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Best Assisted Living in Monroe, NC

Reviewed by Dr. Jordan Weiss
Updated Jan 2026

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Monroe, North Carolina.

Watch this Video to see Monroe's Top-rated Senior Communities
Avg. Monthly cost: $4,800
National average: $5,600
Monthly cost range: $4,300–$6,900
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Monroe

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Click column headers to sort
Brookdale Union Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Monroe (Lakeview Estates)
87
Facility 87
NC AVG 76
Rank #141 / 390
Yes
10
Facility 10
NC AVG 33
Rank #457 / 572
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 322
21
85.7%
Facility 85.7%
NC AVG 73.1%
Rank #256 / 334
Studio / Companion Rooms
The Addison of Indian Trail
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Monroe
96
Facility 96
NC AVG 76
Rank #103 / 390
Yes
1
Facility 1
NC AVG 33
Rank #537 / 572
22.9%
Facility 22.9%
NC AVG 67.7%
Rank #242 / 256
-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #306 / 322
21
90.5%
Facility 90.5%
NC AVG 73.1%
Rank #303 / 334
Suite / 1 Bed
Brookdale Monroe Square
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Monroe (Council Oaks)
65
Facility 65
NC AVG 76
Rank #220 / 390
Yes
26
Facility 26
NC AVG 33
Rank #339 / 572
-A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 322
17
76.5%
Facility 76.5%
NC AVG 73.1%
Rank #136 / 334
Studio / 2 Bed
Monroe Manor Assisted Living Building I
Monroe
12
Monroe Manor Assisted Living Building II
Monroe
12
Gracious Senior Living
Monroe
6
Overview of Brookdale Union Park

Nestled in Monroe, North Carolina’s serene residential neighborhood, Brookdale Union Park offers a comforting assisted living community. Residents enjoy spacious accommodations and resort-style amenities, ensuring a retirement filled with comfort and tranquility. Knowing that quality care is readily available provides peace of mind to residents and their families alike. Located conveniently near Carolinas Medical Center and Lake Lee, Brookdale Union Park combines small-town charm with access to urban amenities such as local dining, shopping, and banking.

Residents can engage in a variety of activities both on-campus and off, from pursuing new hobbies to enjoying leisurely shopping and dining outings. Caregivers are available to assist with medication management, bathing, dressing, and more, empowering residents to maintain their independent lifestyles. With features like restaurant-style dining, a hair salon, and a library on-site, Brookdale Union Park ensures residents can live each day on their terms, embracing a fulfilling retirement experience.

Contact Brookdale Union Park

Overview of The Addison of Indian Trail

Peacefully burrowed in Monroe, NC, The Addison of Indian Trail is a warm and welcoming senior living community focused on providing exceptional Assisted Living, Memory Care, and Short Term Care services. Residents enjoy an engaging lifestyle filled with care, friendliness, and comfort with carefully built accommodations. With a compassionate team, personalized care plans, and licensed nursing team available 24/7, residents receive the highest quality care to meet their individual needs.

The community is dedicated to maintaining residents’ independence and creating opportunities for them to thrive with a variety of amenities and programs designed to foster choice and connection. Residents can enjoy a beauty and barber shop, lovely dining areas, stimulating programming and events, a card room, and a courtyard with a shaded walking path. Other amenities include spacious community rooms, guest parking, complimentary Wi-Fi, and a pet-friendly environment. The community ensures comfort and safety with an emergency call response system and individually controlled heat and air.

Contact The Addison of Indian Trail

Overview of Brookdale Monroe Square

Brookdale Monroe Square is a one-of-a kind senior living community located in Monroe, North Carolina, offering comprehensive memory care services. Situated in a vibrant community near restaurants, shopping centers, banks, and medical facilities, this community offers a supportive environment promoting independence while ensuring personalized care tailored to residents’ needs.

The dedicated team provides round-the-clock assistance with daily activities, complemented by a diverse calendar of events and activities designed to enrich their lives. Each resident enjoys private, well-lit apartments that foster a comfortable and nurturing atmosphere. Recognized for excellence, Brookdale Monroe Square has been honored with the Best in Memory Care distinction by U.S. News and World Report, reflecting its commitment to holistic and compassionate senior care.

Contact Brookdale Monroe Square

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 Assisted Living in Monroe, 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 3 assisted living facilities in Monroe, NC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Monroe, 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 Monroe, 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 Monroe, 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.