Page 21 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. 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. 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.
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.
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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Franklin House
SC
AL
MC
Franklin
70No 59 40.0% 97.00/200C+19--
The Oaks of Alamance
SC
AL
Burlington
69No 72 62.3% 86.00/200C-16--
Foundation Senior Living
SC
AL
Garner
126No 45 -93.50/200C-1580%-
Harmony at Hope Mills
SC
AL
Fayetteville (Jack Britt)
100Yes--97.50/200C-580%Studio / 1 Bed / 2 Bed
The Parc at Sharon Amity
SC
AL
MC
RC
Charlotte
64No 44 81.3% 92.75/200D19--
The Addison of Lincolnton
SC
AL
MC
Lincolnton
96Yes 21 -82.00/200-1292%Suite / 1 Bed
Homestead Hills Assisted Living
SC
AL
IL
MC
NH
SNF
Winston-Salem
66Yes 20 30.3% 82.00/200?13--
Our Promise Care Homes At Lake Boone Trail
SC
AL
RESC
Raleigh (Dairyland)
6No 40 -103.50/200A+3-Private Rooms
Sandy Ridge Assisted Living
SC
AL
MC
Candor
120No 32 -105.50/200A+7--
Carolina Reserve of Laurel Park
SC
AL
Hendersonville
48Yes 34 -91.50/200A-1759%Studio / 1 Bed
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Franklin House

186 One Center Court Franklin, Nc 28734, Franklin, NC 28734
Overview of Franklin House

In Franklin, NC, Franklin House works under a license covering assisted living and memory care.

Bathing, dressing, and medication are what the assisted living level aids with for someone needing that and no more. Memory care is for when the setting needs to be secure, and staff need to watch over anyone liable to wander off.

The two levels are licensed together, so a resident whose needs grow is not also changing communities. Seventy beds make up the capacity here. Medicaid is accepted, so an eligible family can pay that way.

At 59, the Walk Score keeps a few errands doable on foot, for residents who don’t drive anymore. The amenity list has a library, and transportation arranged by the community to cover errands that can’t be walked to.

Contact Franklin House

The Oaks of Alamance

1670 Westbrook Avenue Burlington, Nc 27215, Burlington, NC 27215
Overview of The Oaks of Alamance

The Oaks of Alamance is an assisted living community in Burlington, NC, with 69 beds. Assisted living provides help with personal care and medication administration, supported by staff available around the clock, so a resident can receive daily assistance without managing these needs alone. The community may be a good fit for a resident who needs daily help with personal care or medications while living in a semiprivate room.

Restaurant style dining includes home cooked meals designed by a Registered Dietician. Residents eat prepared meals in a dining room with a patio, while a salon and walking path offer places for personal care and time outdoors. Transportation assistance is also available when needed. Individual care plans and wellness programs organize support around each resident’s needs.

A Walk Score of 72 places the area in the very walkable range, meaning most errands can be done on foot. For a resident who no longer drives, nearby shops and services may be reachable without arranging a ride. Transportation assistance remains available when needed.

Contact The Oaks of Alamance

Overview of Foundation Senior Living

Located in Aversboro Road Garner, NC, Foundation Senior Living offers an unparalleled living experience with its luxurious yet affordable services. The versatile living arrangements it offers allow residents to choose between private studios and companion rooms with both ensured to provide comfort and personalized care. Through the highly skilled and caring members of its team, Foundation Senior Living prioritizes the health and safety of its residents by providing comprehensive care services including medication administration, customized dietary management, and proactive fall assessment and prevention measures.

The community features top-notch amenities and services that enrich the quality of life of the residents, ranging from delicious and healthy meals, laundry and housekeeping, salon services, wellness programs, transportation options, and many more. At Foundation Senior Living, seniors can enjoy a wonderful retirement.

Contact Foundation Senior Living

Overview of Harmony at Hope Mills

As its name suggests, Harmony at Hope Mills ensures a serene and harmonious community environment. The name also suggests that senior living is supposed to be calming and balanced– a freeing lifestyle with the necessary support. The elegant home is an independent living, assisted living, and memory care community with personal care services. Community residents receive a strong sense of freedom in addition to specialized assistance. Harmony at Hope Mills is a home that allows residents to tailor their lifestyle to suit their needs.

The luxury retirement home offers an elevated lifestyle because of its detail-oriented approach to care and complete attention to the needs of its residents, allowing residents to practice a stress-free and well-balanced lifestyle. Their amenities and services include laundry services, transportation services, healthy and delicious chef-prepared meals, memory retention activities, and fitness programs. Its memory care services aid seniors programs that are focused on mental stimulation.

Contact Harmony at Hope Mills

The Parc at Sharon Amity

4025 N. Sharon Amity Road Charlotte, Nc 28205, Charlotte, NC 28205
Overview of The Parc at Sharon Amity

The Parc at Sharon Amity does business from Charlotte, NC, with assisted living, respite care, and memory care all licensed to it. Assisted living is where a resident receives help with their daily tasks. Secured Living is the memory care program, aimed at residents whose Alzheimer’s disease or other dementia has reached that point. Respite care puts the caregiving in another’s hands for a defined stretch, which is the only way caregivers get to be somewhere else.

So, the fit is a person needing secured memory care, or a family caregiver arranging cover for a while. Sixty-four beds are licensed here, and the accepted payment includes Medicaid, a route open to families already carrying that coverage.

A Walk Score of 44 means the car does most of the work getting around the area here, and an errand starts by finding a driver. Transportation is available for anyone needing the ride.

Contact The Parc at Sharon Amity

Overview of The Addison of Lincolnton

Overlooking Lincolnton, NC, The Addison of Lincolnton is a premier senior living community that offers Assisted Living, Memory Care, and Short Term Care services. The community is dedicated to providing attentive care in a warm and inviting environment, making it an ideal home for local seniors. Residents can enjoy a variety of activities, from socializing with friends and participating in planned social activities to relaxing in their private apartments. The beautiful surroundings and vibrant community atmosphere create a welcoming space for seniors to thrive.

The Addison of Lincolnton offers an array of amenities designed to enhance the residents’ quality of life. With features like a beauty and barber shop, main and private dining rooms, and a pet-friendly, smoke-free environment, residents have everything they need for comfortable living. Outdoor enthusiasts can enjoy the walking path, outdoor patio area, and courtyard. The dedicated culinary team ensures that all meals are delicious and nutritious, served in a restaurant-style dining room where residents can connect with their neighbors and loved ones.

Contact The Addison of Lincolnton

Homestead Hills Assisted Living

2101 Homestead Hills Drive Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Homestead Hills Assisted Living

Homestead Hills Assisted Living offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Winston-Salem, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication. Memory care is provided in a secured setting with supervision, and nursing home and skilled nursing care provide licensed nursing on site around the clock.

Several care levels allow a resident whose needs grow to move between types of care without leaving the community or starting over socially. Respite care offers short stays when a family caregiver needs to travel or recover, so the community may be a good fit for households planning for changing care needs or a temporary caregiving gap. The community has 66 beds, with 5 hours and 57 minutes of nurse staffing per resident per day, representing the daily hands-on nurse time allocated to each resident.

Medicare and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, while private pay means the cost is paid directly rather than through a listed benefit. Residents have access to a pool, on-site salon services for personal grooming, transportation services, and rehabilitation services. Dining uses a menu system similar to fine dining restaurants and offers flexible dining options, allowing residents to select menu-based meals. Pets are allowed, and Sandra Lebeau-Davis serves as director.

Contact Homestead Hills Assisted Living

Overview of Our Promise Care Homes at Lake Boone Trail

Peacefully located in Raleigh, NC, Our Promise Care Homes at Lake Boone Trail is a safe retreat for those who need assisted living. Residents here are offered assistance with their daily activities to help them enjoy the lifestyle they want. Designed to accommodate only six residents, the community guarantees truly personalized and focused care.

Caregivers are available 24 hours a day, 7 days a week to care for residents, alongside in-house doctor visits to keep their health in check. Residents here are motivated to stay active and socialize with the community’s dynamic activities. Nutritionally balanced meals are also served daily to ensure residents are always filled with energy to enjoy a vibrant living experience.

Contact Our Promise Care Homes At Lake Boone Trail

Sandy Ridge Assisted Living

326 Bowman Road Candor, Nc 27229, Candor, NC 27229
Overview of Sandy Ridge Assisted Living

Sandy Ridge Assisted Living, in Candor, NC, names assisted living and memory care. Assisted living steps in for medication, dressing, and bathing. Memory care supervises residents inside a secured setting when dementia creates a wandering risk family’s need help preventing.

Two levels under the one license here mean residents needing the heightened level of care later won’t need a different address for it. The licensed count here is 120 beds. Respite care is also available; it’s a short stay taken while a family caregiver needs to travel or get over a recovery of their own. Rehabilitation services here put therapy inside the care a resident is already receiving.

A doctor on staff covers any need for physician care within the community. A salon is on the amenity list for grooming needs.

Medicaid and Medicare are both accepted; Medicaid matters when savings won’t carry a long stay, and Medicare for paying the cost of a short course of skilled care.

At 32, the Walk Score means the area is car-dependent.

Contact Sandy Ridge Assisted Living

Overview of Carolina Reserve of Laurel Park

Situated in the welcoming community of Hendersonville, NC, the Carolina Reserve of Laurel Park is a peculiar senior living community that provides assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations based on their needs or preferences. Having a highly skilled and dedicated team, this community offers an emergency response system and round-the-clock personalized care services.

Committed to providing exceptional amenities and other services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and social events. With the Carolina Reserve of Laurel Park, seniors can truly enjoy a glorious retirement.

Contact Carolina Reserve of Laurel Park

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 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