Page 19 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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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. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. 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.
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.
Myers Park Nursing Center
SC
NH
Charlotte (Myers Park)
133
Facility 133
NC AVG 72
Rank #21 / 387
Yes
83
Facility 83
NC AVG 36
Rank #2 / 536
66.9%
Facility 66.9%
NC AVG 70.6%
Rank #143 / 232
A+--11100%Private Suite
Phoenix Assisted Care
SC
AL
MC
RC
Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 72
Rank #35 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
52.5%
Facility 52.5%
NC AVG 70.6%
Rank #179 / 232
A+-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
17
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms / Semi-Private Rooms
Miss Bell’s at Fuquay
SC
AL
MC
Fuquay-Varina (Avalon Springs)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
9
Facility 9
NC AVG 36
Rank #462 / 536
66.7%
Facility 66.7%
NC AVG 70.6%
Rank #144 / 232
-
95.00/200
Facility 95.00/200
NC AVG 92.2
Rank #221 / 321
4
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private / Semi-Private Rooms
Morningstar Assisted Living
SC
AL
RC
Sylva
55
Facility 55
NC AVG 72
Rank #283 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
58.2%
Facility 58.2%
NC AVG 70.6%
Rank #168 / 232
-
71.00/200
Facility 71.00/200
NC AVG 92.2
Rank #301 / 321
8
88%
Facility 88%
NC AVG 91.8%
Rank #57 / 333
-
Wilson House
SC
AL
MC
Wilson
136
Facility 136
NC AVG 72
Rank #19 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
33.1%
Facility 33.1%
NC AVG 70.6%
Rank #209 / 232
-
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
20
95%
Facility 95%
NC AVG 91.8%
Rank #131 / 333
-
Cypress Manor
SC
AL
Roper
40
Facility 40
NC AVG 72
Rank #310 / 387
No
15
Facility 15
NC AVG 36
Rank #414 / 536
30.0%
Facility 30.0%
NC AVG 70.6%
Rank #214 / 232
-
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
12
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
-
The Pines on Carmel Senior Living
SC
AL
MC
RC
Charlotte
125
Facility 125
NC AVG 72
Rank #28 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
--
83.50/200
Facility 83.50/200
NC AVG 92.2
Rank #288 / 321
20
95%
Facility 95%
NC AVG 91.8%
Rank #131 / 333
Studio / 2 Bed
The Landings of Mills River
SC
AL
MC
Mills River
65
Facility 65
NC AVG 72
Rank #207 / 387
No
17
Facility 17
NC AVG 36
Rank #403 / 536
30.8%
Facility 30.8%
NC AVG 70.6%
Rank #212 / 232
-
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
4
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Brookstone Terrace of Thomasville
SC
AL
MC
Thomasville
62
Facility 62
NC AVG 72
Rank #222 / 387
No
71
Facility 71
NC AVG 36
Rank #28 / 536
--
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
12
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Vienna Village
SC
AL
IL
Pfafftown
90
Facility 90
NC AVG 72
Rank #116 / 387
No
36
Facility 36
NC AVG 36
Rank #254 / 536
--
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 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 Myers Park Nursing Center

Myers Park Nursing Center is a leading community in Charlotte, NC, dedicated to offering outstanding skilled nursing care, rehabilitation services, and memory care to its residents. The community provides its residents with personalized care plans and a team of well-experienced caregivers and healthcare professionals to accommodate their unique needs. By offering assistance with daily living activities, medication management, therapy services, and essential medical interventions, the community makes sure residents are well-equipped to maintain their health and well-being.

The community also has an array of fun and engaging recreational activities to stimulate their minds and keep them active while receiving compassionate care. Nutritional meals are also served daily to help residents maintain proper nourishment and nutrition. At Myers Park Nursing Center, they strive to create a comfortable and nurturing environment for recovering their overall functioning and well-being.

Contact Myers Park Nursing Center

Overview of Phoenix Assisted Care

Phoenix Assisted Care, located in Cary, NC, is a senior living community offering assisted living, memory care, and independent living services and amenities. Their memory care program is specifically designed for caring for their residents living with Alzheimer’s and other forms of dementia. Designed to provide a home away from home, this senior living community offers medical support, from assistance with daily living activities, medication management and coordination with other healthcare providers as needed.

Additionally, residents are provided meals that are prepared to cater to their preferences and dietary needs. They also offer transportation services for outside appointments, as well as housekeeping and salon services.

Contact Phoenix Assisted Care

Miss Bell’s at Fuquay

709 Minerva Dale Dr, Fuquay-Varina, NC 27526
Overview of Miss Bell’s at Fuquay

Spend a worry-free retirement at Miss Bell’s at Fuquay, an idyllic retreat in Fuquay-Varina, NC, offering assisted living and memory care. Residents can ease their worries with specialized care provided by a dedicated and well-trained team, especially with one caregiver assigned to every three residents. With beautifully designed and spacious accommodations, residents are guaranteed the utmost comfort and safety.

To improve residents’ cognition and living experiences, a jam-packed calendar of engaging programs and exciting events is conducted. Mealtimes are also something to look forward to, with delicious and healthy dining options that cater to their dietary needs and preferences. Promoting a nurturing and welcoming environment, the community creates the ideal setting where residents can thrive in their golden years.

Contact Miss Bell’s at Fuquay

Morningstar Assisted Living

95 Morningstar Lane Sylva, Nc 28779, Sylva, NC 28779
Overview of Morningstar Assisted Living

Morningstar Assisted Living sits at 95 Morningstar Lane in Sylva, North Carolina, a small mountain town in the western part of the state. The community provides assisted living and respite care. The surrounding neighborhood earns a Walk Score of 55, described as moderately walkable, which means some errands can be handled on foot with a mix of nearby amenities within reach.

The building holds 55 beds and currently houses 32 residents, putting occupancy at 58 percent. That leaves meaningful room available for families who need a placement without a long wait.

Care here covers rehabilitation services alongside respite care for families who need short-term coverage. Licensed nurses and certified nursing assistants are part of the staffing picture. The community also runs on-site medical care.

Activity programming runs at 14 or more hours of planned group activities each week. The schedule includes bingo, exercise sessions, socials, crafts, and outings into the surrounding area. For residents who want structure in their week, that volume of programming gives them consistent options.

State inspections of this community have touched on medication management and infection prevention and control. Those are two of the areas regulators examine closely at assisted living residences across the country.

Morningstar Assisted Living offers a mid-sized assisted living setting in Sylva with respite care, on-site medical services, and a regular activity calendar, in a neighborhood where some daily errands remain within walking distance.

Contact Morningstar Assisted Living

Wilson House

1800 Martin Luther King Jr. Parkway Wilson, Nc 27893, Wilson, NC 27893
Overview of Wilson House

Wilson House sits on Martin Luther King Jr. Parkway in Wilson, North Carolina. It offers assisted living and memory care. The neighborhood is built for drivers, not walkers. A Walk Score of 2 tells you most of what you need to know: errands, appointments, and outings all mean getting in a car.

The community holds 136 beds; about 45 are filled right now, so occupancy runs near 33%. That leaves a lot of open space. For some families, a fuller building signals demand. For others, room to spare means a resident gets more of the common areas and less of a waitlist.

Two kinds of care happen here: assisted living covers help with daily routines, while Memory care runs through a secured living program for residents with dementia. The building backs that up with a secured perimeter and an emergency alert system. Nursing services are on hand, and staff stay on-site around the clock.

Meals are served restaurant-style. There is a library, an entertainment room, and an outdoor common area for time outside. Staff handle housekeeping and maintenance. Transportation services run for appointments and errands, which carries real weight in a spot this far from walkable shops.

Medicaid is accepted. For North Carolina families sorting through coverage, that widens the field considerably.

State surveys of the community have looked at fire-safety systems, upkeep of the building, and environmental safety conditions. Those are standard areas North Carolina inspectors review at adult care homes.

Wilson House is a large, secured community with round-the-clock staffing and a Medicaid pathway, set in a part of Wilson where a car is part of the plan.

Contact Wilson House

Cypress Manor

503 West Buncombe Street Roper, Nc 27970, Roper, NC 27970
Overview of Cypress Manor

Cypress Manor sits in Roper, a small town in northeastern North Carolina. This is rural country. The Walk Score of 15 tells you what you need to know about getting around here, which is that you will need a car for nearly everything. Families visiting should count on driving.

The building is licensed for 40 beds. Right now 12 of those are filled, which works out to 30 percent occupancy. That is a lot of open space in a building this size. For a family that needs a spot soon, availability is not going to be the obstacle here.

Day to day, residents get help with the routine tasks that have gotten harder to manage alone. Transportation to medical appointments is arranged by the community, which spares families a recurring logistical headache. A dietician guides the meal planning. Linens and laundry are handled on site, activities run daily, and there is a salon in the building for haircuts and appointments.

Medicaid is accepted here; Medicaid participation among North Carolina assisted living communities is uneven, and it shapes which doors are actually open to a family working with that funding. State inspectors have looked at medication management, fire-safety systems, environmental and hazardous-materials safety, and care planning and documentation.

What Cypress Manor offers is a small rural setting with meals, rides, daily programming, and a Medicaid pathway that many nearby communities do not provide.

Contact Cypress Manor

Overview of The Pines on Carmel Senior Living

Located in south Charlotte, North Carolina, The Pines on Carmel Senior Living is a single-story community offering assisted living, memory care, and respite care in one location. The community has 125 beds. It offers studio and two-bedroom residences to support a wide range of care needs, from short-term respite stays to long-term memory care.

The community is about 8. 9 miles from downtown Charlotte and less than 2 miles from Atrium Health Pineville. Residents and families have convenient access to nearby hospital care when needed. The neighborhood has a Walk Score of 35, which is somewhat walkable. A few nearby shops and services can be reached on foot, while most errands and outings require a car. Residents also have access to transportation services, along with fitness and recreation programs that encourage an active lifestyle.

State inspections conducted by North Carolina’s Division of Health Service Regulation have focused on medication management. These include how physician orders and therapeutic diets are carried out and documented. Inspection records have also included complaints involving resident supervision and monitoring for individuals at risk of wandering. A separate construction-related item was reviewed during a follow-up survey and confirmed as corrected.

The community welcomes pets, allowing residents to keep a companion animal after moving in. Families considering The Pines on Carmel Senior Living should ask about current staffing levels, memory care supervision practices, and how residents with changing care needs are supported daily.

Contact The Pines on Carmel Senior Living

The Landings of Mills River

4143 Haywood Road Mills River, Nc 28759, Mills River, NC 28759
Overview of The Landings of Mills River

The Landings of Mills River sits at 4143 Haywood Road in Mills River, North Carolina, in the mountains southwest of Asheville. It offers assisted living and memory care. The location is rural, and the Walk Score of 17 confirms what the address suggests. Errands require a car here, and so does most everything else.

Licensed capacity is 65 beds; twenty residents live there now, which puts occupancy at 31 percent. That is a lightly populated building. Space is available, and the resident group is small enough that recognition between staff and residents comes easily.

Nursing services are provided, and staffing runs 24 hours. The community also operates a Secured Living program for residents with dementia who need a protected setting. That program runs alongside general assisted living rather than in place of it.

Housekeeping, maintenance, and transportation are all covered by the community. Transportation carries real weight given how far the location sits from most services. Dining is restaurant-style. Residents also have a library, an entertainment room, and an outdoor common area suited to the mountain surroundings.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation surveys adult care homes without advance notice. At this community, inspection themes have gathered around medication management, care planning and documentation, dietary and food service, and housekeeping and upkeep. Medicaid is accepted, which shapes the financial picture for families working within limits or planning to spend down.

The Landings of Mills River is a 65-bed assisted living and memory care community running at low occupancy in a rural mountain setting, with round-the-clock staffing, a secured dementia program, and Medicaid acceptance.

Contact The Landings of Mills River

Brookstone Terrace of Thomasville

915 West Cooksey Drive Thomasville, Nc 27360, Thomasville, NC 27360
Overview of Brookstone Terrace of Thomasville

Brookstone Terrace of Thomasville is an assisted living and memory care community in Thomasville , in North Carolina. You’ll find it at its 915 West Cooksey Drive address. The neighborhood it’s located in is very walkable, with a Walk Score of 71, so residents and visitors can expect that most errands can be done on foot and many essentials are close by.

The community runs 62 beds, which is moderately sized, and so it lands somewhere between the personal feel of a small home and the fuller amenities of a larger one. Because it offers both assisted living and memory care, a family with a loved one working through a dementia diagnosis can keep them in one familiar place as needs shift.

Staffing runs 24 hours a day: licensed nurses and CNAs are on site around the clock. It’s worth highlighting that that around-the-clock coverage counts for a lot when someone needs help at odd hours or does better with a steady clinical presence nearby.

Meals are built into the rhythm of the day, with dietitian-approved food and regular dining service. Residents have activities on hand too, which gives structure to a day and keeps people connected to the folks around them.

State oversight of assisted living in North Carolina looks at areas like medication management, fire-safety systems, and emergency readiness. Those are the operational fundamentals regulators watch across residential care. For a family weighing this community, the picture is a mid-sized place offering both levels of care in a walkable part of Thomasville.

Contact Brookstone Terrace of Thomasville

Vienna Village

6601 Yadkinville Road Pfafftown, Nc 27040, Pfafftown, NC 27040
Overview of Vienna Village

Vienna Village sits on Yadkinville Road in Pfafftown, North Carolina, a short drive from Winston-Salem. It offers both assisted living and independent living, and it has stayed in the same family since 1965. The setting is somewhat walkable, with a Walk Score of 36. You can reach a few things on foot. Most outings will need a car.

The community runs 90 beds in a single building. A larger community like this one usually has more room for shared spaces and group activities than a small residential home. Staff are on-site every hour, day and night.

Licensed nurses and certified nursing assistants provide the hands-on care. Because the community offers two levels of support, a resident who starts out fairly independent can shift toward more help without moving somewhere new. That continuity matters to a lot of families. The round-the-clock staffing means someone is always awake and available.

North Carolina’s health regulators oversee the community, and their reviews here have centered on medication handling and fire-safety systems. Those are routine areas the state examines at assisted living communities across the board.

What Vienna Village offers is straightforward: a long-running, family-run community near Winston-Salem, two levels of care under one roof, and nursing staff on hand at any hour.

Contact Vienna Village

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
No paid rankings Communities cannot pay to influence placement.
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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.