Best Assisted Living in Asheville, NC

Why trust this guide? Our editorial team analyzed 5 assisted living communities in Asheville, NC using NC Dept. of Health & Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
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Last updated
We analyzed These are the facilities in Asheville, NC our team has analyzed — not a count of every assisted living provider in Asheville, NC.
5 homes
Other senior care options in Asheville:

Compare Assisted Living around Asheville (Metro Area)

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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
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 Asheville Overlook
AL
Asheville
79
Facility 79
NC AVG 70
Rank #133 / 328
Yes
48
Facility 48
NC AVG 34
Rank #106 / 373
57.0%
Facility 57.0%
NC AVG 68.5%
Rank #126 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
C+10
60%
Facility 60%
NC AVG 64.9%
Rank #126 / 301
Private Room / Shared Room
The Landings of Mills River
AL
MC
Mills River
65
Facility 65
NC AVG 70
Rank #180 / 328
No
17
Facility 17
NC AVG 34
Rank #271 / 373
30.8%
Facility 30.8%
NC AVG 68.5%
Rank #166 / 186
-
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
B+7
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Flesher’s Fairview Rest Home
AL
NH
SNF
Fairview
64
Facility 64
NC AVG 70
Rank #184 / 328
No
19
Facility 19
NC AVG 34
Rank #257 / 373
35.9%
Facility 35.9%
NC AVG 68.5%
Rank #156 / 186
-
101.00/200
Facility 101.00/200
NC AVG 92.7
Rank #113 / 291
?12
0%
Facility 0%
NC AVG 64.9%
Rank #66 / 301
-
Given Estates
AL
NH
RC
SNF
Asheville (Stockwood)
70
Facility 70
NC AVG 70
Rank #158 / 328
Yes
29
Facility 29
NC AVG 34
Rank #208 / 373
78.1%
Facility 78.1%
NC AVG 68.5%
Rank #85 / 186
---?---
Heritage Hills Senior Living
AL
IL
MC
RC
Hendersonville
-Yes
6
Facility 6
NC AVG 34
Rank #333 / 373
-A+-----1 Bed / 2 Bed / 3 Bed

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NC assisted living community we track that reports that metric, not just the 5 analyzed for Asheville. See how we rank facilities

Overview of Brookdale Asheville Overlook

Located in Asheville, NC, Brookdale Asheville Overlook offers a vibrant senior living community offering assisted living. Residents here can enjoy spacious, pet-friendly apartments filled with natural light and a sense of tranquility, away from the city’s hustle. Surrounded by North Carolina’s famous forests and the Great Smoky Mountains, residents enjoy a scenic and relaxing mountain view that provides a healing and peaceful environment, along with 24-hour emergency support from a dedicated team.

At Brookdale Trillium Crossing, seniors can start their day with a coffee on the porch and choose from a variety of activities designed to enhance their well-being. Whether it’s joining a fitness class, or participating in relaxing outdoor recreations like biking, hiking, and fishing, there’s something for everyone. The community’s dining program offers nutritious, chef-prepared meals in a restaurant-style setting, tailored to residents’ preferences and dietary needs. Recognized as Best Assisted Living by U.S. News and World Report, the community guarantees a welcoming environment supported by high-quality care.

Starting Price $5,335/Month

Contact Brookdale Asheville Overlook

The Landings of Mills River

4143 Haywood Road Mills River, Nc 28759, Mills River, NC 28759
Overview of The Landings of Mills River

In Mills River, NC, The Landings of Mills River is licensed for assisted living and memory care. The daily business of dressing, medication, and bathing is what assisted living handles, for a resident who needs that much and no more. Memory care puts someone prone to wandering under supervision in a secured area.

Both care types belong to one license at one address, which spares a family the second search later on. Sixty-five beds are licensed in the building. Secured Living is the program behind the memory care here, and dementia far enough along to need that level of supervision is what brings a family to it.

Medicaid is accepted, so a resident already qualified can put that coverage against the cost of a stay. Residents have a library, and transportation is available as well.

Contact The Landings of Mills River

Flesher’s Fairview Rest Home

3016 Cane Creek Road Fairview, Nc 28730, Fairview, NC 28730
Overview of Flesher’s Fairview Rest Home

Flesher’s Fairview Rest Home in Fairview, North Carolina, has provided assisted living, long-term nursing home care, and 24-hour skilled nursing since 1964. The multi-level structure allows residents to stay within the same community as their ongoing personal or clinical needs expand.

The 64-bed residence offers both private and semi-private rooms, an on-staff physician, and rehabilitation services. Licensed dietitians coordinate nutrition plans, including specialized diets and assisted dining support. Recorded staffing data indicates an average of 4 hours and 38 minutes of daily direct nurse staffing per resident. Additional conveniences include facility-provided transportation, alongside payment coverage through Medicare, Medicaid, and private pay.

Intersted representatives evaluating long-term nursing or assisted living options can contact Flesher’s Fairview Rest Home to check current vacancies, review financial coverage, or tour the facility.

Contact Flesher’s Fairview Rest Home

Given Estates

2360 Sweeten Creek Rd, Asheville, NC 28803
Overview of Given Estates

Nestled in Asheville, North Carolina, Givens Estates is a senior life plan community where residents are empowered to lead extraordinary lives filled with purpose, passion, and possibility. Their mission is to offer assisted living, skilled nursing, and home care that fosters personal growth, meaningful connections, and spiritual development. Rooted in compassion and respect, Givens Estates values each individual’s journey, providing a safe and nurturing space where seniors can thrive and pursue their dreams.

At Givens Estates, residents enjoy a wealth of assisted living and nursing home amenities and facilities designed to enhance their quality of life. From spacious retirement homes to restaurant-style dining experiences, the community offers a range of options tailored to meet diverse needs and preferences. Residents benefit from daily housekeeping, personal transportation services, and access to a fully equipped therapy gym. With breathtaking mountain views and serene garden beds, Givens Estates provides a tranquil setting for residents to relax and rejuvenate. Whether participating in on-site activities or exploring the surrounding nature trails, residents find endless opportunities for enrichment and enjoyment at Givens Estates.

Contact Given Estates

Heritage Hills Senior Living

3200 Heritage Cir, Hendersonville, NC 28791
Overview of Heritage Hills Senior Living

Heritage Hills Senior Living provides a vibrant and engaging atmosphere. Located in the picturesque town of Hendersonville, North Carolina, Heritage Hills, this senior community is proud to offer specialized memory care for residents living with dementia and Alzheimer’s disease.

Heritage Hills Senior Living‘s programs also include dementia-specific programming and tailored care routines, ensuring that individuals receive the care and support they need in a compassionate and understanding environment. The independent living options at Heritage Hills include chef-prepared dining, housekeeping services, and access to a wide range of amenities, striking an ideal balance between convenience and independence. Residents of this senior community can revel in endless opportunities for fun and relaxation.

Contact Heritage Hills Senior Living

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Asheville at a glance

Avg Monthly Cost: $6,788The average monthly cost across facilities in Asheville, NC. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 24/ 100The average Walk Score across facilities in Asheville, NC. 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 Asheville, NC. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Asheville, NC

What's the difference between assisted living and memory care in North Carolina?

Assisted living in North Carolina supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in North Carolina?

Assisted living in North Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does North Carolina Medicaid cover assisted living?

North Carolina Medicaid does not directly pay room-and-board for assisted living, but most states (including North Carolina) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 5 assisted living facilities in Asheville, NC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Asheville, NC?

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 Asheville, NC, 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 assisted living facilities in Asheville, NC?

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.