Page 18 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
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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. 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. 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.
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.
Spring Arbor of Greensboro
SC
AL
MC
Greensboro (White Horse Farms)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes
50
Facility 50
NC AVG 36
Rank #150 / 536
90.00/200
Facility 90.00/200
NC AVG 92.2
Rank #261 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Alcove / 1 Bed
Brookdale High Point
SC
AL
High Point
82
Facility 82
NC AVG 72
Rank #142 / 387
Yes
36
Facility 36
NC AVG 36
Rank #254 / 536
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
12
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms
The Reserve at Mills Farm
SC
AL
IL
MC
Apex
35
Facility 35
NC AVG 72
Rank #321 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
4
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 1 Bed / 2 Bed
Home Place of Burlington
SC
AL
MC
Burlington (Red Oak Acres)
67
Facility 67
NC AVG 72
Rank #195 / 387
Yes
52
Facility 52
NC AVG 36
Rank #131 / 536
86.00/200
Facility 86.00/200
NC AVG 92.2
Rank #279 / 321
8
88%
Facility 88%
NC AVG 91.8%
Rank #57 / 333
Studio / 2 Bed
Falls River Village Assisted Living
SC
AL
MC
Raleigh (North Raleigh)
60
Facility 60
NC AVG 72
Rank #230 / 387
No
63
Facility 63
NC AVG 36
Rank #50 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
6
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
-
Hayesville House
SC
MC
RC
Hayesville
60
Facility 60
NC AVG 72
Rank #230 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
9
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Navion of New Bern
SC
AL
MC
New Bern
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
51
Facility 51
NC AVG 36
Rank #138 / 536
99.25/200
Facility 99.25/200
NC AVG 92.2
Rank #160 / 321
12
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
Suite
Serenity Falls Family Care Home
SC
AL
RESC
Raleigh (Cedar Hill Estates)
3
Facility 3
NC AVG 72
Rank #383 / 387
No
36
Facility 36
NC AVG 36
Rank #254 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
2
50%
Facility 50%
NC AVG 91.8%
Rank #12 / 333
Private Rooms
TerraBella Newton
SC
AL
MC
Newton
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
20
Facility 20
NC AVG 36
Rank #377 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
6
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
-
Marjorie McCune Memorial Center
SC
AL
IL
Black Mountain
64
Facility 64
NC AVG 72
Rank #213 / 387
Yes
75
Facility 75
NC AVG 36
Rank #12 / 536
104.00/200
Facility 104.00/200
NC AVG 92.2
Rank #28 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-

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.

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Overview of Spring Arbor of Greensboro

Nestled in a quiet neighborhood in Guilford County, Greensboro, NC, Spring Arbor of Greensboro is a supportive senior living community that offers assisted living and memory care. Residents are warmly welcomed into beautifully designed living spaces, with an array of studios and one-bedroom apartments to choose from. With a built-in emergency response system in every residence and a maintenance-free lifestyle, residents here are guaranteed to thrive and enjoy a retirement life with no worries.

Committed to elevating residents’ experience and quality of life, the community offers an array of specially designed activities to rekindle old interests, develop new hobbies, and socialize with new people. Residents are also empowered to focus on their holistic wellness with a variety of programs, classes, and events. At Spring Arbor of Greensboro, everyday is filled with plenty of new experiences and programs that are specifically designed to empower residents to live fulfilling lives.

Contact Spring Arbor of Greensboro

Overview of Brookdale High Point

Experience a perfect balance of independence, comfort and care at Brookdale High Point, a senior living community in the vibrant city of High Point, North Carolina, that offers an exceptional assisted living experience. The community provides assistance with daily tasks, including housekeeping and laundry, allowing residents to focus on what truly matters. The living spaces are spacious, light-filled, and pet-friendly, providing a warm and welcoming environment. With a commitment to safety, Brookdale High Point ensures peace of mind with 24/7 on-site support for emergencies.

Residents at Brookdale High Point can enjoy a rich social life with a full calendar of events, outings, and activities. Whether gathering in the family room for a movie, participating in arts and crafts, or relaxing in the beautifully maintained courtyard, each day offers new opportunities for engagement. The surrounding area also offers exciting excursions to local attractions such as the World’s Largest Chest of Drawers, the High Point Museum, and the All-A-Flutter Butterfly Farm. Dining here is a delight, with restaurant-style meals served in an elegant dining room, where residents can enjoy both delicious food and wonderful company. The culinary team is dedicated to creating memorable dining experiences, incorporating residents’ feedback and favorite recipes into the menu.

Contact Brookdale High Point

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 Home Place of Burlington

Set in the dazzling neighborhood of Burlington, NC, Home Place of Burlington, is a welcoming senior living community, offering independent living, assisted living, and memory care. The community offers a range of warm and spacious apartments with modern amenities like private bathrooms and kitchenettes. With on-site maintenance, weekly housekeeping, and linen services, residents can let go of chores and find more time to relax and enjoy.

With a range of amenities, Home Place of Burlington focuses on resident comfort and enjoyment. Seniors can indulge in restaurant-style dining, visit the beauty salon, or unwind in the game room. Regular activities like cooking classes, gardening, and live entertainment foster a sense of community, making every day a new adventure. Moreover, scheduled transportation ensures easy access to cultural excursions and local events.

Contact Home Place of Burlington

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

Hayesville House

480 Old 64 West Hayesville, Nc 28904, Hayesville, NC 28904
Overview of Hayesville House

Located at 480 Old 64 West in Hayesville within Clay County, Hayesville House operates as a senior living home with 60 beds for memory support and short-term stays. Since the area has a Walk Score of 37, living there without a car is only slightly easy because you can reach a few shops on foot, but you will usually need a ride for most trips. Right now, the building is about 60 percent full, which means that 36 out of the 60 total beds currently have people living in them.

The main focus of the care here is on nursing help and temporary breaks for families, and there are always workers on site during the day and night to keep everyone safe. Residents enjoy eating their meals in a large dining room that feels like a real restaurant, and they also have the choice to relax in the library, watch shows in the media room, or sit outside in the fresh air. To make life much simpler for the seniors, the staff takes care of cleaning the rooms, fixing things that break, and providing bus rides when people need to go out.

Official state checks of the home have looked at fire alarms, the training of the workers, how clean the building is, and how well they protect the rights of the people who live there. Because the home takes Medicaid payments, it is easier for families to figure out how they will pay for the high costs of long-term care over many years. This place is a good fit for families who want a small home for memory care where nurses and a set daily schedule are part of the house.

Contact Hayesville House

Overview of Navion of New Bern

Operating at full capacity with all 60 beds occupied, Navion of New Bern is an assisted living community located on South Glenburnie Road in New Bern, North Carolina. It also features a variety of pet-friendly one- and two-bedroom suites.

24-hour access to personalized care is provided, along with emergency response systems. Moreover, regular housekeeping, laundry, in-house maintenance, and transportation services are available to support residents’ daily living. Social activities and dining are also offered.

Additionally, the surrounding neighborhood has a Walk Score of 51, making it moderately walkable. Some daily errands and nearby services can be reached on foot, providing residents with a balance of convenience and neighborhood accessibility while making visits easier for family members.

Throughout its decade-long state inspection history, recurring concerns involving medication administration and infection control were identified. However, corrective actions were implemented and later verified by state authorities as successfully addressing the cited compliance issues.

Contact Navion of New Bern

Overview of Serenity Falls Family Care Home

Serenity Falls Family Care Home is an idyllic retreat situated in the peaceful neighborhood of Raleigh, NC, that offers assisted living. Residents here enjoy top-tier care and assistance tailored to their needs and preferences from a compassionate and highly skilled available 24/7. With its cozy and nurturing environment, residents keep their peace of mind and live comfortably in their golden years.

Encouraging residents to interact with their surroundings and gain meaningful experiences, a jam-packed calendar of fun activities and engaging programs is conducted. Here, residents have a delightful dining experience with delicious and healthy home-cooked meals that cater to dietary needs and preferences. The community is ideal for those seeking assistance in their golden years, especially with its dedicated care and beautifully furnished amenities.

Contact Serenity Falls Family Care Home

TerraBella Newton

1088 Radio Station Rd, Newton, NC 28658
Overview of TerraBella Newton

Nestled in the quaint city of Newton, North Carolina, TerraBella Newton is a premier senior living community offering assisted living and memory care. With a variety of suites and one-bedroom apartments, the community offers residents plenty of options to choose their preferred floor plan based on their needs. Residents living with Alzheimer’s and dementia are given help to navigate life with memory loss through TerraBella’s SHINE Memory Care Program, offering scientifically backed approaches to memory care.

TerraBella Newton provides all the care, comfort, and ease residents could dream of. The community offers round-the-clock care, a full calendar of engaging activities, and a host of amenities designed to provide residents with comfort and leisure. At TerraBella Newton, residents enjoy full access to three meals daily plus snacks, senior-specific wellness classes, professional beauty salons & barber shops, local outings & excursions, and in-house religious services to guarantee holistic wellness. Other amenities include a jacuzzi spa, arts & crafts studio, activities room, library, live entertainment, and scenic walking paths.

Contact TerraBella Newton

Marjorie McCune Memorial Center

101 Lions Way Black Mountain, Nc 28711, Black Mountain, NC 28711
Overview of Marjorie McCune Memorial Center

Marjorie McCune Memorial Center is an assisted living community in Black Mountain, North Carolina, roughly 15 miles east of Asheville. The neighborhood carries a Walk Score of 75, described as very walkable, meaning most errands can be handled on foot and many essentials sit within a short walk. The community has 64 beds. A semi-private room starts at $3,000 per month, while a private room starts at $6,000 per month.

Residents have access to rehabilitation services and respite care on-site, along with a doctor on staff and nursing services. Staffing runs 24 hours a day, so medical support is available around the clock rather than during set hours. Medicaid is accepted; Medicare is not.

Daily life includes prepared meals and three snacks, along with housekeeping, laundry, and utilities included in the cost of a room. The center offers transportation services and a chapel with inter-denominational services for residents interested in religious programming. Additional programming includes special events, outings, a volunteer program, and organized religious services throughout the week. Residents are welcome to bring pets.

State inspections of the facility have identified medication management and fire-safety systems as recurring areas of regulatory focus.

Contact Marjorie McCune Memorial Center

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.