Other senior care options in North Carolina:

Page 23 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
Reviewed by
Last updated
Jul 2026
We analyzed
543 homes
Other senior care options in North Carolina:
Avg Walk Score: 33/ 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.

Glenaire
SC
NH
AL
IL
Cary (Glenaire)
71
Facility 71
NC AVG 72
Rank #183 / 388
No
25
Facility 25
NC AVG 33
Rank #347 / 573
94.1% 3-
Hillside Nursing & Rehab
SC
AL
NH
SNF
Wake Forest
130
Facility 130
NC AVG 72
Rank #24 / 388
No
19
Facility 19
NC AVG 33
Rank #385 / 573
85.6% 3Private Rooms
St. Joseph of the Pines, a CCRC
SC
AL
IL
MC
NH
SNF
Southern Pines
176
Facility 176
NC AVG 72
Rank #5 / 388
Yes
2
Facility 2
NC AVG 33
Rank #527 / 573
41.0% -Private Rooms
The Rosewood Health Center – The Cypress of Raleigh
SC
MC
NH
SNF
Raleigh (North Raleigh)
57
Facility 57
NC AVG 72
Rank #278 / 388
No
71
Facility 71
NC AVG 33
Rank #28 / 573
80.4% --
River Landing At Sandy Ridge
SC
AL
IL
MC
NH
Colfax
60
Facility 60
NC AVG 72
Rank #231 / 388
Yes
7
Facility 7
NC AVG 33
Rank #477 / 573
92.5% -Apartments / Cottages / Townhomes / Villas
Piedmont Crossing
SC
NH
AL
HC
IL
MC
RC
SNF
Thomasville (Hedrick Drive)
104
Facility 104
NC AVG 72
Rank #70 / 388
Yes
4
Facility 4
NC AVG 33
Rank #507 / 573
74.0% -1 Bed / 2 Bed
Friends Homes
SC
NH
AL
IL
MC
SNF
Greensboro (Guilford College)
69
Facility 69
NC AVG 72
Rank #193 / 388
No
35
Facility 35
NC AVG 33
Rank #261 / 573
87.5% -Villa Apartments / Townhomes / Apartments / Cottages
Carol Woods
SC
AL
IL
NH
SNF
Chapel Hill (Carol Woods)
30
Facility 30
NC AVG 72
Rank #327 / 388
Yes
13
Facility 13
NC AVG 33
Rank #433 / 573
72.7% 3Studio / 1 Bed / 2 Bed
Abernethy Laurels
SC
NH
AL
HC
IL
MC
RC
SNF
Newton
174
Facility 174
NC AVG 72
Rank #6 / 388
Yes
0
Facility 0
NC AVG 33
Rank #549 / 573
96.0% -1 Bed /2 Bed
Village Green Health and Rehabilitation
SC
NH
SNF
Fayetteville (Terry Sanford)
170
Facility 170
NC AVG 72
Rank #7 / 388
No
48
Facility 48
NC AVG 33
Rank #168 / 573
68.8% --
BellaRose Nursing and Rehab
SC
HOS
NH
RC
SNF
Garner
100
Facility 100
NC AVG 72
Rank #78 / 388
No
4
Facility 4
NC AVG 33
Rank #507 / 573
93.9% -Private / Semi-Private Suites
Perry Creek Health & Rehabilitation Center
SC
NH
SNF
Raleigh (Northeast Raleigh)
90
Facility 90
NC AVG 72
Rank #117 / 388
No
24
Facility 24
NC AVG 33
Rank #350 / 573
84.0% -Private / Shared Rooms
Givens Highland Farms
SC
HC
IL
NH
RC
SNF
Black Mountain
60
Facility 60
NC AVG 72
Rank #231 / 388
Yes
12
Facility 12
NC AVG 33
Rank #441 / 573
84.7% -Studio / 1 Bed / 2 Bed / 3 Bed
Carolina Bay at Autumn Hall
SC
AL
IL
MC
NH
SNF
Wilmington (Windemere)
30
Facility 30
NC AVG 72
Rank #327 / 388
No
18
Facility 18
NC AVG 33
Rank #395 / 573
94.3% -1 Bed / 2 Bed
Given Estates
SC
AL
NH
RC
SNF
Asheville (Stockwood)
70
Facility 70
NC AVG 72
Rank #184 / 388
Yes
29
Facility 29
NC AVG 33
Rank #322 / 573
82.0% --
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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

Overview of The Laurels & the Haven in Highland Creek

The Laurels & The Haven in Highland Creek is a senior living community located in the heart of Charlotte, NC, offering Assisted Living, Memory Care, and Respite Care & Short-Term Stays. Residents can choose the perfect living space that matches their needs with a range of well-designed floor plans, including studious, one-bed and two-bed apartments. The community hosts various events throughout the year, ensuring happiness and connection with loved ones. Recognized for excellence, it has received the Best Memory Care award in the 2023-2024 U.S. News & World Report Best Senior Living report.

Committed to providing a supportive and enriching environment with access to necessary care services, the community provides personalized medical resources and a team committed to helping residents thrive. Residents also relish in a range of amenities, including a bistro, movie room, library, beauty salon, and boutique shop. The Ageility Rehab and Fitness clinic, pet-friendly policies, restaurant-style dining with individualized options, and scheduled local transportation adds to the convenience and welfare of the residents. The dining rooms are thoughtfully separated by care level to ensure comfort and personalized care for all residents.

Contact The Laurels & The Haven in Highland Creek

Homestead Hills

3250 Homestead Club Dr, Winston-Salem, NC 27103
Overview of Homestead Hills

Situated in Winston-Salem, North Carolina, Homestead Hills stands as a premier retirement community with a rich tradition of commitment. Living options encompass Independent Living, Assisted Living, Memory Care, Skilled Nursing, and Short-Term Rehabilitation & Therapy, all unified by a dedicated mission: to help its Members live Longer, Healthier, Happier lives.

Homestead Hills extends a warm invitation to individuals eager to experience an ideal retirement. Within this community, residents find luxurious accommodations, a vibrant social calendar, restaurant-style fine dining, and an award-winning wellness program, all designed to make retirement genuinely fulfilling.

Contact Homestead Hills

Overview of Signature HealthCARE of Chapel Hill

Located at the core of Chapel Hill, NC, Signature HealthCARE of Chapel Hill is a respected senior living community, offering an array of clinical services to help residents recover from their conditions or hospitalization. The community features excellent rehabilitation services and skilled nursing care tailored to residents’ needs and goals, making sure they are given the services that best work for them. Snug and stunning accommodations are also offered to give residents the space they need to comfortably relax and rest.

Committed to helping residents continue living their lives to the fullest, the community offers a wide array of activities, including regular outings, hobby clubs, and their annual Signature Olympics events and resident art shows. Residents also benefit from having access to additional amenities, such as an on-site chaplain, transportation, and volunteer opportunities for a fulfilling living experience. Here, residents are empowered to enjoy their golden years vibrantly and comfortably.

Contact Signature HealthCARE of Chapel Hill

Overview of Pineville Rehabilitation & Living Center

Make the most of your golden years with Pineville Rehabilitation & Living Center, an excellent community in Pineville, NC, offering skilled nursing care, short-term rehabilitation, and long-term care. They also help caregivers get their much-deserved break by offering respite stays. Their team of compassionate caregivers and nurses is available 24/7 to oversee residents’ personalized care plans, provide them with comprehensive care, and assist them with their daily living activities.

Access to physical, occupational, and speech therapies is offered 7 days a week to make sure residents can quickly gain back their strength and mobility to continue doing the things they enjoy. Daily activities, weekly outings, and social activities are available to ensure residents never feel bored and always have something fun and purposeful to do. Gourmet meals are also served daily to energize residents and help them maintain proper nutrition. From comprehensive care services to enriching activities and thoughtful amenities, Pineville Rehabilitation & Living Center provides it all for a convenient and enriching experience.

Contact Pineville Rehabilitation & Living Center

Overview of Searstone Retirement Community

Searstone Retirement Community, located in Cary, NC, is a senior living community offering a range of services from assisted living, memory support and skilled nursing services. Their professional caring staff works closely with the residents as well as their families, in creating individualized care plans, in order to determine and meet the residents’ specific care needs.

Their First class skilled nursing services provides residents with 24/7 staff availability for supervision and assistance, round the clock personalized care, medication administration and management, and access to medical care on site as well as other professional services. Additionally their amenities like concierge and transportation services, meal provision and housekeeping and linen service, as well as 24/hr security and emergency call response, enhances the residents experiences during their stay at Searstone.

Contact Searstone Retirement Community

Overview of Shads Landing Gracious Retirement Living

Empowering seniors to fully enjoy their golden years, Shads Landing is an astonishing senior living community in Charlotte, NC, offering independent living. Featuring a variety of studios, one-bedroom, and two-bedroom apartments, the community ensures a comfy and secure residence with access to necessary services. Housekeeping, linen, and maintenance are handled to give residents more time to spend on the things they love. Residents are at ease, knowing that a team of hospitable managers live on-site.

The community inspires residents to live a full and vibrant lifestyle with an array of stimulating activities, classes, excursions and events, complemented with their resident travel program. Common spaces like a game room, billiard lounge, library, salon, fitness center, and movie theater, helps residents bond while enjoying their own time. A culinary team thoughtfully curates a menu tailored to residents’ dietary restrictions and preferences, ensuring they enjoy an exceptional dining experience.

Contact Shads Landing Gracious Retirement Living

Marjorie McCune Memorial Center

101 Lions Way Black Mountain, Nc 28711, Black Mountain, NC 28711
Overview of Marjorie McCune Memorial Center

Marjorie McCune Memorial Center is a 64-bed assisted living and memory care community at 101 Lions Way, Black Mountain, Buncombe County, North Carolina,, rated 4 out of 5 overall by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, and ranked 9th (tied) among 138 homes statewide. Care types include assisted living, memory care, and respite care, with 24-hour staffing and rehabilitation services confirmed. Medicaid is accepted; Medicare is not. Starting price is reported at $3,000 per month.

Medication management is where the compliance picture gets complicated. The April 25 through 26, 2023, annual inspection found 2 deficiencies, both clinical in nature: Resident 2 received insulin incorrectly across 13 documented instances, administered when blood sugar was below 80 and withheld when it exceeded 80; Resident 1 went without antihypertensive (amlodipine, 15 missed doses), blood thinner (clopidogrel, 13 missed doses), antacid (famotidine, 30 missed doses), and a second antihypertensive (lisinopril, 10 missed doses) because of medication availability failures. Both findings carried documented risk of serious health complications.

Before that, physical plant deficiencies dominated the record. The November 2019 biennial construction survey produced 13 deficiencies, the largest cluster in the period, covering corridor obstructions, unsecured oxygen cylinders, repeated fire door and fire-wall failures, malfunctioning emergency lighting and exhaust ventilation, and an unprotected electrical receptacle beside the medication room sink. The September 2017 biennial survey found 7 deficiencies, including persistent failures on oxygen storage, shower hose vacuum breakers, smoke barrier door latching, and emergency lighting. A March 2016 follow-up found 1 uncorrected deficiency: the dining room corridor doors still not closing against fire and smoke.

The December 2015 biennial survey produced 10 deficiencies across corridor clearance, fire-rated wall integrity, kitchen suppression system lapses, and detector mounting failures.

Across five inspections, the facility averages 6.6 deficiencies per year, 27 percent above the North Carolina average of 5.2. No fines, immediate jeopardy findings, enforcement actions, or complaint investigations appear in the available record.

Confirmed amenities include walking grounds, cozy meeting areas, large dining and socializing rooms, three meals and three daily snacks, housekeeping and laundry, transportation, and organized outings. Black Mountain sits roughly 15 miles east of Asheville in eastern Buncombe County; Mission Hospital is the primary nearby acute-care resource.

Families considering placement should ask administrators directly about current medication auditing protocols and the status of fire door and corridor compliance since the 2019 findings.

Contact Marjorie McCune Memorial Center

Prestwick Village

1000 Johns Road Laurinburg, Nc 28352, Laurinburg, NC 28352
Overview of Prestwick Village
Prestwick Village is a senior living facility located in Laurinburg, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities. The community focuses on maintaining independence while ensuring safety and comfort for its residents.

Contact Prestwick Village

Overview of Rockbridge Senior Home Living

Spend your golden years at Rockbridge Senior Home Living, an outstanding community in Durham, NC, offering assisted living. A kind and highly trained team provides the highest quality of care tailored to residents’ unique needs 24/7, ensuring their comfort and safety. With housekeeping, laundry, and linen services, residents can rest assured of living a hassle-free lifestyle.

A thoughtfully planned calendar of engaging activities and enriching programs is conducted to keep residents active and socially connected. Three delicious and healthy meals are also served to satisfy residents’ dietary needs and preferences. Medication management is also taken care of for convenience. The community is a great option for those needing assistance to enjoy a blissful retirement.

Contact Rockbridge Senior Home 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
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.