Page 33 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving. 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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
St. Joseph of the Pines, a CCRC
SC
AL
CCRC
IL
MC
NH
SNF
Southern Pines
176Yes 2 41.6% --?-Private Rooms
Conover Nursing & Rehab Center
SC
MC
NH
RC
SNF
Sw Conover (Tri-City)
90No 59 84.9% --?-Private / Semi-Private Rooms
Givens Highland Farms
SC
HC
IL
NH
RC
SNF
Black Mountain
60Yes 12 79.7% --?-Studio / 1 Bed / 2 Bed / 3 Bed
Liberty Commons
SC
AL
HOS
NH
PC
RC
SNF
Wilmington (Liberty Commons Center)
82Yes 52 95.4% --C-Private Rooms / Semi-Private Rooms
Friends Homes
SC
AL
IL
MC
NH
SNF
Greensboro (Guilford College)
69No 35 95.1% --?-Villa Apartments / Townhomes / Apartments / Cottages
Sunnybrook Rehabilitation Center
SC
NH
RC
SNF
Raleigh (East Raleigh)
95No 49 89.9% --B--Private / Semi-Private Suites
Champions Assisted Living at the Davis Community
SC
AL
IL
MC
NH
RC
SNF
Wilmington
115Yes 6 93.9% --C+-1 Bed / 2 Bed
Litchford Falls Health & Rehabilitation Center
SC
NH
SNF
Raleigh (North Raleigh)
90No 51 96.0% --C--Private / Shared Rooms
Kempton of Jacksonville
SC
AL
MC
Jacksonville
79No--101.50/200A12-
Livewell @ Hope Valley (Durham)
SC
AL
HC
MC
Durham (Hope Valley)
6Yes--102.50/200A+4-
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Overview of St. Joseph of the Pines, a CCRC

St. Joseph of the Pines by the Trinity Health community delivers quality service thoughtfully designed to offer both convenience and comfort in one setting. The continuing care retirement home specializes in independent living assisted living, and nursing care services. Reflected on their recognition by the U.S. News and World Report as the Best Nursing Homes for short-term rehabilitation, one can understand the home’s value. St. Joseph of the Pines continuously improves the lives of its residents by creating a cozy environment where an abundance of opportunities is available. 

The lifestyle at St. Joseph’s practices a personalized care approach anchored by the trusted bond between residents and staff; personal care services include ADLs, 24-hour care and nursing, medication administration, engaging programs, and on-site therapy services– speech, physical, and occupational. 

Contact St. Joseph of the Pines, a CCRC

Overview of Conover Nursing & Rehab Center

Conover Nursing & Rehab Center is a family-owned nursing home in Conover, NC, offering rehabilitation and skilled nursing. With a compassionate and nurturing environment, the community ensures older adults have a comfortable stay. Residents also experience a worry-free lifestyle with 24-hour care, well-balanced meals, and transportation services. The community also goes above and beyond to get to know residents’ unique needs and habits to provide the best possible care for their recovery and wellness.

Sensory stimulation, light exercises, and celebrations help enhance residents’ cognition and encourage them to live actively. With spacious common areas and state-of-the-art rehabilitation equipment, residents can rest and move around comfortably. Residents also experience a laid-back lifestyle, as it is conveniently located in the quiet residential area of Conover. This nursing home is a good option for senior living in North Carolina, especially with its commitment to helping older adults return to their routines.

Contact Conover Nursing & Rehab Center

Overview of Givens Highland Farms

At Givens Highland Farms, the vision is to empower seniors to lead fulfilling lives, fostering independence, community, and security. Offering home care and enhanced independent living, residents can explore their interests through numerous resident-led groups and enjoy the beauty of Black Mountain’s nature. With quality health services available on-site, seniors experience peace of mind knowing their needs will be met.

The community offers an array of amenities, including a winter greenhouse, dog park, and woodworking shop. Residents can engage in indoor activities like arts and crafts or utilize the fitness programs and medical services. Givens Highland Farms prioritizes active senior living and well-being from spacious residences to transportation services. Givens Highland Farms is the top choice for independent living and home services in Black Mountain, North Carolina.

Contact Givens Highland Farms

Overview of Liberty Commons

Liberty Commons, a healthcare facility in Wilmington, NC, is dedicated to providing a range of services, including assisted living and skilled nursing services. The accommodation options at Liberty Commons feature spacious private and semi-private suites equipped with amenities such as complimentary WiFi internet, flat-screen TVs with complimentary cable, and in-room refrigerators. The community’s focus on healthcare services extends to assisted living, where residents receive personalized support tailored to their individual needs, including dressing, bathing, and medication reminders.

Liberty Commons offers a variety of amenities to enhance the living experience for residents. In-room dining, outdoor and indoor gathering areas, salon services, and daily housekeeping and laundry services contribute to a comfortable and well-maintained environment. The community ensures convenience with admissions available seven days a week. Residents also engage in social activities, fostering a sense of community and connection. Liberty Commons stands as a healthcare facility committed to providing not only essential services but also a supportive and engaging living experience for its residents.

Contact Liberty Commons

Overview of Friends Homes

Located in Guilford County, Greensboro, NC, Friends Homes is an inviting senior living community that offers a safe haven far from the hustle and bustle of city life. The community features an array of living options, including independent living, assisted living, skilled nursing care, and memory care, ensuring a smooth transition should residents’ needs change. Residents can choose from a variety of thoughtfully designed floor plans for enjoying life without having to worry about everyday maintenance and upkeep, guaranteeing a worry-free lifestyle.

Dedicated to creating an enriching and vibrant environment, the community conducts a wide array of activities and offers plenty of relaxing spaces for peaceful personal times and vibrant interactions with friends and fellow residents. The community’s ideal location also provides easy access to a variety of shops, grocery stores, and restaurants whenever residents want to go out and explore. Residents also enjoy access to a wellness center with a state-of-the-art fitness center, indoor heated pool, and a sports court to foster fitness and well-being.

Contact Friends Homes

Overview of Sunnybrook Rehabilitation Center

Sunnybrook Rehabilitation Center is an outstanding community in Raleigh, NC, designed for those seeking short-term stay and in-patient care. Those recovering from a hospitalization can stay on campus for a short period and receive 24/7 nursing care and rehabilitation services until they fully recover and avoid rehospitalization. For residents seeking long-term care, their team is always ready to accommodate them in their cozy accommodations with access to 24/7 supervision, physician care, and other complex services.

Access to physical, speech, and occupational therapy services is always available to make sure residents recover their strength, mobility, and abilities quickly or maintain their overall functions. Through their Telemedicine services, residents can be examined by their doctors without leaving their accommodations. At Sunnybrook Rehabilitation Center, all the tools, care, and support your loved ones need are available to help them maintain a high quality of life.

Contact Sunnybrook Rehabilitation Center

Overview of Champions Assisted Living at the Davis Community

Champions Assisted Living, located within The Davis Communities in Wilmington, NC, is a senior living community specifically designed for The Davies Communities’ residents living with Alzheimer’s and other forms of dementia. They provide assisted living services along with memory care, in their one-to-two bedroom units equipped with living area, ample closet space, kitchenette, and private bathroom. As part of their assisted living services, the residents are provided round-the-clock availability of staff for supervision and assistance, diabetic care, medication management, and monthly wellness checkup, as well as therapy services.

The residents of Champions Assisted Living are also able to enjoy a myriad of amenities they offer including meal preparation services and dining options within the community, assistance with daily living activities, mobility and transportation assistance, access to fitness rooms and pool, and grooming services at the salon and spa. Being conveniently situated within the Davis Communities, Champions Assisted Living Services are also provided access to their auditorium, club room, and art studio. Lastly, they offer laundry and housekeeping services, to ensure the overall comfort of their residents’ stay.

Contact Champions Assisted Living at the Davis Community

Overview of Litchford Falls Health & Rehabilitation Center

Maintain your maximum potential with Litchford Falls Health & Rehabilitation Center, a dedicated community in Raleigh, NC for those needing short-term rehabilitation and long-term care. Their compassionate and reliable care rehab team uses advanced therapy technology and equipment to help residents achieve excellent outcomes from their rehabilitation journey. Physicians and nursing team members are also available to help residents living with chronic illnesses or requiring more complex care services maintain a high quality of life.

Bright and spacious accommodations are provided with housekeeping and maintenance services, ensuring residents remain in a safe and organized environment without the hassles. Meals are prepared by talented chefs and served restaurant-style in a cozy dining room. With an array of activities designed based on residents’ abilities and interests, residents can make the most of their lives even as they recover or face the challenges of a health condition.

Contact Litchford Falls Health & Rehabilitation Center

Kempton of Jacksonville

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

Kempton of Jacksonville offers assisted living and memory care in Jacksonville, NC. Assisted living provides help with daily tasks while allowing residents to keep their own living routines. Memory care provides a secured setting with supervision for someone at risk of wandering.

Having both care levels in one community can suit a resident whose needs grow over time and who may be able to move between care levels without leaving. Kempton of Jacksonville has 79 beds. Assisted living starts at $3,625 per month, giving families a starting point for budgeting that level of care. Twenty-four-hour staffing means support is available at any time of day or night, while residents are encouraged to maintain their individual choices and routines.

Contact Kempton of Jacksonville

Overview of Livewell @ Hope Valley (durham)

LiveWell at Hope Valley is a prominent senior living provider in Durham, North Carolina, dedicated to fostering happiness throughout aging. This establishment extends Assisted Living and Memory Care services to its esteemed senior residents.

Notably, LiveWell Cares is the sole elder care service provider in North Carolina to offer a comprehensive range of solutions, encompassing both Home Care and Care Home options.

Contact Livewell @ Hope Valley (Durham)

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