Page 26 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. 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.
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 Gardens of Statesville Assisted Living
SC
AL
IL
MC
Statesville
67
Facility 67
NC AVG 72
Rank #195 / 387
Yes
15
Facility 15
NC AVG 36
Rank #414 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
22
73%
Facility 73%
NC AVG 91.8%
Rank #23 / 333
-
Somerset Court of Cherryville
SC
AL
RC
Cherryville
60
Facility 60
NC AVG 72
Rank #230 / 387
No
52
Facility 52
NC AVG 36
Rank #131 / 536
-
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
TerraBella Harrisburg
SC
AL
MC
Harrisburg
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
13
Facility 13
NC AVG 36
Rank #432 / 536
-
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
4
75%
Facility 75%
NC AVG 91.8%
Rank #24 / 333
-
Brekenridge Retirement Center
SC
AL
IL
Rocky Mount
64
Facility 64
NC AVG 72
Rank #213 / 387
No-
100.0%
Facility 100.0%
NC AVG 70.6%
Rank #1 / 232
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
7
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Magnolia Gardens
SC
AL
MC
RC
Southern Pines
110
Facility 110
NC AVG 72
Rank #60 / 387
No
10
Facility 10
NC AVG 36
Rank #457 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The Ridge at Pikeville
SC
MC
Pikeville
40
Facility 40
NC AVG 72
Rank #310 / 387
No
17
Facility 17
NC AVG 36
Rank #403 / 536
67.5%
Facility 67.5%
NC AVG 70.6%
Rank #140 / 232
70.50/200
Facility 70.50/200
NC AVG 92.2
Rank #302 / 321
13
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Cleveland House
SC
AL
Shelby
72
Facility 72
NC AVG 72
Rank #176 / 387
No
73
Facility 73
NC AVG 36
Rank #21 / 536
-
82.50/200
Facility 82.50/200
NC AVG 92.2
Rank #290 / 321
11
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Kelley’s Family Care Home
SC
AL
RESC
Raleigh (North Raleigh)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
18
Facility 18
NC AVG 36
Rank #394 / 536
-
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
5
0%
Facility 0%
NC AVG 91.8%
Rank #1 / 333
Private / Semi-Private Rooms
Avendelle at MacArthur
SC
AL
Cary
6
Facility 6
NC AVG 72
Rank #335 / 387
No
15
Facility 15
NC AVG 36
Rank #414 / 536
-
107.50/200
Facility 107.50/200
NC AVG 92.2
Rank #1 / 321
1
0%
Facility 0%
NC AVG 91.8%
Rank #1 / 333
Private Rooms
Avendelle on Tyrion
SC
AL
Cary (Summerwinds)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
41
Facility 41
NC AVG 36
Rank #220 / 536
-
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
2
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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Overview of The Gardens of Statesville Assisted Living

Gardens of Statesville is a serene oasis in North Carolina, surrounded by lush greenery. The home provides an ideal retreat for seniors seeking memory care, independent living, and assisted living options. This well-established community takes pride in offering care while creating a comfortable environment. Every aspect of the community is carefully curated to exude comfort, from the well-appointed furniture to the housekeeping and transportation services, ensuring that residents feel pampered and at ease.
Spacious common areas are thoughtfully designed to encourage social interactions and provide a sense of togetherness among residents. The community boasts a beauty salon and a delightful dining space where residents can indulge in relaxation and culinary delights. It is also a pet-friendly haven, allowing furry friends to be a part of residents’ mundane living. With a wide array of engaging activities, such as outings, social gatherings, arts and crafts sessions, and invigorating exercise classes, seniors can enjoy a vibrant, fulfilling lifestyle.

Contact The Gardens of Statesville Assisted Living

Somerset Court of Cherryville

401 West Academy Street Cherryville, Nc 28021, Cherryville, NC 28021
Overview of Somerset Court of Cherryville

Somerset Court of Cherryville runs 60 beds out of a building at 401 West Academy Street, in the downtown part of Cherryville, North Carolina. The community handles both assisted living and memory care. Walk Score puts the neighborhood at 52, which means some errands work on foot and the rest require driving.

Secured living is part of how this community operates, not an add-on. That structure matters for residents who wander. Respite care is available for families who need coverage for a stretch rather than permanently, and caregivers are assigned around the clock on a dedicated basis.

Therapy, pharmacy, and provider services all operate inside the building. For a resident on a complicated medication schedule, or one who cannot easily manage a car trip, that arrangement cuts down the number of outside appointments in a given month. Assistance with daily tasks comes standard across the resident population.

Meals are served restaurant-style. There is a library, an entertainment room, and an outdoor common area, plus housekeeping, maintenance, and transportation handled by the community.

State inspection activity has concentrated on medication management, staffing and staff credentials, environmental and hazardous-materials safety, and resident rights and protections. Medicaid is accepted here, which shapes the financial picture for families planning a longer stay. Somerset Court of Cherryville is built for older adults in and around Cherryville who need daily assisted living support or memory care in a secured environment, with the clinical pieces available on-site rather than scattered across appointments elsewhere.

Contact Somerset Court of Cherryville

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

Brekenridge Retirement Center

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

Brekenridge Retirement Center provides assisted living and independent living in Rocky Mount, North Carolina. The community operates independently rather than under a larger corporate brand. Its address is 2500 Hunter Hill Road, roughly 5.6 miles out from the city center. Both care levels operate under one roof, which means a resident whose needs increase does not have to move to a different building.

Location works against walkability here. The Walk Score registers 1 out of 100, meaning virtually nothing sits within walking distance. Residents and visitors will drive. The community runs a bus equipped with a lift, which covers transportation for those who have given up driving.

The building holds 64 beds and all 64 are currently occupied; full occupancy is a meaningful data point for anyone shopping now, since it affects how quickly a room becomes available. Nursing services and 24-hour staffing are both in place. Around-the-clock coverage is the more consequential of the two, since resident needs do not confine themselves to daytime hours. The independent living tier serves people who want minimal assistance while remaining in a setting that can accommodate greater needs later.

Common areas include two living rooms, an open dining room, an activity room, and a beauty parlor. Coffee is available at any hour. Scheduled activities run toward aerobics, bingo, card games, and music events.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation handles inspections for communities of this type. Inspection themes at Brekenridge have centered on medication management, fire-safety systems, care planning and documentation, and fall and injury prevention.

Contact Brekenridge Retirement Center

Magnolia Gardens

594 Murray Hill Road Southern Pines, Nc 28387, Southern Pines, NC 28387
Overview of Magnolia Gardens

Magnolia Gardens sits at 594 Murray Hill Road in Southern Pines, North Carolina, roughly 1.3 miles from the center of town. It is a 110-bed community that combines assisted living, memory care, and respite care under one roof. The Walk Score here is 10, which means the neighborhood is car-dependent.

Rooms come in private and semi-private configurations. The clinical staffing includes nursing services, a doctor on staff, and coverage that runs 24 hours. Rehabilitation services are handled on-site, and respite care gives families a short-term option when a caregiver at home needs relief.

Memory care operates under the name Serenity Place. Residents in that program have access to a computerized medication system and daily medication monitoring, which addresses a practical problem for anyone whose memory loss makes managing their own prescriptions unreliable. Professional staff handle assistance with daily activities.

Residents receive three meals and snacks daily, weekly housekeeping, and weekly personal laundry and linen service. A central bath with whirlpool is available. Transportation is scheduled and includes wheelchair-accessible options, and beauty and barber services operate on-site.

State inspections at this community have touched on fire-safety systems, staffing and staff credentials, and resident rights and protections. Environmental and hazardous-materials safety and housekeeping and upkeep have also come under regulator review.

Medicaid and Medicare are both accepted here, which opens more payment pathways than a private-pay-only community would. Magnolia Gardens presents a specific profile for families to weigh: a named memory care program, a physician on staff, and continuous staffing coverage, set against an inspection history that regulators have engaged with across five distinct areas of the operation.

Contact Magnolia Gardens

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

Cleveland House

950 Hardin Drive Shelby, Nc 28150, Shelby, NC 28150
Overview of Cleveland House

At 950 Hardin Drive in Shelby, Cleveland House sits in Cleveland County on a stretch of North Carolina that residents can actually navigate without a car. The Walk Score runs 73, solidly in “very walkable” range, so a short walk covers most daily errands. The community itself holds 72 beds and operates as an assisted living home with staff on site around the clock.

Daily support runs through the building in a few concrete ways. Secured living and 24/7 dedicated caregivers cover supervision needs, while assistance with daily tasks handles the routine work of getting through a day. Therapy, pharmacy, and provider services all operate on site, cutting down on the number of outside appointments a resident or family has to manage.

The common spaces lean toward keeping people occupied and fed well. Restaurant-style dining anchors the food side, and residents have a library, an entertainment room, and an outdoor common area to move between. Housekeeping, maintenance, and transportation services round out daily life.

Cleveland House accepts Medicaid, which matters for families planning around long-term costs rather than paying entirely out of pocket. Regulatory review of the community has spanned several areas over the years, among them medication management, infection prevention and control, fire-safety systems, care planning and documentation, resident rights, housekeeping standards, and fall prevention. Taken as a whole, Cleveland House functions as a walkable, staffed residential option for older adults who need daily hands-on support and want medical services close at hand rather than spread across separate trips.

Contact Cleveland House

Overview of Kelley’s Family Care Home

Experience a blissful retirement with Kelley’s Family Care Home, a blissful retreat surrounded by convenient local amenities in Raleigh, NC, that offers assisted living. A kind and highly trained team strives to meet residents’ unique needs with round-the-clock care and support. Residents also enjoy hassle-free living, with the community helping with their day-to-day activities and household responsibilities.

A jam-packed calendar of fun activities and engaging programs is conducted to keep residents active and socially engaged. Mealtimes are also something to look forward to, with diverse dining options that cater to dietary needs and preferences. Medication assistance and an in-home doctor are also available, alongside transportation services for residents’ convenience. The community is ideal for those looking to live comfortably in their golden years, especially with its cozy and welcoming amenities.

Contact Kelley’s Family Care Home

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

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

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.