Page 32 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. 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.
Goldsboro Assisted Living & Alzheimer’s Care
SC
AL
MC
Goldsboro
56No- 91.1% 76.00/200B+16-
The Gardens of Rose Hill
SC
AL
RC
Rose Hill
45No 26 -99.50/200B+14-
The Landings of Oak Island
SC
AL
MC
Oak Island
80No 3 -93.50/200C+6-
Harmony House Memory Care
SC
AL
MC
Statesville
40No- 92.5% 82.75/200D28-
Roxboro Assisted Living
SC
AL
Roxboro
120No--81.00/200D-1573%
Hillcrest Raleigh At Crabtree Valley
SC
HC
NH
SNF
Raleigh (North Hills)
134No 31 70.2% --B+475%
Hickory Village
SC
MC
RC
Hickory
56No--100.00/200A+1385%
Calyx Living of Durham
SC
AL
MC
RC
Durham
84No- 39.3% 95.50/200A+4100%
Clayton House
SC
MC
RC
Clayton
60No- 43.3% 96.50/200C-28-
Care Home Corporation DBA LiveWell
SC
AL
HC
HOS
Chapel Hill
6No--101.50/200-2171%
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Overview of Goldsboro Assisted Living & Alzheimer’s Care

What the license covers at Goldsboro Assisted Living & Alzheimer’s Care in Goldsboro, NC, is assisted living and memory care. The first of the pair is help with the ordinary business of the day.

Alzheimer’s care appears on the service list as well as in the name of the place here, so the memory care is a supervised space for a resident whose Alzheimer’s disease or other dementia calls for that kind of security. Somebody arriving with that diagnosis and needing supervision is the kind of person the arrangement here is built around.

Fifty-six is the number of beds behind that license. Medicaid is taken, which matters where private funds alone will not stretch across the stay. Rehabilitation is also among the services.

Contact Goldsboro Assisted Living & Alzheimer’s Care

The Gardens of Rose Hill

571 S. Sycamore Street Rose Hill, Nc 28458, Rose Hill, NC 28458
Overview of The Gardens of Rose Hill

Situated in Rose Hill, NC, The Gardens of Rose Hill offers assisted living and respite care. Along with support with daily tasks, the community also provides rehabilitation services to help with residents’ mobility. Licensed nurses and CNAs are available on-site, along with 24-hour staffing, ensuring residents can access services whenever needed.

The community has 45 beds, equipped with an emergency alert system. Moreover, the Secured Living program provides a secure setting, while structured daily activities create planned opportunities throughout the day. Restaurant-style dining includes meals prepared to meet dietary needs, with special diets accommodated.

Residents can use the library, entertainment room, and outdoor common area for reading, indoor recreation, and time outside. Housekeeping is also provided for convenience. Medicaid is accepted, giving families whose savings may not cover a long stay a payment option.

Contact The Gardens of Rose Hill

The Landings of Oak Island

2910 Pine Plantation Parkway Oak Island, Nc 28461, Oak Island, NC 28461
Overview of The Landings of Oak Island

The Landings of Oak Island runs two care types in Oak Island, NC. Those two are memory care and assisted living. Assisted living is the care level that provides help with daily tasks a resident can’t manage unaided. Memory care supervises them within a secure setting and answers for wandering risks that come with dementia.

Here, one license carries both, so needs can grow later without obliging a move to somewhere new. The building holds 80 beds.

A library is among the amenities. Medicaid is accepted, and that helps a family whose money won’t cover a long stay. Secured Living is the program name given to the memory care setting.

Contact The Landings of Oak Island

Harmony House Memory Care

1372 Eufola Road Statesville, Nc 28677, Statesville, NC 28677
Overview of Harmony House Memory Care

Harmony House Memory Care delivers dedicated assisted living and specialized memory support in Statesville, North Carolina. Assisted living residents maintain private apartments while receiving help with bathing, dressing, and routine medication management. Secure living quarters feature constant supervision designed specifically to protect individuals with Alzheimer’s or dementia who might wander.

Accepted Medicaid coverage helps make long-term housing more affordable for families navigating ongoing care costs. This 40-bed residential center includes a full-service salon and spa, an outdoor patio with raised garden beds, a chapel, a game room, and a library. Dining services focus on chef-prepared dishes made with fresh ingredients to accommodate custom dietary requirements. Daily activities range from religious services and exercise sessions to creative arts, live musical performances, and organized group outings.

Families weighing senior care options can connect with Harmony House Memory Care to discuss room plans, explore payment choices, or arrange a guided walkthrough.

Contact Harmony House Memory Care

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 Hillcrest Raleigh at Crabtree Valley

Hillcrest Raleigh at Crabtree Valley offers nursing home, home care, nursing care, and skilled nursing in Raleigh, NC. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while home care supports someone in their own residence. This combination may suit a person whose needs require nursing support in a residential setting or at home.

The community has 134 beds, with 70% occupancy, so not every bed is occupied at the same time. Total nurse staffing is 4 hours and 22 minutes per resident per day. That represents the daily hands on nursing time allocated to each resident.

Payment options include Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means paying directly for care.

Contact Hillcrest Raleigh At Crabtree Valley

Hickory Village

427 3Rd Avenue S.e. Hickory, Nc 28602, Hickory, NC 28602
Overview of Hickory Village

Hickory Village offers memory care and respite care in Hickory, NC. Memory care provides a secured setting with supervision for residents living with Alzheimer’s disease or dementia, while respite care offers a short stay when a family’s usual caregiver needs to travel or recover. It may suit a person whose Alzheimer’s or dementia related needs call for secured supervision, or a family needing short term caregiver relief.

With 56 beds, Hickory Village falls within the smaller community range, where staff and residents can get to know each other. Restaurant style dining is available, with dietitian approved meals and support for special diets, so meals can be planned around a resident’s dietary requirements. Transportation services are also available, allowing residents to travel without arranging every trip independently.

A library, entertainment room, and outdoor common area provide different places to read, spend time in an indoor shared space, or be outside. Medicaid is accepted, giving eligible residents a potential way to pay for care when private savings may not cover a long stay.

Contact Hickory Village

Calyx Living of Durham

4214 Guess Road Durham, Nc 27712, Durham, NC 27712
Overview of Calyx Living of Durham

Calyx Living of Durham in Durham, NC, offers assisted living, memory care, and respite care. Assisted living provides help with daily tasks while a resident maintains their own living space, while memory care provides a secured setting with supervision for someone at risk of wandering.

Respite care offers a short-term stay when a resident’s usual caregiver needs time to travel, recover, or manage other responsibilities. The community has 84 beds, and residents can take part in the Beauty and Wellbeing and Resident Engagement programs. With several care levels available, Calyx Living of Durham may be a good fit for a resident whose support needs could grow over time without requiring a move to a different community.

Contact Calyx Living of Durham

Clayton House

145 Dairy Road Clayton, Nc 27520, Clayton, NC 27520
Overview of Clayton House

Clayton House in Clayton, North Carolina, delivers specialized memory care and short-term respite care. Secured memory care quarters provide round-the-clock supervision for individuals living with Alzheimer’s or dementia, while respite stays give family caregivers brief breaks to rest or handle personal business.

This 60-bed facility accepts Medicaid program coverage to assist residents with long-term stay expenses. Food service features restaurant-style dining with dietitian-certified meals tailored to individual dietary preferences and doctor-ordered restrictions. Outside, accessible common areas provide quiet outdoor space for fresh air and relaxation.

Older adults and family members searching for memory care or temporary respite solutions can contact Clayton House to discuss pricing options, verify space availability, or schedule a campus visit.

Contact Clayton House

Overview of Care Home Corporation DBA LiveWell

Care Home Corporation DBA LiveWell provides assisted living, home care, and hospice care in Chapel Hill, NC. Assisted living helps with daily tasks while a resident remains in their own living space, while home care, including the In-Home Care program, brings support to a person’s residence.

Hospice care focuses on comfort for someone with a life-limiting illness. The community has six beds, making it a small residential setting that may suit someone who prefers a more intimate home environment.

Contact Care Home Corporation DBA LiveWell

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 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