Page 20 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. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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.
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.
TerraBella Hillsborough
SC
AL
MC
RC
Hillsborough
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
32
Facility 32
NC AVG 36
Rank #289 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Ahoskie House
SC
MC
Ahoskie
60
Facility 60
NC AVG 72
Rank #230 / 387
No
61
Facility 61
NC AVG 36
Rank #66 / 536
-
101.25/200
Facility 101.25/200
NC AVG 92.2
Rank #122 / 321
7
86%
Facility 86%
NC AVG 91.8%
Rank #53 / 333
-
Magnolia Glen
SC
AL
IL
Raleigh (Northwest Raleigh)
66
Facility 66
NC AVG 72
Rank #198 / 387
Yes
50
Facility 50
NC AVG 36
Rank #150 / 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
-
Brookdale Falling Creek
SC
AL
Hickory
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
14
Facility 14
NC AVG 36
Rank #424 / 536
-
106.50/200
Facility 106.50/200
NC AVG 92.2
Rank #3 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Suite
Cadence Huntersville by Cogir
SC
AL
MC
Huntersville
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
18
Facility 18
NC AVG 36
Rank #394 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
11
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite / 1 Bed
The Gardens of Hendersonville
SC
MC
Hendersonville
60
Facility 60
NC AVG 72
Rank #230 / 387
No
82
Facility 82
NC AVG 36
Rank #3 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
16
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Glenaire
SC
NH
AL
IL
Cary
71
Facility 71
NC AVG 72
Rank #182 / 387
No
25
Facility 25
NC AVG 36
Rank #346 / 536
91.7%
Facility 91.7%
NC AVG 70.6%
Rank #51 / 232
--3
33%
Facility 33%
NC AVG 91.8%
Rank #10 / 333
-
Hillside Nursing & Rehab
SC
AL
NH
SNF
Wake Forest
130
Facility 130
NC AVG 72
Rank #23 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
88.3%
Facility 88.3%
NC AVG 70.6%
Rank #67 / 232
--3
33%
Facility 33%
NC AVG 91.8%
Rank #10 / 333
Private Rooms
Southfork
SC
AL
MC
RC
Winston-Salem
78
Facility 78
NC AVG 72
Rank #161 / 387
No
20
Facility 20
NC AVG 36
Rank #377 / 536
60.3%
Facility 60.3%
NC AVG 70.6%
Rank #157 / 232
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Forest Ridge
SC
AL
MC
West Jefferson
60
Facility 60
NC AVG 72
Rank #230 / 387
No-
28.3%
Facility 28.3%
NC AVG 70.6%
Rank #218 / 232
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite

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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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

Overview of Ahoskie House

Ahoskie House sits at 407 Loftin Lane in Ahoskie, North Carolina. This is a memory care community, built for older adults living with Alzheimer’s disease or another form of dementia. Care runs on individualized plans and predictable daily routines.

Sixty beds puts this community at a middle size for the state. Residents have nursing services available to them, and staff are present around the clock. The named memory care program here is called Secured Living, a secured setting that lets residents move through the building on their own without the risk of an unsupervised exit.

Walk Score for the surrounding area comes in at 61, which reads as moderately walkable. Families visiting can handle a few errands on foot, since there is a mix of amenities within range of the community.

Housekeeping, maintenance, and transportation are all handled by the community. Dining is restaurant-style rather than tray service. There is also a library, an entertainment room, and an outdoor common area for residents to use.

State inspection themes at this community have gathered around fire-safety systems, building upkeep, and housekeeping conditions, with dietary and food service also drawing regulator attention. Medicaid is accepted here, which matters for families who are not working from private funds alone. Taken together, what the record shows is a mid-sized, around-the-clock memory care community with a secured program and a facility-condition inspection history that deserves a direct look.

Contact Ahoskie House

Overview of Magnolia Glen

With a lodge-like vibe and a focus on balanced living, Magnolia Glen provides a comforting oasis where residents can enjoy their twilight years to the fullest. The community is conveniently located near Crabtree Valley Mall and Interstate 440, making it easily accessible for families and friends to visit. With no buy-in fees and emergency response services available, Magnolia Glen provides peace of mind for both residents and their families.

They also take pride in creating an ambience of sophistication and warmth, where residents feel welcomed and valued. The dining experience is one-of-a-kind, with cuisines to suit diverse tastes and dietary preferences. Meals are lovingly prepared by skilled chefs, creating a memorable experience for residents to savor and enjoy. In addition to exceptional dining, Magnolia Glen offers on-site therapies to support the physical and emotional well-being of residents. Bi-weekly housekeeping ensures a clean and comfortable living environment, while their aquatic programs provide a soothing and invigorating way to stay active.

Contact Magnolia Glen

Overview of Brookdale Falling Creek

Nestled in the quaint city of Hickory, North Carolina, Brookdale Falling Creek offers an assisted living community where seniors can enjoy their golden years filled with curiosity, laughter, and happiness. The community handles all cooking, cleaning, and household chores, allowing residents to redefine independence. Free from daily responsibilities, seniors can explore new hobbies, rekindle past interests, and build genuine relationships. With convenient access to shopping, restaurants, and local attractions, residents have numerous opportunities to engage in activities they love. Brookdale Falling Creek provides a range of amenities and programs designed to enhance the quality of life for its residents.

Personalized assistance with daily living activities, such as dressing and managing medications, ensures seniors can focus on enjoying life to the fullest. The community emphasizes holistic wellness, covering intellectual, purposeful, social, physical, spiritual, and emotional dimensions. With vacation-style amenities, a vibrant social calendar, and a variety of elegant apartment floor plans, Brookdale Falling Creek offers a supportive and enriching environment for seniors.

Contact Brookdale Falling Creek

Overview of Cadence Huntersville by Cogir

Welcoming guests and seniors with an ethereal setting, Cadence Huntersville by Cogir is a prominent senior living community in Commerce Center Drive, Huntersville, NC, that provides assisted living and memory care. Featuring cozy and sophisticated accommodations ranging from studio to one-bedroom apartments, seniors enjoy comfort and safety at its finest. The community exceeds expectations in delivering top-tier care and support for seniors to live a wonderful retirement free from household responsibilities.

Committed to enhancing seniors’ quality of life, the community conducts energizing activities and engaging events for them to maintain an active and blissful lifestyle. Chat with fellow residents and revel in restaurant-style meals catering to residents’ dietary satisfaction and tastes. With its tranquil spaces and warm environment, Cadence Huntersville by Cogir is a good place to spend a fabulous retirement.

Contact Cadence Huntersville by Cogir

The Gardens of Hendersonville

1000 West Allen Street Hendersonville, Nc 28739, Hendersonville, NC 28739
Overview of The Gardens of Hendersonville

The Gardens of Hendersonville is a 60-bed home for seniors at 1000 West Allen Street in Hendersonville, North Carolina. This community helps older adults who have trouble with their memory or Alzheimer’s disease. The area is very easy to walk around, with a high score of 82, so most errands and stores are just a short trip away on foot.

Everything is built to be safe and secure, which is normal for places where residents might get lost if they wander off. Real nurses and trained helpers are always in the building to take care of everyone at any time of day. Doctors are also available to help on-site, so people living there do not have to leave very often for basic check-ups. Caregivers work in the building every single hour of the week to make sure everyone is okay.

Every day, residents can eat meals together like they are at a restaurant, and the cooks can make special food if someone has a specific diet. The home also has a library, a room for watching movies or playing games, and a safe outdoor area where people can enjoy the fresh air. Workers handle the cleaning and repairs, and they even provide rides and help with daily chores so life is easier for the seniors.

State inspectors check the home to make sure medicine is handled correctly, fire alarms work, and that all records are kept well. The Gardens of Hendersonville takes Medicaid, which is very helpful for families who need to plan how to pay for care for a long time. The building is designed with extra locks and cameras to keep everyone safe. It is a great fit for seniors who need a small, protected place with medical help right there on the property.

Contact The Gardens of Hendersonville

Overview of Glenaire

Glenaire, located in Cary, NC, is a continuing care retirement community by Brightspire that offers long term care to their residents. This senior living community provides their residents smoke-free accommodations that feature 24 hour emergency response systems, with weekly housekeeping and linen services. They also offer basic healthcare services in their clinic staffed by a nurse practitioner.

Additionally, they offer a rich array of amenities that provides residences with both convenience, comfort, and entertainment. From their walking trails, to their aquatic center, to the fitness studio, to their auditorium wit theater equipment.

Contact Glenaire

Overview of Hillside Nursing & Rehab

Enjoy an improved quality of life with Hillside Nursing & Rehab, a compassionate community in Wake Forest, NC, offering assisted living, rehabilitation, and skilled nursing services. Residents here are given a warm and comforting environment where they can receive round-the-clock care, supervision, and assistance with their daily living activities. Those living with chronic illnesses and require long-term care have access to comprehensive nursing care and physician services from Hillside’s Medical Directors.

With access to physical, occupational, and speech therapy services, residents recovering from an injury or hospitalization can enjoy a quick and smooth healing journey in the community. They also feature a vibrant activity program designed to keep residents moving and actively engaged in their community. Proper nutrition is always observed by their registered dietitian who carefully curates residents’ meal plans. At Hillside Nursing & Rehab, residents are given diverse opportunities to enjoy life even as they face serious illness or recover from an injury.

Contact Hillside Nursing & Rehab

Southfork

1345 Jonestown Road Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Southfork

Southfork is a 78-bed nursing home at 1345 Jonestown Road in Winston-Salem, North Carolina. It provides skilled nursing care. A secured living program runs alongside 24-hour staffing. Short-term respite stays are also available.

The location scores 20 on the Walk Score scale, placing it in the car-dependent range. Getting to most errands from here means driving. Walkable options nearby are limited. Occupancy stands at 60 percent, which works out to 47 of the 78 beds.

On-site amenities include restaurant-style dining, a library, and an entertainment room. There is also an outdoor common area. The facility provides housekeeping, maintenance, and transportation. The secured living program covers residents who need a monitored setting.

Medicaid is accepted as a payment pathway for residents who qualify.

State inspections have documented findings across four areas at Southfork: medication management, fire-safety systems, staffing and staff credentials, and dietary and food service. These four categories mark the scope of what regulators have recorded at the facility.

Southfork pairs skilled nursing with a secured living option across one 78-bed campus in Winston-Salem. Medicaid is accepted, and the site sits in a car-dependent part of Forsyth County.

Contact Southfork

Forest Ridge

151 Village Park Dr, West Jefferson, NC 28694
Overview of Forest Ridge

Residing in the serene community of West Jefferson, NC, the Forest Ridge is a trusted senior living community that provides assisted living and memory care services. A wide range of comfortable and spacious accommodations including private studios, shared suites, and studio deluxe are available. In terms of memory care, a program called Pathways to Discovery is thoughtfully designed for those with cognitive conditions like Alzheimer’s disease and dementia. This community also renders an emergency response system and 24/7 personalized care services.

The community is dedicated to providing top-notch amenities and services wherein residents can enjoy delightful and healthy meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Participate in diverse social activities and wellness programs. With Forest Ridge, seniors are guaranteed a worthwhile living experience.

Contact Forest Ridge

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.