Page 34 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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.
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.
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.
Central Care
SC
NH
SNF
Mount Airy
53?No 74 -96.00/20022-
Arbor Acres
SC
AL
IL
MC
NH
SNF
Winston-Salem
6?Yes 20 78.3% ----
Willow Valley Center for Nursing and Rehabilitation
SC
AL
HOS
MC
NH
RC
SNF
Winston-Salem (West Highlands)
230CNo 62 94.6% ----
Brookstone of Clemmons
SC
AL
MC
Clemmons
40A-No 11 -97.00/2001346%
Caremoor Retirement Center
SC
AL
IL
RESC
Kannapolis
30B+No 3 -89.50/20015-
The Canterbury House
SC
AL
RC
Roxboro
60C+No 9 -59.00/2001872%
Brookstone Retirement Center
SC
AL
MC
Lexington
115C+No 73 24.3% 102.00/20011-
Dunmore Senior Living of Siler City
SC
AL
IL
MC
RC
Siler City
86CNo 65 22.1% 90.00/20013100%
Graceful Living Assisted Living
SC
AL
Carrboro
120CNo 65 48.3% 96.50/20023-
Hillcrest Convalescent Center
SC
AL
NH
RC
SNF
Durham
86?No 81 86.7% ----
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Central Care

139 Apex Lane Mount Airy, Nc 27030, Mount Airy, NC 27030
Overview of Central Care

Central Care is a nursing home in Mount Airy, NC, providing skilled nursing. Licensed nursing care is available on site around the clock, so residents who need ongoing clinical oversight can receive it throughout the day and night. Central Care has 53 beds. It is a smaller community where staff and residents get to know each other.

Total nurse staffing is 3 hours and 49 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several ways to cover care. Central Care opened in 1991 and may be a good fit for someone who needs ongoing nursing care in a smaller setting.

Contact Central Care

Overview of Arbor Acres

Arbor Acres offers nursing home care, skilled nursing, assisted living, independent living, and memory care in Winston-Salem, NC. Independent living provides private living without daily care, while assisted living helps with daily tasks and memory care provides a supervised setting for someone at risk of wandering. The range of care levels can suit a resident whose needs change over time without requiring a move to a different community.

With six beds, Arbor Acres is a small community where residents and staff can get to know one another. Housing includes studios and one-bedroom residences, each offering private living space for one resident, and pets are allowed, so a resident can bring a companion animal when moving in. Payment options include Medicare for short-term skilled care after a hospital stay and private pay for direct payment of care costs, with named programs including the Advantage Program, Living with Assistance, Continuing Care, assisted living Care, Fountain Hill Home Care, Arts, and Living Artfully.

Contact Arbor Acres

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center for Nursing and Rehabilitation is a nursing home in Winston-Salem, NC, offering assisted living, hospice care, memory care, respite care, and skilled nursing. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Assisted living helps with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment.

Memory care offers a secured setting with supervision for someone at risk of wandering. Hospice care supports end-of-life needs, while respite care provides a short stay when a usual caregiver needs time away. The range of care types can suit a resident whose needs grow over time, because care can continue within the same community rather than requiring a move to a different provider.

Rehabilitation services include short-term rehab, orthopedic rehab, and post-acute care, giving residents recovery-focused support after hospitalization or an orthopedic health event. The home has 230 beds. Total nurse staffing is 3 hours and 41 minutes per resident per day, representing the amount of nurse staffing counted for each resident across a day.

Payment options are Medicare, Medicaid, and private pay. Medicare can help cover eligible short-term skilled care after a hospital stay, Medicaid can help eligible residents whose savings may not cover a long stay, and private pay means paying directly for care. A Walk Score of 62 is somewhat walkable, meaning some errands can be done on foot, so a resident who no longer drives may be able to reach some nearby destinations independently.

Contact Willow Valley Center for Nursing and Rehabilitation

Overview of Brookstone of Clemmons

Brookstone of Clemmons operates assisted living and memory care from its location in Clemmons, NC. Residents receive assistance in their daily tasks, and memory care ensures that those who may wander are kept in a secured area under supervision.

With 40 beds, Brookstone is relatively small, fostering closer interaction among residents and staff. Clinical support comprises a physician on the team and rehabilitation services. A salon is available on the premises.

Contact Brookstone of Clemmons

Caremoor Retirement Center

4876 Caremoor Place Kannapolis, Nc 28081, Kannapolis, NC 28081
Overview of Caremoor Retirement Center

Caremoor Retirement Center offers assisted living, independent living, and residential care in Kannapolis, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident lives in an apartment; Independent living provides private apartments without daily care.

The residential care offering includes the community’s Family Care Home program. With 30 beds, Caremoor is a smaller community where staff and residents get to know each other, and the combination of independent apartments, a Family Care Home, and assisted living may suit someone comparing different levels of residential support within one community.

Contact Caremoor Retirement Center

Overview of The Canterbury House

Located on Leasburg Road in Roxboro, North Carolina, The Canterbury House serves older adults in Person County. The single-story community offers assisted living and respite care across 60 beds. It supports residents who need help with bathing, dressing, medication management, and meals. The care approach also encourages as much independence as each resident can comfortably maintain.

The community is in a car-dependent area where most errands require a vehicle. Nearby walkable options are limited, so families should plan for driving when visiting or handling needs. Since assisted living homes differ in services and amenities, an in-person visit is a helpful next step.

Touring is a good way for families to see what The Canterbury House offers beyond the basics. Families get an up-close look at the rooms, dining areas, and daily activities. This can also help them get a better sense of the care philosophy and daily setting.

Fire safety and physical plant maintenance issues have been the repeated focus of state inspections. These include fire alarm documentation, equipment maintenance, and ventilation system operation. Those shortcomings have been addressed earlier.

Contact The Canterbury House

Brookstone Retirement Center

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

In Lexington, NC, Brookstone Retirement Center is licensed on two counts, assisted living and memory care. Assisted living provides support for a resident with bathing, dressing, and medication management. Memory care means supervision and a secure setting for a resident living with dementia, and because both are licensed together, the care can change while the address doesn’t.

There are 115 beds, with staff present at every hour. Licensed nurses and a doctor on staff cover the clinical oversight, and rehabilitation services stand behind any therapy a resident needs. The Alzheimer’s Special Care Unit is the named program for residents with Alzheimer’s disease.

A salon, transportation service, and religious services are all part of what the community has. Quilting, craft classes, and group excursions are named among the activities. At a 73 Walk Score, the area is very walkable, and most errands are doable on foot.

Contact Brookstone Retirement Center

Dunmore Senior Living of Siler City

260 Village Lake Road Siler City, Nc 27344, Siler City, NC 27344
Overview of Dunmore Senior Living of Siler City

Dunmore Senior Living of Siler City provides assisted living, independent living, memory care, and respite care in Siler City, NC. Assisted living offers help with daily tasks such as dressing, bathing, and medication, while independent living provides private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

The range of care levels may be a good fit for a resident whose needs may change over time, since they can move between care levels without leaving the community or starting over socially. The community has 86 beds. With a Walk Score of 65, the area is somewhat walkable, so some errands can be done on foot.

Contact Dunmore Senior Living of Siler City

Graceful Living Assisted Living

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

Graceful Living Assisted Living operates a 120-bed residential community in Carrboro, North Carolina. Private apartments allow residents to maintain independence while staff deliver tailored support for grooming, personal hygiene, and medication administration. Customized care plans adjust routines to meet changing personal needs.

Medical care remains easily accessible through an on-staff physician, in-house dental care, and specialized psychiatric and psychotherapy services. Daily programming spans creative arts, music therapy, group discussions, book clubs, and off-site excursions. Shared meals take place in a communal dining venue. Situated in a neighborhood with a 65 walk score, the location enables residents to complete some daily errands on foot while keeping driving options nearby.

Interested residents looking for personal care options in the area can contact Graceful Living Assisted Living to inquire about room availability or arrange a facility walkthrough.

Contact Graceful Living Assisted Living

Overview of Hillcrest Convalescent Center

Hillcrest Convalescent Center provides nursing home, assisted living, respite care, and skilled nursing in Durham, NC. Skilled nursing and nursing home care include licensed nursing support around the clock. Assisted living helps with daily tasks, while respite care offers short stays.

The combination may suit a resident who needs a short rehabilitation stay or a family caregiver who needs temporary coverage. Hillcrest opened in 1951 and has 86 beds. Its inpatient short term rehabilitation program supports a temporary rehabilitation stay, while outpatient physical therapy provides therapy sessions without an inpatient stay.

A Walk Score of 81 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 6 hours 18 minutes per resident per day, representing the daily nursing time allocated to each resident.

Contact Hillcrest Convalescent Center

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: 69The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90