Pricing ranges from
    $3,349 – 4,353/month

    Pinecrest Gardens

    1984 Old US Hwy 421, Lillington, NC 27546
    • Assisted Living

    Family-focused spotless facility, excellent care

    I moved my parent here and I'm very happy - the staff are polite, caring, and truly resident-focused, and the facility is spotless with a warm family vibe. Beautiful gardens, a water park, playground and petting zoo make visits fun for kids. Assisted-living care is excellent with on-site doctor visits, medication and laundry services, tasty meals and snacks, and very reasonable cost. Overall I'm satisfied and would recommend.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.00·(13)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      3.4
    • Meals

      3.3
    • Amenities

      5.0
    • Value

      4.0

    Pros

    • Comprehensive on-site medical and personal-care services
    • Clean, well-maintained common areas
    • Resident-focused, polite staff
    • High-quality meals with between-meal snacks
    • Availability of assisted-living care
    • Family-oriented atmosphere and staff
    • Attractive gardens and outdoor amenities
    • Intergenerational and family-friendly programming
    • Reasonable pricing for services

    Cons

    • Gaps in clinical incident oversight and governance
    • Medication-management and order-control weaknesses
    • Insufficient after-hours nursing coverage
    • Unreliable resident-call and response systems
    • Sanitation and cleanliness inconsistencies in some areas
    • Aging infrastructure and dated facility areas
    • Inconsistent dining quality
    • Staff conduct and communication inconsistencies

    Summary of reviews

    This facility draws a mix of strongly positive and strongly critical feedback. Strengths described include a broad range of on-site services — laundry, medication administration, doctor visits, and help with errands — combined with an assisted-living license that meets families' needs for sustained care. Several reviewers praised the staff as polite, family-oriented and resident-focused, and noted that common areas and gardens are kept clean and pleasant. Dining is a frequently cited positive for some families: many describe good meals and available snacks between meals. The property also supports family visits and intergenerational activities, with landscaped gardens and outdoor amenities that include a water-play area and playground attractions that younger visitors enjoy.

    At the same time, reviewers raised operational concerns that merit careful inquiry. Most prominent are issues around clinical oversight and medication controls: specific medication-related incidents were cited (for example, an insulin administration error and the reinstatement of an order without clear authorization), which suggest gaps in medication-management procedures and oversight. These types of incidents have been characterized by some families as serious enough to prompt further scrutiny.

    Several comments point to staffing and responsiveness problems. There are reports of limited nursing coverage during certain hours and of ineffective or absent resident-call/response systems; together these indicate inconsistent responsiveness to resident needs at times. Reviewers also mentioned variability in staff communication and conduct, which contrasts with other accounts praising the employees' compassion and helpfulness.

    Facility condition is another mixed area. The site is described as older and in places dated, though many note that common spaces and gardens are well maintained. Conversely, some reviewers indicated sanitation and cleanliness inconsistencies in particular areas, suggesting maintenance and housekeeping performance may vary by location or shift. Dining impressions also vary: while some families commend the food, others describe lower-quality meals, indicating inconsistent meal-service delivery.

    For prospective residents and families, the pattern is one of a facility with clear strengths in services, family programming, and a pleasant outdoor environment, but with notable operational weaknesses in clinical governance, medication controls, staffing coverage, and variable cleanliness/dining performance. When evaluating this provider, ask for current policies and recent audits on medication administration, staffing ratios and after-hours nursing coverage, resident-call-response mechanisms, and any corrective actions taken for cited clinical incidents. Reviewing recent inspection records and speaking directly with families and clinical staff can help clarify whether the facility’s positive attributes are consistently maintained and whether identified operational gaps have been addressed.

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    Location

    Map showing location of Pinecrest Gardens

    Pinecrest Gardens is located at 1984 Old US Hwy 421, Lillington, NC, 27546.

    About Pinecrest Gardens

    Pinecrest Gardens sits among farms and rolling hills in a peaceful town near the Cape Fear River, and you'll notice right away it's got a quiet setting with lots of greenery and scenic walking paths, plus a butterfly exhibit and a bird sanctuary that makes it feel kind of special. This place offers both assisted living and long-term care for seniors who need a bit of help or full-time support, and there are several types of care homes, including ones set up for folks needing live-in caregivers for daily tasks, and there's memory care for those living with Alzheimer's or related conditions, with extra focus on lowering confusion and preventing wandering. There are different facilities in the community, like Absolute Care Assisted Living with space for 12 folks, Johnson Better Care Facility with 50, Senior Citizens Village with 65, and Pinecrest Gardens itself offers 60 assisted living units, and Green Leaf Care Center has 105, so there's a good bit of choice.

    The staff at Pinecrest Gardens are well-known for being friendly and helpful, and you can tell they work hard to make everyone feel welcome. Some of the activities they set up get recognized now and then with local awards, probably because the activity calendar tries to keep people social, moving, and using their minds, and things like arts programs, movie nights, fitness sessions, and nature-based activities go on both inside and out in the fresh air. The community lets residents enjoy nutritious meals made by a professional chef, using quality ingredients to help with health and taste, and the dining room has all-day dining and options for special diets like for allergies or diabetes. Rooms come in studio or one-bedroom layouts with kitchenettes, private bathrooms, cable TV, phone, and air conditioning, and everything's set up to be easy for folks who use wheelchairs or need help moving around.

    Housekeeping and laundry services come standard, which keeps things tidy, and aides help with medication, bathing, dressing, moving from bed to chair, and managing diabetes or incontinence care. You'll find indoor common spaces for meeting others, plus an activity room, arts room, a little theater, a community garden, and outdoor patios for getting some sun or quiet time. Wi-Fi lets people stay connected, there's a library and game room for down-time, and a fitness room and spa help with wellness, with devotional services, beauty salon, and trips or field outings giving some variety. Staff are around 24 hours a day, and the nursing care can run up to 16 hours daily, providing supervision with a call system for quick assistance.

    For folks who want to keep their pets, Pinecrest Gardens is pet-friendly, which means some units let you bring a companion animal. Respite care is also available for short-term stays, and the place offers transportation for trips and running errands, plus parking for those who need it. Both on-site and off-site activities help keep folks engaged, and personalized care plans try to fit each person's needs, especially for more challenging conditions like diabetes or when someone isn't able to walk. Fees include a community fee, respite fee, buy-in, and other care-specific charges, so it's important to check what you might need. The whole community's set up to feel safe, cozy, and welcoming no matter what level of support you're looking for, and there are enough choices for room types, gathering spots, and programs to help most seniors find some comfort and belonging in their day-to-day life.

    People often ask...

    Pinecrest Gardens offers competitive pricing, with rates starting at a cost of $3,349 per month.

    Pinecrest Gardens offers assisted living.

    The full address for this community is 1984 Old US Hwy 421, Lillington, NC 27546.

    No, Pinecrest Gardens does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number970133
    Facility typeAdult Care Home
    Capacity60 residents
    View the official license record

    Inspection Reports

    15

    Reports

    6

    Type A Citations

    2

    Type B Citations

    0

    Complaints

    11

    Years

    24 Jan 2025Follow-Up
    Identified hazards from personal care products and razors being accessible to residents with dementia on the back hall unit, with no policy or secure storage in place.
    • 10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    24 Jan 2025Follow-Up
    Found improper storage and accessibility of personal care products in a shared back hall bathroom; items were left on a storage organizer and in the back hall unit, with unlabeled liquids present.
    • Storage of personal care products in common areas
    12 Feb 2024Follow-Up
    Concluded that prior deficiencies were corrected and no further action is required.
    20 Nov 2023Follow-Up
    Investigated a biennial follow up survey and found deficiencies related to outdoor lighting on outside premises, including an unlit emergency egress path.
    • 10A NCAC 13F .0305Outside Premises-Outdoor Lighting
    20 Oct 2023Follow-Up
    Investigated medication administration and care coordination issues; found deficiencies in ensuring medications were given as ordered and in monitoring resident care.
    • 10A NCAC 13F .0902(b) Health CareSummary of Deficiencies
    • 10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    20 Oct 2023Follow-Up
    Identified failures to ensure follow-up care after hospitalization and multiple medication administration errors, including improper dosing, timing, and documentation during morning passes.
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004 (i)Medication Administration
    19 Sept 2023Construction
    Identified multiple deficiencies in safety and compliance, including missing bathroom hand grips, inadequate outdoor lighting, non-GFCI outlets, and unsafe building conditions.
    • 10A NCAC 13F .0305 PHYSICAL ENVIRONMENTBathrooms-Hand Grips
    • 10A NCAC 13F .0305 PHYSICAL ENVIRONMENT (m)Outside Premises-Outdoor Lighting
    • 10A NCAC 13F .0310 ELECTRICAL OUTLETSElectrical Outlets in Wet Locations
    • 10A NCAC 13F .0311 OTHERBuilding Equipment Maintained Safe, Operating
    22 Oct 2021Follow-Up
    Investigated and found multiple deficiencies across housekeeping, maintenance, personal care, health care follow-up, nutrition, medication administration, restraints, activities, and infection control.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • 10A NCAC 13F .0311(a)Other Requirements
    • 10A NCAC 13F .0901(a)Personal Care and Supervision
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .0904(e)(4)Nutrition and Food Service
    • 10A NCAC 13F .0905(a)(b)Activities Program
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1501(a)Use Of Physical Restraints And Alternatives
    • 10A NCAC 13F .1801(c)Infection Prevention & Control Program (temp)
    22 Oct 2021Follow-Up
    The survey uncovered multiple deficiencies related to safety hazards, maintenance, documentation, and care practices, including inadequate maintenance staffing, unsafe living areas, and gaps in medication administration and resident-care processes.
    12 Mar 2019Construction
    Found multiple safety and maintenance deficiencies affecting privacy in bathrooms, exterior premises, ceilings, handrails, and various building systems.
    • 10A NCAC 13F .0305(e)Bathrooms must provide privacy
    • 10A NCAC 13F .0305(m)Outside premises maintained clean and safe
    • 10A NCAC 13F .0306(a)(1)-(2) and (e)Housekeeping and furnishings
    • 10A NCAC 13F .0306(a)(5)Handrails maintained, free of hazards
    • 10A NCAC 13F .0311Other requirements - building equipment maintained safe, operating
    24 Apr 2017Follow-Up
    Investigated multiple deficiencies across housekeeping, staff TB testing, nutrition and water service, and medication administration.
    • 10A NCAC 13F .0300(a)(1)Housekeeping and Furnishings
    • 10A NCAC 13F .0006(a)Test For Tuberculosis
    • 10A NCAC 13F .0904(d)Nutrition and Food Service
    • 10A NCAC 13F .1004(a)Medication Administration
    27 Feb 2017Construction
    Identified multiple safety and maintenance deficiencies, including faulty door hardware, delaminating fixtures, malfunctioning fire doors, plumbing issues, and inadequate emergency lighting and inspections.
    • Type A10A NCAC 13F .0306Housekeeping and Furnishings
    • Type B10A NCAC 13F .0306Housekeeping and Furnishings
    • Type A10A NCAC 13F .0311Other Requirements
    • Type B10A NCAC 13F .0311Other Requirements
    • c10A NCAC 13F .0311Other Requirements
    • d10A NCAC 13F .0311Other Requirements
    • e10A NCAC 13F .0311Other Requirements
    • f10A NCAC 13F .0311Other Requirements
    • g10A NCAC 13F .0311Other Requirements
    • h10A NCAC 13F .0311Other Requirements
    • i10A NCAC 13F .0311Other Requirements
    • j10A NCAC 13F .0311Other Requirements
    • k10A NCAC 13F .0311Other Requirements
    • l10A NCAC 13F .0311Other Requirements
    27 Feb 2017Construction
    Identified multiple deficiencies related to door safety and fire-safety maintenance, including doors that drag, damaged door components, and unmaintained extinguishers.
    • Type ADoor safety and maintenance
    • Type AMaintenance of doors and hardware
    • Type ADamaged door – pantry to kitchen
    • Type AFire safety equipment maintenance
    13 Nov 2015Inspection
    Investigated an annual survey; found deficiencies in nutrition/food service and medication administration due to improper handling and lack of meals with medications.
    • 10A NCAC 13F .0904(a)(2)Nutrition and Food Service
    • 10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    13 Nov 2015Inspection
    Observed violations involving protection of food from contamination and errors in medication administration during the survey.
    • 10A NCAC 13F .0904(a)(2)Nutrition and Food Service
    • 10A NCAC 13F .1004(a)Medication Administration

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Pinecrest Gardens. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pinecrest Gardens directly. There is no cost for this service. We are compensated by the community you select.

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