Page 9 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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. SC (Senior Communities):
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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.
Sunrise on Providence
SC
AL
HOS
MC
Charlotte (Olde Providence North)
95Yes 15 70.5% -90.00/200C-1567%Studio / Companion Suite / 1 Bed
Brookdale Cary
SC
MC
Cary (Clare Bridge Of Cary)
50Yes 50 80.0% -95.50/200D+1080%Private Rooms / Semi-Private Rooms
Avendelle at Shepherds Vineyard
SC
AL
Apex (Shepherds Vineyard)
6No 36 -A+102.50/200A425%Private / Shared Rooms
Spring Arbor of Wilson
SC
AL
MC
Wilson
72Yes 16 20.8% -103.50/200A-1464%Studio / 1 Bed
Deerfield Ridge
SC
AL
MC
Boone
96Yes 7 28.1% -96.50/200A1070%Studio / Suite
Morningside of Gastonia
SC
AL
MC
Gastonia (Lake Wood)
105Yes 42 --103.50/200A1346%Studio / Suite / 1 Bed
TerraBella Southport
SC
AL
MC
RC
Southport
96Yes 2 59.4% A98.50/200B-1650%-
Carolina Inn at Village Green
SC
AL
MC
Fayetteville (Terry Sanford)
100Yes 60 --103.50/200A-1155%1 Bed / 2 Bed
Cadence at Clemmons
SC
AL
MC
Clemmons
96No 31 --102.50/200B+1747%Studio / 1 Bed
Cadence at Clemmons by Cogir
SC
AL
MC
Clemmons
96Yes 35 --102.50/200B+1747%Studio / 1 Bed
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Overview of Sunrise on Providence

Located in the Olde Providence North neighborhood of Charlotte, North Carolina, Sunrise on Providence is a senior living community offering assisted living, hospice care, and a dedicated memory care program in one location. The community is about 4.5 miles from Novant Health Matthews Medical Center, providing residents and families with convenient access to nearby hospital care when needed.

The community features Victorian-style architecture and overlooks a lake, giving it a distinctive appearance among senior living communities in the area. It has 95 beds and offers studio, companion suite, and one-bedroom residences. Residents can choose the level of privacy that best fits their preferences. The community currently operates at about 71% occupancy.

Sunrise on Providence’s assisted living and a specialized memory care program support residents as their care needs change without moving to another community. Pets are welcome in the community, allowing residents to bring a companion animal when they move in.

State inspections have most often focused on fire safety systems and equipment, along with periodic reviews of care documentation and infection control practices. Families touring Sunrise on Providence may want to ask how these areas are monitored and managed as part of the community’s daily operations.

The neighborhood has a Walk Score of 15, which is car-dependent. Most errands, shopping, dining, and medical appointments require a vehicle, so visiting family should plan to drive.

Contact Sunrise on Providence

Overview of Brookdale Cary

Make your golden years even brighter at Brookdale Cary specializes, an inviting senior living community in the serene neighborhood of Cary, North Carolina, providing exceptional memory care for individuals with Alzheimer’s disease and other types of dementia. The community offers a secure environment designed to support residents with dementia while preserving their sense of identity and purpose. With 24/7 access to trained staff, residents benefit from a comfortable, homelike environment where their needs are met with understanding and compassion. At Brookdale Cary, they prioritize engaging activities that enhance quality of life.

Residents participate in a variety of enriching experiences such as exercise classes, art projects, puzzles, and live music performances. The community also offers on-site devotional services and recreational activities like bowling and karaoke. Brookdale Cary’s dining program is tailored to support residents with dementia, featuring dementia-friendly menus that are easy to manage yet diverse and flavorful, ensuring a pleasant dining experience that promotes socialization and independence.

Contact Brookdale Cary

Overview of Avendelle at Shepherds Vineyard

Avendelle at Shepherds Vineyard provides assisted living in Apex, NC, within the Shepherds Vineyard neighborhood. Assisted living includes help with daily tasks such as dressing, bathing, and medication while allowing each resident to maintain personal living space.

With six beds, the community is small enough for staff and residents to get to know one another, making it a good fit for someone who prefers a smaller setting. Housing includes private and shared rooms: a private room gives one resident personal space, while a shared room suits someone who wants a companion. The area has a Walk Score of 36, placing it in a car-dependent setting where most errands require a car or a ride. A resident who no longer drives would need transportation for errands.

Contact Avendelle at Shepherds Vineyard

Overview of Spring Arbor of Wilson

Enjoy an exceptional senior living experience with Spring Arbor of Wilson, located in Wilson, NC, offering assisted living, memory care, and short-term stay services. With its goal to meet each resident on their unique journey, the well-trained and dedicated team works hard to curate a personalized plan that best suits their needs and preferences. Additionally, the community fosters a vibrant environment for residents to feel a positive sense of independence in a homelike setting.

Meet new friends and enjoy activities that produce feelings of laughter and cheer through different life-enhancing opportunities and programs. The community also ensures that their activities touch upon the physical, cognitive, social, sensory, creative, and spiritual well-being of each resident. Spring Arbor of Wilson is ideal for seniors seeking an active and enriching retirement.

Contact Spring Arbor of Wilson

Overview of Deerfield Ridge

Experience an exceptional stay with Deerfield Ridge located in Boone, NC. This prominent senior living community offers assisted living and memory care services. Here, residents can choose from a wide array of cozy and spacious accommodations ranging from private studios to shared suites. With its expert and compassionate team, this community offers a cutting-edge memory care program named Pathways to Discovery that is thoughtfully designed for those with cognitive conditions. This community also renders an emergency response system and 24/7 personalized care services.

With its excellent amenities and 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. At Deerfield Ridge, seniors can surely achieve an empowering retirement.

Contact Deerfield Ridge

Overview of Morningside of Gastonia

Morningside of Gastonia is an elegant senior living community located in a vibrant neighborhood in Gastonia, NC, offering a range of care, including assisted living, memory care, and short-term stays. The community offers a wide range of living options, including studios and one-bedroom apartments with services tailored to residents’ unique needs and preferences. The community also offers Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program for residents dealing with memory loss.

The community’s ideal location provides easy access to shopping, restaurants, entertainment, and plenty of things to do, ensuring residents a vibrant living experience. With beautifully designed apartments and services, the community aims to enhance the quality of life of its residents. Amenities include restaurant-style dining, a spacious activity center, and engaging social events, along with a full-service barber and beauty salon, making it a perfect place to call home.

Contact Morningside of Gastonia

TerraBella Southport

1125 E Leonard St, Southport, NC 28461
Overview of TerraBella Southport

Overlooking the serene Southport, NC, TerraBella Southport is a premier senior living community offering assisted living and memory care within a relaxing living environment and easy access to shopping, dining, and medical services. With thoughtfully designed apartments equipped with personalized climate control settings, emergency call systems, and kitchenettes, residents enjoy a cozy and safe residence. Through its SHINE Memory Care Program, residents dealing with memory loss are given evidence-based memory care that allows them to navigate life despite their afflictions.

Residents’ holistic well-being is paramount to TerraBella Southport, offering extensive lifestyle programs for dining, activities, health, and wellness; residents are guaranteed the care and assistance that benefits all aspects of their wellness. Here, residents enjoy chef-prepared delicacies, a social calendar full of planned activities, and a broad range of amenities designed for fun, wellness, and entertainment. Amenities include Visiting physicians, religious services, salon services, live entertainment, local outings & excursions, and senior-specific wellness classes.

Contact TerraBella Southport

Overview of Carolina Inn at Village Green

Carolina Inn at Village Green is a 100-bed assisted living community at 400 Forsythe Street in Fayetteville, North Carolina. The facility occupies a three-story building and offers one-bedroom and two-bedroom units. Walk Score puts the location at 60, which means it is moderately walkable, with some nearby amenities accessible on foot.

The community provides respite care, 24-hour staffing, 24-hour security and maintenance, medication management and monitoring, and memory care support. Meals are prepared on-site. An activity calendar structures programming throughout the week, supported by two designated services: Dine with Us and a news program.

Inspection records show significant recurring themes. Staffing qualifications, food service execution, medication administration, and infection control have been consistent areas of documented concern. The facility’s history includes repeated failures in therapeutic diet adherence and food service cleanliness spanning multiple years. Earlier surveys documented building maintenance, fire safety, and door-latching code violations, with only partial remediation; some issues persisted in follow-up inspections.

Carolina Inn operates a moderately scaled assisted living community oriented toward residents with memory care needs. The inspection history suggests meaningful compliance gaps in critical operational areas; food safety and medication handling stand out, paired with building-system and safety-code issues that required repeated follow-up.

This is a facility where structural and procedural adherence has been uneven, and the historical data suggests ambiguity regarding the effectiveness of recent corrective measures.

Contact Carolina Inn at Village Green

Overview of Cadence at Clemmons

As a senior community with a holistic approach to Assisted Living and Memory Care, Cadence at Clemmons prioritizes the well-being of their residents on all fronts: physical, emotional, social, spiritual, and intellectual. Within this enriching environment, senior residents can pursue their passions and foster meaningful connections while enjoying a sense of home.

Cadence at Clemmons provides wellness programs, dining experiences, and activities encouraging senior residents to connect with new people and explore new horizons. Their Assisted Living and Memory Care services are designed to nurture the mind, body, and spirit. This intimate setting, featuring 62 rooms, is carefully designed to promote overall wellness. Cadence at Clemmons aims to create a senior living community that embraces every aspect of well-being.

Contact Cadence at Clemmons

Overview of Cadence at Clemmons by Cogir

Cadence at Clemmons by Cogir is a senior living community in Clemmons, North Carolina, providing assisted living and memory care. Featuring 96 beds in a single-story setting, the community has a variety of studio and one-bedroom apartment options.

Licensed nurses and CNAs support daily care needs, while dining is prepared on-site by a chef using fresh, seasonal ingredients. Additionally, menus are designed to accommodate varied dietary needs, with a cafe-style approach that encourages a more social, gathering-focused mealtime experience for older adults.

State inspections have generally resulted in corrective follow-ups, including prior concerns related to medication administration and staff training. This was addressed in the following inspections. Moreover, a separate review examined a fire suppression system issue that led to water damage, which was also corrected.

The surrounding area has a Walk Score of 35, indicating a slightly walkable environment where a few errands can be completed on foot, though a car is generally required.

Contact Cadence at Clemmons by Cogir

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