Page 28 of Best Senior Communities in North Carolina

Overview of Edenton House

Edenton House is a 60-bed assisted living facility at 323 Medical Arts Drive, Edenton, Chowan County, North Carolina.

Edenton House maintains a regulatory record better than North Carolina average with modest compliance challenges. Over five years, the facility averaged 5.4 deficiencies annually, 4 percent above North Carolina’s 5.2-deficiency baseline. May 2025 biennial follow-up construction survey cited five deficiencies spanning furniture in poor repair with cracked veneer, buckled flooring creating trip hazards, missing fire rehearsal documentation for multiple quarters and shifts in 2024, kitchen door failing to automatically close, and mechanical equipment not maintained with ice buildup on kitchen floor. April 2025 annual survey and complaint investigation documented one deficiency when the facility failed to notify the correct hospice provider in a timely manner after Resident #3 sustained a visible head injury on March 7, 2025.

The correct provider was contacted approximately five hours late, creating acute care follow-up failure.

Medication administration and resident rights deficiencies appear in earlier surveys. August 2022 annual survey documented medication administration errors for diabetes and glaucoma medications in two of three residents observed, incomplete antibiotic administration, and missing laundry items. April 2019 construction survey identified outside premises hazards, HVAC maintenance gaps, fire door wedging, and kitchen equipment defects. May 2017 found door and handrail maintenance issues, unsecured oxygen storage, and missing sprinkler components.

January 2015 documented exit lock failures, dust accumulation, electrical and fire safety equipment deficiencies spanning emergency lighting, corridor doors, fire-resistant construction, and dryer duct damage. No fines or license suspensions appear in the record. No substantiated abuse allegations documented.

Families should verify fire rehearsal completion and documentation, medication administration procedures, hospice provider communications, and kitchen equipment safety.

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.

Overview of Cadence Senior Living at Mint Hill by Cogir

Located in the serene neighborhood of Margaret Wallace Road, Mint Hill, NC, Cadence Senior Living at Mint Hill by Cogir is a renowned senior living community offering assisted living and memory care. Promising unmatched relaxation and safety, the community features snug and sophisticated residences including private and companion studios and one-bedroom apartments. Thrive and optimize freedom with a reliable and highly skilled team taking care of your needs and aspirations.

Live every moment fiercely and cherish experiences along the way with engaging activities and energizing programs conducted for leisure and wellness. The community focuses on the strengths and interests of the residents to ensure they feel welcomed. Eat good and feel good with healthy and tasty meals for dietary satisfaction. Cadence Senior Living at Mint Hill by Cogir doubles its efforts to provide a safe place for seniors to enjoy their golden years fabulously with stunning and convenient amenities.

Overview of Bradley Creek Health Center

Bradley Creek Health Center, located in Wilmington, NC, is a senior living community within Carolina Bay Autumn Hall, offering assisted living and memory care services, and skilled nursing care. The accommodation options include studio and one-bedroom units with baths, providing residents with comfortable and personalized living spaces. The community ensures 24/7 care availability, including medication administration and reminders, occupational therapy, physical therapy, and the expertise of registered nurses and speech therapists to support residents’ health and well-being.

Residents at Bradley Creek Health Center enjoy a range of amenities designed to enhance their living experience. The community prioritizes safety with 24-hour security and controlled building entry, along with an emergency notification system for residents’ peace of mind. Flexible meal plans, furnished meals, gardening, housekeeping services, and the opportunity for outings and day trips contribute to a well-rounded and enjoyable lifestyle. Outdoor enthusiasts can explore the outside walking paths, providing a scenic and relaxing environment.

Overview of Carolina Hearts Home Care

Meeting the needs of seniors in Laurinburg, NC since 2005, Carolina Hearts Home Care is a leading home care provider that provides an array of excellent home care services that enable seniors to remain in the comfort of their homes for as long as they could. Carolina Hearts offers personal care, companionship, recovery care, live-in care, dementia care, respite care, and veterans’ services to honor the nation’s heroes. This home care provider offers personalized care plans to ensure seniors get the assistance that matches their need – whether just a few hours, 24/7 live-in care, or anything in between.

Carolina Hearts Home Care carefully matches seniors with their caregivers based on similar interests, personality type, and more, to ensure a strong connection that fosters better care provision. Seniors and their families find relief and peace of mind from knowing that certified nursing assistants help their loved ones with activities of daily living, including grooming, medication management, home management, vital signs monitoring, and more. The community also employs caregivers who are trained and supervised by RNs who are CARES Dementia Specialists to ensure seniors dealing with memory loss get the support and care they need.

Overview of Care Home Corporation DBA LiveWell

Located in the neighborhood of Chapel Hill, NC, Care Home Corporation DBA LiveWell is a well-established senior living community that specializes in both assisted living & memory care options. Boasting a 1:3 staff-to-resident ratio, the community ensures its residents are offered truly personalized care and focused attention for a comfortable living experience. The community also ensures its team of caregivers undergo extensive training and continuing education programs to keep their skills and knowledge updated.

Residents are also given private accommodations that foster an intimate atmosphere and more personal connections among residents and caregivers. Every residence is equipped with modern safety features to ensure residents are comfortable and safe within their living environment. With its custom care solutions, welcoming environment, and dependable care team, Care Home Corporation DBA LiveWell guarantees its residents a comfortable retirement experience.

Overview of The Landings of Lake Gaston

The Landings of Lake Gaston is a 60-bed assisted living and memory care center at 206 North Mosby Avenue, Littleton, Halifax County, North Carolina, located in downtown Littleton. the facility offers assisted living, memory care, respite care, and secured living with 24-hour staffing. Amenities include housekeeping, transportation services, restaurant-style dining, library, entertainment room, and outdoor common area. CMS Overall Rating is 4 out of 5 stars.

The facility accepts Medicaid but not Medicare.

The regulatory record includes one recent inspection with substantiated deficiencies in medication administration and financial management. An October 12, 2023, annual survey and complaint investigation initiated by the Halifax County Department of Social Services cited four deficiencies: failure to ensure implementation of physician orders for notifying the primary care provider of fingerstick blood sugars outside of parameters for one resident, failure to administer Lantus insulin as ordered including administering when fingerstick blood sugar was below 130 and holding when it should have been given, failure to administer clobetasol ointment as ordered administering it twice daily every day instead of the prescribed twice daily 2 days on and 2 days off, and failure to issue a refund of 3774.19 dollars within 14 days to one discharged resident. The deficiency rate of 4 annually is 23 percent better than North Carolina’s 5.2-deficiency benchmark. No fines or license suspensions are recorded.

The facility’s 4-star CMS rating contrasts with substantiated medication administration errors identified in the October 2023 inspection. Insulin dosing errors involving administration below safety thresholds and improper topical medication application represent patient safety concerns. The failure to timely return resident funds signals financial management oversight. Verify procedures for insulin administration and blood sugar monitoring, medication administration safeguards and staff training, and financial management and refund procedures.

With limited recent inspection history available, families should ask directly about corrective actions and current systems implemented following the October 2023 inspection.

Overview of Terrace Ridge Assisted Living

Terrace Ridge Assisted Living is a 74-bed memory care center at 1251 East Hudson Boulevard, Gastonia, Gaston County, North Carolina, 2.0 miles from downtown. the facility offers memory care with events, activities, and family resources. CMS Overall Rating is 2 out of 5 stars. The facility does not accept Medicaid or Medicare.

The regulatory record spans ten years with serious deficiencies in resident safety, medication management, therapeutic diet compliance, and facility maintenance. Over six years, Terrace Ridge logged 39 deficiencies, averaging 6.5 annually, 25 percent worse than North Carolina’s 5.2-deficiency benchmark. An October 14, 2015, construction survey cited eight deficiencies in water supply, HVAC, sprinkler maintenance, fire-resistant construction, corridor doors, exit signage, emergency lighting, and ventilation. An October 18, 2017, construction survey cited nine deficiencies in closet fire protection, ceiling gaps, escutcheon plates, pipe caulking, smoke walls, cable penetrations, smoke doors, and exhaust.

A November 14, 2019, construction survey cited ten deficiencies in fire-resistant construction, grab bars, fire rehearsals, emergency lighting, kitchen hood system, electrical outlets, gaps, smoke doors, sprinkler escutcheon plates, and blocked doors. A September 16, 2022, annual survey cited three deficiencies in therapeutic diet documentation, diet service, and medication observation. A March 13, 2024, annual survey and complaint investigation substantiated serious resident safety failures: failure to ensure exit doors had audible alarms for residents with wandering behaviors resulting in elopements, failure to properly supervise two residents with exit-seeking behaviors resulting in elopements and substantial risk of harm, failure to provide therapeutic diet menus for consistent carbohydrate diets, failure to serve ordered therapeutic diets, failure to administer medications as ordered with unapproved medication and improper preparation and borrowing. An October 15, 2025, annual survey cited two deficiencies in failure to implement physician discontinuation orders for two medications.

No fines or license suspensions are records.

The facility’s 2-star CMS rating and 25 percent worse-than-average deficiency rate reflect serious operational failures. The March 2024 substantiated elopement incidents involving residents with dementia and failure to provide audible alarms on exit doors represent critical patient safety breaches with documented substantial harm risk.

Before placement, families must ask directly about the March 2024 elopements and current exit door alarm systems, resident supervision protocols, and medication administration safeguards.