unique needs of residents living with Alzheimer’s and other forms of dementia. With programs designed to stimulate the mind and nourish the soul, residents can enjoy activities like yoga, gardening, pet therapy, and poetry nights. The community’s warm and peaceful atmosphere ensures that seniors have access to both quality care and the local town’s amenities.

By offering personalized care plans and consistent care assignments, the community ensures that each senior receives the support they need. Amenities include dementia-friendly dining options and a variety of engaging programs aimed at fostering a sense of purpose and belonging. The dedicated and specially trained dementia care team is available around the clock to provide gentle guidance and encouragement, creating an environment where seniors can thrive.

Contact Brookdale Asheville Walden Ridge

Overview of Brookdale Charlotte East

Nestled in the vibrant community of Charlotte, NC, Brookdale Charlotte East offers a picturesque setting for independent and assisted living. Enjoy spacious, sunlit common areas that evoke a resort-like ambiance, complemented by pet-friendly apartments featuring private patios or balconies. Residents can engage in daily fitness classes or join scheduled excursions, embracing a maintenance-free lifestyle that celebrates independence. With a 24/7 care team ensuring prompt response to emergencies, you can relax and thrive in a community designed for your comfort and peace of mind.

Discover a fulfilling lifestyle at Brookdale Charlotte East, where every day brings new opportunities for social engagement and personal enrichment. Embrace the freedom from household chores and savor the perks of restaurant-style dining and a vibrant social calendar. Whether you’re seeking vibrant community life or peace and tranquility, the community offers the perfect blend of convenience and care, ensuring you live each day to the fullest.

Contact Brookdale Charlotte East

Overview of Brookdale Chapel Hill

Burrowed in the peaceful neighborhood of Chapel Hill, North Carolina neighborhood, Brookdale Chapel Hill is a supportive senior living community offering memory care. The community provides a secure and comfortable environment where residents receive personalized assistance with daily activities. With trained dementia care staff available 24/7, we ensure a supportive atmosphere tailored to individual needs. Our tailored approach includes the Clare Bridge program for mid to late stages of dementia and the Solace program for advanced stages, offering compassionate care and consistent support.

Residents at Brookdale Chapel Hill enjoy a vibrant lifestyle with a full calendar of engaging activities designed to enhance cognitive function and overall well-being. From therapeutic pet visits and courtyard strolls to games in the cozy living room, our activities aim to support each resident’s abilities and encourage meaningful experiences. Located near downtown Chapel Hill and the Research Triangle, our community offers convenient access to local attractions, allowing residents and their families to explore cultural and recreational opportunities in the area.

Contact Brookdale Chapel Hill

Overview of Grand Villa Assisted Living at Winston

Live a vibrant life with Grand Villa Assisted Living at Winston, a charming senior living community, based in Winston-Salem, NC, offering assisted living and memory care services. The community ensures residents live a comfortable life with the help of a professional trained team and an on-call registered nurse trained to provide various care and support. Residents are also offered access to physical, occupational, and speech therapies, along with in-house physicians, podiatrists, & psychiatrists for other services that residents may need.

Committed to delivering a nurturing environment that empowers residents to live well, the community offers an array of amenities and services designed to ensure quality living and a healthy lifestyle. A variety of activities and exercise opportunities are provided to help residents stay active and engaged. Three course meals are also provided to ensure residents always eat healthy and on time.

Contact Grand Villa Assisted Living at Winston

Overview of Brookdale Cary

Make your golden years even brighter at Brookdale Cary specializes, an inviting senior living community in the serene neighborhood of Cary, North Carolina, providing exceptional memory care for individuals with Alzheimer’s disease and other types of dementia. The community offers a secure environment designed to support residents with dementia while preserving their sense of identity and purpose. With 24/7 access to trained staff, residents benefit from a comfortable, homelike environment where their needs are met with understanding and compassion. At Brookdale Cary, they prioritize engaging activities that enhance quality of life.

Residents participate in a variety of enriching experiences such as exercise classes, art projects, puzzles, and live music performances. The community also offers on-site devotional services and recreational activities like bowling and karaoke. Brookdale Cary’s dining program is tailored to support residents with dementia, featuring dementia-friendly menus that are easy to manage yet diverse and flavorful, ensuring a pleasant dining experience that promotes socialization and independence.

Contact Brookdale Cary

Overview of Bellarose Nursing and Rehab

Bellarose Nursing and Rehab is a warm and welcoming community in Garner, NC, offering excellent rehabilitation and long-term care services. Compassionate and highly skilled caregivers are always available to serve residents’ unique needs and assist them with their daily living activities for their convenience. Access to physical, speech, and occupational therapy services is regular to ensure residents’ treatment plans are always regularly updated and progress is seen quickly.

With fun and exciting activities available regularly, residents are encouraged to stay active and engaged in their community. The convenience of housekeeping and laundry services is complemented by the comfort of spa and salon services, allowing residents to maintain their wellness without worries. Here at Bellarose Nursing and Rehab, they provide everything residents need to enjoy their life in comfort or recover quickly, including quality care, enriching experiences, and thoughtful conveniences.

Contact BellaRose Nursing and Rehab

Overview of Fayetteville Manor

Fayetteville Manor offers exceptional memory care support in a cozy, home-like environment. Expect elegance and professionalism when delivering an assisted living approach for Alzheimer’s and dementia seniors; the professional care staff ensures that each individual receives the proper resident-focused approach to holistic wellness for a comfortable and flexible senior lifestyle.  Residents are guaranteed to enjoy their stay in a safe, secure, and charming environment.

Fayetteville Manor’s all-inclusive services include various services and amenities to ensure residents live hassle-free lives. These include nutritious meals, housekeeping and laundry, 24/7 on-site nursing, recreational activities, and specialized memory care activities.

Contact Fayetteville Manor

Overview of The Reserve at Mills Farm

The Reserve at Mills Farm continues to excel in creating a lifestyle that suits the needs of its residents. The luxurious community offers many opportunities for blossoming friendships between staff and residents. Cultivating personal growth and holistic wellness is what they are known for; residents learn to live vibrant social lives during their golden years.

The Reserve offers many activities and amenities that cater to the interests of every senior– it features a recreational room, transportation services, in-house maintenance service, seasonal menus served occasionally, social activities, and wellness programs ensuring that residents stay entertained and engaged throughout the day.

Contact The Reserve at Mills Farm

Overview of The Gardens of Roseboro

Set in the inviting town of Roseboro, NC, The Gardens of Roseboro is a vibrant senior living community that provides assisted living and respite care services. Well-appointed and cozy accommodations tailored to the levels of care are available for its residents. This community is committed to providing a lifestyle of one-of-a-kind convenience, leisure, and beauty. Having a highly equipped and dedicated team, residents can receive the utmost care and support that they deserve.

With its above-and-beyond amenities and services, residents can enjoy on-site maintenance and management services, housekeeping, transportation services, and restaurant-style dining. Meet new companions in its multi-purpose meeting spaces, library with lounge area, and expansive grounds and walking trails. Engage in weekly social activities and other life enrichment programs. At The Gardens of Roseboro, seniors can enjoy a wonderful living experience.

Contact The Gardens of Roseboro

Overview of The Ridge at Pikeville

Surrounded by the rich nature of Pikeville, NC, The Ridge at Pikeville is an extraordinary senior living community focusing on memory care. Live in comfort and luxury within the carefully designed and vibrant residences of The Ridge at Pikeville. The community boasts a team of competent and highly qualified professionals delivering exceptional care and support for seniors to thrive with dignity and live as they prefer.

With a wide selection of engaging activities and enjoyable programs, residents explore new ideas and rediscover old hobbies for leisure and wellness. Feel good with delightful and healthy meals catering to dietary needs and preferences. The Ridge at Pikeville is a great place for relaxation with its serene communal spaces and inviting community.

Contact The Ridge at Pikeville

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.