Page 7 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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Last updated
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. 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. 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.
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.
Richland Square
SC
MC
Greensboro (Country Park At Tall Oaks)
70
Facility 70
NC AVG 72
Rank #183 / 387
Yes
58
Facility 58
NC AVG 36
Rank #91 / 536
64.3%
Facility 64.3%
NC AVG 70.6%
Rank #152 / 232
-
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
11
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio
Brookdale Winston-Salem
SC
MC
Winston-Salem
38
Facility 38
NC AVG 72
Rank #316 / 387
Yes
22
Facility 22
NC AVG 36
Rank #360 / 536
100.0%
Facility 100.0%
NC AVG 70.6%
Rank #1 / 232
-
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
10
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio
Livewell at Midenhall Way
SC
AL
HC
MC
Cary (Wessex)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
41
Facility 41
NC AVG 36
Rank #220 / 536
100.0%
Facility 100.0%
NC AVG 70.6%
Rank #1 / 232
-
93.00/200
Facility 93.00/200
NC AVG 92.2
Rank #243 / 321
2
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Private Rooms
Brookdale Concord Parkway
SC
AL
MC
Concord
112
Facility 112
NC AVG 72
Rank #58 / 387
Yes
38
Facility 38
NC AVG 36
Rank #236 / 536
-A+
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
13
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio
The Gardens of Trent
SC
MC
New Bern
60
Facility 60
NC AVG 72
Rank #230 / 387
No
76
Facility 76
NC AVG 36
Rank #9 / 536
86.7%
Facility 86.7%
NC AVG 70.6%
Rank #76 / 232
-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
17
94%
Facility 94%
NC AVG 91.8%
Rank #125 / 333
-
Tyrrell House
SC
AL
RC
Columbia
50
Facility 50
NC AVG 72
Rank #292 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
76.0%
Facility 76.0%
NC AVG 70.6%
Rank #118 / 232
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
12
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
-
Yancey House
SC
AL
MC
RC
Burnsville
70
Facility 70
NC AVG 72
Rank #183 / 387
No
58
Facility 58
NC AVG 36
Rank #91 / 536
80.0%
Facility 80.0%
NC AVG 70.6%
Rank #99 / 232
-
100.50/200
Facility 100.50/200
NC AVG 92.2
Rank #130 / 321
16
94%
Facility 94%
NC AVG 91.8%
Rank #125 / 333
-
Navion of Greenville
SC
AL
MC
Greenville (Medical District)
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
45
Facility 45
NC AVG 36
Rank #191 / 536
78.3%
Facility 78.3%
NC AVG 70.6%
Rank #110 / 232
-
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
10
90%
Facility 90%
NC AVG 91.8%
Rank #84 / 333
Suite
Charter Senior Living of Fox Hollow
SC
AL
MC
RC
Pinehurst
85
Facility 85
NC AVG 72
Rank #132 / 387
Yes
27
Facility 27
NC AVG 36
Rank #336 / 536
80.0%
Facility 80.0%
NC AVG 70.6%
Rank #99 / 232
-
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
13
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
Studio / 1 Bed
Brookdale Union Park
SC
AL
Monroe (Lakeview Estates)
87
Facility 87
NC AVG 72
Rank #126 / 387
Yes
10
Facility 10
NC AVG 36
Rank #457 / 536
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
10
90%
Facility 90%
NC AVG 91.8%
Rank #84 / 333
Studio / Companion Rooms

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 Richland Square

Situated in the heart of Greensboro, NC, the Richland Square is a welcoming senior living community focusing on memory care services. A wide array of cozy and spacious accommodations with several floor plans are available depending on the needs of its residents. Having a highly equipped and compassionate team, this community offers an emergency response team and round-the-clock personalized care services. As for memory care, those with cognitive conditions undergo in a cutting-edge program called Pathways to Discovery through an expert and empathetic team.

The community is committed to providing a perfect balance between personal freedom and intentional care wherein residents can enjoy delightful and healthy meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Participate in diverse social activities and community events. Explore other beautiful spaces such as the illuminated entryways. With the Richland Square, seniors are assured of an empowering living experience.

Contact Richland Square

Overview of Brookdale Winston-Salem

Set amidst the beautiful setting of Winston Salem, NC, Brookdale Winston-Salem is a classic senior living community that offers compassionate memory care for seniors with Alzheimer’s and dementia. The community provides a secure and supportive environment designed to enhance residents’ quality of life while addressing their unique needs. With trained staff available around the clock, residents receive personalized attention and emergency support whenever necessary.

At Brookdale Winston-Salem, residents benefit from a variety of amenities and engaging programs tailored to their cognitive abilities and interests. Their Clare Bridge Daily Path program offers a structured routine with six planned activities each day, fostering a sense of purpose and achievement. The community features secure entrances and enclosed outdoor areas, allowing residents to safely enjoy gardening and outdoor activities. Inside, cozy living spaces and thoughtful details like large windows create a comfortable, homelike atmosphere that promotes well-being and independence.

Contact Brookdale Winston-Salem

Overview of Livewell at Midenhall Way

Located near UNC REX Hospital in Cary, North Carolina, this assisted living and memory care community serves up to six residents in a single-story home. Its small size supports a highly personalized environment, and all available beds are currently occupied. Care ranges from assistance with daily living to end-of-life support, with staff trained in wander-management procedures for residents who may be at risk of leaving the home unsupervised.

Older adults receive help with medication administration, incontinence care, and transportation to medical appointments. Licensed nurses and certified nursing assistants are available around the clock, maintaining a staff-to-resident ratio of one caregiver for every three residents. The organization also provides in-home care services for individuals who wish to remain in a private residence.

Meals are prepared to accommodate individual dietary needs, including vegetarian, diabetic, and gluten-free preferences. Residents also have access to housekeeping, laundry, transportation, religious services, a chapel, a spa, and a live-in care program.

Inspection reports from North Carolina’s Division of Health Service Regulation have cited findings related to resident supervision practices and the timing of meal service during one review. No additional concerns involving food preparation or nutrition were identified.

Contact Livewell at Midenhall Way

Overview of Brookdale Concord Parkway

Live life to the fullest with fewer worries and more fun at Brookdale Concord Parkway, a welcoming senior living community in Concord, NC, offering assisted living and memory care. The community offers pet-friendly apartments with convenient amenities, along with a 24-hour available care team, ensuring a comfortable and secure living environment. Meanwhile, memory care residents live secure environments with support from associates trained to care for seniors living with cognitive challenges.

Committed to giving residents the comforts of home but without the extra work, Brookdale Concord Parkway offers various assistance, including help with activities of daily living and household maintenance. To ensure residents get the nourishment they need, the community also provides delicious and nutritionally-balanced meals that residents can enjoy in an elegant dining room. Residents also enjoy access to various amenities including a well-stocked library, a fitness center, a cafe, a therapy room, a pharmacy, and beautiful common areas for socializing or relaxation.

Contact Brookdale Concord Parkway

The Gardens of Trent

2915 Brunswick Avenue New Bern, Nc 28562, New Bern, NC 28562
Overview of The Gardens of Trent

The Gardens of Trent provides memory care in New Bern, North Carolina. The community is built for residents living with dementia, and its secured setting is the center of how it operates. Its location scores a 76 for walkability, which means most errands sit within a short walk and family members can get around the area on foot.

The community holds 60 beds and is home to 52 residents right now, putting occupancy at 87 percent. Residents live in a secured environment shaped around dementia care, where the day has structure and the exits stay controlled. Nursing services are available, and staff are on-site 24 hours a day. That around-the-clock coverage matters most for the overnight hours, when a resident may need help and set-shift staffing would leave a gap.

Housekeeping, maintenance, and transportation are all handled in-house. Meals come restaurant-style in a shared dining room. Residents also have a library, an entertainment room, and an outdoor common area, so there is space to read, gather, or step outside without leaving the secured grounds.

For families weighing cost, the community accepts Medicaid. That gives households a coverage route when private pay alone is not the plan.

What the record describes is a secured memory care community in a walkable stretch of New Bern, staffed around the clock and set up for the daily rhythms of residents living with dementia.

Contact The Gardens of Trent

Tyrrell House

950 Us Highway 64 E Columbia, Nc 27925, Columbia, NC 27925
Overview of Tyrrell House

Tyrrell House sits on US Highway 64 East in Columbia, North Carolina. there are fifty beds, and thirty-eight of them are filled, which works out to 76% occupancy. The surrounding area earns a Walk Score of 51, so a resident or a visiting family member can manage some errands on foot but will want a car for the rest.

The care model here is assisted living: help with daily activities, not skilled nursing. Staff are on hand 24 hours. Two options widen the picture. Secured living is available for residents who need a protected setting, and respite care gives families a place to turn when a caregiver at home needs a break.

Meals are served restaurant-style. Residents also have a library, an entertainment room, and an outdoor common area to use. Housekeeping, maintenance, and transportation are part of what the community handles.

State inspection themes at Tyrrell House include medication management, staffing and staff credentials, care planning and documentation, and resident rights and protections.

Medicaid is accepted, which shapes who can realistically plan a long stay here. Tyrrell House is a mid-sized community in a small town, three-quarters full, built for older adults who want assisted living without leaving the area and who may need secured living along the way.

Contact Tyrrell House

Yancey House

6 Cooper Lane Burnsville, Nc 28714, Burnsville, NC 28714
Overview of Yancey House

Yancey House sits at 6 Cooper Lane in Burnsville, a small town in the mountains of western North Carolina. It is a 70-bed community offering assisted living, memory care, and respite stays. The neighborhood scores a 58 for walkability, so a short walk covers some errands. Most trips still need a car.

About 80% of the beds are filled. For families still touring and comparing, that means real availability rather than a waitlist conversation.

Staff are on-site 24 hours a day, and respite care gives family caregivers a place to turn when they need a short break or when a parent is coming home from the hospital and needs a bridge. Memory care here runs through a program called Secured Living, built for residents who wander or need a more structured environment than general assisted living can provide.

The building has a library, an entertainment room, restaurant-style dining, and an outdoor common area. Housekeeping, maintenance, and transportation are the community’s responsibility, not the family’s. That is a practical difference for adult children managing care from another county.

Medicaid is accepted. Families thinking in years rather than months will want to weigh that. State inspections have focused on areas like medication management, care planning and documentation. Taken as a whole, Yancey House suits older adults who need daily hands-on help and families who want a secured memory care option close to home in Yancey County, without moving a parent hours away to find it.

Contact Yancey House

Overview of Navion of Greenville

Nestled in the welcoming place of Greenville, NC, the Navion of Greenville is a remarkable senior living community offering assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations ranging from one-bedroom to two-bedroom. With its highly skilled and hardworking team, this community offers an emergency response system and 24/7 personalized care services.

With its top-tier amenities and other services, residents can enjoy delectable meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Engage in diverse social activities and community events. Meet new companions and share meaningful memories within the beautiful spaces of this community. At the Navion of Greenville, seniors are guaranteed a memorable living experience.

Contact Navion of Greenville

Overview of Charter Senior Living of Fox Hollow

Nestled in a sunny location that embraces warmth and friendliness, Fox Hollow Senior Living Community is a cozy senior living community in Pinehurst, NC, offering assisted living and memory care options. This community provides residents with studio and one-bedroom apartments tailored to their needs, ensuring a secure and comfortable living space with plenty of privacy. Seniors enjoy vibrant activities, from billiards games to live music around the cozy fireplace, fostering connections and joy.

At Fox Hollow, residents can take advantage of a variety of amenities and programs designed to enhance their daily lives. The community features a beauty salon, movie nights, and engaging exercise classes. With dedicated medical resources, weekly housekeeping, and 24/7 concierge and nursing staff, residents receive personalized support. Lifestyle360 activities and community transportation ensure that there’s always something exciting happening at Fox Hollow.

Contact Charter Senior Living of Fox Hollow

Overview of Brookdale Union Park

Nestled in Monroe, North Carolina’s serene residential neighborhood, Brookdale Union Park offers a comforting assisted living community. Residents enjoy spacious accommodations and resort-style amenities, ensuring a retirement filled with comfort and tranquility. Knowing that quality care is readily available provides peace of mind to residents and their families alike. Located conveniently near Carolinas Medical Center and Lake Lee, Brookdale Union Park combines small-town charm with access to urban amenities such as local dining, shopping, and banking.

Residents can engage in a variety of activities both on-campus and off, from pursuing new hobbies to enjoying leisurely shopping and dining outings. Caregivers are available to assist with medication management, bathing, dressing, and more, empowering residents to maintain their independent lifestyles. With features like restaurant-style dining, a hair salon, and a library on-site, Brookdale Union Park ensures residents can live each day on their terms, embracing a fulfilling retirement experience.

Contact Brookdale Union Park

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.