Page 28 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. 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. 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.
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 Lure
SC
MC
RC
Lake Lure
62
Facility 62
NC AVG 72
Rank #222 / 387
No
11
Facility 11
NC AVG 36
Rank #449 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
2
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Capital Nursing And Rehabilitation Center
SC
AL
HOS
NH
PC
RC
SNF
Raleigh (East Raleigh)
125
Facility 125
NC AVG 72
Rank #28 / 387
No
43
Facility 43
NC AVG 36
Rank #207 / 536
80.5%
Facility 80.5%
NC AVG 70.6%
Rank #98 / 232
--5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Tabor Commons
SC
AL
RC
Tabor City
80
Facility 80
NC AVG 72
Rank #150 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
-
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Rose Care Home – Cary
SC
AL
RESC
Cary (Churchill Downs)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
62
Facility 62
NC AVG 36
Rank #58 / 536
-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Avendelle on Kildaire Farm
SC
AL
MC
Cary (The Bluffs Of Kildaire)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
22
Facility 22
NC AVG 36
Rank #360 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
1
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Terrabella Asheboro
SC
AL
MC
Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes--
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
11
91%
Facility 91%
NC AVG 91.8%
Rank #94 / 333
Studio / 1 Bed
Marion Assisted Living
SC
AL
Marion
54
Facility 54
NC AVG 72
Rank #285 / 387
Yes
66
Facility 66
NC AVG 36
Rank #39 / 536
-
84.25/200
Facility 84.25/200
NC AVG 92.2
Rank #286 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Lakepark Family Care Home
SC
AL
MC
RESC
Raleigh (North Raleigh)
5
Facility 5
NC AVG 72
Rank #381 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
1
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms
Clear Creek Nursing and Rehabilitation Center
SC
NH
SNF
Mint Hill
120
Facility 120
NC AVG 72
Rank #35 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
93.1%
Facility 93.1%
NC AVG 70.6%
Rank #44 / 232
--6100%Private / Semi-Private Rooms
The Addison of Fayetteville
SC
AL
MC
Fayetteville (Seventy-First)
96
Facility 96
NC AVG 72
Rank #89 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
22.9%
Facility 22.9%
NC AVG 70.6%
Rank #228 / 232
-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
13
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
Suite / 1 Bed

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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The Landings of Lake Lure

920 Buffalo Creek Rd Lake Lure, Nc 28746, Lake Lure, NC 28746
Overview of The Landings of Lake Lure

Memory care in Lake Lure, North Carolina, and a respite option alongside it. The Landings of Lake Lure serves families who need full-time dementia support, along with those looking for a shorter stay while a caregiver takes a break or recovers from something of their own.

The address is 920 Buffalo Creek Rd, about 2.7 miles out from the center of town. This is western North Carolina, the Hickory Nut Gorge country, and the geography shows up in the numbers. Walk Score puts the neighborhood at 11 out of 100 and calls it car-dependent. Basically nothing is within walking distance, so families should count on driving for every visit and every errand.

Licensing covers 62 beds. That is a middle-sized community by North Carolina standards, larger than a converted residential home but well short of a sprawling campus.

Staffing runs through licensed nurses and certified nursing assistants. Emergency alert systems are installed in the residences, and staff are on hand to assist at any hour of the day or night. In a memory care building, that arrangement carries weight, because residents may not be able to report a problem themselves. Respite residents are covered by the same setup.

Two amenities appear on the record: there is restaurant-style dining, and there is transportation. The transportation piece is worth pausing over given the walkability picture. It determines whether a resident can get to a doctor without a family member driving in from out of town.

State inspection activity here has centered on fire-safety systems and on dietary and food service operations. The picture is of a small-to-middling memory care community in a rural setting, with round-the-clock licensed staffing and enough transportation support to offset a location where almost nothing is reachable on foot.

Contact The Landings of Lake Lure

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

Tabor Commons

703 Elizabeth St. Tabor City, Nc 28463, Tabor City, NC 28463
Overview of Tabor Commons

At 703 Elizabeth Street in Tabor City, Columbus County, Tabor Commons houses 80 residents in an assisted living and respite care setting. The surrounding area is somewhat walkable, earning a Walk Score of 37; a short list of errands can be handled on foot, though most trips still require a car.

Staffing runs around the clock, and the community layers rehabilitation and nursing services on top of that base, so residents needing clinical support don’t have to leave the building for it. Respite stays are available too, offering families a short-term option when they need coverage without a permanent placement. The activity calendar is dense: more than 14 hours of programming each week spans bingo, exercise classes, social hours, crafts, and outings into the surrounding community.

Free cable and Wi-Fi come standard, housekeeping runs weekly, linens are serviced, and the building is fully handicap accessible. Medicaid is accepted, which matters for families mapping out how they’ll cover a longer stay. North Carolina’s health regulators evaluate assisted living communities on a set of standing categories, and Tabor Commons’ inspection record touches several of them: medication management, fire-safety systems, environmental and hazardous-materials safety, and dietary and food service.

Tabor Commons suits a family weighing a mid-sized assisted living community that pairs structured daily activity with on-site rehabilitation, nursing support, and Medicaid as a payment option.

Contact Tabor Commons

Overview of Rose Care Home – Cary

Rose Care Home is a vibrant assisted living community in Cary, NC, that offers personal care plans. The community strives to accommodate older adults with its home-like environment. Recreational activities and household services are also offered, ensuring residents have a maintenance-free lifestyle. With its dedication to residents’ welfare, the community crafts care plans tailored to their unique needs.

Fun recreational activities, light exercises, and plenty of interest groups accompany older adults, promoting an active lifestyle. With spacious outdoors, naturally-lit hallways, and cozy gathering spaces, residents have more places to spend their free time. Situated in the quiet neighborhood of Cary, the community promises a stress-free retirement. This assisted living community is ideal for older adults in North Carolina, especially with its friendly setting.

Contact Rose Care Home – Cary

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

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

Marion Assisted Living

5235 Nc 226 South Marion, Nc 28752, Marion, NC 28752
Overview of Marion Assisted Living

Marion Assisted Living operates as an adult care home in Marion, North Carolina, along NC 226 South in the McDowell County foothills. The setting earns a Walk Score of 66, which puts it in moderately walkable territory. Some errands can be handled on foot from here. Most visiting families will still arrive by car.

Fifty-four beds put this community in the middle of the range for North Carolina adult care homes. That size tends to mean residents get shared common areas and group programming without the scale of a large institution. The operation has run continuously under this name for more than 25 years.

Daily personal care assistance forms the core of what happens here. Staff help residents with bathing, dressing, grooming, and similar routine tasks. Medication monitoring is part of the service set, so prescriptions and administration are tracked for residents who need that oversight. Nutritional and dietary counseling is available as well, along with regularly scheduled activities and social events.

The community accepts Medicaid, which shapes the financial picture for families who cannot sustain private-pay rates indefinitely. North Carolina’s Division of Health Service Regulation conducts unannounced surveys of adult care homes across the state. Inspection themes at this community have centered on medication management and on staffing and staff credentials.

Pets are allowed here, and the community lists local travel and shopping availability for residents who want time in town. For a family weighing an adult care home in western North Carolina with Medicaid acceptance and a moderately walkable setting, Marion Assisted Living presents a mid-sized option with a long operating history and an inspection record concentrated in medication and staffing themes.

Contact Marion Assisted Living

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

Overview of Clear Creek Nursing and Rehabilitation Center

Maintain the skills you need to continue enjoying life in Clear Creek Nursing and Rehabilitation Center, a reliable and welcoming community in Mint Hill, NC for short-term and long-term care. Here, residents’ needs are met with compassionate and dignified care and assistance from an interdisciplinary care team. The community features a team of RNS, LPNs, therapists, dieticians, activity directors, and a community-based chaplain to ensure residents’ physical, social, nutritional, and mental health needs are met.

As a community surrounded by nature, lush trees, and vast green spaces, Clear Creek Nursing and Rehabilitation Center provides a healing and relaxing environment for maintaining your well-being. Fun opportunities for fitness, socialization, and hobbies are also available to keep residents active, connected, and entertained. Proper nourishment is also guaranteed with fresh and healthy meals served daily. Here, they go above and beyond in providing a nurturing environment that promotes overall wellness.

Contact Clear Creek Nursing and Rehabilitation Center

Overview of The Addison of Fayetteville

The Addison of Fayetteville provides a quintessential community for assisted living. Residents are guaranteed to enjoy their stay because of the astonishing, beautifully decorated interiors of the building– adding to the charm the community holds. The assisted living home heeds a warm and welcoming environment. As a proud member of the Senior Lifestyle community, The Addison strives to fulfill the needs of its residents, including their general health and activity level.

The Addison of Fayetteville comprises all-inclusive services, including 24/7 support and assistance, dining areas, weekly physician and nurse practitioner visits, wellness programs, social outings, nutritious meal plans, fall prevention, and extensive safety features.

Contact The Addison of Fayetteville

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
No paid rankings Communities cannot pay to influence placement.
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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.