Page 5 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. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
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.
Preston House
SC
MC
Charlotte (West Sugar Creek)
40No 53 -A+103.50/200A+1136%Private Rooms
Brookdale Hickory Northeast
SC
AL
Hickory
88Yes 31 -A+98.50/200A1258%Studio / Suite
Cadence Mooresville by Cogir
SC
AL
MC
Mooresville
96Yes 15 100.0% -94.50/200A1753%Studio / Suite
Brookdale East Broad
SC
AL
Statesville (Broadview)
58Yes 6 100.0% -106.00/200A-1369%Studio
Brookdale Monroe Square
SC
MC
Monroe (Council Oaks)
65Yes 26 -A+101.50/200A-956%Studio / 2 Bed
Cadence at Wake Forest by Cogir
SC
AL
MC
Wake Forest
96Yes 43 27.1% -103.50/200C+1258%Studio / 1 Bed
Brookdale Smithfield
SC
AL
MC
Smithfield
74Yes 45 -A+92.50/200C+1771%Studio / Suite
Harmony at Greensboro
SC
AL
IL
Greensboro (British Woods)
92Yes 37 43.5% A+91.50/200C-786%-
LiveWell @ Governors Club Cottages (2) (Chapel Hill)
SC
AL
HC
MC
Chapel Hill (Governors Club)
6No 7 100.0% -102.50/200A560%Private / Semi-Private Rooms
Our Promise Care Homes at Wake Drive
SC
AL
RESC
Wake Forest (Home Garden)
6No 40 100.0% -104.50/200A-540%Private Rooms
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Preston House

4910 Harris Woods Blvd, Charlotte, NC 28269
Overview of Preston House

Preston House is a memory care community in Charlotte, North Carolina, set in a suburban pocket of Mecklenburg County about 7.8 miles from the city center. The single-story building holds 40 beds, which puts it in moderate territory for size: large enough to sustain daily programming and shared spaces, small enough that staff tend to know residents individually. Residents live in private rooms, an arrangement many families prefer when a loved one is easily overstimulated or unsettled by a roommate. The community has been operating for 29 years, a long track record in a field where turnover is common.

Care is built specifically around memory impairment, with a team trained in memory care supporting residents through the day. The building reflects that focus in practical ways, including handicapped-accessible bathrooms and a wireless emergency response system that brings staff quickly when someone needs help. A full-time social director oversees the activity calendar, and residents have access to fitness and recreation programming as well as transportation services for outings and appointments. Atrium Health University City sits roughly four miles away, which matters when medical needs come up.

State inspections by the North Carolina Department of Health and Human Services have most often pointed to building systems and physical-plant upkeep, including fire safety equipment, ventilation, plumbing, and wander-alert devices, rather than concerns with hands-on resident care. Follow-up review confirmed that flagged items were corrected. Families touring the community may want to ask how maintenance and safety checks are handled on an ongoing basis.

The neighborhood scores 53 out of 100 for walkability, meaning some errands can be handled on foot while most trips involve a short drive. For visiting family, the suburban setting and single-story layout make regular, low-effort visits practical.

Contact Preston House

Overview of Brookdale Hickory Northeast

Committed to enhancing seniors independence while offering personalized care as needed, Brookdale Hickory Northeast is a remarkable senior living community in Hickory, North Carolina, offering personalized assisted living care in a cozy setting. Conveniently located near shopping, banks, and healthcare facilities, our community ensures residents receive attentive service and enjoy a worry-free lifestyle. A dedicated team is available around the clock for emergencies, providing peace of mind to residents and their families.

From assistance with daily tasks like dressing and medication management to organizing engaging activities such as fitness classes, bingo, and shopping trips, the community fosters an active and fulfilling lifestyle. Residents relish delicious, chef-prepared meals in our elegant dining room, where their preferences shape the weekly menus, ensuring every dining experience is enjoyable and satisfying. With amenities like an emergency alert system, pet-friendly environment, and convenient transportation services, residents live a comfortable and convenient life.

Contact Brookdale Hickory Northeast

Overview of Cadence Mooresville by Cogir

An idyllic senior living community residing in the tranquil neighborhood of East Waterlynn Road, Mooresville, NC, that offers assisted living and memory care. Live your best years embraced by beautiful and inviting residences including a wide array of private studio and one-bedroom apartments. A kind and compassionate team strives to deliver the highest quality of care and support that best matches seniors’ needs and interests.

Learn something new and hone your acquired skills with engaging activities and exciting programs for leisure and well-being. Eat well and feel your best with healthy and delicious meals served for seniors’ dietary needs and satisfaction. Surround yourself with beautiful garden views and a serene environment with Cadence Mooresville by Cogir for a glorious retirement.

Contact Cadence Mooresville by Cogir

Overview of Brookdale East Broad

Brookdale East Broad offers a serene senior living experience nestled in Statesville, North Carolina. Designed for comfort and independence, this assisted living community provides a tranquil retirement setting where residents can relax and enjoy life without the stress of daily chores. With a focus on maintaining personal freedom, Brookdale East Broad ensures peace of mind with round-the-clock emergency response services, ensuring assistance is always at hand when needed.

Residents at Brookdale East Broad can indulge in a vacation-style lifestyle enriched with amenities such as an emergency alert system, pet-friendly accommodations, and convenient transportation services. The community offers beautifully landscaped grounds, inviting porches, and cozy meeting rooms ideal for social gatherings. Additional conveniences include onsite beauty and barber services, a greenhouse for gardening enthusiasts, and easy access to pharmacy and postal services. With keypad entry for security and a soothing piano for musical enjoyment, Brookdale East Broad is dedicated to fostering a fulfilling and comfortable living environment for its residents.

Contact Brookdale East Broad

Overview of Brookdale Monroe Square

Operating for over 48 years, Brookdale Monroe Square is a memory care community in Monroe, North Carolina, dedicated to supporting older adults living with Alzheimer’s disease and other forms of dementia. With 65 beds in a single-story setting, it features studio and two-bedroom residences starting at $7,910 per month. Licensed nurses and certified nursing assistants also provide 24-hour care to support ongoing supervision, personal care, and medication assistance.

Three home-style meals and snacks are served daily in a supportive dining setting designed to encourage comfort and social interaction. Respite care is also available, providing temporary support for families caring for loved ones at home.

Additionally, the pet-friendly community features landscaped grounds with a courtyard and garden where residents and families can spend time outdoors. Transportation and concierge services may help residents and visitors access appointments and local destinations, as it is set in a car-dependent neighborhood.

Contact Brookdale Monroe Square

Overview of Cadence at Wake Forest by Cogir

Breathe in the fresh air of Heritage Trade Drive, Wake Forest, NC, with the trusted senior living community of Cadence at Wake Forest that provides assisted living and memory care. Enjoy your golden years within the beautiful and spacious residences of Cadence at Wake Forest in variations of one-bedroom apartments, and private and shared studios. An experienced and highly skilled team lends necessary care and support for residents to enjoy a maintenance-free lifestyle.

The community doubles its efforts to ensure residents experience unparalleled comfort and convenience, providing them with the utmost attention for their every need. Leisure and wellness is not a problem with a combination of enjoyable and nurturing activities conducted for seniors to maintain a happy and active lifestyle. Good dining completes the finest experience with healthy restaurant-style meals catering to seniors’ dietary needs and preferences. Cadence at Wake Forest is ideal for seniors seeking a haven to spend a peaceful yet well-engaged retirement with its bright and airy campus.

Contact Cadence at Wake Forest by Cogir

Overview of Brookdale Smithfield

Enjoy a life of independence while still receiving the care you need at Brookdale Smithfield, an excellent senior living community based in Smithfield, NC, offering assisted living and memory care. The community offers pet-friendly apartments featuring large windows with plenty of natural light, along with a compassionate team available 24/7 to provide assistance in emergencies. To ensure residents dealing with cognitive challenges receive the proper care and support they need, the community provides a gentle daily structure of six planned programs, complemented with consistent care assignments.

Residents at Brookdale Smithfield find fun and entertainment with a jam-packed calendar of activities, such as joining a walking club, fun exercise classes, or stimulating brain games, aroma therapy, and daily music programs for memory care residents. A culinary team ensures residents get the nourishment they need with tasty and nutritious meals, tailored to residents’ dietary needs and preferences. Amenities include a library, a game room, community kitchen, and beautiful walking paths and courtyard, where they can enjoy nature alone or with friends.

Contact Brookdale Smithfield

Overview of Harmony at Greensboro

Operating for eight years, Harmony at Greensboro is a 92-bed residential community on Whitehurst Road in Greensboro, North Carolina. With occupancy at 43 percent, the home has availability for prospective occupants.

The location sits in a somewhat walkable area, with a Walk Score of 37. This means some nearby services can be reached on foot, though most errands require transportation.
The community is conveniently set for access to Greensboro’s surrounding neighborhoods and services.

It’s encouraged that those considering Harmony at Greensboro visit in person to see the community firsthand, tour available accommodations, and learn more regarding daily programming and services.

Contact Harmony at Greensboro

Overview of LiveWell @ Governors Club Cottages (2) (chapel Hill)

Surrounded by lush trees and scenic nature, LiveWell at Governors Club Cottages (2) is an idyllic senior living community in Club Drive, Chapel Hill, NC, that offers memory care. Residents receive the utmost care and attention for their special needs with a well-trained team available around the clock. With its commitment to residents’ welfare, the community promotes a quiet and safe environment.

Featuring innovative and specially designed amenities, the community encourages residents to maintain an active and well-connected lifestyle. Fostering familiarity and comfort, the community eases daily stresses. With its intimate and quaint setting, residents can rest assured of receiving the finest care and assistance to live a blissful retirement.

Contact LiveWell @ Governors Club Cottages (2) (Chapel Hill)

Overview of Our Promise Care Homes at Wake Drive

Wake Forest, North Carolina is home to Our Promise Care Homes at Wake Drive, a six-bed residential care property operating on a single level. The single-story layout eliminates any need for stairs, providing a functional design for residents with physical mobility limitations. The home features private bedrooms for each individual and operates at full capacity with all six beds occupied.

The local neighborhood carries a walkability score of 40 out of 100, indicating that while a few nearby services are accessible on foot, a car is necessary for most daily shopping and errands. On-site care features clinical oversight, with a staff doctor, licensed nurses, and certified nursing assistants delivering physical support, medication administration, and rehabilitation services.

For spiritual and social routines, the house includes an on-site chapel and hosts scheduled religious services. Historical state inspections have monitored standard residential care practices, including personal care assistance, medication tracking, fire safety equipment readiness, and general building cleanliness.

Prospective representatives can contact the administrative team to be placed on the current bedroom waiting list and review the monthly fee structure.

Contact Our Promise Care Homes at Wake Drive

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 574 senior communities in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community in North Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting senior communities in North Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

Senior Communities in North Carolina at a glance

Avg Walk Score: 34/ 100The average Walk Score across facilities in North Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 70The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90