Page 31 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 Retreat at Cary
SC
AL
PC
RESC
Cary
6
Facility 6
NC AVG 72
Rank #335 / 387
No
14
Facility 14
NC AVG 36
Rank #424 / 536
-
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
1
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Kempton of Jacksonville
SC
AL
MC
Jacksonville
79
Facility 79
NC AVG 72
Rank #157 / 387
No--
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
8
88%
Facility 88%
NC AVG 91.8%
Rank #57 / 333
-
Brookstone Retirement Center
SC
AL
MC
Lexington
115
Facility 115
NC AVG 72
Rank #53 / 387
No
73
Facility 73
NC AVG 36
Rank #21 / 536
24.3%
Facility 24.3%
NC AVG 70.6%
Rank #224 / 232
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
-
Graceful Living Assisted Living
SC
AL
Carrboro
120
Facility 120
NC AVG 72
Rank #35 / 387
No
65
Facility 65
NC AVG 36
Rank #43 / 536
48.3%
Facility 48.3%
NC AVG 70.6%
Rank #181 / 232
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
17
94%
Facility 94%
NC AVG 91.8%
Rank #125 / 333
-
Greens at Hickory
SC
HOS
MC
NH
RC
SNF
Se Hickory (Lake Forest)
150
Facility 150
NC AVG 72
Rank #12 / 387
No
59
Facility 59
NC AVG 36
Rank #77 / 536
76.0%
Facility 76.0%
NC AVG 70.6%
Rank #118 / 232
----Private / Semi-Private Rooms
The Drake
SC
AL
MC
RC
Concord
66
Facility 66
NC AVG 72
Rank #198 / 387
No-
37.9%
Facility 37.9%
NC AVG 70.6%
Rank #199 / 232
75.00/200
Facility 75.00/200
NC AVG 92.2
Rank #298 / 321
3
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Hearts of Gold Family Care LLC
SC
AL
Knightdale
6
Facility 6
NC AVG 72
Rank #335 / 387
No
36
Facility 36
NC AVG 36
Rank #254 / 536
-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
4
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private / Shared Rooms
Springdaile Assisted Living
SC
AL
Durham (Grove Park)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
3
Facility 3
NC AVG 36
Rank #515 / 536
-
98.00/200
Facility 98.00/200
NC AVG 92.2
Rank #181 / 321
2
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Roxboro Assisted Living
SC
AL
Roxboro
120
Facility 120
NC AVG 72
Rank #35 / 387
No--
81.00/200
Facility 81.00/200
NC AVG 92.2
Rank #293 / 321
23
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
-
Revived Senior Living
SC
AL
RESC
Mint Hill (Wilgrove)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
12
Facility 12
NC AVG 36
Rank #440 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 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 Retreat at Cary

The Retreat at Cary, located in Cary, NC, is a close-knit senior living community offering elderly care together with its sister facility in the area, The Retreat at Cary Corner. They offer round the clock supervision with a 1:3 staff to resident ratio, ensuring that the residents are well cared for. Other services they offer include medication management, and assistance with daily living activities such as bathing and dressing, feeding, and toileting.

The residents of The Retreat at Cary are also provided meals that match their dietary needs, as well as housekeeping and laundry services. They also encourage residents to participate in their daily activities that targets their physical, emotional, social, spiritual, and intellectual well being.

Contact The Retreat at Cary

Kempton of Jacksonville

3045 Henderson Drive Extension Jacksonville, Nc 28546, Jacksonville, NC 28546
Overview of Kempton of Jacksonville

Kempton of Jacksonville provides assisted living and memory care in Jacksonville, North Carolina. The community occupies an address on Henderson Drive Extension. Its Walk Score is 0, and the surrounding area is car-dependent, meaning most errands require a vehicle. Visitors and residents should expect to drive.

With 79 beds, this is a larger shared setting rather than a small residential home. Buildings at this scale generally include more common areas and run organized group programming. Residents share space with a substantial number of neighbors.

The care model spans two populations: general assisted living support covers residents who need help with daily tasks, whereas memory care serves those living with Alzheimer’s disease and other forms of dementia. Licensed nurses and certified nursing assistants staff the community, and coverage continues 24 hours a day. Overnight availability of licensed staff is a meaningful distinction in this care category.

The community frames its approach around preserving individual choice and personal routine while maintaining attention to health and safety. That is standard positioning for assisted living, and it describes a tradeoff every family in this market is evaluating.

Assisted living here starts at $3,625 per month. What that base rate includes, and how it scales with care needs, will determine the actual monthly cost.

North Carolina’s Department of Health and Human Services carries out unannounced surveys of adult care homes. Inspection themes at this community involve medication management, fire-safety systems, and emergency preparedness.

Kempton of Jacksonville is a 79-bed community offering assisted living and memory care with continuous licensed staffing, at a published starting rate of $3,625 per month, in a location built around car access.

Contact Kempton of Jacksonville

Brookstone Retirement Center

2968 Old Salisbury Road Lexington, Nc 27295, Lexington, NC 27295
Overview of Brookstone Retirement Center

Brookstone Retirement Center is a 115-bed community on Old Salisbury Road in Lexington, North Carolina, licensed for both assisted living and memory care. The surrounding area scores a 73 for walkability, so most errands sit within a short walk of the front door. Family stopping by can generally get where they need to go on foot.

Clinical support runs around the clock. A registered nurse and a physician both work on-site, and residents reach physical, occupational, and speech therapy without arranging outside trips. Home health care and rehabilitation services are available here too, and medication monitoring stays in-house rather than falling to an outside pharmacy alone.

Memory care carries real weight at this community. Brookstone runs an Alzheimer’s Special Care Unit built specifically for residents living with dementia. A family choosing between straightforward assisted living and a dementia setting can find both options in one building.

The activity calendar keeps a regular pace. Residents quilt, take craft classes, and head out on group excursions beyond the property. Inside, there is a salon and barber, housekeeping and laundry, scheduled transportation, and a multi-jet whirlpool bath. Religious services happen on-site for anyone who wants to attend.

Across its inspection record, North Carolina regulators have looked at medication management, staffing and credentials, dietary and food service, and fall and injury prevention. Those four areas frame what the state has examined at this community over the years. They belong in any honest read of the place alongside its care offerings and setting.

Contact Brookstone Retirement Center

Graceful Living Assisted Living

624 Jones Ferry Road Carrboro, Nc 27510, Carrboro, NC 27510
Overview of Graceful Living Assisted Living

Graceful Living Assisted Living is located on Jones Ferry Road in Carrboro, North Carolina. Because it has a Walk Score of 65, the area is considered somewhat easy to walk around. Although some errands can be finished on foot, there is also a variety of nearby shops and services that are handy for residents and visiting families.

The building is allowed to have 120 beds, but only fifty-eight of those are currently being used. This means the building is 48 percent full, which is a common level for this kind of home. Since the community is this large, it usually provides more common areas and more planned events than a tiny house would.

Trained nurses and assistants provide care, and the building has workers available at all hours of the day. A doctor works there regularly, and a special building physician meets with the people living there. Counseling and mental health help are offered at the site, and residents can also get their teeth checked or receive physical therapy to help them move better.

Each person living there receives a special care plan that is made just for them. Workers help with medicine schedules, assist with washing and dressing, and handle all the cleaning and laundry. The daily meals are made to be healthy and helpful for the body.

The weekly schedule includes exercise classes, art projects, and listening to music for health. Reading groups and group talks give people who want to visit a chance to have a real conversation. The home also plans trips to local places, so the residents do not have to stay inside the building for all their fun.

Official state reviews of this home focus mostly on how medicine is given and how records are kept. When you look at the many medical workers and the on-site doctor, families have a very clear idea of how help is organized here. This information helps people understand exactly what the state is checking and how the home is run.

Contact Graceful Living Assisted Living

Overview of Greens at Hickory

Greens at Hickory is a nursing home in Hickory, NC, offering long-term care, memory care, rehabilitation, and respite care. Here, older adults can find a home away from home in a supportive and welcoming setting. With gourmet meals, 24-hour care, and medication management, residents receive the utmost attention and care to live comfortably. Through personalized care plans, the community goes above and beyond to provide the best possible care for their recovery and rehabilitation.

Weekly outings, fun gatherings, and a variety of activities encourage residents to explore new hobbies and live actively. A beauty salon, spacious lounges, and outdoor seating areas are among the luxurious amenities dedicated to residents’ wellness. Residents also experience a laid-back lifestyle, as it is conveniently located in the peaceful neighborhood of Hickory. This nursing home is committed to older adults’ welfare, making it one of the trusted options for senior living in North Carolina.

Contact Greens at Hickory

The Drake

1195 Drake Mill Lane Sw Concord, Nc 28025, Concord, NC 28025
Overview of The Drake

The Drake sits at 1195 Drake Mill Lane SW in Concord, Cabarrus County, about 20 miles northeast of Charlotte. It’s a 66-bed community offering assisted living, memory care, and a secured living program. The neighborhood is car-dependent, so residents and visiting family will plan around driving rather than walking to nearby errands.

Occupancy currently runs at 25 of the 66 beds, close to 38 percent. Inside, the care model centers on 24-hour staffing and a secured environment for residents who need consistent supervision, paired with respite care for families arranging short-term coverage. Shared spaces include restaurant-style dining, a library, an entertainment room, and an outdoor common area, with housekeeping, transportation, and maintenance handled by staff.

Regulatory reviews of The Drake have centered on medication management, staffing and staff credentials, and fall and injury prevention. Those three categories are the ones state inspectors return to most often when evaluating assisted living communities across North Carolina.

Medicaid coverage is accepted here, giving families a payment pathway for longer stays. Between the secured living setup, the staffing model, and the memory care designation, The Drake is built around residents who need steady oversight and structured support rather than an independent living arrangement.

Contact The Drake

Hearts of Gold Family Care LLC

1004 Edenburghs Keep Dr, Knightdale, NC 27545
Overview of Hearts of Gold Family Care

Age without worries at Hearts of Gold Family Care, a distinct community in Knightdale, NC, offering assisted living. Here, residents enjoy a worry-free lifestyle with a compassionate and highly trained team providing exceptional care tailored to their daily living activities around the clock. Light housekeeping of its specially designed and secure accommodations is also taken care of, ensuring residents feel at ease during their stay.

Dedicated to residents’ happiness and wellness, a fun-filled calendar of activities is conducted based on their interests and capabilities. There’s no need to worry about meals, with delightful and healthy dining options served to satisfy residents’ dietary needs and preferences. Medication administration is also provided for convenience. The community is a good option for those needing assistance to live comfortably in retirement, especially with its exceptional services and well-maintained amenities.

Contact Hearts of Gold Family Care LLC

Overview of Springdaile Assisted Living

Overlooking the neighborhood of Durham, NC, Springdaile Assisted Living is a compassionate senior living community, offering premiere assisted living services. Residents here receive excellent, all-inclusive care in a safe and comfortable environment that fosters independence and autonomy. A team of compassionate, qualified caregivers are always available to provide residents with various services and assistance with their daily living activities or anything they may need help with.

The community recognizes that residents’ needs and preferences are as unique as them. Hence, they offer personalized care services curated to their individual needs and care goals. Here, residents are provided with a family-like environment of like-minded individuals who share the same enthusiasm for living vibrantly and actively. With skilled professionals, a nurturing environment, and all-encompassing care, residents here are guaranteed to flourish and thrive.

Contact Springdaile Assisted Living

Overview of Roxboro Assisted Living

Roxboro Assisted Living, situated in the quaint beauty of North Carolina, offers seniors an array of services designed to elevate the senior living experience. With in-house physicians, podiatrists, and psychiatrists, this facility ensures residents have access to specialized medical care. The home also features physical, occupational, and speech therapy services delivered by a dedicated and professional team. Beyond medical assistance, the staff serves as companions, fostering meaningful connections and brightening each resident’s day.
Moreover, the close-knit community goes the extra mile to cater to memory care needs, offering a specialized unit that provides constant supervision and personalized support. Medication management and supervision are seamlessly integrated into daily routines, and residents enjoy nourishing three-course meals that delight the palate. The community offers a hair salon and a cozy café as well, providing spaces for relaxation and socialization. With engaging activities and amenities, staying active and engaged becomes second nature in this vibrant senior living community.

Contact Roxboro Assisted Living

Overview of Revived Senior Living

Experience the essence of exceptional care at Revived Senior Living located in Mint Hill, NC, where every detail is crafted to offer a sanctuary of comfort and personalized care. Choose from elegantly designed accommodations that perfectly suit your style and needs. The dedicated team is passionate about their calling, serving with courage and a deep sense of teamwork. Here, residents can choose from well-appointed and cozy accommodations with several floor plans based on their preferences.

Amenities include daily activities, laundry service, and beauty and barbershop services. Enjoy peace of mind with a round-the-clock surveillance system, alarm exit doors, and an external fire alarm. Access to Atrium or Novant Health Hospitals and resident physicians is available, while RN oversight ensures top-quality care with a 3:1 resident-to-caregiver ratio.

Contact Revived Senior Living

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.