Page 24 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. 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.
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.
The Landings of Lake Gaston
SC
AL
MC
RC
Littleton
60No 42 -101.50/200A450%-
Rosewood Memory Care
SC
MC
Charlotte (Piper Glen)
6No 2 -101.00/200A250%Private Rooms
Brekenridge Retirement Center
SC
AL
IL
Rocky Mount
64No- 100.0% 103.00/200A1392%-
Hayesville House
SC
MC
RC
Hayesville
60No 37 60.0% 102.00/200A-16--
TerraBella Harrisburg
SC
AL
MC
Harrisburg
96Yes 13 -99.00/200A944%-
The Ridge at Pikeville
SC
MC
Pikeville
40No 17 67.5% 79.75/200D2070%-
Dunmore Senior Living of Zebulon
SC
AL
Zebulon
60No 58 71.7% 93.50/200D+11--
Wilson House
SC
AL
MC
Wilson
136No 2 33.1% 99.00/200D-25--
The Landings of Smithfield
SC
AL
MC
RC
Smithfield
66No 65 28.8% 86.00/200D-10--
Avendelle at MacArthur
SC
AL
Cary
6No 15 -107.50/200?1-Private Rooms
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The Landings of Lake Gaston

206 North Mosby Ave Littleton, Nc 27850, Littleton, NC 27850
Overview of The Landings of Lake Gaston

The Landings of Lake Gaston offers assisted living, memory care, and respite care in Littleton, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication management, while memory care is provided through the Secured Living program.

The secured setting includes supervision for a resident who may be at risk of wandering. Respite care offers a short stay when a usual caregiver needs time to travel or recover. Together, assisted living and memory care can suit someone whose needs grow over time, while respite care may fit a family caregiver who needs temporary support.

The community has 60 beds, and Medicaid is accepted when savings may not cover a long stay. Restaurant-style dining includes healthy, balanced meals prepared for dietary needs, including special diets. Residents can read in the library, spend time in the entertainment room, or use the outdoor common area.

Transportation services provide rides for trips away from the community. A Walk Score of 42 places the area in a car-dependent setting, so most errands require a car or a ride. A resident who no longer drives would need transportation for those trips. James R. serves as director.

Contact The Landings of Lake Gaston

Rosewood Memory Care

6827 Curlee Ct, Charlotte, NC 28277
Overview of Rosewood Memory Care

Surrounded by convenient local amenities in Charlotte, NC, Rosewood Memory Care is a trusted community that focuses on memory care. Prioritizing those with cognitive conditions, a compassionate and specially trained team provides top-notch care tailored to their daily living activities and unique needs around the clock. Beautiful and secure private residences are also provided in a nurturing and welcoming environment, ensuring residents’ comfort and safety.

Utilizing a Positive Approach to Care (PAC), the community strives to maintain residents’ holistic well-being. A well-thought-out menu is also provided, striving to meet residents’ dietary needs and tastes with delicious and well-balanced meals. Medication management, visiting doctors, physical, and occupational therapy are available to meet residents’ healthcare needs. With an all-inclusive care package, residents can rest assured of receiving exceptional services to live a worry-free retirement.

Contact Rosewood Memory Care

Brekenridge Retirement Center

2500 Hunter Hill Road Rocky Mount, Nc 27804, Rocky Mount, NC 27804
Overview of Brekenridge Retirement Center

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.

Contact Brekenridge Retirement Center

Hayesville House

480 Old 64 West Hayesville, Nc 28904, Hayesville, NC 28904
Overview of Hayesville House

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.

Contact Hayesville House

TerraBella Harrisburg

6200 Roberta Rd, Harrisburg, NC 28075
Overview of TerraBella Harrisburg

Settling in the enchanting city of Harrisburg, NC, Terra Bella Harrisburg is an idyllic senior living community offering assisted living and memory care. The community ensures comfort and safety with a wide range of floor plans including suites and one-bedroom apartments. With picturesque sceneries of local attractions and breathtaking nature, residents experience a relaxing retirement.

Terra Bella Harrisburg commits to empowering seniors with top-notch care and assistance, providing them opportunities to keep learning and engaging with their surroundings. With a Silver Spoon Award under its belt, the culinary team serves exquisite meals catering to its residents’ needs and desires. The community provides charming amenities including a jacuzzi spa, an arts and crafts studio, a multifunction game room, a library, a covered sunroom, a private courtyard and community garden, and tranquil walking paths for its residents’ leisure and wellness.

Contact TerraBella Harrisburg

Overview of The Ridge at Pikeville

Surrounded by the rich nature of Pikeville, NC, The Ridge at Pikeville is an extraordinary senior living community focusing on memory care. Live in comfort and luxury within the carefully designed and vibrant residences of The Ridge at Pikeville. The community boasts a team of competent and highly qualified professionals delivering exceptional care and support for seniors to thrive with dignity and live as they prefer.

With a wide selection of engaging activities and enjoyable programs, residents explore new ideas and rediscover old hobbies for leisure and wellness. Feel good with delightful and healthy meals catering to dietary needs and preferences. The Ridge at Pikeville is a great place for relaxation with its serene communal spaces and inviting community.

Contact The Ridge at Pikeville

Dunmore Senior Living of Zebulon

1205 W Gannon Avenue Zebulon, Nc 27597, Zebulon, NC 27597
Overview of Dunmore Senior Living of Zebulon

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.

Contact Dunmore Senior Living of Zebulon

Wilson House

1800 Martin Luther King Jr. Parkway Wilson, Nc 27893, Wilson, NC 27893
Overview of Wilson House

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.

Contact Wilson House

The Landings of Smithfield

200 Kellie Drive Smithfield, Nc 27577, Smithfield, NC 27577
Overview of The Landings of Smithfield

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.

Contact The Landings of Smithfield

Overview of Avendelle at MacArthur

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.

Contact Avendelle at MacArthur

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 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