Page 36 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 citations, expressed as a percentage of total inspections in the window.
Mt. Pleasant House
SC
AL
RC
Mt. Pleasant
74
Facility 74
NC AVG 72
Rank #173 / 387
No
30
Facility 30
NC AVG 36
Rank #309 / 536
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
The Rosewood Health Center – The Cypress of Raleigh
SC
MC
NH
SNF
Raleigh (North Raleigh)
57
Facility 57
NC AVG 72
Rank #277 / 387
No
71
Facility 71
NC AVG 36
Rank #28 / 536
83.5%
Facility 83.5%
NC AVG 70.6%
Rank #86 / 232
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Maple Grove Health & Rehabilitation Center
SC
MC
NH
SNF
Greensboro
210
Facility 210
NC AVG 72
Rank #2 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
53.3%
Facility 53.3%
NC AVG 70.6%
Rank #175 / 232
----
Trinity Grove
SC
MC
NH
SNF
Wilmington
100
Facility 100
NC AVG 72
Rank #77 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
94.9%
Facility 94.9%
NC AVG 70.6%
Rank #39 / 232
----
Trinity Elms Health and Rehab
SC
AL
IL
MC
NH
SNF
Clemmons
100
Facility 100
NC AVG 72
Rank #77 / 387
No
26
Facility 26
NC AVG 36
Rank #339 / 536
90.8%
Facility 90.8%
NC AVG 70.6%
Rank #55 / 232
----
Peak Resources Wilmington
SC
HOS
NH
RC
SNF
Wilmington (Lakeside Park)
110
Facility 110
NC AVG 72
Rank #60 / 387
No
33
Facility 33
NC AVG 36
Rank #281 / 536
81.9%
Facility 81.9%
NC AVG 70.6%
Rank #94 / 232
----
Cedar Hills Center for Nursing and Rehabilitation
SC
AL
HOS
MC
NH
RC
SNF
Clemmons (Meadowbrook)
94
Facility 94
NC AVG 72
Rank #110 / 387
No
28
Facility 28
NC AVG 36
Rank #328 / 536
89.7%
Facility 89.7%
NC AVG 70.6%
Rank #63 / 232
----
The Ridge at New Bern
SC
AL
MC
New Bern
72
Facility 72
NC AVG 72
Rank #176 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
58.3%
Facility 58.3%
NC AVG 70.6%
Rank #167 / 232
79.50/200
Facility 79.50/200
NC AVG 92.2
Rank #294 / 321
19
89%
Facility 89%
NC AVG 91.8%
Rank #71 / 333
Givens Highland Farms
SC
HC
IL
NH
RC
SNF
Black Mountain
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
12
Facility 12
NC AVG 36
Rank #440 / 536
79.7%
Facility 79.7%
NC AVG 70.6%
Rank #105 / 232
----
Oak Forest Health and Rehabilitation Center
SC
AL
HOS
NH
PC
RC
SNF
Winston-Salem
170
Facility 170
NC AVG 72
Rank #7 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
91.1%
Facility 91.1%
NC AVG 70.6%
Rank #52 / 232
----

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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Mt. Pleasant House

935 Page Street Mt. Pleasant, Nc 28124, Mt. Pleasant, NC 28124
Overview of Mt. Pleasant House

At 935 Page Street in Mt. Pleasant, North Carolina, Mt. Pleasant House runs as a 74-bed community offering assisted living, memory care, and secured living under one roof. Cabarrus County surrounds it with a somewhat walkable stretch of neighborhood, Walk Score 30, where a handful of errands are doable on foot but most still call for a car.

Secured living anchors the memory care side of the building, paired with round-the-clock staffing and assistance with daily tasks that doesn’t pause overnight. Respite stays give families a short-term option when they need one. On-site therapy, pharmacy, and provider services mean routine medical needs get handled without a trip off the property, a detail that matters most for residents whose mobility or memory makes outside appointments harder to manage.

Meals come restaurant-style, and residents have a library, an entertainment room, and an outdoor common area to move between. Housekeeping, transportation, and maintenance handle the rest of daily life in the background.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation, inspects the community, and its findings have centered on fire-safety systems rather than direct resident care. Medicaid coverage is accepted here, which matters for families planning a longer stay. Between the secured setting, on-site medical access, and continuous staffing, this is a community built around residents who need memory care supervision layered on top of everyday hands-on support.

Contact Mt. Pleasant House

Overview of The Rosewood Health Center – the Cypress of Raleigh

The Rosewood Health Center – The Cypress of Raleigh sits on Cypress Lakes Drive in North Raleigh, about 10 miles from the city center. The facility is a 57-bed nursing home and memory care community, opened in 2008 and operated by The Cypress of Raleigh LLC. The Walk Score is 71, so most nearby errands are doable on foot, and WakeMed is about 3.4 miles away.

Eighty percent of the 57 beds are occupied, and the average stay runs 249 days. That length of stay is closer to eight months than a typical short rehab course, which says something real about who the facility is built for. A private wing handles memory care for residents who need it.

The staffing picture is detailed; total nursing care comes to 7 hours and 3 minutes per resident per day. Registered nurses provide 52 minutes of that directly; nurse aides account for 3 hours and 26 minutes. Beyond nursing, on-site staff and contractors include respiratory therapy technicians, physical therapy assistants, occupational therapy aides, speech-language pathologists, dental services staff, and a social worker. That range of disciplines on-site means fewer outside referrals for routine clinical needs.

A community life services coordinator runs the activity program, which includes aqua aerobics, book clubs, and bridge and card groups. Medicare and private pay are accepted.

For residents who need sustained skilled nursing care or memory care with broad on-site clinical coverage, The Rosewood Health Center offers a well-staffed, moderately sized environment in a walkable North Raleigh setting.

Contact The Rosewood Health Center – The Cypress of Raleigh

Overview of Maple Grove Health & Rehabilitation Center

With a dedicated memory care program, Maple Grove Health & Rehabilitation Center is a one-story nursing home in Greensboro, North Carolina. The 210-bed facility is built on a single floor, which means occupants and family members navigate rooms, dining areas, and care spaces without needing elevators. For people with changing mobility, such a layout matters.

With a Walk Score of 51, the neighborhood is averagely walkable. Some errands can be finished on foot, while others need a car. The area suits visiting families planning regular trips. The average resident stay is about 231 days, roughly seven and a half months. This blend of shorter-term and longer-term residents, including those in memory care, mirrors the facility’s role in post-acute recovery and active skilled care for people whose needs have deepened over time. Nursing care here averages 3 hours 49 minutes per resident day, with about 45 minutes of that time coming from a registered nurse and the remainder from nursing aides and licensed practical nurses. That stable, hands-on support is the backbone of daily care. Medicare, Medicaid, and private pay are accepted to give families several ways to cover rehabilitation and longer-term care. Occupants benefit from on-site therapy services, social support programs, and structured activities.

Contact Maple Grove Health & Rehabilitation Center

Trinity Grove

631 Junction Creek Dr, Wilmington, NC 28412
Overview of Trinity Grove

Trinity Grove, located in Wilmington, NC, is a distinguished senior living community primarily providing skilled nursing services with a focus on memory care. The accommodation options at Trinity Grove include private or semi-private rooms, each equipped with private bathrooms to ensure residents’ comfort and privacy. The community is dedicated to comprehensive healthcare services, offering 24-hour skilled nursing care, physician coverage, licensed dietician and social worker support, and various therapies such as speech, physical, and occupational therapies.

Residents at Trinity Grove enjoy a range of amenities designed to enhance their living experience. The community provides restaurant-style meals, snacks, and beverages, ensuring a delightful dining experience. Trinity Grove also offers modern conveniences such as wireless internet, cable TV, and personal telephone options. Leisure opportunities, outings, special events, an internet cafe, hair salon, and barber shop further contribute to a vibrant and engaging community. Courtyards, gardens, and amenities such as a children’s playground and transportation services add to the overall comfort and convenience at Trinity Grove.

Contact Trinity Grove

Overview of Trinity Elms Health and Rehab

Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.

Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.

Contact Trinity Elms Health and Rehab

Overview of Peak Resources Wilmington

Peak Resources Wilmington, located in Wilmington, NC, is a rehabilitation and healthcare facility offering skilled nursing and rehabilitation services to both its long-term residents, and patients. Their skilled nursing services are committed to providing high quality care for their long-term residents as well as comfort, which is why part of the services they provide include dementia care, respite care, assisted living, and hospice care.

At Peak Resources Wilmington, residents are provided 24/7 nursing care, dietetic programming and nutrition management, medication management, wound and pain management, ostomy care and management and access to their nursing program, helping the residents to adapt and adjust to independent living, as safely as possible.

Contact Peak Resources Wilmington

Overview of Cedar Hills Center for Nursing and Rehabilitation

With a rich legacy of 75 years in healthcare, Cedar Hills Center for Nursing and Rehabilitation, nestled in the serene suburbs of Clemmons, North Carolina, is a distinguished 93-bed skilled nursing facility. Their commitment extends to short-term and long-term care, further bolstered by a specialized group of full-time rehabilitation specialists dedicated to meeting every senior’s unique needs. The core objective at Cedar Hills is to ensure residents feel like guests and valued members of their extended family. They aim to provide a nurturing and supportive environment where seniors have everything essential for recovery and overall well-being. Experience compassionate care, personalized service, and a supportive community at Cedar Hills Center for Nursing and Rehabilitation – where senior well-being is paramount, and you’re treated as a valued family member.

Cedar Hills recognizes the individuality of each person they serve, understanding that everyone comes with their own set of unique needs. Consequently, they take a personalized approach to each senior resident’s care and rehabilitation journey. With its comprehensive array of services and a team of professionals who genuinely care about senior well-being, Cedar Hills is committed to helping seniors reclaim their lives and embrace their best selves. Cedar Hills offers extensive care services administered by a dedicated team of skilled professionals, ensuring patients receive care with warmth and hospitality reminiscent of family and friends. Here, they pride themselves on creating an environment that feels like a home away from home.

Contact Cedar Hills Center for Nursing and Rehabilitation

Overview of The Ridge at New Bern

The Ridge at New Bern operates a 72-bed assisted living and memory care facility in Craven County, located roughly 6.7 miles from the center of New Bern, North Carolina. Managed under facility president Justin Wray, the single-story community reports an occupancy rate of 58 percent. The single-level floor plan eliminates stairways, providing a flat layout designed to assist residents with mobility limitations.

The immediate area surrounding the building is car-dependent, holding a walk score of 2 out of 100. This layout requires staff and family visitors to use a vehicle for any errands or transit to the property. On-site services include scheduled meals, wellness programs, and coordinated local transportation.

Routine regulatory evaluations conducted by the North Carolina Department of Health and Human Services have identified historical compliance deficiencies, resulting in past enforcement actions.

Prospective residents can call the administrative office to verify current apartment availability and baseline fees.

Contact The Ridge at New Bern

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 Oak Forest Health and Rehabilitation Center

The sister nursing center of The Oaks, Oaks Forest is where residents thrive with the support of quality services for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Specializing in short-term rehabilitation, skilled nursing care, and long-term living– the nursing home aim to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness.

As a proud member of the Liberty Healthcare and Rehabilitation Services, expect Oak Forest to provide a list of comprehensive amenities and services that help make the lives of its residents hassle-free. These include 24-hour licensed supervision, medication services, balanced meals provided, engaging activities scheduled, and specialized programs available.

Contact Oak Forest Health and Rehabilitation 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 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.