Page 10 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 403 assisted living communities in 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 North Carolina our team has analyzed — not a count of every assisted living provider in North Carolina.
403 homes
Other senior care options in North Carolina:

Compare Assisted Living around North Carolina

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. 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Zebulon House
AL
MC
RC
Zebulon
60
Facility 60
NC AVG 70
Rank #200 / 328
No
58
Facility 58
NC AVG 34
Rank #58 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
B+14
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
TerraBella Salisbury
AL
MC
RC
Salisbury (Lockeland)
128
Facility 128
NC AVG 70
Rank #16 / 328
Yes
8
Facility 8
NC AVG 34
Rank #322 / 373
23.4%
Facility 23.4%
NC AVG 68.5%
Rank #179 / 186
A+
96.50/200
Facility 96.50/200
NC AVG 92.7
Rank #173 / 291
C+17
76%
Facility 76%
NC AVG 64.9%
Rank #126 / 301
-
Peace Haven Assisted Living
AL
Winston-Salem
5
Facility 5
NC AVG 70
Rank #323 / 328
No
44
Facility 44
NC AVG 34
Rank #125 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
B-3
33%
Facility 33%
NC AVG 64.9%
Rank #126 / 301
-
Brookdale Pinehurst
AL
MC
Pinehurst
76
Facility 76
NC AVG 70
Rank #141 / 328
Yes
7
Facility 7
NC AVG 34
Rank #325 / 373
43.4%
Facility 43.4%
NC AVG 68.5%
Rank #143 / 186
-
100.00/200
Facility 100.00/200
NC AVG 92.7
Rank #125 / 291
C17
76%
Facility 76%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Cadence Garner by Cogir
AL
MC
Garner
84
Facility 84
NC AVG 70
Rank #111 / 328
Yes
40
Facility 40
NC AVG 34
Rank #140 / 373
-A+
88.50/200
Facility 88.50/200
NC AVG 92.7
Rank #245 / 291
C-10
80%
Facility 80%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed
Guilford House
AL
MC
RC
Greensboro (Northern Shores)
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
2
Facility 2
NC AVG 34
Rank #365 / 373
45.0%
Facility 45.0%
NC AVG 68.5%
Rank #140 / 186
A+
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
C17
71%
Facility 71%
NC AVG 64.9%
Rank #126 / 301
-
House of Peace
AL
ADC
MC
RESC
RC
Charlotte
6
Facility 6
NC AVG 70
Rank #278 / 328
No
7
Facility 7
NC AVG 34
Rank #325 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
89.50/200
Facility 89.50/200
NC AVG 92.7
Rank #239 / 291
A-10
50%
Facility 50%
NC AVG 64.9%
Rank #126 / 301
Private Rooms
Atria Southpoint Walk
AL
IL
RC
Durham (Crooked Creek)
20
Facility 20
NC AVG 70
Rank #274 / 328
Yes
59
Facility 59
NC AVG 34
Rank #50 / 373
--
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A+12
58%
Facility 58%
NC AVG 64.9%
Rank #52 / 301
Studio / 1 Bed / 2 Bed
The Haven & The Laurels in the Village at Carolina Place
AL
MC
Pineville (Carolina Village)
104
Facility 104
NC AVG 70
Rank #53 / 328
Yes
13
Facility 13
NC AVG 34
Rank #294 / 373
--
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A14
57%
Facility 57%
NC AVG 64.9%
Rank #66 / 301
Studio / Suite / 1 Bed / 2 Bed
Terrabella Greensboro
AL
MC
RC
Greensboro
125
Facility 125
NC AVG 70
Rank #19 / 328
Yes
14
Facility 14
NC AVG 34
Rank #289 / 373
--
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
A14
57%
Facility 57%
NC AVG 64.9%
Rank #52 / 301
Studio / 1 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 403 on this page. See how we rank facilities

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Zebulon House

551 Pony Road Zebulon, Nc 27597, Zebulon, NC 27597
Overview of Zebulon House

Zebulon House in Zebulon, North Carolina, delivers assisted living, memory care, and short-term respite stays within a single campus. Assisted living residents maintain private apartments while receiving assistance with daily living activities. A secure memory care section provides continuous supervision for residents prone to wandering, and respite care offers temporary stays to relieve primary caregivers.

This 60-bed facility accepts Medicaid to help families cover long-term costs when personal savings run short. Daily amenities include restaurant-style dining tailored to specific dietary requirements, a reading library, and an entertainment room for social activities. Scheduled local transportation helps residents travel off-site without booking separate rides, while a 58 walk score allows direct foot access to select nearby stores and services.

Prospective families exploring care options or short-term relief solutions can contact Zebulon House directly to gather information on room vacancies or arrange a tour of the area.

Contact Zebulon House

TerraBella Salisbury

1915 Mooresville Rd, Salisbury, NC 28147
Overview of TerraBella Salisbury

TerraBella Salisbury is a vibrant senior living community in Salisbury, North Carolina, offering assisted living and memory care. The community provides 24/7 care and a maintenance-free lifestyle to its active residents, while its award-winning SHINE Memory Care Program offers evidence-based memory care to residents living with Alzheimer’s and dementia. Featuring cozy suites and one-bedroom apartments with emergency call systems, individual climate control settings, and kitchenettes, residents are guaranteed a comfortable residence.

The community does its absolute best to ensure that residents have everything they need. From a jam-packed active social calendar and long-term health and wellness programs to concierge and housekeeping services, residents have everything they need to live a worry-free and convenient retirement. Residents also enjoy access to various amenities, including restaurant-style dining with tableside service, short-term respite care, a private courtyard & community garden, a professional beauty salon & barber shop, a jacuzzi spa, and a multifunction game room.

Contact TerraBella Salisbury

Overview of Peace Haven Assisted Living

Peace Haven Assisted Living offers a cozy, home-like environment for its residents. Residents live their best lives because of excellent services that help a speedy recovery. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Contact Peace Haven Assisted Living

Overview of Brookdale Pinehurst

Built to feel and function like a cozy residence, Brookdale Pinehurst is a warm and welcoming senior living community, offering assisted living and memory care in Pinehurst, NC. The community ensures a cozy residence with spacious apartment options, including a studio and one-bedroom apartment. Located in a quiet residential neighborhood but still close to local shops and restaurants, residents are guaranteed a perfect blend of a vibrant lifestyle and peaceful environment.

Believing that sustaining social relationships and friendships is key to aging well and living well, Brookdale Pinehurst conducts various social activities and programs. Residents can stay fit with fitness classes from the B-Fit exercise program or enjoy music and meals, crafts, games, and devotional services. With their exclusive Clare Bridge community, residents dealing with memory loss are guaranteed gentle programming and support. Amenities include a library, meeting rooms, beautiful walking paths, courtyard, and landscaped grounds, perfect for relaxing or socializing with friends.

Contact Brookdale Pinehurst

Overview of Cadence Garner by Cogir

Bask in the warm sunlight with the extraordinary senior living community of Cadence Garner by Cogir situated in the peaceful Minglewood Drive, Garner, NC, offering assisted living and memory care. Feel comfort like no other with charming and cozy accommodations including a variety of studio, one-bedroom, private, and companion floor plans. With a friendly and extremely talented team handling the housekeeping and mundane chores, seniors enjoy a worry-free retirement and do what they love.

Discover new adventures and reignite passions with exciting activities and nurturing programs orchestrated for seniors’ enjoyment and well-being. Have a fun and inspiring conversation with friends over healthy and delicious meals catering to nutritional needs and tastes. Filled with beautiful landscapes and serene spaces, Cadence Garner by Cogir strives to provide an ideal place for seniors to live a wondrous retirement.

Contact Cadence Garner by Cogir

Overview of Guilford House

Experience an ultimately relaxing stay with Guilford House located in the peaceful neighborhood of Greensboro, NC, offering assisted living, memory care, and respite care services. The community delivers the highest quality care in a comfortable, home-like setting. Dedicated professionals consistently go above and beyond to ensure the best possible experience for their residents, employing a specialized approach to all care services.

Offering above-and-beyond services, residents can enjoy delightful and healthy meals while interacting with the rest of the community, full-service housekeeping, on-site, beauty salon and barber shop, transportation services, and many more. Take part in a vibrant calendar of social activities, including movie nights and arts and crafts, while making new friends on the outdoor patio and during group outings that promote ongoing engagement and personal development. At Guilford House, seniors can truly enjoy a worthwhile living experience.

Contact Guilford House

Overview of House of Peace

Nestled in the neighborhood of Charlotte, North Carolina, House of Peace is an inviting residential care home, offering various assisted living and memory care services. Residents enjoy their peace of mind with 24-hour supervision from an expert care team and a registered nurse that curates individualized care plans for individual preferences and needs. The community makes sure residents have access to various services, including assistance with daily living activities, medication management, and in-home physician services for a comfortable living experience.

Utilizing a holistic approach to care, the community also offers residents plenty of opportunities for life enrichment through a wide variety of activities, including social activities, horticulture program, recreational activities, and more. Meals and snacks are provided daily with accommodations for special diets for residents’ daily sustenance needs. State-of-the-art amenities, including lush gardens, cozy living areas, and therapeutic spaces are available for a more fulfilling experience.

Contact House of Peace

Overview of Atria Southpoint Walk

Atria Southpoint Walk is a retirement community catering to independent and assisted living needs. It is Just a short distance from Old West Durham and just minutes away from the Duke University Golf Club. Atria Southpoint Walk places a strong focus on residents’ well-being and connections.

Experience a fulfilling and satisfying lifestyle within the community and its inviting surroundings. This assisted living community prides itself on amenities that enhance residents’ lives. Residents can shape their days according to their preferences with chef-prepared meals, a modern fitness center, a cinematic theater, and an enjoyable game room.

Contact Atria Southpoint Walk

Overview of The Haven & the Laurels in the Village at Carolina Place

Situated in a peaceful Pineville, NC neighborhood, The Haven & The Laurels at Carolina Place offers stress-free senior living designed to feel like home. Residents enjoy a relaxed pace with beautiful gardens, rocking chairs on the porch, and even ice cream parlor treats. Social events and activities like happy hour gatherings and musical performances create a vibrant and connected atmosphere.

This Five Star senior living community goes beyond relaxation. The Haven & The Laurels provides comprehensive support, including 24/7 trained caregivers, housekeeping, laundry services, and transportation. Residents can personalize their experience with social activities, fitness classes, and delicious chef-prepared meals. Medical resources and care services are also readily available, ensuring a safe and secure environment.

 

Contact The Haven & The Laurels in the Village at Carolina Place

Terrabella Greensboro

1208 New Garden Rd, Greensboro, NC 27410
Overview of Terrabella Greensboro

Terrabella Greensboro offers assisted living, memory care, and respite care in Greensboro, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication, while the resident keeps a private living space. Memory care provides a secured setting with supervision for someone who may be at risk of wandering.

Respite care offers short term stays. That can give a family caregiver time to travel or recover. Assisted living and memory care are available within the same community, which may suit a resident whose needs could change over time. The community has 125 beds and offers studio and one bedroom layouts, allowing residents to choose either a single private space or a separate bedroom. Pets are allowed, so residents can continue living with their pets at the community.

Contact Terrabella Greensboro

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 North Carolina at a glance

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: 34/ 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: 70The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90
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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 403 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.