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Compare Senior Communities around North Carolina
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Brookdale South Charlotte |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Wessex Square) | 82
Facility
82
NC AVG
72
Rank
#145 / 390 | Yes |
16
Facility
16
NC AVG
33
Rank
#407 / 572 |
74.4%
Facility
74.4%
NC AVG
69.9%
Rank
#122 / 246 | A+ | 101.50/200
Facility
101.50/200
NC AVG
92.2
Rank
#103 / 322 | 20 | 80%
Facility
80%
NC AVG
76.2%
Rank
#169 / 335 | Private Rooms / Semi-Private Rooms | |
| The Arboretum at Woodland Terrace |
SC Senior Communities
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Cary (Woodland Terrace) | 84
Facility
84
NC AVG
72
Rank
#138 / 390 | Yes |
55
Facility
55
NC AVG
33
Rank
#110 / 572 |
39.3%
Facility
39.3%
NC AVG
69.9%
Rank
#211 / 246 | - | 95.75/200
Facility
95.75/200
NC AVG
92.2
Rank
#210 / 322 | 19 | 84.2%
Facility
84.2%
NC AVG
76.2%
Rank
#239 / 335 | Studio / 1 Bed / 2 Bed | |
| Brookdale Robinwood |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Gastonia | 89
Facility
89
NC AVG
72
Rank
#125 / 390 | Yes |
4
Facility
4
NC AVG
33
Rank
#506 / 572 | - | A+ | 91.50/200
Facility
91.50/200
NC AVG
92.2
Rank
#253 / 322 | 17 | 76.5%
Facility
76.5%
NC AVG
76.2%
Rank
#137 / 335 | Private Rooms / Semi-Private Rooms | |
| Sunrise of Cary |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Cary (West Chatham Street) | 85
Facility
85
NC AVG
72
Rank
#135 / 390 | Yes |
34
Facility
34
NC AVG
33
Rank
#271 / 572 |
40.0%
Facility
40.0%
NC AVG
69.9%
Rank
#208 / 246 | A- | 103.50/200
Facility
103.50/200
NC AVG
92.2
Rank
#31 / 322 | 18 | 66.7%
Facility
66.7%
NC AVG
76.2%
Rank
#69 / 335 | Studio / Suite / 1 Bed | |
| Brookdale Dickinson Avenue |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greenville | 76
Facility
76
NC AVG
72
Rank
#169 / 390 | Yes |
38
Facility
38
NC AVG
33
Rank
#235 / 572 |
67.1%
Facility
67.1%
NC AVG
69.9%
Rank
#150 / 246 | A+ | 84.50/200
Facility
84.50/200
NC AVG
92.2
Rank
#285 / 322 | 16 | 87.5%
Facility
87.5%
NC AVG
76.2%
Rank
#274 / 335 | Studio / Suite / 1 Bed | |
| Terrabella Asheboro |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Asheboro (Laurel Wood Hills) | 96
Facility
96
NC AVG
72
Rank
#91 / 390 | Yes |
0
Facility
0
NC AVG
33
Rank
#548 / 572 | - | A+ | 96.50/200
Facility
96.50/200
NC AVG
92.2
Rank
#196 / 322 | 26 | 80.8%
Facility
80.8%
NC AVG
76.2%
Rank
#181 / 335 | Studio / 1 Bed | |
| Chatham Ridge |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill | 91
Facility
91
NC AVG
72
Rank
#118 / 390 | Yes |
33
Facility
33
NC AVG
33
Rank
#280 / 572 | - | A+ | 98.50/200
Facility
98.50/200
NC AVG
92.2
Rank
#168 / 322 | 23 | 87%
Facility
87%
NC AVG
76.2%
Rank
#268 / 335 | Studio / Suite | |
| Brookdale Union Park |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Monroe (Lakeview Estates) | 87
Facility
87
NC AVG
72
Rank
#129 / 390 | Yes |
10
Facility
10
NC AVG
33
Rank
#457 / 572 | - | A+ | 105.50/200
Facility
105.50/200
NC AVG
92.2
Rank
#5 / 322 | 21 | 85.7%
Facility
85.7%
NC AVG
76.2%
Rank
#257 / 335 | Studio / Companion Rooms | |
| Brookdale Union |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Gastonia | 78
Facility
78
NC AVG
72
Rank
#164 / 390 | Yes |
35
Facility
35
NC AVG
33
Rank
#260 / 572 |
100.0%
Facility
100.0%
NC AVG
69.9%
Rank
#1 / 246 | A+ | 98.50/200
Facility
98.50/200
NC AVG
92.2
Rank
#168 / 322 | 28 | 75%
Facility
75%
NC AVG
76.2%
Rank
#120 / 335 | Studio | |
| Brookdale Elizabeth City |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Elizabeth City | 76
Facility
76
NC AVG
72
Rank
#169 / 390 | Yes |
30
Facility
30
NC AVG
33
Rank
#308 / 572 |
28.9%
Facility
28.9%
NC AVG
69.9%
Rank
#229 / 246 | A+ | 99.00/200
Facility
99.00/200
NC AVG
92.2
Rank
#161 / 322 | 20 | 90%
Facility
90%
NC AVG
76.2%
Rank
#298 / 335 | Studio / 1 Bed / 2 Bed | |
| Brookdale Carriage Club Providence |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
72
Rank
#168 / 390 | Yes |
12
Facility
12
NC AVG
33
Rank
#440 / 572 |
71.5%
Facility
71.5%
NC AVG
69.9%
Rank
#135 / 246 | A+ | 98.75/200
Facility
98.75/200
NC AVG
92.2
Rank
#167 / 322 | 15 | 80%
Facility
80%
NC AVG
76.2%
Rank
#169 / 335 | Studio / 1 Bed / 2 Bed | |
| Sunrise of Raleigh |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Raleigh (Northwest Raleigh) | 100
Facility
100
NC AVG
72
Rank
#79 / 390 | Yes |
49
Facility
49
NC AVG
33
Rank
#161 / 572 | - | A- | 77.50/200
Facility
77.50/200
NC AVG
92.2
Rank
#297 / 322 | 24 | 79.2%
Facility
79.2%
NC AVG
76.2%
Rank
#161 / 335 | Studio / 2 Bed | |
| Brookdale Wake Forest |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Wake Forest | 70
Facility
70
NC AVG
72
Rank
#186 / 390 | Yes |
54
Facility
54
NC AVG
33
Rank
#124 / 572 |
52.9%
Facility
52.9%
NC AVG
69.9%
Rank
#190 / 246 | A+ | 94.50/200
Facility
94.50/200
NC AVG
92.2
Rank
#225 / 322 | 21 | 85.7%
Facility
85.7%
NC AVG
76.2%
Rank
#257 / 335 | Studio / 1 Bed / 2 Bed | |
| Phoenix Assisted Care |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cary (Parkway Retirement Center) | 120
Facility
120
NC AVG
72
Rank
#36 / 390 | No |
24
Facility
24
NC AVG
33
Rank
#349 / 572 |
52.5%
Facility
52.5%
NC AVG
69.9%
Rank
#191 / 246 | A+ | - | 0.00/200
Facility
0.00/200
NC AVG
92.2
Rank
#306 / 322 | 42 | 85.7%
Facility
85.7%
NC AVG
76.2%
Rank
#257 / 335 | Private Rooms / Semi-Private Rooms |
| Brookdale Durham |
SC Senior Communities
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Durham (Northeast Durham) | 119
Facility
119
NC AVG
72
Rank
#49 / 390 | Yes |
9
Facility
9
NC AVG
33
Rank
#462 / 572 |
62.2%
Facility
62.2%
NC AVG
69.9%
Rank
#167 / 246 | A+ | 87.00/200
Facility
87.00/200
NC AVG
92.2
Rank
#276 / 322 | 38 | 92.1%
Facility
92.1%
NC AVG
76.2%
Rank
#311 / 335 | Studio |
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View all Nearby Homes
Overview of Miss Bell’s at Durham
Miss Bell’s at Durham is a vibrant community in Durham, NC, offering assisted living and memory care. With one caregiver assigned to every three residents, the community provides top-notch care tailored to their daily living activities and personal needs around the clock. Residents are also guaranteed the utmost comfort with specially designed and secure living spaces.
A thoughtfully planned calendar of stimulating activities and enriching programs is conducted to improve residents’ living experience and cognition. Delightful and well-balanced meals are provided, ensuring residents have a hassle-free dining experience that satisfy their nutritional needs and preferences. With its dedicated services and state-of-the-art amenities, residents have a blissful retirement amidst the community’s scenic landscapes and welcoming setting.
Situated in Salisbury, NC, Oak Park Retirement is a stylish senior living community that offers enriching independent living services. Residents enjoy the comfort of conveniently designed accommodations, ranging from studios, one-bedroom, and two-bedroom apartments–equipped with modern amenities such as an emergency pull cord system, spacious bathrooms, and walk-in showers. Friendly managers live on-site to provide support and assistance 24/7, giving residents with ease of knowing their needs are immediately cared for.
At Oak Park Retirement, residents can relish three chef-prepared meals every day and 24-hour snacks, engage in an array of daily activities and social events, or explore Oak Park’s plentiful entertainment options. Amenities like a chapel for on-site worship services, multi-function crafts area, a library, fitness center, salon, and comfortable common areas, gives residents plenty of things to do. Offering a vibrant environment, friendly management team, and access to a reliable homecare provider, Oak Park Retirement ensures its residents with unrivaled senior living experience and outstanding quality of life.
Offering personal care, memory care, and respite care, Aje Family Care Home is an assisted living community in Raleigh, North Carolina. The community focuses on older adults’ safety, health, and happiness, promoting an attentive and welcoming environment. Exceptional services include 24/7 medical monitoring, engaging activities, and three dietitian-approved meals, with a registered nurse available as well. To meet residents’ needs and preferences, the community follows a personalized approach to care.
Recreational programs and wellness activities are provided to help improve residents’ cognition and maintain an active lifestyle. Fully furnished accommodations and walking paths are also available, so residents can rest and move about. A variety of dining options, shops, and public transportation also surround the community, ensuring accessibility. This assisted living community is a good option for senior living in North Carolina, especially with its wide range of services.
Overview of Tranquility Estate Living
Tranquility Estate Living is a nurse-owned and operated assisted living community in Troutman, NC, that offers compassionate residential care. The community continuously promotes a warm and nurturing environment, ensuring older adults can find a home away from home in their later years. A 24-hour on-call nurse, medication management, and nutritious meals are just some of the high-quality services that aim to help residents maintain their independence with ease. Through personalized care plans, residents receive the utmost attention and care for their unique needs and preferences.
Meaningful conversations, fun games, and engaging activities provide residents with more opportunities for leisure and social interactions. With cozy living spaces and lively gathering areas, residents are guaranteed the utmost relaxation and safety. Shops, restaurants, and other local amenities also surround the area, ensuring accessibility and convenience. This assisted living community is a great choice for senior living in North Carolina, as it has exceptional standards of care.
Set in the beautiful South Mill Drive, Hope Mills, NC, Clara Dorothy’s House is a one-of-a-kind community that offers senior housing. The community prioritizes low-income seniors and families to ensure they experience a comfortable and secure retirement. As a BBB-accredited housing, the community is a trusted provider of purposely designed and cozy residences. With its serene spaces and welcoming community, Clara Dorothy’s House ensures seniors live their days without worries.
Clara Dorothy’s House helps seniors looking to downsize their homes for a maintenance-free lifestyle. Moreover, the community strives to provide a more affordable and accessible retirement home. Clara Dorothy’s House is a good place to start afresh with its specially built and welcoming accommodations.
A one-of-a-kind senior living community in Hexlena Road, Ahoskie, NC, Place of Purpose is dedicated to providing a welcoming abode for adults with physical disabilities. The community prioritizes the needs of individuals with a rare, degenerative disease called Friedreich’s Ataxia, ensuring they are well-cared for. Promoting a vibrant and friendly setting, Place of Purpose ensures residents live their lives to the fullest.
Meet people in the same situation and share stories to foster inspiration and find meaning. The community is comprised of family members and loved ones of people with disabilities, promising an inviting and respectful environment. Place of Purpose is a safe place for people with physical disabilities to spend their best days surrounded by warmth and care.
Overview of Pruittplace – Winston Salem
Pruittplace – Winston Salem is an assisted living community in Winston-Salem, NC, offering personal care and memory care. Prioritizing older adults’ comfort and well-being, the community maintains a warm, home-like environment. 24-hour assistance, round-the-clock maintenance, restaurant-style dining, housekeeping, and laundry, as well as on-site professional nurses, are provided to improve residents’ living experiences. With personalized care plans, the community provides the best possible care tailored to residents’ unique needs and habits.
Arts and crafts, board games, and active games foster socialization and help improve residents’ cognition. For residents’ leisure and wellness, a beauty salon/ barber shop, an activity area, a theater, and an exercise room are just some of the available on-site amenities. With public transportation nearby, the community is easily accessible. This assisted living community is a great choice for senior living in North Carolina, as it has dedicated services.
Overview of Julian Woods Retirement Community
Julian Woods
Arden’s Independent Retirement Community
Welcome to Worry-Free Senior Living in Arden!
Amidst the breathtaking beauty of the Blue Ridge Mountains in Arden, North Carolina, Julian Woods offers an
elevated senior living experience. You’ll find a wide array of recreational amenities and local attractions just steps
from your doorstep, allowing you to enjoy the perfect blend of nature and culture in your retirement.
Schedule a tour and have lunch with us. You’ll love the lifestyle awaiting you at Julian Woods.
421 Overlook Road Extension
Arden, NC 28704
Julian Woods Retirement Community
Discover the joy and ease of all-inclusive retirement living. Picture yourself in a luxurious, safe, and
vibrant community with a fantastic location for fun local outings. With three chef-prepared meals
offered daily, and weekly housekeeping and maintenance included, you’ll have more time for family,
friends, and the other important things in life. This vision comes to life at Julian Woods Retirement Community
Designed for comfort, our apartment homes come in a variety of floor plans. Each living space features
window coverings, a climate-controlled thermostat, and ample closet space. The apartment kitchens are
also equipped with full-sized appliances. You are free to decorate your unit around your unique tastes.
Pets are also warmly welcome for no additional fee.
Our Signature Freedom Dining program is the focal point of the resort lifestyle and often the most
praised feature of our community. Our executive chef prepares three quality meals daily with an
evolving menu, fresh ingredients, and diet-conscious recipes. Can’t make it to dinner? No worries. With
our meal delivery service, we’ll prepare you a plate and bring it to your door. You can also visit the
“chef’s pantry” for snacks any time – day or night.
The most important part of our community is the shared spaces that allow you to meet other residents,
celebrate fun and memorable moments, and relax. Our common areas include a 150-seat theater,
library, billiards room, arcade, conversation areas, a lounge with bar, superb fitness and exercise room,
spa area, and business center. Our Lifestyle Director plans monthly community events around these
spaces, allowing you to practice new skills, see new things, meet new people, and much more.
While our community focuses on making your retirement fun and fulfilling, our greatest priority is your
safety. Our managers are your neighbors and live on-site to ensure you are happily enjoying your best
retirement life. With our 24/7 Emergency Alert System, round-the clock concierge, and live-in managers
there’s never a moment when you are unable to reach somebody for help!
Our gorgeous community is full of amenities and services, allowing you to enjoy all the conveniences of
all-inclusive living without the hassle of upkeep. Our ample list of amenities and robust social calendar
offers you choice and flexibility in how you choose to spend your time.
Additionally, if you’re ever craving a change of scenery and don’t want to leave behind the comforts we
offer, no worries! With our travel program, you can explore the country while staying at any of our other
Resort Lifestyle Communities locations for no additional cost.
Relax in the theater while watching a movie or get active in a group fitness class; spend teatime with the
gals or watch a game with the guys; cuddle up with a good book or go join a happy hour for fun times
with the neighbors! However you wish to spend your time, we are here to support the retirement of
your dreams.
Retire well. Retire here. Call today to schedule a private tour!
Overview of Calyx Living of Durham
Calyx Living of Durham is an 84-bed assisted living community at 4214 Guess Road, Durham, Durham County, North Carolina. It provides assisted living and memory care services, offers respite care, and carries a 3-star state rating tied for 40th of 138 North Carolina facilities. Current occupancy is 39 percent (33 of 84 beds), well below the state average of 76.4 percent. The facility is not currently Medicare or Medicaid certified.
The facility offers lifestyle and activity programming, beauty and wellness services, and resident engagement.
Medication administration, dietary compliance, and dementia care safety gaps characterize Calyx Living’s regulatory record. Over two years and two inspections, the facility averaged 3.5 deficiencies annually, 33 percent better than North Carolina’s 5.2-deficiency benchmark. The July 22, 2025 follow-up and annual survey identified five deficiencies reflecting systemic care coordination failures. All five exit doors accessible to one resident with dementia lacked functioning audible alarms or staff response protocols during daytime hours, creating safety risks for a population at high elopement risk.
Food safety violations included unlabeled, undated, and uncovered items stored in walk-in cooler and freezer, exposing food to contamination. One resident ordered a regular diet with bite-size meats and gravy did not receive the prescribed meal. Two residents did not receive ordered medications: one failed to receive amlodipine tablets (1 administered of 7 expected) and citalopram tablets (1 administered of 7 expected) for blood pressure and depression management; the second did not receive medications for depression and anxiety. The facility lacked a physician’s order documenting a resident’s authorization to self-administer a topical nonsteroidal anti-inflammatory medication.
The February 21, 2023 annual inspection found two deficiencies signaling earlier therapeutic diet and medication deficits. One resident with a physician-ordered no-concentrated-sweets diet had no therapeutic menu in place. Two of five sampled residents did not receive ordered medications: an inhaler for respiratory management and a topical medication for gum inflammation. No complaint investigations appear in the record.
No fines or license suspensions have been imposed.
Family should ask about staff competency and medication administration auditing protocols before placement, particularly regarding dementia care protocols and exit door alarm functionality.
Overview of The Gardens of Rose Hill
The Gardens of Rose Hill is a 45-bed assisted living and secured living community at 571 S. Sycamore Street, Rose Hill, Duplin County, North Carolina. It accepts Medicaid, offers rehabilitation services and respite care with 24-hour staffing, and holds a 3-star state rating tied for 40th of 138 North Carolina facilities. The community provides restaurant-style dining, library, entertainment room, outdoor common areas, housekeeping, transportation, and structured daily activities.
Physical plant maintenance and medication management deficiencies define The Gardens of Rose Hill’s regulatory history. Over eight years and ten inspections, the facility averaged 5.3 deficiencies annually, 2 percent above North Carolina’s 5.2-deficiency benchmark. The most recent August 7, 2025 follow-up survey found one deficiency: five heat pumps remain non-operational with corridor temperatures at 78 to 79 degrees Fahrenheit, approaching egress limits. This deficiency had not been corrected from May 2025.
Building systems failures span electrical, fire safety, and HVAC infrastructure. May 2025 construction survey identified five deficiencies uncorrected from prior years: electrical outlets in wet locations lacked ground fault interrupters and proper in-use covers; fire safety components including rusted sprinkler escutcheons and a non-operational fire alarm air compressor; a non-functional left hot water heater in the 200 hall mechanical room; five non-operational heat pumps; and a non-functional soiled utility room exhaust fan. August 2023 documented additional building maintenance gaps including missing tiles and stained grout in the SPA shower, unprotected GFCI outlets throughout laundry areas and behind water heaters, improper ice machine drain configuration, and non-functional spa and housekeeping closet exhaust fans. April 2019 cited 11 major deficiencies: unsecured cleaning agents in janitor closets, deteriorating exterior fascia, ceiling stains and mildew, broken concrete benches, missing fire rehearsal documentation, compromised fire-rated ceiling penetrations in attic smoke barrier walls and mechanical rooms, propped fire doors, malfunctioning GFCI receptacles, items stored to ceiling height restricting sprinkler clearances, and non-operational exhaust ventilation.
June 2015 revealed that an NFPA 13 wet sprinkler system had been non-operational since January 2014, requiring continuous fire watch; fire-rated walls and ceilings throughout the facility contained unsealed penetrations; cross-corridor doors failed to latch; kitchen range hood fire suppression was not inspected monthly; and ice machine drain lacked proper air gap.
Medication administration and health professional support gaps appear consistently. August 2024 found one resident without required quarterly licensed health professional evaluations; three of five sampled residents did not receive ordered medications and vital sign checks were not documented. June 2022 documented medication aide failures to observe residents taking medications and errors with topical pain medications. January 2020 annual and complaint investigation found one resident did not receive six ordered medications and a steroid cream was left unattended in another resident’s room; the kitchen failed contamination protection standards with rusty shelves, undated items, and grease accumulation.
No substantiated complaint investigations appear in the record. No fines or license suspensions have been imposed.
Families should ask about corrections implemented following the August 2025 HVAC deficiency, the sprinkler system maintenance deficiency from June 2015, and medication administration monitoring protocols.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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.
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