Page 17 of Best Senior Communities in North Carolina

Parkwood Village and the Landing, a 70-bed nonprofit community at 1730 Parkwood Blvd W in Wilson, Wilson County, North Carolina, is operated by Well Spring Retirement Community. The facility serves residents with assisted living, independent living, memory care, and respite care needs on both Medicare and private-pay bases.

The inspection record reflects persistent challenges with medication administration and safety.

Since 2015, the facility has accumulated 62 deficiencies, 35 percent more than the state average and with recurring concerns including missed medication doses, failure to directly observe medication intake, and inaccurate medication records. Four state penalties totaling $25,000 were assessed between 2023 and 2024, including a settlement agreement. The most recent February 2025 annual inspection identified two moderate-level deficiencies: unsecured oxygen tanks stored in a resident’s room and missing physician-ordered therapeutic diet documentation for three sampled residents. These findings suggest ongoing gaps in storage protocols and dietary coordination despite previous cited deficiencies.

The facility’s 5-star CMS rating reflects substantial investment in staffing depth. Average nursing care runs 8 hours 7 minutes per resident per day, representing a 65 percent margin above the state benchmark and ranking third among North Carolina nursing homes. This staffing commitment provides meaningful direct care capacity for residents requiring frequent assistance.

Amenities include a theater with reclining seating, a secured memory care garden, and a patio courtyard. Residents participate in live entertainment, arts programming, walking groups, bingo, exercise classes, and scheduled excursions. The facility offers beauty services, a library, fitness facilities, and complimentary transportation. On-site staff operate around the clock.

The community fits residents and families prioritizing high nurse-staffing ratios and structured activity programming alongside acceptance of a facility with a record of medication administration compliance challenges that persist despite remedial efforts.

Overview of Clemmons Village Ii- Assisted Living

Clemmons Village II is an extraordinary senior living community located at Holder Road, Clemmons, NC, providing a variety of living options including assisted living, independent living, and memory care. The community features various floor plans including companion suites, couple suites, and small, and large private suites. With a team of registered nurses and certified medication technicians, Clemmons Village II ensures a comfortable and safe residence.

The community fosters a vibrant environment, conducting enriching social activities that residents may participate in. Alongside fun activities, seniors may converse over healthy and delicious meals carefully prepared by the team. Clemmons Village II prides itself on wonderful amenities including a beauty salon and barbershop, pet-friendly spaces, a campus chapel, and beautiful outdoor areas. Moreover, the community is conveniently located near local amenities and sceneries, ensuring a relaxing stay.

Overview of Homestead Hills Assisted Living

Homestead Hills Assisted Living runs 66 beds in Winston-Salem, North Carolina. Right now about 20 of those beds are filled, which puts occupancy near 30 percent. For a family weighing placement, that low a figure cuts two ways. There is room to move in without a wait. It also means the building is running well under capacity, worth sitting with as you visit.

The setting is not a walkable one. With a Walk Score of 20, most trips out mean getting in a car. Plan visits around that.

Residents have access to rehabilitation services, respite stays for caregivers who need a break, and staffing that covers all 24 hours. Total nursing care runs about 5 hours and 17 minutes per resident each day, with licensed practical nurses adding close to an hour of that. Wellness programming, dining, concierge and salon services, housekeeping, and transportation fill out the day. An emergency call system runs around the clock.

State inspections have focused on standard operational ground: medication management, infection prevention, and fire-safety systems, rather than direct resident care. Medicare and private pay are both accepted here. The place suits an older adult who needs rehabilitation-minded care and steady daily help, and whose family does not mind a quieter building with beds to spare.

At 1450 Shaire Center Drive in Lenoir, Caldwell County, The Shaire Center runs an 82-bed operation that combines nursing home, assisted living, memory care, and skilled nursing under one roof. The surrounding part of Lenoir scores 76 on the Walk Score index, high enough that most errands don’t require a car.

Rehabilitation services and a doctor on staff cover the medical side of daily operations. A dedicated memory care unit sits alongside hospice services, discharge planning, and care planning, the kind of structure that matters for residents whose needs shift between short-term recovery and longer-term support.

Nursing coverage averages 4 hours and 49 minutes per resident each day, drawn from registered nurses, nurse aides, and licensed practical nurses working in combination. Medicaid, Medicare, and private pay are all accepted, which widens the field of families who can plan around the cost of a stay.

Inspections of The Shaire Center have touched on medication management, staffing and staff credentials, and resident rights and protections. Between the rehab services, the memory care unit, and the hospice and discharge planning on offer, the facility is built for residents moving through different stages of care rather than staying in one lane.

Overview of Trinity Elms

Trinity Elms is a 104-bed community at 3750 Harper Road in Clemmons, North Carolina. Accordius Health At Clemmons, LLC operates it. The building holds licensure for nursing home care, assisted living, independent living, memory care, and skilled nursing, which is a wide span for one address. A resident whose needs change does not necessarily have to move.

The surrounding area carries a Walk Score of 56, which places it in moderately walkable territory. Some errands work on foot, and some do not.

Short-term rehab and general rehabilitation services are both offered, alongside respite care for families managing a caregiving gap at home. The mix suggests a census divided between people recovering from a hospitalization and people who have settled in for longer stays.

Total nursing care runs four hours and six minutes per resident per day. Nurse aides account for two hours and 49 minutes of that, licensed practical nurses for 56 minutes, and registered nurses for 32 minutes.

Medicare, Medicaid, and private pay are all accepted here, which covers the funding routes most families end up using. Trinity Elms is built for older adults who need skilled nursing or memory care, with enough licensure range that a change in condition does not automatically mean a change in address.

Overview of Scotland House

Scotland House is a 60-bed assisted living and memory care community at 27669 Highway 125 in Scotland Neck, North Carolina. The building sits in a somewhat walkable area (Walk Score 30), where a few destinations are reachable on foot but most trips will require a car or the community’s transportation service. Roughly 90 percent of the beds are filled, which puts the community close to capacity for a building of this size.

Care here covers three tracks. Residents can receive assisted living support, memory care, or respite care for shorter stays, with nursing services and 24-hour staffing behind all three. The community also runs a named program called Secured Living, which is relevant for families weighing a memory care placement where wandering is a concern.

Day-to-day life is built around a set of shared spaces. Meals are served restaurant-style rather than on trays, and residents have access to a library, an entertainment room, and an outdoor common area. Housekeeping, maintenance, and scheduled transportation are handled by the community.

State inspections have centered on routine areas such as medication management and housekeeping and upkeep rather than the structure of the care model itself. Scotland House accepts Medicaid, which matters for families planning coverage over a long horizon rather than a short private-pay stretch. Between the secured memory care track and the respite option, the community is set up for older adults who need daily hands-on support in a small-town setting, including those whose dementia has progressed far enough to require a secured environment.

Overview of Oak Hill Assisted Living Community

Oak Hill is a one-of-a-kind senior living community located in Angier, NC, that provides assisted living services. Focusing solely on assisted living, the community ensures seniors receive the best residential setting and care. Seniors may choose between a companion and private apartments from the four main halls of the community. Providing care and assistance for over 25 years, the community offers a relatively high caregiver-resident ratio with one caregiver for every eight residents.

The community fosters a comfortable and secure environment, providing standard care and service 24/7. Residents enjoy healthy, well-balanced meals prepared by talented chefs three times every day. Lines of crepe myrtles embrace the community’s entrance and amenities such as an in-house beauty salon, meeting rooms, and aesthetic courtyards and covered porches.

Overview of The Landings of Smithfield

The Landings of Smithfield sits at 200 Kellie Drive in Smithfield, North Carolina. It is licensed for assisted living, and it also runs memory care and respite care on the same campus. For a family watching a parent’s needs shift over time, that combination means one move instead of two or three. Walk Score puts the neighborhood at 65, so some errands are reachable on foot without a car.

The building holds 66 beds; nineteen of them are occupied. A community running at 29% occupancy feels different from a full one, in staffing ratios, in dining room volume, and in the social life available to a resident who wants company.

Nursing services and 24-hour staffing are both in place, so coverage does not thin out overnight. Respite care handles the temporary situations, a caregiver’s surgery or a discharge that needs a bridge. A program called Secured Living supports residents living with memory loss.

Shared spaces run to a library, an entertainment room, and an outdoor common area. Meals are served restaurant-style. Housekeeping, maintenance, and transportation are all managed in house.

Medicaid is accepted here. State inspection attention at this community has centered on medication management and on care planning and documentation. The picture the record gives is a 66-bed community operating far below capacity, covering three care levels under one roof, accepting Medicaid, with regulatory attention focused on medication handling and resident records.

Overview of Avendelle on Maynard

Avendelle on Maynard, located in Cary, NC, is a senior living community by Avendelle, offering assisted living services to its residents. This assisted living community provides personalized care plans where residents receive varying levels of care and assistance as their needs change. This includes assistance with daily living activities, medication management, and 24/7 staff availability for supervision.

Additionally, residents are also provided freshly cooked meals throughout the day, as well as regular health and wellness assessments to ensure that they are receiving proper care according to their current needs. Grooming assistance and salon services are also offered regularly, and residents are also encouraged to participate in physical and social activities the staff prepared, to make sure that they maintain their mobility and keep their overall health and well being at its best.

Overview of Brookdale Carriage Club Providence II

Brookdale Carriage Club Providence II is found on Old Providence Road in the southern part of Charlotte, North Carolina. This big home works as a place where old people can stay forever, which means that help with daily life and medical care are all offered in one spot. The area has a very low score for walking, so you should expect to use a car whenever you need to go to the store or see a doctor.

The part for people who need a lot of medical help is small with only 34 beds, and right now 27 of those beds are being used. For health needs, the home helps people get stronger after being sick and gives family members a break from taking care of their loved ones. Workers are there to help at all times of the day and night. Every building is easy to move through with a wheelchair and has a special button to push if there is a sudden problem.

You can find a pool outside, a room for exercise, a place to read books, and a small church right on the land. In the yard, the people living there can enjoy paths for walking, a garden, a spot for golf, and a small pond for catching fish. Rides to places, help with chores, a hair shop, and extra rooms for family to stay in are also provided, and everyone eats together like they are at a food shop; animals are allowed to live there too.

The main things that leaders look at in the records are how medicine is given, the plans for taking care of people, and the tools for stopping fires.

Living there without much help starts at $3,430 every month, but the price goes up if you need more help with your memory or your body. The reports show a small place with many fun things to do in a part of Charlotte where you must drive, but it has the good point of changing how it helps you as you get older.