Page 25 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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.
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.
Williamston House
SC
AL
MC
RC
Williamston
60
Facility 60
NC AVG 72
Rank #230 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
13
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The Bradford Village of Kernersville – West
SC
AL
Kernersville
62
Facility 62
NC AVG 72
Rank #222 / 387
No
17
Facility 17
NC AVG 36
Rank #403 / 536
96.00/200
Facility 96.00/200
NC AVG 92.2
Rank #205 / 321
24
96%
Facility 96%
NC AVG 91.8%
Rank #137 / 333
-
Senior Fluent
SC
AL
MC
RESC
Zebulon (Shepards Point)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
7
Facility 7
NC AVG 36
Rank #476 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
1
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private / Semi-Private Suites
Brookdale Lenoir
SC
AL
Lenoir (Powell Road Northeast)
82
Facility 82
NC AVG 72
Rank #142 / 387
Yes
28
Facility 28
NC AVG 36
Rank #328 / 536
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite
Carolina Reserve of Laurel Park
SC
AL
Hendersonville
48
Facility 48
NC AVG 72
Rank #302 / 387
Yes
34
Facility 34
NC AVG 36
Rank #272 / 536
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
12
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
Studio / 1 Bed
Our Promise Care Homes at Durham
SC
AL
RESC
Durham
6
Facility 6
NC AVG 72
Rank #335 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
103.00/200
Facility 103.00/200
NC AVG 92.2
Rank #69 / 321
4
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms
The Brownstone
SC
AL
MC
RESC
Charlotte (Stonehaven)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
3
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms
Brookdale Asheboro
SC
AL
MC
Asheboro (North Asheboro)
76
Facility 76
NC AVG 72
Rank #166 / 387
Yes
11
Facility 11
NC AVG 36
Rank #449 / 536
95.00/200
Facility 95.00/200
NC AVG 92.2
Rank #221 / 321
7
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 1 Bed / 2 Bed
The Sanctuary at Stonehaven
SC
AL
MC
Charlotte (Stonehaven)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
3
Facility 3
NC AVG 36
Rank #515 / 536
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
3
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms
Edenton House
SC
AL
MC
RC
Edenton
60
Facility 60
NC AVG 72
Rank #230 / 387
No
62
Facility 62
NC AVG 36
Rank #58 / 536
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
6
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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Williamston House

160 Santree Drive Williamston, Nc 27892, Williamston, NC 27892
Overview of Williamston House

Williamston House provides assisted living, memory care, and respite care in Williamston, North Carolina. The community holds a license for 60 beds. Its location scores 51 on the Walk Score scale, described as moderately walkable, so some errands are reachable on foot from the property. Three levels of support operate here: assisted living residents get help with daily tasks, secured living serves people living with memory loss who benefit from a monitored setting, and respite care covers short stays, useful when a family caregiver needs relief or a resident is coming off a hospital admission.

Staffing runs 24 hours a day, with caregivers assigned around the clock. The community also brings several clinical services on-site: therapy, pharmacy, and provider services all operate within the building.

Meals are served restaurant-style, while there’s a library and an entertainment room that give residents different registers of activity, quiet or social. An outdoor common area is available for time outside and for family visits. The community handles housekeeping, maintenance, and transportation.

State inspection activity at this community has centered on medication management, care planning and documentation, and fire-safety systems. Those are the categories that shape the regulatory record here.

Medicaid is accepted, which shapes the financial picture for families planning care over a longer horizon. Williamston House combines secured memory care, on-site clinical services, and Medicaid coverage in a small community setting.

Contact Williamston House

The Bradford Village of Kernersville – West

602 Piney Grove Road Kernersville, Nc 27284, Kernersville, NC 27284
Overview of The Bradford Village of Kernersville – West

The Bradford Village of Kernersville – West holds 62 beds at 602 Piney Grove Road in Kernersville, North Carolina. It provides assisted living and memory care. The surrounding area is car-dependent, and a Walk Score of 17 reflects that plainly. Families visiting will drive rather than walk in from nearby streets.

Forty-nine of the 62 beds are occupied, putting the community at 79 percent capacity. Openings exist. The building is mid-sized by North Carolina assisted living standards, neither a small residential home nor a large campus.

Staffing runs around the clock, covering assisted living residents and memory care residents alike. Clinical services sit inside the building: physical therapy, occupational therapy, and speech therapy. A physician and podiatry service operates on site, and pharmacy access is arranged through the community. That combination reduces the number of outside appointments a resident has to travel to.

An on-site beauty shop rounds out the day-to-day amenities. State inspections here have covered medication management, care planning and documentation, staffing and staff credentials, fire-safety systems, and housekeeping and upkeep. Medicaid is accepted, which shapes the financial picture for families looking past a short private-pay window.

This community fits older adults who need consistent hands-on daily support, either in assisted living or in memory care, and who benefit from having therapy and physician services located where they live.

Contact The Bradford Village of Kernersville – West

Senior Fluent

3004 Bunnfield Dr, Zebulon, NC 27597
Overview of Senior Fluent

Senior Fluent operates a 6-bed memory care and assisted living community at 3004 Bunnfield Drive in the Shepards Point neighborhood of Zebulon, Wake County, North Carolina. The single-story licensed facility houses residents in private and semi-private suites with 24-hour nursing services and maintains a 1:3 staff-to-resident ratio.

Daily meal service includes three fresh, home-cooked meals prepared to individual dietary preferences. Housekeeping, recreation, social activities, transportation coordination, visiting physician services, and on-site hairdressing support constitute the facility’s full service menu. An outdoor garden and programmed activities titled “Our Homes” serve the memory care population. Residents may access North Carolina Special Assistance and the Community Alternatives Program for eligible Medicaid coverage. Monthly pricing begins at $7,500.

Across four inspections over two years, the facility documented 2 deficiencies; a rate of 1 per year, 96% below North Carolina’s average of 23. Only one of the four inspections resulted in cited deficiencies.

The March 27, 2024 inspection identified fire safety issues: a missing fire-rated attic cover and insufficient egress from an enclosed outdoor area. Senior Fluent responded promptly by installing the required attic cover and adding a second emergency exit. Earlier inspection cycles generated no reportable findings. No complaints were investigated, no fines assessed, and no enforcement actions initiated.

The facility’s overall inspection deficiency rate of 25% represents a 65-percentage-point improvement above North Carolina’s 90% average.

Positioned 1.3 miles from downtown Zebulon in a car-dependent neighborhood (Walk Score 7), the community integrates security monitoring, wheelchair access, fire suppression systems, and emergency alert infrastructure throughout its physical plant.

Senior Fluent serves older adults with cognitive impairment, dementia, or Alzheimer’s disease requiring secured residential memory care with round-the-clock nursing, meal preparation, and structured activities in a small, specialized-care setting.

Contact Senior Fluent

Overview of Brookdale Lenoir

Nestled in the foothills of the Blue Ridge Mountains, Brookdale Lenoir offers assisted living accommodations in historic Lenoir, North Carolina. This exclusive senior living community provides a unique kind of independence, allowing residents to trade everyday stress and hassles for a full schedule of engaging activities. With its prime location near restaurants, shopping, banks, and physicians’ offices, Brookdale Lenoir ensures a vibrant and fulfilling lifestyle for its residents.

Brookdale Lenoir balances independence with personalized care, offering services like medication management, assistance with bathing and dressing, and coordination with healthcare providers. Residents can enjoy delicious, healthy meals in a restaurant-style dining room and benefit from amenities such as a wellness center, cafe, bistro, community kitchen, and walking paths. Apartment options include spacious two-bedroom suites with ample storage and natural light. The community is pet-friendly, adding to the welcoming atmosphere.

Contact Brookdale Lenoir

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 Our Promise Care Homes at Durham

Surrounded by trees in Bay Point Drive, Durham, NC, Our Promise Care Homes at Durham is a distinct community that focuses on assisted living. The community goes above and beyond to provide a haven for up to six residents while providing them with top-tier care and support around the clock to live their daily lives without hassles. With a dedicated and highly trained team, residents can rest their worries knowing a trusted community has their backs.

Enjoy a jam-packed calendar of enriching activities and stimulating programs to maintain a blissful and healthy lifestyle. Have hassle-free dining with nutritious and delightful home-cooked meals that cater to dietary needs and tastes. Physical, occupational, and physical therapy are also provided alongside in-house physician visits to ensure residents get better to gain meaningful experiences in their golden years.

Contact Our Promise Care Homes at Durham

Overview of The Brownstone

Nestled in the tranquil area of Charlotte, NC, The Brownstone is a cozy and secure haven for those seeking compassionate assisted living services. Their bright and spacious accommodations provide residents with a relaxing environment where they can receive 24/7 supervision, daily living assistance, and access to a range of healthcare services on-site. Those living with memory conditions also have access to personalized memory enrichment activities tailored to their individual abilities and in slowing cognitive decline.

Their campus is equipped with advanced safety features, emergency systems, visual cues, and wheelchair-accessible ramps to ensure residents feel safe and secure in their surroundings. They also ensure residents’ meals are tailored to their nutritional needs and approved by a registered dietician. With relaxing common areas, fun celebrations, and exciting events, residents find plenty of opportunities to celebrate life and make meaningful connections that last.

Contact The Brownstone

Overview of Brookdale Asheboro

Brookdale Asheboro in Asheboro, North Carolina, offers both assisted living and memory care services tailored to the unique needs of its residents. In this inviting community, seniors can enjoy a variety of engaging activities, from joining a walking group to attending movie nights with friends. With the support of dedicated caregivers, residents can focus on fun and fulfilling experiences while receiving assistance with daily tasks such as personal grooming, medication management, and household chores.

Brookdale Asheboro aims to promote independence and enrich the lives of its residents through personalized care and vibrant social programs. Amenities include an emergency alert system, transportation, a beauty/barber shop, and beautifully landscaped grounds featuring a courtyard, garden, and walking paths. With a range of activities like B-Fit exercise programs, crafts, devotional services, and social outings, Brookdale Asheboro ensures that residents have plenty of opportunities to enjoy life to the fullest in a supportive and engaging environment.

Contact Brookdale Asheboro

Overview of The Sanctuary at Stonehaven

The Sanctuary at Stonehaven provides memory care at 6741 Ciscayne Pl in Charlotte’s Mecklenburg County, a six-resident facility housed in a single-story building designed for older adults with Alzheimer’s disease and dementia. The small community emphasizes specialized staffing trained in cognitive impairment, with higher caregiver-to-resident ratios supporting residents requiring memory care oversight and supervision.

Daily life includes dining, beauty services, recreational and exercise programming, health services, and housekeeping assistance. Transportation services help families navigate medical appointments and errands, though the neighborhood itself is car-dependent (Walk Score 3); the facility sits 7.7 miles from downtown Charlotte, placing it near regional healthcare but in a low-walkability area.

The facility’s regulatory record shows significant strengths. Across seven state inspections since 2018, it recorded nine deficiencies; 80% fewer than the North Carolina state average of 46 over the same period. The facility’s DHSR quality score of 103.5 exceeds the state average of 98.

No fines, enforcement actions, or immediate jeopardy findings appear in the regulatory record.

However, inspection reports identify a persistent pattern: medication management and staff training deficiencies have appeared across multiple years (2018, 2019, 2021) without demonstrated full resolution. The most recent 2021 inspection documented expired staff CPR certification and a missed medication dose spanning 60 days. Earlier inspections cited medication labeling, documentation, storage, and physician order implementation gaps. The trajectory shows no clear improvement or decline.

This community fits families seeking a small, highly supervised memory care setting where residents receive individualized attention in a contained environment, with regulatory oversight showing notably lower deficiency rates than average.

Contact The Sanctuary at Stonehaven

Edenton House

323 Medical Arts Drive Edenton, Nc 27932, Edenton, NC 27932
Overview of Edenton House

At 323 Medical Arts Drive in Edenton, North Carolina, Edenton House runs a 60-bed community offering assisted living, memory care, and respite care under one roof. The surrounding area is moderately walkable, with a Walk Score of 62 putting a handful of daily errands within a short walk.

Secured living is part of the setup here, alongside rehabilitation services for residents working through recovery and respite stays for families who need short-term coverage. Licensed nurses and CNAs staff the building around the clock. Therapy and pharmacy services are both available on-site, which cuts down on how often residents need to leave for routine appointments.

Meals are served restaurant-style, and residents can spend time outdoors in a dedicated common area. Medicaid is accepted, which matters for families mapping out how to fund care over the longer term.

Inspections at Edenton House have covered medication management, fire-safety systems, housekeeping and upkeep, and fall and injury prevention. These categories show up across assisted living inspections broadly and reflect standard regulatory scope rather than anything specific to this community.

With secured memory care, respite options, and licensed staffing available at once, Edenton House is built for families balancing an immediate need for support with the possibility of longer-term memory care down the road.

Contact Edenton House

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.