Page 7 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. 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. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving. 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.
Brookdale Robinwood
SC
AL
CCRC
HC
IL
MC
NH
SNF
Gastonia
89Yes 4 -A+91.50/200C1258%Private Rooms / Semi-Private Rooms
TerraBella Southern Pines
SC
AL
MC
Southern Pines
94Yes 50 73.4% A+92.75/200D+1080%-
The Charlotte Assisted Living & Memory Care
SC
AL
IL
MC
RC
Charlotte
119Yes 57 42.0% -87.75/200C-2483%Studio / 1 Bed / 2 Bed
Pineville Rehabilitation & Living Center
SC
AL
HOS
NH
RC
SNF
Pineville
106No 25 92.0% A+--C683%Private / Semi-Private Rooms
Lynn’s Care Homes At Riverside LLC
SC
AL
RESC
Raleigh (Northeast Raleigh)
6No 8 83.3% -105.50/200A1567%Semi-Private / 1 Bed Rooms
Brookdale Winston-Salem
SC
MC
Winston-Salem
38Yes 22 100.0% -99.00/200A-1765%Studio
Cary Family Care
SC
AL
RESC
Cary (Twin Lakes)
3No 28 100.0% -94.00/200B+863%Private Rooms / Semi-Private Rooms
Brookdale Chapel Hill
SC
AL
MC
Chapel Hill (Falconbridge)
38Yes 35 100.0% -96.75/200B+1872%Studio / Suite
Livewell at Midenhall Way
SC
AL
HC
MC
Cary (Wessex)
6No 41 100.0% -104.50/200B+520%Private Rooms
Richland Square
SC
MC
Greensboro (Country Park At Tall Oaks)
70Yes 58 64.3% -98.50/200B-1681%Studio
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Overview of Brookdale Robinwood

Enjoy a hassle-free lifestyle at Brookdale Robinwood, a welcoming senior living community in Gastonia, North Carolina, offering assisted living. The community provides personalized assistance with daily tasks such as dressing and bathing, allowing residents to focus on enjoying their day. The cozy campus, designed for comfort and privacy, boasts excellent on-site amenities and a diverse social events calendar. Pet-friendly private apartments and inviting areas for socializing, dining, and entertaining enhance the living experience. At Brookdale Robinwood, residents benefit from a range of lifestyle services tailored to individual needs.

The community emphasizes health and wellness through activities like B-Fit fitness classes and Flex Your Brain exercises. With spacious private apartments featuring walk-in closets and large windows, residents enjoy a bright and welcoming atmosphere. A variety of activities, including art classes, trivia games, and yoga, foster a sense of camaraderie and engagement. Dining here is a delightful experience, with menus crafted from residents’ favorite recipes and seasonal ingredients, ensuring every meal is both healthy and enjoyable.

Contact Brookdale Robinwood

TerraBella Southern Pines

101 Brucewood Rd, Southern Pines, NC 28387
Overview of TerraBella Southern Pines

Perched along the shores of Pinehurst Lake, TerraBella Southern Pines is a charming senior living community offering a comfortable blend of a welcoming atmosphere, engaged and friendly, compassionate team, and personalized care. Serving the neighborhood of Southern Pines, NC, the community offers assisted living and memory care. Featuring spacious and luxurious suites and one- and two-bedroom apartments, TerraBella guarantees residents a cozy living space.

Offering professional care services to independent residents who could benefit from extra assistance and scientific-based memory care services to residents dealing with memory loss, TerraBella Southern Pines provides residents with the exact level of care they want and need. Residents also enjoy access to Three Meals daily with Snacks, housekeeping services, live entertainment, scheduled transportation, and a full calendar of engaging activities, ensuring plenty of leisure and wellness opportunities.

Contact TerraBella Southern Pines

Overview of The Charlotte Assisted Living & Memory Care

The Charlotte Assisted Living & Memory Care is a 119-bed community offering independent living, assisted living, memory care, and respite services to older adults in Charlotte, North Carolina. The facility on Willow Ridge Road operates as a full-service senior living community on a three-story building with an array of housing options: studio, one-, and two-bedroom floor plans. The neighborhood scores 57 on the Walk Score scale, indicating moderate walkability where some daily errands can be run on foot, though occupants typically need a car for most trips.

The facility maintains a 42 percent occupancy rate, meaning rooms are currently offered across its housing inventory. This mid-occupancy level provides potential residents and families with current availability and a reasonable wait time if they proceed with applications. Medicare, Medicaid, and private pay arrangements are accepted to give families flexibility in how they approach coverage and payment options. The home houses its services across multiple care levels in the same community. With memory care and respite residents, independent and assisted living occupants share common areas and amenities. This continuum model lets residents stay in a familiar setting as their care needs change over time, instead of requiring relocations to different facilities. The design bolsters aging in place and the natural care progression, with staff providing increasing levels of support as needed. The location in Charlotte offers easy access to medical services, shopping, and local attractions. The moderately walkable neighborhood means visiting family members can navigate nearby areas on foot. Meanwhile, the offered room inventory across multiple unit types allows flexibility for different resident preferences and budgets.

State inspections have flagged themes around supervision documentation, medication administration protocols, and physical plant maintenance. It’s encouraged that families exploring the community ask staff directly about how these routine operational areas are managed daily, as operational rigor in such areas is crucial to care quality and resident safety.

Contact The Charlotte Assisted Living & Memory Care

Overview of Pineville Rehabilitation & Living Center

Make the most of your golden years with Pineville Rehabilitation & Living Center, an excellent community in Pineville, NC, offering skilled nursing care, short-term rehabilitation, and long-term care. They also help caregivers get their much-deserved break by offering respite stays. Their team of compassionate caregivers and nurses is available 24/7 to oversee residents’ personalized care plans, provide them with comprehensive care, and assist them with their daily living activities.

Access to physical, occupational, and speech therapies is offered 7 days a week to make sure residents can quickly gain back their strength and mobility to continue doing the things they enjoy. Daily activities, weekly outings, and social activities are available to ensure residents never feel bored and always have something fun and purposeful to do. Gourmet meals are also served daily to energize residents and help them maintain proper nutrition. From comprehensive care services to enriching activities and thoughtful amenities, Pineville Rehabilitation & Living Center provides it all for a convenient and enriching experience.

Contact Pineville Rehabilitation & Living Center

Overview of Lynn’s Care Homes at Riverside

Peacefully set in the serene neighborhood of Apalachicola Drive, Raleigh, NC, Lynn’s Care Homes at Riverside LLC, is an esteemed community that offers assisted living. Residents here enjoy the highest quality of care and support according to their needs and preferences from a kind and well-trained team available 24/7. With an intimate and welcoming setting, residents keep peace of mind in their golden years.

Residents are encouraged to live actively and gain meaningful experiences with a jam-packed calendar of fun activities and engaging programs. Have delightful and nutritious meals catering to residents’ dietary needs and preferences. Respite care, transportation services, and medication management are also provided for residents’ comfort and convenience. Spend your golden years without worries surrounded by the community’s specially designed amenities.

Contact Lynn’s Care Homes At Riverside LLC

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 Cary Family Care

Cary Family Care provides assisted living services for older adults with dementia in a residential setting on Front Ridge Drive in Cary, North Carolina. Limited to three residents, the single-story home emphasizes individualized attention and a close caregiver-to-resident relationship. The community is currently fully occupied, reflecting consistent demand for its specialized approach to memory support.

Care is tailored to individuals at varying stages of dementia and includes continuous supervision, routine assessments by a registered nurse, and coordination of transportation for medical appointments. With one staff member for every three residents, support remains highly hands-on and responsive to changing needs.

Residents receive assistance with bathing, grooming, personal hygiene, and skin care, along with meals designed to meet individual dietary preferences and requirements. Daily life also includes wellness programming, recreational opportunities, fitness activities, and transportation services.

Inspection records from North Carolina’s Division of Health Service Regulation indicate that previously identified issues involving building maintenance, documentation, and safety equipment were corrected through required action plans. No civil penalties have been reported. The surrounding neighborhood has a Walk Score of 28, making most errands and outings dependent on vehicle transportation rather than walking.

Contact Cary Family Care

Overview of Brookdale Chapel Hill

Burrowed in the peaceful neighborhood of Chapel Hill, North Carolina neighborhood, Brookdale Chapel Hill is a supportive senior living community offering memory care. The community provides a secure and comfortable environment where residents receive personalized assistance with daily activities. With trained dementia care staff available 24/7, we ensure a supportive atmosphere tailored to individual needs. Our tailored approach includes the Clare Bridge program for mid to late stages of dementia and the Solace program for advanced stages, offering compassionate care and consistent support.

Residents at Brookdale Chapel Hill enjoy a vibrant lifestyle with a full calendar of engaging activities designed to enhance cognitive function and overall well-being. From therapeutic pet visits and courtyard strolls to games in the cozy living room, our activities aim to support each resident’s abilities and encourage meaningful experiences. Located near downtown Chapel Hill and the Research Triangle, our community offers convenient access to local attractions, allowing residents and their families to explore cultural and recreational opportunities in the area.

Contact Brookdale Chapel Hill

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 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

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 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