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
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Last updated
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. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. 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.
The Gardens of Pamlico
SC
AL
Grantsboro
70
Facility 70
NC AVG 72
Rank #183 / 387
Yes
29
Facility 29
NC AVG 36
Rank #322 / 536
32.9%
Facility 32.9%
NC AVG 70.6%
Rank #210 / 232
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
14
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The Addison of Lincolnton
SC
AL
MC
Lincolnton
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
21
Facility 21
NC AVG 36
Rank #371 / 536
-
82.00/200
Facility 82.00/200
NC AVG 92.2
Rank #291 / 321
12
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
Suite / 1 Bed
Piedmont Christian Home
SC
AL
MC
High Point
93
Facility 93
NC AVG 72
Rank #113 / 387
No
3
Facility 3
NC AVG 36
Rank #515 / 536
65.6%
Facility 65.6%
NC AVG 70.6%
Rank #150 / 232
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #275 / 321
14
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Foundation Senior Living
SC
AL
Garner
126
Facility 126
NC AVG 72
Rank #27 / 387
No
45
Facility 45
NC AVG 36
Rank #191 / 536
-
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
13
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
-
Haywood Lodge and Retirement Center
SC
AL
MC
RC
Waynesville
72
Facility 72
NC AVG 72
Rank #176 / 387
No
73
Facility 73
NC AVG 36
Rank #21 / 536
-
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
10
90%
Facility 90%
NC AVG 91.8%
Rank #84 / 333
-
Rose Glen Manor
SC
AL
MC
RC
North Wilkesboro
60
Facility 60
NC AVG 72
Rank #230 / 387
No
61
Facility 61
NC AVG 36
Rank #66 / 536
-
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
7
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
LiveWell @ Vintage Gardens (North Raleigh)
SC
AL
HC
MC
Raleigh (Hidden Valley)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
20
Facility 20
NC AVG 36
Rank #377 / 536
-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
2
50%
Facility 50%
NC AVG 91.8%
Rank #12 / 333
Private / Semi-Private Rooms
Summit Place of Kings Mountain
SC
AL
MC
RC
Kings Mountain
65
Facility 65
NC AVG 72
Rank #207 / 387
Yes
9
Facility 9
NC AVG 36
Rank #462 / 536
-
100.50/200
Facility 100.50/200
NC AVG 92.2
Rank #130 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Suite / 1 Bed / 2 Bed
Holly Springs Senior Living
SC
AL
HOS
MC
RC
Holly Springs (Holly Heights)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
1
0%
Facility 0%
NC AVG 91.8%
Rank #1 / 333
Private Rooms
Cross Road Retirement Community
SC
AL
IL
MC
Asheboro
152
Facility 152
NC AVG 72
Rank #11 / 387
No-
55.3%
Facility 55.3%
NC AVG 70.6%
Rank #171 / 232
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
7
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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The Gardens of Pamlico

22 Magnolia Way Grantsboro, Nc 28529, Grantsboro, NC 28529
Overview of The Gardens of Pamlico

The Gardens of Pamlico sits at 22 Magnolia Way in Grantsboro, North Carolina. It is an assisted living community, serving seniors who need daily support but not skilled nursing care. The surrounding area scores 29 on the Walk Score scale, which places it in somewhat walkable territory. A handful of destinations are reachable on foot from the property. Most trips will require a car or the community’s own transportation service.

The community is licensed for 70 beds and currently serves 23 residents, an occupancy rate of 33 percent. That is a substantial amount of unused capacity. For a family, the practical read is straightforward: rooms are available, and the staff-to-resident ratio in a building that empty differs from what the same building would look like at full census.

Nursing services and rehabilitation services are offered on site, with staffing in place 24 hours a day. A Secured Living program operates for residents who require a protected setting. Housekeeping, maintenance, and transportation are all handled by the community itself. Meals are served restaurant-style, and residents have a library, an entertainment room, and an outdoor common area available to them.

The North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys adult care homes without advance notice. At this community, inspection attention has concentrated on medication management, fire-safety systems, environmental and hazardous-materials safety, and housekeeping and upkeep. Those four themes represent the documented pattern in the state record, and families weighing this community should register them as such.

The Gardens of Pamlico accepts Medicaid. For families whose financing runs through that pathway, this community is a viable option in a rural county where such options are limited. The occupancy figure and the inspection themes are the two facts that should carry the most weight in a decision here.

Contact The Gardens of Pamlico

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

Piedmont Christian Home

1510 Deep River Road High Point, Nc 27265, High Point, NC 27265
Overview of Piedmont Christian Home

Piedmont Christian Home sits at 1510 Deep River Road in High Point, North Carolina. The community holds 93 beds and offers both assisted living and memory care, including a Special Care Unit built for residents who need a secured setting. Licensed nurses and CNAs handle daily care.

Sixty-one residents live there now. That works out to 66 percent of capacity, which means the building runs well below what it was designed to hold. For a family shopping the High Point area, that translates to availability rather than a wait.

Getting anywhere requires a car, given how the Walk Score here is 3 out of 100, which puts the address in car-dependent territory with very little within walking distance. Residents who have stopped driving will rely on staff and family for every trip off the property. Visitors should expect to drive.

On-site rehabilitation services matter for residents coming off a hospital stay or a surgery, since therapy happens in the building instead of at an outside clinic. Licensed nursing coverage extends what the community can handle when a resident’s medical needs grow past personal care. Meals fall under a program the community calls the Nutritious Dining Experience.

State inspection activity at this community has concentrated on medication management, infection prevention and control, and environmental and hazardous-materials safety. Those categories cover the operational systems that determine how care actually gets delivered day to day.

The community suits older adults in the High Point area who need real daily assistance or a secured memory care environment, and whose families can handle transportation. On-site rehabilitation paired with licensed nursing coverage points toward residents whose care needs are likely to shift over time, not toward those looking mainly for a social setting.

Contact Piedmont Christian Home

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

Haywood Lodge and Retirement Center

251 Shelton Street Waynesville, Nc 28786, Waynesville, NC 28786
Overview of Haywood Lodge and Retirement Center

Haywood Lodge and Retirement Center has been a family-owned home in Waynesville, North Carolina, since 1963. They offer help with daily living, memory support, and short stays, and they were even voted the best in the area back in 2022.

With seventy-two beds, this community is a medium-sized option for North Carolina families. Because it has a high “walk score,” residents who can move around easily find it simple to run errands or grab essentials nearby.

For health and wellness, the staff provides nursing and rehab services right on-site. This means residents don’t need to travel elsewhere for physical therapy, X-rays, or lab tests, keeping their medical care convenient. They also offer short-term stays so family caregivers can take a well-deserved break while knowing their loved ones are safe.

Residents enjoy three healthy, dietitian-approved meals every day, plus snacks. When they need to go out for appointments, the center provides transportation, but they also have a barbershop and beauty salon inside the building for personal care.

State officials regularly check in on adult care homes like this one to ensure everything is running safely. While these inspections often focus on details like medication, staff training, fire safety, and general building upkeep, the record shows a steady, reliable community. After sixty years of service, Haywood Lodge remains a solid, walkable choice in Waynesville.

Contact Haywood Lodge and Retirement Center

Rose Glen Manor

240 Independence Avenue North Wilkesboro, Nc 28659, North Wilkesboro, NC 28659
Overview of Rose Glen Manor

Rose Glen Manor sits at 240 Independence Avenue in North Wilkesboro, North Carolina. It is an assisted living community that also provides memory care and respite care under the same roof. Families often value that combination, because care needs rarely stay fixed for long. A resident who arrives needing modest help may later need more.

The community has 60 beds. That size tends to land in useful territory, big enough to support real amenities and a social calendar, small enough that staff can learn who someone is. The Walk Score of 61 marks the surrounding area as moderately walkable, meaning some errands can be handled on foot and a mix of amenities sits within reach.

Nursing services are part of the care offering, and staffing runs around the clock. Overnight coverage is the piece families tend to focus on hardest, and it is here. Respite care handles the shorter stays, whether a family caregiver needs recovery time or a trial period makes sense before a longer commitment. The Secured Living program provides a structured, protected setting for residents living with memory loss.

Housekeeping, maintenance, and transportation handle the practical rhythms of the week. Meals are served restaurant-style. A library, an entertainment room, and an outdoor common area give residents places to land during the day that are not their own rooms.

The community accepts Medicaid. In a market where a great many assisted living communities take private payment only, that coverage pathway changes the arithmetic for a real number of families.

State inspection themes for this community have included medication management, fire-safety systems, and housekeeping and upkeep. Taken with the care mix and the Medicaid pathway, Rose Glen Manor reads as a mid-sized community built for families who need flexibility in both care level and payment.

Contact Rose Glen Manor

Overview of LiveWell @ Vintage Gardens (north Raleigh)

Peacefully nestled in the area of Raleigh, NC, LiveWell @ Vintage Gardens (North Raleigh) is an intimate senior living community, offering specialized memory care services. Offering a mix of private and semi-private rooms that foster tight-knit connections, the community ensures residents are offered truly focused and personalized care. A team of expertly trained caregivers is available to ensure residents are comfortable and well-cared for.

Residents here maintain an active and stimulating lifestyle with a full range of activities and programs conducted regularly by the community. Delicious meals and replenishing snacks are also offered to make sure residents are receiving their proper nutrition and nourishment. Here, residents are provided with all the comforts and conveniences they need to continue living a fulfilling retirement despite their condition.

Contact LiveWell @ Vintage Gardens (North Raleigh)

Overview of Summit Place of Kings Mountain

Situated in the heart of Kings Mountain, NC, the Summit Place of Kings Mountain is a peculiar senior living community that offers assisted living, memory care, and respite care services. Here, residents are treated as members of the family. Spacious and luxurious accommodations are available to ensure comfort and relaxation among its residents. With its compassionate team, the community radiates a supportive environment to ease the stresses of daily living. For memory care services, it offers the Signature Memory Care Neighborhood which provides a caring and peaceful home that caters not only to physical tasks but also to the emotional wellness of its residents with cognitive conditions like Alzheimer’s disease and dementia.

With its above-and-beyond amenities and services, residents can enjoy individualized care plans, medication management, personal laundry and linen service, daily housekeeping, daily wellness checks, and many more. Equipped with the right tools and people, seniors can never go wrong with the Summit Place of Kings Mountain.

Contact Summit Place of Kings Mountain

Overview of Holly Springs Senior Living

Holly Springs Senior Living is an outstanding senior care community in Holly Springs, NC, that offers a wide range of care options, including memory care, assisted living, hospice care, and respite care. Dedicated to older adults’ peace of mind, the community strives to promote a home-like environment with its well-thought-out living spaces. Home-cooked meals, recreational activities, and a fire safety system are provided to enrich residents’ living experiences. With personalized care plans, the community strives to meet residents’ healthcare needs.

Fun social events, light exercises, and engaging programs provide residents with more opportunities to interact with their peers and try out new things. A family-style dining area, naturally lit communal spaces, and a spacious outdoor area also accompany residents during their stay. With serene parks and the UNC Rex Hospital nearby, residents have convenient access to their leisure and healthcare needs. As one of North Carolina’s finest senior living communities, this care home provides the highest quality of care for older adults to thrive in retirement.

Contact Holly Springs Senior Living

Overview of Cross Road Retirement Community

Cross Road Retirement Community in Asheboro, NC offers a continuum of care for seniors seeking independence with varying levels of support. Residents can choose from independent living, assisted living, and memory care options, all designed to promote well-being and a fulfilling lifestyle. Independent living allows seniors to enjoy their own private apartments with the freedom to come and go as they please. Assisted living provides personalized care plans to assist with daily tasks like bathing, dressing, and medication management. Memory care offers a secure environment specifically designed for those with Alzheimer’s disease or related dementia, featuring specially trained staff and stimulating activities. As a non-profit organization, Cross Road approaches senior care with authenticity and a genuine devotion to providing those in search of care the best service they can.

Contact Cross Road Retirement Community

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.