Page 9 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. 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.
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.
Spring Arbor of Wilson
SC
AL
MC
Wilson
72
Facility 72
NC AVG 72
Rank #176 / 387
Yes
16
Facility 16
NC AVG 36
Rank #407 / 536
20.8%
Facility 20.8%
NC AVG 70.6%
Rank #231 / 232
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
9
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / 1 Bed
The Gardens of Roseboro
SC
AL
RC
Roseboro
40
Facility 40
NC AVG 72
Rank #310 / 387
No
23
Facility 23
NC AVG 36
Rank #358 / 536
100.0%
Facility 100.0%
NC AVG 70.6%
Rank #1 / 232
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
7
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Peace Haven Assisted Living
SC
AL
Winston-Salem
5
Facility 5
NC AVG 72
Rank #381 / 387
No
44
Facility 44
NC AVG 36
Rank #200 / 536
100.0%
Facility 100.0%
NC AVG 70.6%
Rank #1 / 232
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
1
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Morningside of Gastonia
SC
AL
MC
Gastonia (Lake Wood)
105
Facility 105
NC AVG 72
Rank #67 / 387
Yes
42
Facility 42
NC AVG 36
Rank #211 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
6
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite / 1 Bed
Cadence at Clemmons
SC
AL
MC
Clemmons
96
Facility 96
NC AVG 72
Rank #89 / 387
No
31
Facility 31
NC AVG 36
Rank #295 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
25
72%
Facility 72%
NC AVG 91.8%
Rank #22 / 333
Studio / 1 Bed
Cadence at Clemmons by Cogir
SC
AL
MC
Clemmons
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
10
80%
Facility 80%
NC AVG 91.8%
Rank #33 / 333
Studio / 1 Bed
Carolina Inn at Village Green
SC
AL
MC
Fayetteville (Terry Sanford)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes
60
Facility 60
NC AVG 36
Rank #72 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
6
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
1 Bed / 2 Bed
Brookdale Country Day Road
SC
AL
Goldsboro
104
Facility 104
NC AVG 72
Rank #69 / 387
Yes
10
Facility 10
NC AVG 36
Rank #457 / 536
79.8%
Facility 79.8%
NC AVG 70.6%
Rank #103 / 232
76.00/200
Facility 76.00/200
NC AVG 92.2
Rank #297 / 321
12
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Alcove / 1 Bed / 2 Bed
TerraBella Southport
SC
AL
MC
RC
Southport
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
2
Facility 2
NC AVG 36
Rank #526 / 536
59.4%
Facility 59.4%
NC AVG 70.6%
Rank #160 / 232
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
11
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
The Gardens of Nashville
SC
AL
Nashville
62
Facility 62
NC AVG 72
Rank #222 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
88.7%
Facility 88.7%
NC AVG 70.6%
Rank #64 / 232
98.25/200
Facility 98.25/200
NC AVG 92.2
Rank #180 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-

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 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 The Gardens of Roseboro

Set in the inviting town of Roseboro, NC, The Gardens of Roseboro is a vibrant senior living community that provides assisted living and respite care services. Well-appointed and cozy accommodations tailored to the levels of care are available for its residents. This community is committed to providing a lifestyle of one-of-a-kind convenience, leisure, and beauty. Having a highly equipped and dedicated team, residents can receive the utmost care and support that they deserve.

With its above-and-beyond amenities and services, residents can enjoy on-site maintenance and management services, housekeeping, transportation services, and restaurant-style dining. Meet new companions in its multi-purpose meeting spaces, library with lounge area, and expansive grounds and walking trails. Engage in weekly social activities and other life enrichment programs. At The Gardens of Roseboro, seniors can enjoy a wonderful living experience.

Contact The Gardens of Roseboro

Overview of Peace Haven Assisted Living

Peace Haven Assisted Living offers a cozy, home-like environment for its residents. Residents live their best lives because of excellent services that help a speedy recovery. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Contact Peace Haven Assisted Living

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

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

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 Brookdale Country Day Road

Find quality care and genuine relationships at Brookdale Country Day Road, a warm senior living community in Goldsboro, NC, offering assisted living. Ensuring a comfortable lifestyle, the community offers freshly prepared meals, transportation assistance, and engaging activities both on and off-site. The community emphasizes safety with 24/7 availability of care providers and advanced security measures, including an emergency alert system and keypad entries.

Brookdale Country Day Road features a variety of amenities designed to enrich daily life. Residents can participate in fitness classes, game nights, and enjoy the well-stocked library, arts and crafts studio, and beautiful courtyard and garden. Additional conveniences include postal services, a delivery service through the Personal Solutions program, and access to a therapy room, chapel, meeting rooms, and a private dining room. With a constantly changing activities calendar and numerous on-site amenities, residents have the freedom to create a fulfilling and enjoyable lifestyle every day.

Contact Brookdale Country Day Road

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

The Gardens of Nashville

1022 Eastern Avenue Nashville, Nc 27856, Nashville, NC 27856
Overview of The Gardens of Nashville

The Gardens of Nashville sits at 1022 Eastern Avenue in Nashville, North Carolina. It is an assisted living community, built for seniors who need daily support without the clinical intensity of a nursing home. A secured living option is available for residents who require a more protected setting. The neighborhood scores 55 on the Walk Score scale, which is moderately walkable, so some errands can be handled without a car.

At 62 beds and 89% occupancy, this is a mid-sized community by North Carolina standards. That size tends to support shared amenities and group programming while keeping the resident population manageable.

Staffing runs 24 hours, and the care team includes licensed nurses and CNAs. Rehabilitation services are offered, and therapy happens onsite. Pharmacy and provider services are also available on the property, which cuts down the number of outside appointments a resident has to travel to. Dedicated caregivers cover the full day and night, and assistance with daily tasks is part of the standard care package.

Dining is restaurant-style, while housekeeping, maintenance, and transportation are handled by the community. Residents have a library, an entertainment room, and an outdoor common area available to them.

Medicaid is accepted here. For families relying on public coverage, that is a determining factor in whether a community is even an option.

State inspections at this community have focused on medication management and fire-safety systems. For families weighing this option, the picture is a mid-sized Medicaid-accepting community with onsite clinical services and round-the-clock staffing, in a neighborhood where walking covers some but not all daily needs.

Contact The Gardens of Nashville

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.