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.
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):
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City and state of the facility. Used for mapping and state-average comparisons.
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Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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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.
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Indicates whether residents are allowed to have pets in the facility.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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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.
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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.
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Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
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Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
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Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
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| Rosewood Memory Care | SC MC | Charlotte (Piper Glen) | 6 | A | No | 2 | - | 101.00/200 | 2 | 50% | Private Rooms | |
| Brekenridge Retirement Center | SC AL IL | Rocky Mount | 64 | A | No | - | 100.0% | 103.00/200 | 13 | 92% | - | |
| Hayesville House | SC MC RC | Hayesville | 60 | A- | No | 37 | 60.0% | 102.00/200 | 16 | - | - | |
| TerraBella Harrisburg | SC AL MC | Harrisburg | 96 | A | Yes | 13 | - | 99.00/200 | 9 | 44% | - | |
| The Ridge at Pikeville | SC MC | Pikeville | 40 | D | No | 17 | 67.5% | 79.75/200 | 20 | 70% | - | |
| Dunmore Senior Living of Zebulon | SC AL | Zebulon | 60 | D+ | No | 58 | 71.7% | 93.50/200 | 11 | - | - | |
| Wilson House | SC AL MC | Wilson | 136 | D- | No | 2 | 33.1% | 99.00/200 | 25 | - | - | |
| The Landings of Smithfield | SC AL MC RC | Smithfield | 66 | D- | No | 65 | 28.8% | 86.00/200 | 10 | - | - | |
| Avendelle at MacArthur | SC AL | Cary | 6 | ? | No | 15 | - | 107.50/200 | 1 | - | Private Rooms | |
| Serenity Falls Family Care Home | SC AL RESC | Raleigh (Cedar Hill Estates) | 3 | ? | No | 36 | - | 102.50/200 | 1 | - | Private Rooms |
Rosewood Memory Care offers memory care in Charlotte, NC, in the Piper Glen neighborhood. The secured setting includes supervision for a resident at risk of wandering.
With six beds, the community may suit someone who prefers a smaller setting where staff and residents can get to know each other. Private rooms give each resident a personal living space.
Brekenridge Retirement Center offers assisted living and independent living in Rocky Mount, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as bathing, dressing, and medication.
Both levels are available within the same community, so someone may begin with independent living and remain at Brekenridge if daily care needs grow. The center has 64 beds and is currently at full occupancy, meaning all listed beds are filled.
Room options include semi-private rooms, private rooms, and private suites. Residents can choose shared or individual living arrangements, along with access to two living areas, a large covered front porch, an activity room, and a beauty parlor.
Activities include aerobics, bingo, card games, and special music. Restaurant-style meals are served three times daily, with special diets available, and a facility bus with a lift provides transportation to local medical appointments, including for residents who use wheelchairs. Brekenridge may be a good fit for someone who wants independent living now while keeping assisted living in the same community if daily care needs grow.
Hayesville House in Hayesville, NC, offers two types of care. Those two are memory care and respite care. Dementia, or the wandering risk that comes with it, is what puts somebody into the supervised and secured memory care level.
Respite is care that runs for a fixed length, booked around the days the regular carer is away traveling or recovering from illness, injury, or their own hospital stay. Sixty beds are licensed, and somebody is on duty at every hour, whether light or dark.
Transportation and a library are among the amenities provided. Thirty-seven for the Walk Score puts the area in car-dependent territory for handling most errands.
A person who needs secure memory care, or a carer who needs a fortnight off, is who this place suits. Medicaid is taken, and that is the answer for a family whose own money runs out first.
TerraBella Harrisburg provides assisted living and memory care in Harrisburg, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication while residents keep their own apartments.
Memory care provides a secured setting with supervision, so TerraBella Harrisburg may be a good fit for someone living with Alzheimer’s disease or another form of dementia who needs that level of structure. The community has 96 beds, and pets are allowed, so a resident can bring a pet when moving into the community.
The Ridge at Pikeville provides memory care in Pikeville, NC, with a secured setting and supervision for someone at risk of wandering. Its 40-bed community may suit a person living with Alzheimer’s or another form of dementia who needs that level of oversight.
Dunmore Senior Living of Zebulon is an assisted living community in Zebulon, NC. Residents can receive help with daily tasks such as dressing, bathing, and medication while continuing to live in their own apartment. The community has 60 beds, giving families a clear sense of its size when considering whether the setting suits their needs.
Respite care is available for short stays. This can help when a family’s usual caregiver is traveling or recovering and needs temporary support in place. Rehabilitation services are also available, so residents can receive therapy without arranging care at a separate location.
Restaurant style dining serves meals in a setting modeled on a restaurant, while the salon and spa provide personal care services on site. Residents can spend time on the outdoor patio, join group outings and social hours, or attend movie nights and live entertainment. Fitness activities, games, puzzles, arts and crafts, and special celebrations offer additional ways to spend time with others.
The community has a Walk Score of 58, meaning the area is somewhat walkable and some errands can be done on foot. Transportation services are available for trips that are not practical to make by walking. Respite care can make Dunmore Senior Living of Zebulon a possible fit for a family seeking short term support for a resident while a primary caregiver is unavailable.
Offering assisted living and memory care, Wilson House is a 136-bed community in Wilson, NC. 24-hour staffing is also available to ensure residents can access services as needed. The community also provides housekeeping services, along with support for daily tasks.
The community’s occupancy is at 33.1%, and the Secured Living program supports the memory care setting. Medicaid is accepted when a resident qualifies, and personal savings may not cover the full cost of care.
Moreover, restaurant-style dining includes meals prepared to meet dietary needs, allowing residents with special diets to receive food suited to those requirements. Transportation is also available for residents who need help reaching destinations outside the community, while outdoor common areas offer space to spend time outside.
In Smithfield, NC, The Landings of Smithfield is licensed to run respite care, assisted living, and memory care. Assisted living covers the daily tasks, such as dressing and bathing, to taking medication, among others. Memory care wraps supervision around someone with dementia liable to put themselves at risk by wandering, in a secure setting. Respite care covers a short stay, while the regular caregiver is either away or taking time to rest or recover.
So, the fit is someone with dementia needing secured supervision, or a family needing someone to cover for an absent caregiver for a while. Sixty-six beds are licensed here, and Medicaid is among the payment sources available.
A Walk Score of 65 leaves some errands walkable. So a resident off the road can make occasional trips on their own.
Avendelle at MacArthur is a supportive assisted living community in Cary, NC, that offers 24-hour personalized care. The community has six private rooms, designed for older adults’ comfort and safety. Educational activities, an emergency alert system, and concierge services are also offered to enrich residents’ living experiences. With its dedication to residents’ welfare, the community strives to create care plans tailored to their unique needs.
For residents’ holistic wellness, social activities, recreational programs, and light exercises are conducted. A nurse on the team also provides weekly health checks and monthly assessments to ensure up-to-date information about residents’ health. Overlooking the scenic Bond Lake and Oxford Hunt Greenway, the community ensures a laid-back retirement. This assisted living community is a top choice for older adults in North Carolina, especially with its nurturing environment and cozy living spaces.
Serenity Falls Family Care Home offers assisted living and residential care in Raleigh, NC. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication, while each resident has a private room. The home has three beds. Its small size may suit someone who prefers a setting where staff and residents can get to know one another.
Located in the Cedar Hill Estates neighborhood, the home gives each resident a single private living space. A Walk Score of 36 places the area in a setting dependent on cars, so most errands require a car or a ride. That matters for a resident who no longer drives independently.
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials. Rank badges compare each community against others offering the same care type in the same state — never against a different care type.
The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
Operational signals indicating whether a community is well-run and meeting demand.
Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.
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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.
This page features 574 senior communities in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
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.
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.
