Other senior care options in North Carolina:

Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 388 assisted living communities in North Carolina using NC Dept. of Health and Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
Reviewed by
Last updated
Jul 2026
We analyzed
388 homes
Other senior care options in North Carolina:
Avg Monthly Cost: $6,747The average monthly cost across facilities in North Carolina. 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: 33/ 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 Assisted Living around North Carolina

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

Glenaire
AL
NH
IL
Cary (Glenaire)
71
Facility 71
NC AVG 72
Rank #184 / 389
No
25
Facility 25
NC AVG 33
Rank #347 / 573
94.1% --3
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
-
Hillside Nursing & Rehab
AL
NH
SNF
Wake Forest
130
Facility 130
NC AVG 72
Rank #24 / 389
No
19
Facility 19
NC AVG 33
Rank #385 / 573
85.6% --3
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Private Rooms
St. Joseph of the Pines, a CCRC
AL
IL
MC
NH
SNF
Southern Pines
176
Facility 176
NC AVG 72
Rank #5 / 389
Yes
2
Facility 2
NC AVG 33
Rank #527 / 573
41.0% ----Private Rooms
River Landing At Sandy Ridge
AL
IL
MC
NH
Colfax
60
Facility 60
NC AVG 72
Rank #232 / 389
Yes
7
Facility 7
NC AVG 33
Rank #477 / 573
92.5% ----Apartments / Cottages / Townhomes / Villas
Piedmont Crossing
AL
NH
HC
IL
MC
RC
SNF
Thomasville (Hedrick Drive)
104
Facility 104
NC AVG 72
Rank #71 / 389
Yes
4
Facility 4
NC AVG 33
Rank #507 / 573
74.0% ----1 Bed / 2 Bed
Friends Homes
AL
NH
IL
MC
SNF
Greensboro (Guilford College)
69
Facility 69
NC AVG 72
Rank #194 / 389
No
35
Facility 35
NC AVG 33
Rank #261 / 573
87.5% ----Villa Apartments / Townhomes / Apartments / Cottages
Carol Woods
AL
IL
NH
SNF
Chapel Hill (Carol Woods)
30
Facility 30
NC AVG 72
Rank #328 / 389
Yes
13
Facility 13
NC AVG 33
Rank #433 / 573
72.7% --3
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Studio / 1 Bed / 2 Bed
Abernethy Laurels
AL
NH
HC
IL
MC
RC
SNF
Newton
174
Facility 174
NC AVG 72
Rank #6 / 389
Yes
0
Facility 0
NC AVG 33
Rank #549 / 573
96.0% ----1 Bed /2 Bed
Carolina Bay at Autumn Hall
AL
IL
MC
NH
SNF
Wilmington (Windemere)
30
Facility 30
NC AVG 72
Rank #328 / 389
No
18
Facility 18
NC AVG 33
Rank #395 / 573
94.3% ----1 Bed / 2 Bed
Given Estates
AL
NH
RC
SNF
Asheville (Stockwood)
70
Facility 70
NC AVG 72
Rank #185 / 389
Yes
29
Facility 29
NC AVG 33
Rank #322 / 573
82.0% -----
Carolina Village
AL
IL
MC
NH
SNF
Hendersonville
60
Facility 60
NC AVG 72
Rank #232 / 389
Yes
82
Facility 82
NC AVG 33
Rank #3 / 573
79.8%
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
15
60%
Facility 60%
NC AVG 76.2%
Rank #47 / 333
-
Croasdaile Village
AL
HC
IL
MC
NH
SNF
Durham
64
Facility 64
NC AVG 72
Rank #215 / 389
Yes
9
Facility 9
NC AVG 33
Rank #463 / 573
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
15
60%
Facility 60%
NC AVG 76.2%
Rank #47 / 333
-
Homestead Hills Assisted Living
AL
IL
MC
NH
SNF
Winston-Salem
66
Facility 66
NC AVG 72
Rank #200 / 389
Yes
20
Facility 20
NC AVG 33
Rank #378 / 573
30.3%
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
19
73.7%
Facility 73.7%
NC AVG 76.2%
Rank #114 / 333
-
The Shaire Center
AL
MC
NH
PC
SNF
Lenoir
82
Facility 82
NC AVG 72
Rank #144 / 389
No
76
Facility 76
NC AVG 33
Rank #9 / 573
-
98.00/200
Facility 98.00/200
NC AVG 92.2
Rank #181 / 321
19
68.4%
Facility 68.4%
NC AVG 76.2%
Rank #77 / 333
-
Brookdale Meadowmont
AL
MC
Chapel Hill (Glen Lennox Appartments)
64
Facility 64
NC AVG 72
Rank #215 / 389
Yes
53
Facility 53
NC AVG 33
Rank #128 / 573
100.0%
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
17
64.7%
Facility 64.7%
NC AVG 76.2%
Rank #63 / 333
Studio / Suite
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Overview of Glenaire

Glenaire, located in Cary, NC, is a continuing care retirement community by Brightspire that offers long term care to their residents. This senior living community provides their residents smoke-free accommodations that feature 24 hour emergency response systems, with weekly housekeeping and linen services. They also offer basic healthcare services in their clinic staffed by a nurse practitioner.

Additionally, they offer a rich array of amenities that provides residences with both convenience, comfort, and entertainment. From their walking trails, to their aquatic center, to the fitness studio, to their auditorium wit theater equipment.

Contact Glenaire

Overview of Hillside Nursing & Rehab

Enjoy an improved quality of life with Hillside Nursing & Rehab, a compassionate community in Wake Forest, NC, offering assisted living, rehabilitation, and skilled nursing services. Residents here are given a warm and comforting environment where they can receive round-the-clock care, supervision, and assistance with their daily living activities. Those living with chronic illnesses and require long-term care have access to comprehensive nursing care and physician services from Hillside’s Medical Directors.

With access to physical, occupational, and speech therapy services, residents recovering from an injury or hospitalization can enjoy a quick and smooth healing journey in the community. They also feature a vibrant activity program designed to keep residents moving and actively engaged in their community. Proper nutrition is always observed by their registered dietitian who carefully curates residents’ meal plans. At Hillside Nursing & Rehab, residents are given diverse opportunities to enjoy life even as they face serious illness or recover from an injury.

Contact Hillside Nursing & Rehab

Overview of St. Joseph of the Pines, a CCRC

St. Joseph of the Pines by the Trinity Health community delivers quality service thoughtfully designed to offer both convenience and comfort in one setting. The continuing care retirement home specializes in independent living assisted living, and nursing care services. Reflected on their recognition by the U.S. News and World Report as the Best Nursing Homes for short-term rehabilitation, one can understand the home’s value. St. Joseph of the Pines continuously improves the lives of its residents by creating a cozy environment where an abundance of opportunities is available. 

The lifestyle at St. Joseph’s practices a personalized care approach anchored by the trusted bond between residents and staff; personal care services include ADLs, 24-hour care and nursing, medication administration, engaging programs, and on-site therapy services– speech, physical, and occupational. 

Contact St. Joseph of the Pines, a CCRC

Overview of River Landing at Sandy Ridge

River Landing at Sandy Ridge in Guilford County, Colfax, NC is a lively senior living community that offers a comfortable oasis for continuing care. The community offers assisted living, memory care, skilled nursing, and rehabilitation, to ensure residents’ care needs are provided even as it evolves. Choose from eleven floor plans, ranging from one-bedroom to three-bedrooms, complete with walk-in closets, tile flooring, laundry closets, and modern appliances for a comfortable living space.

At River Landing at Sandy Ridge, residents enjoy a maintenance-free lifestyle with weekly housekeeping, bed linen service, and maintenance and repair services provided. Residents can freely pursue their passions, discover new interests or explore the joys of retirement. The community also offers a personalized program that focuses on residents’ whole person and provides opportunities that benefit their health and the community environment.

Contact River Landing At Sandy Ridge

Piedmont Crossing

100 Hedrick Dr, Thomasville, NC 27360
Overview of Piedmont Crossing

Set in 61 acres of beautifully landscaped grounds at Thomasville, NC, Piedmont Crossing is a charming senior living community that offers independent living, assisted living, and comprehensive continuing care services. A variety of beautifully designed cottages, villas, and apartments await residents, providing them a variety of options to choose their ideal residence. The community offers extensive services, including healthcare, memory care, and rehabilitation to ensure residents are provided compassionate care that meets their physical and safety needs.

With 24-hour emergency system and night security services, as well as access to continuum of care, residents can freely focus on continuing an active lifestyle, with plenty of activities and amenities to explore on-site. Explore your favorite hobbies or try something new with a wide array of activities, classes, and resident programs offered. A variety of dining options with menus developed to meet resident preferences and overseen by a registered dietician, is offered to ensure residents always have the energy to stay active and engaged.

Contact Piedmont Crossing

Overview of Friends Homes

Located in Guilford County, Greensboro, NC, Friends Homes is an inviting senior living community that offers a safe haven far from the hustle and bustle of city life. The community features an array of living options, including independent living, assisted living, skilled nursing care, and memory care, ensuring a smooth transition should residents’ needs change. Residents can choose from a variety of thoughtfully designed floor plans for enjoying life without having to worry about everyday maintenance and upkeep, guaranteeing a worry-free lifestyle.

Dedicated to creating an enriching and vibrant environment, the community conducts a wide array of activities and offers plenty of relaxing spaces for peaceful personal times and vibrant interactions with friends and fellow residents. The community’s ideal location also provides easy access to a variety of shops, grocery stores, and restaurants whenever residents want to go out and explore. Residents also enjoy access to a wellness center with a state-of-the-art fitness center, indoor heated pool, and a sports court to foster fitness and well-being.

Contact Friends Homes

Carol Woods

750 Weaver Dairy Rd, Chapel Hill, NC 27514
Overview of Carol Woods

Owned by The Chapel Hill Residential, Carol Woods is a 30-bed skilled nursing community located in a residential area of Chapel Hill, North Carolina. The two-story community has served older adults for 47 years, combining long-standing experience with a smaller setting that encourages personalized care and lasting relationships. It accepts Medicare and private pay, while the average resident stay of 31 days reflects a strong emphasis on short-term rehabilitation alongside long-term nursing care.

Additionally, residents receive an average of 5 hours and 56 minutes of nursing care each day from registered nurses, licensed practical nurses, and nursing aides. Respite care and cognitive support programs are also available, providing flexible options for older adults with varying care needs.

Daily life is enhanced by meals prepared with fresh, seasonal ingredients and served in multiple on-campus dining venues, with heart-healthy, vegetarian, and low-sodium selections available. Furthermore, residents have access to wellness and fitness programs, an on-site salon, gardening opportunities, transportation services, 24-hour security, and maintenance-free living.

While the surrounding neighborhood is largely car-dependent, making most errands easier by vehicle, the community offers a wide range of services and amenities that support an active and engaging daily lifestyle.

Contact Carol Woods

Abernethy Laurels

102 Leonard Ave, Newton, NC 28658
Overview of Abernethy Laurels

Set on the scenic lands of Leonard Avenue, Newton, NC, Abernethy Laurels is a trusted Continuing Care Retirement Community that offers a wide array of care options including assisted living, independent living, memory care, long-term care, skilled nursing, and rehabilitation services. Experience unparalleled comfort and convenience with meticulously designed and well-built residences of Abernethy Laurels in varied studio, one-bedroom, and two-bedroom floor plans. With its dedication to seniors’ well-being, the community strives to deliver top-tier care and assistance tailored to their special needs and preferences.

Optimize your independence and enjoy the things you love through engaging activities and exciting events. Abernethy Laurels values residents’ choices, considering their interests in every aspect of their stay on its premises. Have the finest dining experience with delicious and healthy meals catering to nutritional needs and tastes. With its inviting spaces and tranquil landscapes, Abernethy Laurels is ideal for seniors looking to live a meaningful retirement.

Contact Abernethy Laurels

Overview of Carolina Bay at Autumn Hall

Carolina Bay at Autumn Hall is a luxury retirement home in Wilmington. With an emphasis on memory care living, the premier home provides a comfortable environment for assisted living, independent living, and skilled nursing residents. The upscale home offers a professional care staff that ensures that residents can create memorable moments through the elevated lifestyle and experiences provided in the community. A home that encourages, empowers, and elevates the lifestyles of its seniors for an enhanced aging experience.

Carolina Bay at Autumn Hall has designed residential living to help fulfill a sense of independence and individuality for each resident. Community accommodations offer all-inclusive services, including spacious common areas, recreational rooms, housekeeping, assisted living for Alzheimer’s and dementia, and transportation services.

Contact Carolina Bay at Autumn Hall

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

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.
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Frequently Asked Questions about Assisted Living in North Carolina

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 388 assisted living facilities in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility 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 assisted living facilities 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.