Page 26 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. 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. 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.
Avendelle on Tyrion
SC
AL
Cary (Summerwinds)
6Yes 41 -105.50/200A-540%
Brookstone Terrace of Thomasville
SC
AL
MC
Thomasville
62No 71 -102.50/200B+19-
Terrace Ridge Assisted Living
SC
AL
MC
Gastonia
74No 46 -99.50/200B+1385%
Morningstar Assisted Living
SC
AL
RC
Sylva
55No 55 58.2% 71.00/200B15-
The East Tower at Cardinal North Hills
SC
AL
IL
MC
NH
SNF
Raleigh
49Yes 34 73.5% 95.50/200C2-
Avendelle on Kildaire Farm
SC
AL
MC
Cary (The Bluffs Of Kildaire)
6Yes 22 -103.50/200A+333%
Blissful Living Senior Care, Inc.
SC
AL
HOS
MC
RC
Charlotte (Silverwood)
6No 5 -97.00/200A-3100%
Bryson Senior Living
SC
AL
Bryson City
50No 51 68.0% 92.25/200B+9-
Terrabella Asheboro
SC
AL
MC
Asheboro (Laurel Wood Hills)
96Yes--96.50/200A-1771%
Ahoskie House
SC
MC
Ahoskie
60No 61 -101.25/200A-12-
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Overview of Avendelle on Tyrion

Avendelle on Tyrion, located in Cary, NC, is a senior living community by Avendelle offering assisted living services and amenities to its residents. This senior living community provides its residents 24 hour personalized care and supervision, weekly checks and monthly assessment, as well as assistance with medication management and administration. Additionally, all accommodation units come with a cable tv, and the community is equipped with alarm systems.

Avendelle on Tyrion also offers a number of amenities and services designed to provide convenience and comfort. This includes visiting physicians and hairdressers, meal provisions, and housekeeping and laundry services. They also have an activity room where residents can engage, and socialize with staff as well as other residents.

Contact Avendelle on Tyrion

Brookstone Terrace of Thomasville

915 West Cooksey Drive Thomasville, Nc 27360, Thomasville, NC 27360
Overview of Brookstone Terrace of Thomasville

Brookstone Terrace of Thomasville provides assisted living and memory care in Thomasville, NC. Assisted living includes help with daily tasks such as bathing, dressing and medication while a resident maintains an apartment. Memory care offers a secured setting with supervision for someone at risk of wandering, and the community may be a good fit for someone who needs either daily task assistance or a supervised memory care setting.

The home has 62 beds. A Walk Score of 71 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently.

Contact Brookstone Terrace of Thomasville

Terrace Ridge Assisted Living

1251 E Hudson Blvd Gastonia, Nc 28054, Gastonia, NC 28054
Overview of Terrace Ridge Assisted Living

Terrace Ridge Assisted Living provides assisted living and memory care in Gastonia, NC. Assisted living can help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering. Because both care types are available, Terrace Ridge Assisted Living may be a good fit for a resident whose needs could grow over time without requiring a move to another community.

The community has 74 beds. Its walk score is 46 out of 100, placing it in a car-dependent area where most errands require a car or a ride. Terrace Ridge Assisted Living also offers programs named Living Spaces and Health & Safety.

Contact Terrace Ridge Assisted Living

Morningstar Assisted Living

95 Morningstar Lane Sylva, Nc 28779, Sylva, NC 28779
Overview of Morningstar Assisted Living

In Sylva, NC, Morningstar Assisted Living has assisted living and respite care to its name. Help with dressing, bathing, and medication management is what assisted living brings. Respite care covers a short-term stay, taken while a usual caregiver is on a trip or mending.

Either a resident wanting that daily help or a family caregiver wanting temporary cover is who this suits. Fifty-five beds put this on the smaller side, where a resident and the staff get a real chance to know one another.

On-Site Medical Care is a named program, so medical attention happens where the resident lives. Rehabilitation services appear too, for recovery or for holding function steady.

Planned group activities run past 14 hours a week, with Bingo, exercise, socials, crafts, and outings included. A 55 for walking means part of the area stays reachable on foot by someone no longer driving.

Contact Morningstar Assisted Living

The East Tower at Cardinal North Hills

320 St. Albans Drive Raleigh, Nc 27609, Raleigh, NC 27609
Overview of The East Tower at Cardinal North Hills

The East Tower at Cardinal North Hills offers nursing home, skilled nursing, assisted living, independent living, and memory care in Raleigh, NC. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering. The combination of care levels can suit a resident whose needs grow over time.

Opened in 2017, the community has 49 beds. It is a smaller setting where staff and residents get to know each other, and Myra Aragones serves as director. Pets are allowed, with a dog park giving residents with dogs an on-site place for outdoor activity.

Residents can use the aquatic center and fitness centers for exercise, while the creative arts studio and libraries provide spaces for activities and reading. The salon and spa offer personal care services, and multiple restaurants serve seasonal dishes in different settings. A full calendar includes social, cultural, and educational activities, while on-site rehabilitation services provide therapy without arranging transportation elsewhere.

The area has a Walk Score of 34 and is car-dependent. Most errands require a car or a ride for a resident who no longer drives.

Contact The East Tower at Cardinal North Hills

Overview of Avendelle on Kildaire Farm

Avendelle on Kildaire Farm, located in Cary, NC, is a senior living community by Avendelle that offers assisted living services and amenities to its residents. As part of their assisted living services, they provide their residents with 24 hour personalized care and supervision, medication administration and management, as well as regular physician visits for health checks and assessments.

Additionally, the residents are also provided nutritional meals and snacks throughout the day where special diets are also accommodated. This senior living community also offers housekeeping and laundry services, as well as grooming services, providing convenience and comfort during the residents’ stay in the community

Contact Avendelle on Kildaire Farm

Overview of Blissful Living Senior Care

At six beds, Blissful Living Senior Care, INC. is a residential care home rather than a traditional assisted living facility. That distinction matters: the Silverwood neighborhood address on Robinson Church Road in Charlotte puts residents in a house-scale setting in Mecklenburg County, about 8.5 miles from the city center. The neighborhood scores a 5 on the Walk Score scale, so a car is required for virtually any errand or outing outside the home.

The care model covers more ground than the size might suggest. Assisted living is the baseline, and the home also supports hospice care, memory care, and respite stays, so residents with more complex or shifting needs don’t necessarily have to move. Licensed nurses and CNAs provide round-the-clock coverage. The administrator, Martin Anuonye, is a licensed nurse himself, which means clinical oversight comes from the top. Angela Ezekwe-Anuonye serves as Vice President.

State inspections have generally centered on medication management, documentation and care planning, and staffing qualifications as recurring areas of attention.

For families who have looked at larger assisted living communities and found them impersonal, a six-bed home with licensed nursing on staff around the clock and the capacity to support hospice and memory care through end of life represents a meaningfully different option. That’s what Blissful Living is built to be.

Contact Blissful Living Senior Care, Inc.

Bryson Senior Living

314 Hughes Branch Road Bryson City, Nc 28713, Bryson City, NC 28713
Overview of Bryson Senior Living

Bryson Senior Living provides assisted living in Bryson City, NC, with support for daily activities and staff available around the clock. The community may be a good fit for someone who needs daily support and prefers a smaller setting.

With 50 beds, Bryson Senior Living is among the smaller communities. Medicaid is accepted, giving eligible residents a payment option when personal savings may not cover the full cost of care. James R. serves as director.

The Secured Living program provides a secured setting for residents who need supervision. Restaurant-style dining includes balanced meals prepared to meet dietary needs, and onsite therapy, pharmacy services, and provider services let residents access those services at the community. A Walk Score of 51 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain errands independently.

Contact Bryson Senior Living

Terrabella Asheboro

2925 Zoo Pkwy, Asheboro, NC 27205
Overview of Terrabella Asheboro

Opened four years ago, Terrabella Asheboro is a 96-bed assisted living and memory care community in the Laurel Wood Hills neighborhood of Asheboro, a car-dependent area at the outskirts of town. The one-story building offers both studio and one-bedroom floor plans. It welcomes pets to let residents keep their companions with them.

The facility sits on Zoo Parkway, with easy access to the Asheboro Zoo and associated recreational areas. Since the surrounding neighborhood is largely residential with limited pedestrian infrastructure, visiting family members will want transportation. The walk score reflects this car-centric setting. The home’s relatively recent opening positions it as a newer option in the Asheboro market, and the presence of assisted living and memory care services means it can serve occupants across care levels in one place.

Over the past decade, state inspections have documented findings about medication administration and documentation practices. Recent surveys flagged concerns with accurate dosing and controlled-substance record-keeping.

Families contemplating Terrabella Asheboro must ask during tours about how it has addressed compliance areas and what safeguards are implemented for medication oversight.

Contact Terrabella Asheboro

Overview of Ahoskie House

Ahoskie House runs from an address in Ahoskie, NC, with memory care on the license. Memory care is built for people living with dementia, and Secured Living is the name of the program here. What that comes to, for a resident, is a secured area under staff supervision.

The community has 60 beds, and staffing covers all twenty-four hours. Dementia that has reached the point of needing that kind of watching is the reason a family looks at this address.

At 61, the Walk Score puts a share of the surrounding streets within reach on foot, which matters most to a resident still steady enough to use them. Anything beyond that range is what the transportation amenity is for. Medicaid is taken as payment here.

Contact Ahoskie 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 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