Best Assisted Living in North Carolina

Reviewed by

Last updated

Jun 2026

We analyzed

428 homes in North Carolina

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

Other senior care options in North Carolina:

Memory Care Nursing Homes Independent Living

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.

Click column headers to sort


Brookdale South Charlotte	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. 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.	Charlotte (Wessex Square)	82 Facility 82 NC AVG 76 Rank #156 / 390	Yes	16 Facility 16 NC AVG 33 Rank #407 / 572	74.4% Facility 74.4% NC AVG 69.9% Rank #122 / 246	A+		101.50/200 Facility 101.50/200 NC AVG 92.2 Rank #103 / 322	20	80% Facility 80% NC AVG 76.2% Rank #169 / 335	Private Rooms / Semi-Private Rooms
Brookdale Robinwood	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.	Gastonia	89 Facility 89 NC AVG 76 Rank #136 / 390	Yes	4 Facility 4 NC AVG 33 Rank #506 / 572	-	A+		91.50/200 Facility 91.50/200 NC AVG 92.2 Rank #253 / 322	17	76.5% Facility 76.5% NC AVG 76.2% Rank #137 / 335	Private Rooms / Semi-Private Rooms
Sunrise of Cary	IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. 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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Cary (West Chatham Street)	85 Facility 85 NC AVG 76 Rank #146 / 390	Yes	34 Facility 34 NC AVG 33 Rank #271 / 572	40.0% Facility 40.0% NC AVG 69.9% Rank #208 / 246	A-		103.50/200 Facility 103.50/200 NC AVG 92.2 Rank #31 / 322	18	66.7% Facility 66.7% NC AVG 76.2% Rank #69 / 335	Studio / Suite / 1 Bed
Brookdale Dickinson Avenue	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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Greenville	76 Facility 76 NC AVG 76 Rank #181 / 390	Yes	38 Facility 38 NC AVG 33 Rank #235 / 572	67.1% Facility 67.1% NC AVG 69.9% Rank #150 / 246	A+		84.50/200 Facility 84.50/200 NC AVG 92.2 Rank #285 / 322	16	87.5% Facility 87.5% NC AVG 76.2% Rank #274 / 335	Studio / Suite / 1 Bed
Terrabella Asheboro	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. 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.	Asheboro (Laurel Wood Hills)	96 Facility 96 NC AVG 76 Rank #103 / 390	Yes	0 Facility 0 NC AVG 33 Rank #548 / 572	-	A+		96.50/200 Facility 96.50/200 NC AVG 92.2 Rank #196 / 322	26	80.8% Facility 80.8% NC AVG 76.2% Rank #181 / 335	Studio / 1 Bed
Chatham Ridge	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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Chapel Hill	91 Facility 91 NC AVG 76 Rank #129 / 390	Yes	33 Facility 33 NC AVG 33 Rank #280 / 572	-	A+		98.50/200 Facility 98.50/200 NC AVG 92.2 Rank #168 / 322	23	87% Facility 87% NC AVG 76.2% Rank #268 / 335	Studio / Suite
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 76.2% Rank #257 / 335	Studio / Companion Rooms
Brookdale Union	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.	Gastonia	78 Facility 78 NC AVG 76 Rank #176 / 390	Yes	35 Facility 35 NC AVG 33 Rank #260 / 572	100.0% Facility 100.0% NC AVG 69.9% Rank #1 / 246	A+		98.50/200 Facility 98.50/200 NC AVG 92.2 Rank #168 / 322	28	75% Facility 75% NC AVG 76.2% Rank #120 / 335	Studio
Brookdale Elizabeth City	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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Elizabeth City	76 Facility 76 NC AVG 76 Rank #181 / 390	Yes	30 Facility 30 NC AVG 33 Rank #308 / 572	28.9% Facility 28.9% NC AVG 69.9% Rank #229 / 246	A+		99.00/200 Facility 99.00/200 NC AVG 92.2 Rank #161 / 322	20	90% Facility 90% NC AVG 76.2% Rank #298 / 335	Studio / 1 Bed / 2 Bed
Brookdale Carriage Club Providence	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). 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. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Charlotte (Olde Providence North)	77 Facility 77 NC AVG 76 Rank #180 / 390	Yes	12 Facility 12 NC AVG 33 Rank #440 / 572	71.5% Facility 71.5% NC AVG 69.9% Rank #135 / 246	A+		98.75/200 Facility 98.75/200 NC AVG 92.2 Rank #167 / 322	15	80% Facility 80% NC AVG 76.2% Rank #169 / 335	Studio / 1 Bed / 2 Bed
Sunrise of Raleigh	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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Raleigh (Northwest Raleigh)	100 Facility 100 NC AVG 76 Rank #92 / 390	Yes	49 Facility 49 NC AVG 33 Rank #161 / 572	-	A-		77.50/200 Facility 77.50/200 NC AVG 92.2 Rank #297 / 322	24	79.2% Facility 79.2% NC AVG 76.2% Rank #161 / 335	Studio / 2 Bed
Brookdale Wake Forest	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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Wake Forest	70 Facility 70 NC AVG 76 Rank #197 / 390	Yes	54 Facility 54 NC AVG 33 Rank #124 / 572	52.9% Facility 52.9% NC AVG 69.9% Rank #190 / 246	A+		94.50/200 Facility 94.50/200 NC AVG 92.2 Rank #225 / 322	21	85.7% Facility 85.7% NC AVG 76.2% Rank #257 / 335	Studio / 1 Bed / 2 Bed
Phoenix Assisted Care	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. 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.	Cary (Parkway Retirement Center)	120 Facility 120 NC AVG 76 Rank #46 / 390	No	24 Facility 24 NC AVG 33 Rank #349 / 572	52.5% Facility 52.5% NC AVG 69.9% Rank #191 / 246	A+	-	0.00/200 Facility 0.00/200 NC AVG 92.2 Rank #306 / 322	42	85.7% Facility 85.7% NC AVG 76.2% Rank #257 / 335	Private Rooms / Semi-Private Rooms
Brookdale Durham	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. 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.	Durham (Northeast Durham)	119 Facility 119 NC AVG 76 Rank #60 / 390	Yes	9 Facility 9 NC AVG 33 Rank #462 / 572	62.2% Facility 62.2% NC AVG 69.9% Rank #167 / 246	A+		87.00/200 Facility 87.00/200 NC AVG 92.2 Rank #276 / 322	38	92.1% Facility 92.1% NC AVG 76.2% Rank #311 / 335	Studio
Brookdale Hickory Northeast	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.	Hickory (16Th Street Northeast)	88 Facility 88 NC AVG 76 Rank #137 / 390	Yes	31 Facility 31 NC AVG 33 Rank #294 / 572	-	A+		98.50/200 Facility 98.50/200 NC AVG 92.2 Rank #168 / 322	18	72.2% Facility 72.2% NC AVG 76.2% Rank #106 / 335	Studio / Suite

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Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data
6 weighted categories
Updated quarterly

Full methodology

Weighting overview

35%
Resident Experience
25%
Regulatory
15%
Visual Media
10%
Website
10%
Stability
5%
Environment

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

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

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

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

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

Includes
Occupancy Rate
Bed Options

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

Assisted Living in Asheboro, NC

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Assisted Living in Cary, NC

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Assisted Living in Charlotte, NC

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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 428 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.

Best Assisted Living in North Carolina

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Compare Assisted Living around North Carolina

Brookdale South Charlotte

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Calyx Living of Fuquay-Varina

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Brookdale MacArthur Park

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Brookdale Eden

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Brookdale Skeet Club

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Spring Arbor of Cary

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Woodland Terrace

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Brookdale Dickinson Avenue

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Brookdale Reidsville

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Brookdale Robinwood

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