Page 19 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. 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.
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.
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.
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.
TerraBella Hillsborough
SC
AL
MC
RC
Hillsborough
96Yes 32 --103.50/200A-1457%
Yadkin Valley Senior Living
SC
AL
IL
RC
Elkin
60No 60 55.0% -102.00/200C+20-
Meadowview Terrace of Wadesboro
SC
AL
Wadesboro
60No 50 83.3% -97.00/200C+21-
Twelve Oaks
SC
AL
MC
RC
Mount Airy
112No 74 25.9% -90.75/200C+18-
TerraBella Shelby
SC
AL
MC
RC
Shelby (Brittain Village)
96Yes 10 -C+82.50/200C1759%
The Gardens of Nashville
SC
AL
Nashville
62No 55 88.7% -96.00/200C10-
TerraBella Knightdale
SC
AL
MC
Knightdale
96No 40 59.4% -75.50/200C-23-
Open Arms Retirement Center
SC
AL
MC
RC
Raeford
90No 63 55.6% -89.25/200D20-
Morningside of Wilmington
SC
AL
MC
Wilmington (Manorhouse Retirement Center)
101Yes 48 -A+71.00/200D-2976%
Alpha Care One Assisted Living
SC
AL
Greenville
120No 88 68.3% -82.00/200D29-
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TerraBella Hillsborough

1911 Orange Grove Rd, Hillsborough, NC 27278
Overview of TerraBella Hillsborough

Located in the historical community of Hillsborough, NC, Terra Bella Hillsborough is a one-of-a-kind senior living community offering assisted living and memory care. The community features cozy suites and elegant one-bedroom apartments for seniors to find solace in. With its exceptional care and assistance 24/7, residents keep their peace of mind and enjoy a maintenance-free lifestyle. Alongside its signature SHINE Memory Care program, the community provides various signature programs encompassing dining activities, activities, and transportation. To ensure seniors are in their best condition, the community provides fun and exciting activities. Moreover, meals that are served from breakfast to dinner are of the highest quality to cater to its residents’ dietary needs and preferences. Terra Bella Hillsborough is a pet-friendly community that provides its residents with local outings, live entertainment, and wellness classes in its wonderful amenities such as a private courtyard, a community garden, and scenic walking paths.

Contact TerraBella Hillsborough

Yadkin Valley Senior Living

500 Johnson Ridge Road Elkin, Nc 28621, Elkin, NC 28621
Overview of Yadkin Valley Senior Living

Yadkin Valley Senior Living occupies an Elkin, NC address, with assisted living, respite care, and independent living on the license. Assisted living here is help with daily tasks. Independent living leaves the daily care out and keeps what the community runs in.

Respite covers a stretch a caregiver cannot be there for, a busy season, or a trip that will not move. The license here allows 60 beds.

Each week brings 14 or more hours of planned group activities, Bingo, exercise, socials, crafts, and outings among them. On-Site Medical Care is a named program, and rehabilitation services are listed too, so therapy does not send a resident out of the building. Sixty on the walking scale is the somewhat walkable band, so some of what a resident wants stays possible without asking for a lift.

Contact Yadkin Valley Senior Living

Meadowview Terrace of Wadesboro

123 Anson High School Road Wadesboro, Nc 28170, Wadesboro, NC 28170
Overview of Meadowview Terrace of Wadesboro

Meadowview Terrace of Wadesboro offers assisted living in Wadesboro, North Carolina, with help available for daily activities such as dressing, bathing, and medication. Residents can receive that support while retaining as much independence as possible. The community has 60 beds overall, and its Secured Living program provides a secured setting for residents who need that level of supervision.

Medicaid is accepted, giving eligible residents a potential way to pay for care when private savings are limited. Betty Kester serves as the director. Meadowview Terrace of Wadesboro may be a good fit for someone who needs daily support and may rely on Medicaid to help cover a longer stay.

Restaurant-style dining includes healthy, balanced meals prepared to meet dietary needs while offering variety. On-site therapy, pharmacy services, and provider services allow residents to receive those services within the community rather than requiring an off-site trip. A Walk Score of 50 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to handle certain nearby errands independently.

Contact Meadowview Terrace of Wadesboro

Twelve Oaks

1297 Galax Trail Mount Airy, Nc 27030, Mount Airy, NC 27030
Overview of Twelve Oaks

Twelve Oaks in Mount Airy, NC, offers memory care and assisted living. Respite care rounds out the license. Bathing, medication management, and dressing are handled under assisted living, and a resident keeps their own apartment.

A setting kept secure, with staff watching inside it, is what memory care means for somebody at risk of wandering. Respite is the short stay a usual caregiver needs for travel or time for recovery.

All three together answer either a resident whose needs grow or a family caregiver wanting cover for a stretch. One hundred and twelve beds are on the license.

Medicaid is an accepted route, useful where a resident’s savings won’t cover a long stay. A 74 Walk Score is very walkable, and most errands can be handled without a vehicle.

Contact Twelve Oaks

TerraBella Shelby

1550 Charles Rd, Shelby, NC 28152
Overview of TerraBella Shelby

TerraBella Shelby is a quality senior living community burrowed in the quiet city of Shelby, NC, offering assisted living and memory care. The community features spacious apartments with a kitchenette, emergency call system, and natural light, ensuring a comfortable and safe living environment. With their person-centered memory care programs, residents living with Alzheimer’s and dementia are encouraged to nurture their current skills, engage in purposeful activities, and live an enriched life.

Committed to elevating its residents’ standard of living, TerraBella Shelby offers five exclusive senior lifestyle programs. From chef-prepared meals and a full schedule of activities to an all-encompassing approach to health and wellness, residents find everything they need right here. To make an even greater difference in how residents live each day, the community also offers various amenities, including a professional beauty salon and barber shop on-site, a lifetime veterans savings program, visiting physicians, local outings & excursions, and housekeeping services, making residents’ lives more at ease and carefree.

Contact TerraBella Shelby

The Gardens of Nashville

1022 Eastern Avenue Nashville, Nc 27856, Nashville, NC 27856
Overview of The Gardens of Nashville

The Gardens of Nashville provides assisted living in Nashville, North Carolina. Assisted living includes help with daily activities such as dressing, bathing, and medication management, while supporting residents’ day to day routines. Its secured living program may suit a resident whose care plan calls for a secured setting.

The community has 62 beds. Restaurant style dining offers healthy, balanced meals prepared to meet dietary needs, so a resident with specific dietary requirements can have those needs addressed within the community. On site therapy services allow a resident to receive rehabilitation without arranging transportation away from home. On site pharmacy services provide access to pharmacy support within the community.

Medicaid is accepted, giving an eligible resident a payment option when personal savings may not cover a long stay. The Walk Score is 55. The area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle certain outings independently.

Contact The Gardens of Nashville

TerraBella Knightdale

2408 Hodge Road Knightdale, Nc 27545, Knightdale, NC 27545
Overview of TerraBella Knightdale

TerraBella Knightdale offers assisted living and memory care in Knightdale, North Carolina. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private apartment. Memory care provides a secured setting with supervision.

Having both care levels in one community may suit a resident whose needs grow over time, because care can continue without moving to a different community. TerraBella Knightdale has 96 beds. Assisted living starts at $4,085 per month, while memory care starts at $6,695; the higher rate reflects the secured setting and supervision required at that level.

Meals are prepared by a chef, and outdoor spaces give residents somewhere to spend time outside. Salon and barber services provide grooming on site. Transportation services can help with trips when a resident cannot arrange every ride independently, and a Military Veterans Program is available.

The area has a Walk Score of 40 out of 100 and is largely dependent on cars, so most errands require a car or a ride. A resident who no longer drives would need transportation for those errands. Overall, the community may be a good fit for someone who needs assisted living or memory care now and may need a higher level of support later.

Contact TerraBella Knightdale

Open Arms Retirement Center

612 Health Drive Raeford, Nc 28376, Raeford, NC 28376
Overview of Open Arms Retirement Center

Open Arms Retirement Center in Raeford, NC, provides assisted living and memory care. Respite care is also listed alongside them.

Help at the assisted living level of care goes toward bathing, dressing, and medication. The secured and supervised level is memory care, and it’s for somebody whose wandering has turned into a risk. Respite runs short and only until a fixed date; it suits a household whose primary caregiver has other things they need to take care of for a while.

Because all three are licensed here, a need that grows later does not force a move elsewhere. Ninety beds are covered, and staffing here holds through 24 hours a day. 63 for the Walk Score is somewhat walkable, and a non-driver can handle a handful of errands in the area.

Contact Open Arms Retirement Center

Overview of Morningside of Wilmington

Administered by Amy Costin, Morningside of Wilmington is an assisted living and memory care community in Wilmington, North Carolina, about 3 miles from the city center. The two-story community has been serving residents for 27 years. Studio and one-bedroom residences are available. Each has a living area and private bathroom, and some also include a kitchenette.

Residents receive 24-hour support that includes personal care, transportation assistance, and medication management. The community’s Lifestyle360 program is based on Maslow’s hierarchy of needs and focuses on five areas of wellness: physical, social, emotional, intellectual, and spiritual. Rather than following a traditional activities schedule, the program supports each of these areas.

Restaurant-style dining, a full-service barber and beauty salon, and a dedicated activity center. Regular social and recreational events are offered here. Housekeeping services and exercise programs help residents stay active. The community welcomes pets, which residents can keep during their stay.

The area has a Walk Score of 48, which is somewhat walkable. A handful of nearby errands can be completed on foot, but most trips require a car. Families considering Morningside of Wilmington should ask about current room availability and the memory care program. Floor plans and care details are best confirmed during a tour or by speaking with the community directly.

Contact Morningside of Wilmington

Alpha Care One Assisted Living

2060 West Fifth Street Greenville, Nc 27834, Greenville, NC 27834
Overview of Alpha Care One Assisted Living

Alpha Care One Assisted Living is an assisted living community in Greenville, NC, providing 24-hour supervision and support with daily activities such as bathing and feeding. It may be a good fit for a resident who needs ongoing oversight and direct help with these tasks.

With 120 beds, the community has a Walk Score of 88, meaning most errands can be completed on foot. A resident who no longer drives may still be able to get out independently.

Contact Alpha Care One Assisted Living

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: 70The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90