Page 25 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. 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. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
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.
Serenity Falls Family Care Home
SC
AL
RESC
Raleigh (Cedar Hill Estates)
3No 36 -102.50/200?1-Private Rooms
Capital Nursing And Rehabilitation Center
SC
AL
HOS
NH
PC
RC
SNF
Raleigh (East Raleigh)
125No 43 80.5% --B+5100%-
The Shaire Center
SC
AL
MC
NH
PC
SNF
Lenoir
82No 76 -98.00/200?11--
Wilora Lake Healthcare Center – NC West
SC
MC
NH
SNF
Charlotte (Eastland - Wilora Lake)
70No 14 87.7% --B+367%-
Trinity Elms
SC
AL
IL
MC
NH
SNF
Clemmons
104No 56 -101.00/200B+11--
Southfork
SC
AL
MC
RC
Winston-Salem
78No 20 60.3% 91.50/200B-14--
Navion of Shelby
SC
AL
MC
Shelby (Valleyhall)
60Yes 19 -85.00/200A+1354%Suite
Cypress Manor
SC
AL
Roper
40No 15 30.0% 105.50/200A-16--
The Landings of Albemarle
SC
AL
IL
MC
RC
Hertford
50No 32 -98.50/200A+580%-
Lakepark Family Care Home
SC
AL
MC
RESC
Raleigh (North Raleigh)
5No 19 -102.00/200A+617%Private Rooms
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Overview of Serenity Falls Family Care Home

Serenity Falls Family Care Home is an idyllic retreat situated in the peaceful neighborhood of Raleigh, NC, that offers assisted living. Residents here enjoy top-tier care and assistance tailored to their needs and preferences from a compassionate and highly skilled available 24/7. With its cozy and nurturing environment, residents keep their peace of mind and live comfortably in their golden years.

Encouraging residents to interact with their surroundings and gain meaningful experiences, a jam-packed calendar of fun activities and engaging programs is conducted. Here, residents have a delightful dining experience with delicious and healthy home-cooked meals that cater to dietary needs and preferences. The community is ideal for those seeking assistance in their golden years, especially with its dedicated care and beautifully furnished amenities.

Contact Serenity Falls Family Care Home

Overview of Capital Nursing and Rehabilitation Center

Capital Nursing and Rehabilitation Center is an award-winning senior living community in Holston Lane, Raleigh, NC, that is dedicated to improving seniors’ quality of life and provides a wide array of care services. These include short-term rehabilitation, skilled nursing, outpatient therapy, hospice care, palliative care, respite care, and long-term care. A team of compassionate and highly trained professionals welcomes seniors and takes care of their needs and aspirations.

Remain well-engaged and do the things you enjoy with a well-thought-of calendar of enriching activities and exciting programs. Filled with extensive amenities, Capital Nursing and Rehabilitation Center strives to provide a comfortable and safe retirement for seniors to thrive and live their lives to the fullest.

Contact Capital Nursing And Rehabilitation Center

The Shaire Center

1450 Shaire Center Drive Lenoir, Nc 28645, Lenoir, NC 28645
Overview of The Shaire Center

With 82 beds, The Shaire Center is a nursing home, assisted living, memory care, palliative care, and skilled nursing community in Lenoir, NC. A doctor is available on-site to provide clinical support. Moreover, specialized care is provided for those living with Alzheimer’s and other forms of dementia. Aside from assistance with daily tasks, housekeeping and linen services are also provided for convenience.

Residents receive a total of 5 hours and 6 minutes of nursing care daily. Medicaid, Medicare, and private pay are also accepted, giving families several ways to cover eligible care and services. Rehabilitation services can support recovery or help a resident maintain function after illness or injury, while hospice services provide end-of-life care.

Additionally, outdoor spaces include sidewalks, gazebos, and benches, giving residents places to walk or sit outside. Meanwhile, a Walk Score of 76 places the area in the very walkable band, meaning most errands can be done on foot, so a resident who no longer drives can still get out independently. Transportation to medical and dental providers also helps residents attend those appointments.

Contact The Shaire Center

Overview of Wilora Lake Healthcare Center – Nc West

Wilora Lake Healthcare Center, Nc West is a 70 bed nursing home in the Eastland, Wilora Lake neighborhood of Charlotte, offering memory care and skilled nursing. Memory care provides supervision for residents who need support related to dementia, while skilled nursing provides licensed nursing care on site around the clock. The community may be a good fit for a resident whose needs include dementia related supervision or ongoing nursing care.

Services include comprehensive post acute care, rehabilitation therapy, and long term care. Residents can receive therapy while recovering, then continue with care when support is needed beyond a short term rehabilitation stay. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 3 hours and 14 minutes per resident per day, representing the daily nursing time assigned to each resident.

Contact Wilora Lake Healthcare Center – NC West

Trinity Elms

3750 Harper Road Clemmons, Nc 27012, Clemmons, NC 27012
Overview of Trinity Elms

Trinity Elms provides nursing home and skilled nursing, assisted living, independent living, and memory care in Clemmons, NC. Nursing home and skilled nursing include licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living offers private living with community services and no daily care, while memory care provides a secured setting with supervision for someone at risk of wandering.

The combination of care levels may suit a resident whose needs grow over time, since they can move between levels without leaving the community or starting over socially. There are 104 beds. That gives families a clear sense of the community’s stated capacity when deciding whether its scale matches their preferences.

Respite care provides a short stay when a usual caregiver needs to travel or recover. The Health & Rehab program includes rehabilitation services and short term rehab, giving a resident a temporary setting for recovery rather than an ongoing residence. Trinity Elms accepts Medicare, Medicaid, and private pay: Medicare covers short term skilled care after a hospital stay, Medicaid may matter when savings do not cover a long stay, and private pay means paying directly for care. A Walk Score of 56 places the area in the somewhat walkable category, where some errands can be done on foot, so a resident who no longer drives may be able to manage certain nearby outings independently.

Contact Trinity Elms

Southfork

1345 Jonestown Road Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Southfork

Southfork offers assisted living, memory care, and respite care in Winston-Salem, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication management. Memory care provides a secured setting with supervision for a resident who may be at risk of wandering, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Several care options are available in one community. Southfork may be a good fit for a resident whose needs may grow over time or for a family caregiver who needs short-term support. The community has 78 beds and accepts Medicaid, giving families who use that program a way to help pay for care, while restaurant-style dining and special diets allow meals to be served in a dining setting while accommodating dietary needs. Residents can also use transportation services for community-provided rides and spend time in an outdoor common area, library, or entertainment room for shared activities.

Contact Southfork

Overview of Navion of Shelby

Set in the welcoming community of Shelby, NC, the Navion of Shelby is an esteemed senior living community providing assisted living services. A wide range of cozy and spacious accommodations including one-bedroom and two-bedroom are available. Having a highly equipped and dedicated team, this community offers an emergency response team and round-the-clock personalized care services.

True to its goal of promoting a perfect balance between personal freedom and intentional care, residents can enjoy weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Experience delicious dining with delightful meals and snacks every day. Engage in diverse social activities and community events. Equipped with the right tools and people, seniors can never go wrong with Navion of Shelby.

Contact Navion of Shelby

Cypress Manor

503 West Buncombe Street Roper, Nc 27970, Roper, NC 27970
Overview of Cypress Manor

Cypress Manor, located in Roper, North Carolina, offers assisted living for seniors who need assistance with daily tasks. Residents receive direct help with bathing, dressing, and routine medication management while maintaining their living routines.

Medicaid coverage is accepted at this 40-bed facility, which helps eligible residents cover their ongoing care costs. On-site services include dietician-approved daily meals and a beauty salon for hair care. To support resident health, staff assists in arranging medical transportation for external appointments.

Interested individuals evaluating local care options can contact Cypress Manor to inquire about Medicaid eligibility, review service details, or schedule a tour.

Contact Cypress Manor

The Landings of Albemarle

603 South Church Street Hertford, Nc 27944, Hertford, NC 27944
Overview of The Landings of Albemarle

The Landings of Albemarle, in Hertford, NC, spans independent living, assisted living, memory care, and respite care. Independent living is the level that comes without daily personal care. Assisted living is where help with bathing, medication, and dressing enters the picture.

Memory care runs in a secured setting with supervision. Respite covers a stay with an end on it, which suits a person who needs somebody nearby rather than a nurse doing anything clinical. Fifty beds are licensed across those four care levels, which means a resident whose needs grow is not shopping for somewhere else to live.

Staff are on hand whatever the hour. Families already on Medicaid can use it toward an eligible stay. The amenities include a library.

The area scores 32 for walking and lands in the car-dependent category, so most errands ned a vehicle. The memory care setting has Secured Living as its named program.

Contact The Landings of Albemarle

Overview of Lakepark Family Care Home

Enjoy true comfort in Lakepark Family Care Home, a serene community in Raleigh, NC, offering compassionate assisted living services. Their accommodations here are designed to provide plenty of privacy and guarantee safety, allowing residents to enjoy their precious personal time in comfort and peace. With their ideal resident-to-caregiver ratio and 24/7 access to personal care and daily living assistance, residents are guaranteed to maintain their best state and well-being.

Individualized activities are available to encourage residents to stay active and socially engaged in their community. Residents’ meals are always served fresh and healthy with accommodations to their dietary needs to make sure mealtimes are always satisfying and nourishing. With no chores to worry about, round-the-clock care, and enriching activities, residents here are guaranteed to enjoy the life they deserve without hassles and worries.

Contact Lakepark Family Care Home

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