Page 34 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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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. 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. 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.
Friends Homes
SC
NH
AL
IL
MC
SNF
Greensboro (Guilford College)
69
Facility 69
NC AVG 72
Rank #192 / 387
No
35
Facility 35
NC AVG 36
Rank #261 / 536
95.1%
Facility 95.1%
NC AVG 70.6%
Rank #38 / 232
----Villa Apartments / Townhomes / Apartments / Cottages
Perry Creek Health & Rehabilitation Center
SC
NH
SNF
Raleigh (Northeast Raleigh)
90
Facility 90
NC AVG 72
Rank #116 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
88.1%
Facility 88.1%
NC AVG 70.6%
Rank #72 / 232
----Private / Shared Rooms
Signature HealthCARE of Chapel Hill
SC
HOS
NH
PC
SNF
Chapel Hill
108
Facility 108
NC AVG 72
Rank #63 / 387
No
74
Facility 74
NC AVG 36
Rank #14 / 536
88.5%
Facility 88.5%
NC AVG 70.6%
Rank #65 / 232
-----
Flesher’s Fairview Rest Home
SC
AL
NH
SNF
Fairview
64
Facility 64
NC AVG 72
Rank #213 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
35.9%
Facility 35.9%
NC AVG 70.6%
Rank #202 / 232
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
9
89%
Facility 89%
NC AVG 91.8%
Rank #71 / 333
-
Aldersgate
SC
AL
HOS
IL
MC
NH
RC
SNF
Charlotte (Windsor Park)
-No
40
Facility 40
NC AVG 36
Rank #226 / 536
---3
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
1 Bed / 2 Bed
The Landings of Rocky Mount Mills
SC
AL
MC
Rocky Mount
60
Facility 60
NC AVG 72
Rank #230 / 387
No
50
Facility 50
NC AVG 36
Rank #150 / 536
--
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
2
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The Canterbury House
SC
AL
RC
Roxboro
60
Facility 60
NC AVG 72
Rank #230 / 387
No
9
Facility 9
NC AVG 36
Rank #462 / 536
-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
9
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Lynndale Nursing
SC
HC
Raleigh (North Raleigh)
3
Facility 3
NC AVG 72
Rank #383 / 387
No
8
Facility 8
NC AVG 36
Rank #472 / 536
-
94.00/200
Facility 94.00/200
NC AVG 92.2
Rank #232 / 321
1
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Sanford Senior Living
SC
AL
MC
Sanford
50
Facility 50
NC AVG 72
Rank #292 / 387
No
72
Facility 72
NC AVG 36
Rank #24 / 536
36.0%
Facility 36.0%
NC AVG 70.6%
Rank #201 / 232
95.25/200
Facility 95.25/200
NC AVG 92.2
Rank #220 / 321
20
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Dunmore Plantation
SC
AL
MC
RC
Dobson
60
Facility 60
NC AVG 72
Rank #230 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
7
86%
Facility 86%
NC AVG 91.8%
Rank #53 / 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 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 Perry Creek Health & Rehabilitation Center

Perry Creek Health & Rehabilitation Center is a nursing home in Raleigh, NC, offering long-term care and rehabilitation. Dedicated to older adults’ comfort and healing, the community continuously promotes a supportive and welcoming environment. With scheduled therapy daily, restaurant-style dining, and 24-hour care, residents can focus on their rehabilitation and recovery. Along with a highly trained team and top-tier therapy technology, personalized care plans are also provided to improve residents’ quality of life.

With an on-site activities director, residents are encouraged to participate in various recreational activities and social events to maintain their holistic well-being. A state-of-the-art gym and equipment, and spacious rooms also ensure residents’ relaxation and wellness. Residents also experience a stress-free retirement, as it is conveniently located near bus stops and shops in the quiet neighborhood of Raleigh. As one of the best choices for senior living in North Carolina, this nursing home provides the best possible care for older adults’ welfare.

Contact Perry Creek Health & Rehabilitation Center

Overview of Signature HealthCARE of Chapel Hill

Located at the core of Chapel Hill, NC, Signature HealthCARE of Chapel Hill is a respected senior living community, offering an array of clinical services to help residents recover from their conditions or hospitalization. The community features excellent rehabilitation services and skilled nursing care tailored to residents’ needs and goals, making sure they are given the services that best work for them. Snug and stunning accommodations are also offered to give residents the space they need to comfortably relax and rest.

Committed to helping residents continue living their lives to the fullest, the community offers a wide array of activities, including regular outings, hobby clubs, and their annual Signature Olympics events and resident art shows. Residents also benefit from having access to additional amenities, such as an on-site chaplain, transportation, and volunteer opportunities for a fulfilling living experience. Here, residents are empowered to enjoy their golden years vibrantly and comfortably.

Contact Signature HealthCARE of Chapel Hill

Flesher’s Fairview Rest Home

3016 Cane Creek Road Fairview, Nc 28730, Fairview, NC 28730
Overview of Flesher’s Fairview Rest Home

Fairview, North Carolina is located about 12 miles southeast of Asheville, and Flesher’s Fairview Rest Home has been open there since 1964. This 64-bed home for seniors is in a part of the county where people must use cars to get around, as most errands require driving instead of walking. Mission Hospital in Asheville is the nearest large hospital if the people living there ever need serious medical help.

At the home, people can get help with exercises to get stronger and see a doctor who works there, along with special nursing and healing programs. The total time nurses spend with each person is a little less than four hours every day, which is divided among different types of trained nursing staff. A health program is the main part of the daily schedule, and the building provides rides, cleaning, and laundry for the people who live there.

Flesher’s takes government health insurance and private money, which gives families many choices for how they want to pay for their time at the home. Right now, only 23 of the 64 beds are being used, which means the building is 36 percent full. When state workers check the building, they often look at fire safety, how clean the environment is, how well people’s rights are protected, and how to stop people from falling or getting hurt.

Because of the nursing time, the exercise programs, and the nearby hospital, this place is designed for medical help and getting better rather than living on your own. Being in the same small community for sixty years means the home has many memories, which come from helping many members of the same families over a very long time.

Contact Flesher’s Fairview Rest Home

Overview of Aldersgate

Situated along Shamrock Drive, Givens Aldersgate is a life plan community in Charlotte, NC, that offers assisted living, memory care, and skilled nursing. With a 230-acre campus, this 120-bed community provides a variety of accommodations, including private suites for those living with Alzheimer’s and dementia. Daily housekeeping, personal laundry, chef-prepared meals, and personal transportation are also provided to enrich residents’ living experiences. Nursing assistance is also available 24/7, along with physician services, to ensure accessibility of care at all times.

Enrichment activities, gardening, and spiritual support promote holistic wellness and encourage residents to live actively. Physical & speech therapy, as well as medication management, are also provided for residents’ welfare. Its location is also relatively walkable, with a walkability score of 40, indicating that some services can be reached on foot. Currently, the community has 93.8% occupancy, with an average length of stay of 50 days.

Contact Aldersgate

The Landings of Rocky Mount Mills

1365 River Drive Rocky Mount, Nc 27802, Rocky Mount, NC 27802
Overview of The Landings of Rocky Mount Mills

The Landings of Rocky Mount Mills provides assisted living and memory care in Rocky Mount, North Carolina. The address is 1365 River Drive. A Walk Score of 50 puts the surrounding area in moderately walkable range, so some errands work on foot while others require driving.

Sixty beds is the licensed capacity here. That places the community in the middle of the size range for North Carolina assisted living. Staffing runs 24 hours, which matters for residents who need assistance overnight rather than only during daytime hours.

The memory care side operates as a Secured Living program. This is a protected setting built for residents with dementia or Alzheimer’s disease. Having both levels of care under one roof means a resident whose needs increase may be able to stay in place instead of moving to a different building.

Common areas include a library, an entertainment room, and an outdoor space. Meals are served restaurant-style. The community handles housekeeping, maintenance, and transportation for residents.

North Carolina inspection activity at this community has centered on medication management and staffing credentials, two areas that state regulators examine closely in assisted living settings.

Medicaid is accepted here and, taken with the 60-bed capacity, around-the-clock staffing, and the secured memory care wing, the record here describes a mid-size community equipped to handle both moderate assistance needs and dementia care under one license.

Contact The Landings of Rocky Mount Mills

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

Lynndale Nursing

6628 Keystone Dr, Raleigh, NC 27612
Overview of Lynndale Nursing

Lynndale Senior Living Home is a dedicated home care provider in Raleigh, NC, that offers personal care, companion care, and 24-hour care. Older adults receive top-notch assistance for their daily living activities and healthcare needs whenever necessary. With a trustworthy and specially trained team, older adults can maintain their independence without hassles.

Cheerful companions strive to keep older adults happy and active, engaging in fun conversations and accompanying them on their errands. Meal preparation is also taken care of, ensuring older adults have a delightful dining experience that satisfies their dietary needs and preferences. This home care provider’s commitment to improving older adults’ quality of life allows them to age in place comfortably.

Contact Lynndale Nursing

Sanford Senior Living

1107 Carthage Street Sanford, Nc 27330, Sanford, NC 27330
Overview of Sanford Senior Living

Sanford Senior Living provides assisted living and memory care in Sanford, North Carolina, at 1107 Carthage Street. The address puts residents near the local medical community, with shopping and restaurants close by. A Walk Score of 72 marks the neighborhood as very walkable, meaning most errands can be handled on foot. Families visiting can park once and cover several stops.

The building holds 50 beds and currently houses 18 residents. That works out to 36 percent occupancy. A community this size generally sits between the personal attention of a small home and the wider amenity list of a large one. Current occupancy leaves considerable room in the building.

Clinical support includes rehabilitation services delivered on-site. Licensed nurses and certified nursing assistants staff the community, and coverage runs 24 hours with awake staff present overnight. Memory care operates alongside assisted living here, which means a resident whose cognitive needs shift may be able to stay in the same building rather than move.

Residents receive three meals each day through a full dining program. Housekeeping comes as part of the service package.

North Carolina regulators inspect adult care homes on an unannounced basis. At this community, inspection themes have centered on medication management, fire-safety systems, and housekeeping and upkeep. The oversight record covers more than a decade of data.

Sanford Senior Living is a mid-sized, walkably-located community offering both assisted living and memory care, with around-the-clock licensed staffing and a documented inspection history across those three areas.

Contact Sanford Senior Living

Dunmore Plantation

515 W. Kapp Street Dobson, Nc 27017, Dobson, NC 27017
Overview of Dunmore Plantation

Dunmore Plantation operates in Dobson, North Carolina, at 515 W. Kapp Street. The community provides assisted living, memory care, and respite care. Dobson is the seat of Surry County, in the northwestern corner of the state. The neighborhood registers a Walk Score of 55, which places it in moderately walkable territory, with some errands manageable on foot and a mix of amenities within reach.

Sixty licensed beds put this community in the middle of the size range for North Carolina assisted living residences. Communities at that scale generally land somewhere between the close attention of a small home and the fuller amenity list of a large one. The resident population is mixed, spanning people who need routine daily assistance and people who need structured memory support.

Alzheimer’s care is part of the stated service picture here. The community describes its memory support in terms of experience and commitment to the people living there. Respite care rounds out the offering, which is the piece that matters when a family caregiver needs a defined stretch of time away or a relative is recovering from a hospital stay. Moving between those levels of care does not require moving to a different address.

Oversight comes from the North Carolina Department of Health and Human Services, Division of Health Service Regulation, which runs unannounced surveys of adult care homes across the state. Inspection themes at this community have gathered around fire-safety systems and around staffing and staff credentials.

The summary picture is a sixty-bed Dobson community carrying three levels of care, situated where some daily errands remain within walking distance.

Contact Dunmore Plantation

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.