Page 21 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.
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.
Magnolia Creek
SC
AL
MC
RC
Winston-Salem (Crosslands)
117
Facility 117
NC AVG 72
Rank #50 / 387
No-
24.8%
Facility 24.8%
NC AVG 70.6%
Rank #223 / 232
A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Woodland Terrace
SC
AL
IL
MC
Cary
84
Facility 84
NC AVG 72
Rank #135 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
--
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #209 / 321
19
84%
Facility 84%
NC AVG 91.8%
Rank #52 / 333
-
Bryson Senior Living
SC
AL
Bryson City
50
Facility 50
NC AVG 72
Rank #292 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
68.0%
Facility 68.0%
NC AVG 70.6%
Rank #139 / 232
-
92.25/200
Facility 92.25/200
NC AVG 92.2
Rank #251 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The East Tower at Cardinal North Hills
SC
AL
IL
MC
NH
SNF
Raleigh
49
Facility 49
NC AVG 72
Rank #300 / 387
Yes
34
Facility 34
NC AVG 36
Rank #272 / 536
73.5%
Facility 73.5%
NC AVG 70.6%
Rank #126 / 232
-
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
2
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
TerraBella Shelby
SC
AL
MC
RC
Shelby (Brittain Village)
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
10
Facility 10
NC AVG 36
Rank #457 / 536
-C+
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Mint Hill Senior Living
SC
AL
RC
Charlotte
82
Facility 82
NC AVG 72
Rank #142 / 387
No
30
Facility 30
NC AVG 36
Rank #309 / 536
20.7%
Facility 20.7%
NC AVG 70.6%
Rank #232 / 232
-
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
19
95%
Facility 95%
NC AVG 91.8%
Rank #131 / 333
-
Brookdale Morehead City
SC
AL
MC
Morehead City (Spooners Creek East Harbor)
72
Facility 72
NC AVG 72
Rank #176 / 387
Yes
45
Facility 45
NC AVG 36
Rank #191 / 536
--
89.25/200
Facility 89.25/200
NC AVG 92.2
Rank #266 / 321
9
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite / 1 Bed
The Bluefields
SC
MC
Leland
78
Facility 78
NC AVG 72
Rank #161 / 387
No
9
Facility 9
NC AVG 36
Rank #462 / 536
64.1%
Facility 64.1%
NC AVG 70.6%
Rank #153 / 232
-
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
13
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The Landings of Chestnut Grove
SC
AL
IL
RC
Sparta
40
Facility 40
NC AVG 72
Rank #310 / 387
No
57
Facility 57
NC AVG 36
Rank #101 / 536
--
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
3
67%
Facility 67%
NC AVG 91.8%
Rank #17 / 333
-
Joyful Senior Living
SC
AL
MC
Huntersville
6
Facility 6
NC AVG 72
Rank #335 / 387
No
58
Facility 58
NC AVG 36
Rank #91 / 536
--
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
2
50%
Facility 50%
NC AVG 91.8%
Rank #12 / 333
Private / Semi-Private

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 Magnolia Creek

Dedicated to empowering seniors to live their best lives, Magnolia Creek in Multnomah County, Winston-Salem, NC, is an inspiring senior living community that offers assisted living, memory care, and respite care. The community offers an ideal blend of comfortable residence and exceptional health and personal care needed to live fully and comfortably. Residents enjoy compassionate care and assistance provided by a dedicated care team.

The community makes sure residents are provided with plenty of opportunities for an active and vibrant living experience with an array of fitness and wellness programs. Housekeeping and maintenance services are also offered to give residents plenty of time to enjoy their retirement life fully. With comprehensive services, friendly care team, and convenient amenities, residents at Magnolia Creek are able to live their lives fully and comfortably.

Contact Magnolia Creek

Overview of Woodland Terrace

The 84-bed Arboretum at Woodland Terrace, located in Cary at 300 Kildaire Woods Dr, Wake County, North Carolina, provides specialized memory care for residents with Alzheimer’s and dementia. Executive Director Amanda Klobuchar oversees the specialized memory care community, which has maintained an active license throughout 27 years of continuous operation.

All 19 inspections since 2015 documented 43 deficiencies with no fines; deficiency rates of 3.9 per year are 7% better than North Carolina’s average. Most significantly, a March 2024 complaint investigation substantiated resident abuse; a staff member was terminated and criminally charged, though witnesses failed to intervene or report. January 2024 inspections cited food safety, resident screening, and tuberculosis testing deficiencies. The June 2025 follow-up confirmed all prior deficiencies had been corrected, with registered nurses providing 1 hour of care per resident daily, 71% above the state average.

Signature programming at the Arboretum includes the Art of Living Well®, Music & Memory (a specialized dementia-focused therapeutic approach), aquatics, and gardening activities designed to promote engagement and well-being. Residents benefit from comprehensive medication management, personal care assistance, three daily meals plus snacks, laundry and housekeeping services, scheduled transportation, recreational day trips, and planned social and educational events.

Pets are welcomed, and the facility’s 3-story building includes studio, one-bedroom, and two-bedroom floor plans ranging from 492 to 1,650 square feet.

The facility’s Woodland Terrace location carries a walk score of 55, indicating moderate walkability with some nearby amenities accessible on foot.

Memory care in a smaller, intimate setting with strong nursing presence characterizes The Arboretum at Woodland Terrace; its 39% occupancy reflects demand below the North Carolina state average of 76.4%.

Contact Woodland Terrace

Bryson Senior Living

314 Hughes Branch Road Bryson City, Nc 28713, Bryson City, NC 28713
Overview of Bryson Senior Living

Bryson Senior Living sits on Hughes Branch Road in Bryson City, North Carolina, a small mountain town on the edge of the Great Smokies. The Walk Score of 51 puts it in moderately walkable territory. Some errands work on foot, but most trips out will mean driving. Visiting families should plan for a rural pace rather than a city one.

The community is licensed for 50 beds and 34 of them are filled, which works out to 68 percent occupancy; rooms are open. For families working against a hospital discharge clock or a sudden change at home, that availability is the practical fact worth knowing. It is also a mid-sized building, so residents are not lost in a crowd.

Licensed nurses and CNAs handle the clinical side, and staffing runs 24 hours. A secured living option is available for residents whose dementia puts them at risk of leaving the building unsupervised. Help with bathing, dressing, and other daily tasks comes standard, with caregivers assigned around the clock.

A fair amount happens on the property rather than off it. Therapy, pharmacy, and provider visits are all handled onsite. That cuts down on the car trips and waiting rooms that wear residents out. Housekeeping, maintenance, and transportation round out the operational side.

Meals are served restaurant-style. The building also holds a library, an entertainment room, and an outdoor common area for residents who want somewhere to go besides their own room.

North Carolina’s Division of Health Service Regulation surveys adult care homes across the state. At this community, survey attention has settled on medication management, staffing and staff credentials, care planning and documentation, and fall and injury prevention.

Medicaid is accepted here, which opens the door for families who cannot pay privately over the long term. Taken with the open beds and the onsite clinical services, that combination defines who this community is realistically built to serve.

Contact Bryson Senior Living

The East Tower at Cardinal North Hills

320 St. Albans Drive Raleigh, Nc 27609, Raleigh, NC 27609
Overview of The East Tower at Cardinal North Hills

The East Tower at Cardinal North Hills is a nursing home in Raleigh, North Carolina. It occupies one building on the wider Cardinal at North Hills campus, where independent living, assisted living, memory care, and skilled nursing all operate together. For families thinking several years ahead, that structure means a change in care needs does not automatically mean a change in address.

The East Tower holds 49 beds; thirty-six of them are filled, putting occupancy at 74%. Smaller buildings like this one often strike a workable balance. Residents get more individual attention than a large facility can offer, while still drawing on a campus worth of shared space and programming.

Clinical care rests on two things: rehabilitation services and staffing available around the clock. Both point toward short-term recovery work. Someone coming out of a hospital stay or a surgery needs therapy to begin quickly, and needs someone there at three in the morning. Housekeeping is covered by the community.

The amenity list runs long; there’s an aquatic center, more than one fitness center, a spa, salons, a creative arts studio, and libraries. Meals are served across multiple dining venues, and the activity calendar mixes social, cultural, and educational programming. Outside there is a game area and a dog park. Pets are welcome, and family suites mean out-of-town relatives can stay on site rather than book a hotel.

Getting around is a different story: the Walk Score sits at 34, rated somewhat walkable. A few errands work on foot, but most will need a car.

State inspection attention here has clustered around medication management and around staffing and staff credentials. For a family weighing this option, the picture is a mid-sized building with strong campus amenities, a rehab-focused clinical model, and available capacity.

Contact The East Tower at Cardinal North Hills

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

Mint Hill Senior Living

10830 Lawyers Glen Drive Charlotte, Nc 28227, Charlotte, NC 28227
Overview of Mint Hill Senior Living

Mint Hill Senior Living sits at 10830 Lawyers Glen Drive on Charlotte’s eastern edge in North Carolina. The community provides assisted living, and it also offers respite care and secured living arrangements. Walk Score for the surrounding area comes in at 30, described as somewhat walkable. Some errands may work on foot, though a car or the community’s transportation service will cover most trips.

Licensed capacity here is 82 beds. Seventeen residents currently live in the building, putting occupancy at 21 percent. Families should weigh that number for themselves. A lightly occupied building can mean quieter hallways and more staff availability per resident.

Staffing runs 24 hours, which means help is on hand overnight and not only during daytime shifts. Secured living serves residents who need a more contained setting for safety reasons. Respite care covers shorter stays, useful when a family caregiver needs a break or when someone is coming off a hospital stay.

Housekeeping and maintenance are handled by staff rather than falling to residents or family. Transportation is scheduled for appointments and errands. Dining is served restaurant-style. Common areas include a library, an entertainment room, and an outdoor space on the grounds.

The community accepts Medicaid, which shapes how families can plan for the cost of care over the long run. Inspection themes for this community have fallen into medication management, fire-safety systems, care planning and documentation, and dietary service. The North Carolina Department of Health and Human Services reviews these areas across licensed assisted living communities. Taken with the capacity and staffing picture above, the record here gives families a defined set of factors to weigh.

Contact Mint Hill Senior Living

Overview of Brookdale Morehead City

Located in the coastal town of Morehead City, North Carolina, Brookdale Morehead City offers a welcoming community environment and personalized care services. The community provides assisted living and memory care amidst the beautiful background of North Carolina’s renowned beaches. Residents benefit from a full social calendar that encourages exploration of new hobbies and fosters friendships, along with personalized care assessments to ensure individual needs are met.

The dedicated team is available around the clock to respond promptly to any emergency, offering peace of mind to residents and their families. Amenities at Brookdale Morehead City include a library, beauty/barber shop, courtyard and garden spaces, a greenhouse for gardening enthusiasts, and accessible Wi-Fi throughout. Residents enjoy the comforts of a fireside living room, community kitchen, meeting rooms for social gatherings, and a screened lanai for outdoor relaxation. The beautifully landscaped grounds provide serene spaces for leisurely strolls and peaceful moments amidst nature.

Contact Brookdale Morehead City

The Bluefields

1935 Lincoln Road Leland, Nc 28451, Leland, NC 28451
Overview of The Bluefields

Set on Lincoln Road in Leland, in Brunswick County, North Carolina, The Bluefields combines assisted living with a secured memory care unit built for residents living with Alzheimer’s disease and other dementias. The 78-bed community runs 24-hour staffing throughout, and the surrounding area is car-dependent, carrying a Walk Score of 9, which means that getting to appointments, shops, or nearby Wilmington will almost certainly involve driving or taking a transportation service.

Occupancy sits at 50 of 78 beds, or 64 percent, which is relatively high. Inside, residents are served meals with restaurant-style dining, and can use a library, along with an outdoor common area, and the community runs its own transportation service for outings and appointments.

Regulatory reviews here have specifically touched on infection prevention and control issues, discrepancies with staffing and staff credentials, and lapses in resident rights and protections, which are concerns but also categories that show up across inspections of senior care communities broadly, not unique concerns particular to this address.

Medicaid is accepted at The Bluefields; Medicare is not. Between the secured memory care wing and continuous staffing coverage, this is a community structured around residents who need close supervision for cognitive impairment, paired with the daily support of assisted living.

Contact The Bluefields

The Landings of Chestnut Grove

158 Chestnut Grove Church Road Sparta, Nc 28675, Sparta, NC 28675
Overview of The Landings of Chestnut Grove

Forty beds make up The Landings of Chestnut Grove, a combined assisted living, independent living, and respite care community at 158 Chestnut Grove Church Road in Sparta, North Carolina. Alleghany County’s seat sits in the state’s mountain region, and Wilkes Regional Medical Center is the nearest hospital for acute care. The neighborhood around the community is moderately walkable, with a Walk Score of 57 reflecting a mix of nearby amenities reachable without always needing a car.

Staffing runs around the clock, and respite stays give families a short-term option when they need a bridge rather than a permanent placement. Housekeeping and transportation services are handled for residents, meals are served restaurant-style, and a library rounds out the amenities on-site. State inspection findings here have grouped around a handful of recurring categories: fire-safety systems, care planning and documentation, and general housekeeping and upkeep.

Medicaid coverage is accepted, which matters for families planning around long-term costs rather than paying entirely out of pocket. Between the respite option and the longer-term assisted and independent living arrangements, the community can serve residents moving through different stages of need. For a family weighing a smaller, rural North Carolina option with steady daily support and Medicaid as a payment path, Sparta’s Landings of Chestnut Grove fits that profile.

Contact The Landings of Chestnut Grove

Joyful Senior Living

16627 Ranger Trail, Huntersville, NC 28078
Overview of Joyful Senior Living

Experience the warmth and care of Joyful Senior Living in Huntersville, NC, where exceptional assisted living services and a supportive community come together to enhance daily life. Specializing in the care of residents with dementia and Alzheimer’s disease, the dedicated team at Joyful Senior Living crafts personalized care plans that are regularly updated to meet the evolving needs and goals of each resident. In the inviting one-story home, residents receive round-the-clock assistance and emergency care, complemented by on-call physician services and oversight from registered nurses.

With a committed executive director, activity director, certified nurse assistants, med techs, and pharmacy services, every aspect of care is handled with expertise. Enjoy engaging activities such as embroidery and arts and crafts, along with therapeutic diets managed by a registered dietitian and reliable house maintenance services. At Joyful Senior Living, each day is designed to inspire comfort, creativity, and a true sense of community.

Contact Joyful Senior 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 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.