Finding the right senior living or long-term care setting can be challenging. Families must consider the person’s health, mobility, cognitive needs, finances, preferences, and desired level of independence while comparing facilities and services.
This guide provides selected adult care and skilled nursing facility listings in Chatham, Durham, Franklin, Granville, Harnett, Johnston, Lee, Nash, Orange, Wake, and Wilson counties. It also includes resources for locating affordable senior housing, reviewing facility inspections, comparing nursing homes, and finding support from local aging-service organizations.
The facilities below are provided as informational resources and are not recommendations or endorsements. This is not an exhaustive list. Facility names, ownership, services, availability, and contact information may change. Contact each facility directly and review its current licensing and inspection information before making a decision.
Understanding Senior Living and Care Options
Different housing and care settings provide different levels of support:
- Independent senior living: Housing designed for older adults who can generally manage daily activities independently.
- Affordable senior housing: Apartments or communities with age, disability, or income requirements. Some properties may offer rent assistance.
- Adult care or assisted living: Residential care that may include meals, supervision, medication assistance, personal care, and help with daily activities.
- Memory care: Specialized residential support for individuals living with Alzheimer’s disease or another form of dementia.
- Skilled nursing: Twenty-four-hour nursing care for people with significant medical, rehabilitation, or personal care needs.
- Continuing care retirement community: A community that may offer independent living, assisted living, and skilled nursing on one campus.
Facility Listings by County
- Chatham County
- Durham County
- Franklin County
- Granville County
- Harnett County
- Johnston County
- Lee County
- Nash County
- Orange County
- Wake County
- Wilson County
Chatham County
Adult Care and Assisted Living
- Chatham Ridge Assisted Living
114 Polks Village Lane, Chapel Hill, NC 27517
919.918.7872 - Dunmore Senior Living of Siler City
260 Village Lake Road, Siler City, NC 27344
919.799.0311
Skilled Nursing Facilities
- Pittsboro Health & Rehab Center
72 Chatham Business Park, Pittsboro, NC 27312
919.542.6677 - Siler City Center
900 West Dolphin Street, Siler City, NC 27344
919.663.3431
Durham County
Adult Care and Assisted Living
- TerraBella Durham
4713 Garrett Road, Durham, NC 27707
919.848.4906 - Carolina Reserve of Durham
4523 Hope Valley Road, Durham, NC 27707
919.403.0055
Skilled Nursing Facilities
- Accordius Health at Rose Manor
4230 North Roxboro Street, Durham, NC 27704
919.477.9805 - Carver Living Center
303 East Carver Street, Durham, NC 27704
919.471.3558
Franklin County
Adult Care and Assisted Living
- Franklin Manor Assisted Living Center
100 Sunset Drive, Youngsville, NC 27596
919.562.5550
Skilled Nursing Facilities
- Franklin Oaks Nursing and Rehabilitation Center
1704 Highway 39 North, Louisburg, NC 27549
919.496.7222 - Louisburg Healthcare & Rehabilitation Center
202 Smoketree Way, Louisburg, NC 27549
919.496.2188
Granville County
Adult Care and Assisted Living
- Tre’ More Manor ALF
6016 Pine Town Road, Oxford, NC 27565
919.693.2984 - Dunmore Senior Living of Oxford
200 Coventry Drive, Oxford, NC 27565
252.915.0687
Skilled Nursing Facilities
- Oxford Health and Rehabilitation Center
500 Prospect Avenue, Oxford, NC 27565
919.693.1531
Harnett County
Adult Care and Assisted Living
- Johnson Better Care Facility
3485 Highway 301 North, Dunn, NC 28335
910.549.7556 - Cardinal Care of Dunn
217 Jonesboro Road, Dunn, NC 28334
910.892.1711
Skilled Nursing Facilities
- Emerald Health & Rehab Center
54 Red Mulberry Way, Lillington, NC 27546
910.814.8030 - Harnett Woods Nursing and Rehabilitation Center
604 Lucas Road, Dunn, NC 28334
910.891.4600
Johnston County
Adult Care and Assisted Living
- Gabriel Manor Assisted Living Center
84 Johnson Estate Road, Clayton, NC 27520
919.359.3878 - Meadowview Assisted Living Center
250 Highway 210 West, Smithfield, NC 27577
919.989.4848
Skilled Nursing Facilities
- Barbour Court Nursing and Rehabilitation Center
515 Barbour Road, Smithfield, NC 27577
919.934.6017 - Clayton Rehabilitation and Healthcare Center
204 Dairy Road, Clayton, NC 27520
919.553.8232
Lee County
Adult Care and Assisted Living
- Sanford Senior Living
1107 Carthage Street, Sanford, NC 27330
919.774.3774 - Parkview Retirement Center
1801 Wicker Street Extension, Sanford, NC 27330
919.774.4322
Skilled Nursing Facilities
- Liberty Commons Nursing and Rehabilitation Center of Lee County
310 Commerce Drive, Sanford, NC 27332
919.499.2206 - Sanford Health & Rehabilitation
2702 Farrell Road, Sanford, NC 27330
919.776.9602
Nash County
Adult Care and Assisted Living
- Navion of Rocky Mount
650 Goldrock Road, Rocky Mount, NC 27804
252.493.1857 - Hunter Hill Assisted Living
891 Noell Lane, Rocky Mount, NC 27804
252.522.5783
Skilled Nursing Facilities
- Autumn Care of Nash
1210 Eastern Avenue, Nashville, NC 27856
252.462.0070 - Rocky Mount Rehabilitation Center
160 South Winstead Avenue, Rocky Mount, NC 27804
252.443.7667
Orange County
Adult Care and Assisted Living
- TerraBella Hillsborough
1911 Orange Grove Road, Hillsborough, NC 27278
919.824.0760 - Adorable Senior Living
401 West Queen Street, Hillsborough, NC 27278
919.876.4949
Skilled Nursing Facilities
- Parkview Health and Rehabilitation Center
1716 Legion Road, Chapel Hill, NC 27517
984.234.3600 - Peak Resources – Brookshire
300 Meadowlands Drive, Hillsborough, NC 27278
919.644.6714
Wake County
Adult Care and Assisted Living
- Sunrise at North Hills
615 Spring Forest Road, Raleigh, NC 27609
919.981.6100 - TerraBella Knightdale
2408 Hodge Road, Knightdale, NC 27545
919.266.6676
Skilled Nursing Facilities
- Capital Nursing and Rehabilitation Center
3000 Holston Lane, Raleigh, NC 27610
910.309.3751 - Glenaire
4000 Glenaire Circle, Cary, NC 27511
919.818.6520
Wilson County
Adult Care and Assisted Living
- Wilson Assisted Living
3501 Senior Village Lane, Wilson, NC 27896
252.243.3186 - Wilson House
1800 Martin Luther King Jr. Parkway SE, Wilson, NC 27893
252.237.4243
Skilled Nursing Facilities
- Harmony Park at Wilson
1804 Forest Hills Road West, Wilson, NC 27893
252.237.8161 - Wilson Healthcare and Rehabilitation Center
2501 Downing Street SW, Wilson, NC 27893
252.237.6300
How to Research and Compare Facilities
A facility tour is important, but families should also review licensing, inspections, staffing, services, costs, and resident rights before making a decision.
- North Carolina Adult Care Facility Listings
Find current listings of adult care homes, family care homes, special care units, respite facilities, and multi-unit assisted housing. - Adult Care Facility Inspections, Ratings, and Penalties
Search for a facility by county, city, or name and review available state inspection information. - North Carolina Nursing Home Facility Search
Find state-regulated nursing facilities and available statements of deficiencies. - Medicare Care Compare
Compare Medicare-certified nursing homes using health inspection, staffing, and quality information.
Affordable and Independent Senior Housing Resources
Adult care and skilled nursing facilities are not the only options. Older adults who can live independently may qualify for senior apartments, public housing, rental assistance, or supportive housing.
- North Carolina Housing Finance Agency
Find rental housing and rent-assistance resources throughout North Carolina. - HUD Resources for Senior Citizens
Explore affordable housing, rental assistance, housing counseling, and resources for remaining safely at home. - NC 211
Call 211 or search online for local housing, transportation, food, caregiving, and financial-assistance programs.
Regional Aging Resources
Area Agencies on Aging can help older adults and families understand available services, explore care options, connect with local programs, and contact a long-term care ombudsman.
- Chatham, Durham, Johnston, Lee, Orange, and Wake counties:
Central Pines Area Agency on Aging
1.800.310.9777 - Franklin and Granville counties:
Kerr-Tar Area Agency on Aging
252.436.2040 - Harnett County:
Harnett County Department on Aging
910.893.7578 - Nash and Wilson counties:
Upper Coastal Plain Area Agency on Aging
252.234.5900
Contact a Long-Term Care Ombudsman
North Carolina’s Long-Term Care Ombudsman Program provides information and advocacy for residents of nursing homes, adult care homes, family care homes, and assisted living facilities. An ombudsman can:
- Explain long-term care options and residents’ rights
- Help families evaluate and select a facility
- Answer questions about facility care and policies
- Help residents and families communicate concerns
- Work to resolve complaints involving a long-term care facility
Visit the North Carolina Long-Term Care Ombudsman Program to learn more or locate a regional ombudsman.
Questions to Ask During a Facility Tour
- What level of care does the facility provide?
- Can the facility continue meeting the person’s needs if their condition changes?
- Is specialized dementia or memory care available?
- What is included in the monthly fee, and which services cost extra?
- How are medications managed?
- How many staff members are available during the day, evening, and overnight?
- How does the facility handle falls, medical emergencies, and hospital transfers?
- How often are residents assessed for changes in care needs?
- What activities, meals, transportation, and social opportunities are available?
- How are families informed about changes in health or behavior?
- Can residents continue receiving hospice care in the facility?
- What are the admission, discharge, and refund policies?
Whenever possible, visit more than once and at different times of day. Speak with residents and families, observe how staff members interact with residents, review inspection information, and carefully read all contracts before making a final decision.
