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Other senior care options in North Carolina:

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:

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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View all Nearby Homes
Overview of Navion of Greenville

Nestled in the welcoming place of Greenville, NC, the Navion of Greenville is a remarkable senior living community offering assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations ranging from one-bedroom to two-bedroom. With its highly skilled and hardworking team, this community offers an emergency response system and 24/7 personalized care services.

With its top-tier amenities and other services, residents can enjoy delectable meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Engage in diverse social activities and community events. Meet new companions and share meaningful memories within the beautiful spaces of this community. At the Navion of Greenville, seniors are guaranteed a memorable living experience.

Contact Navion of Greenville

Overview of The Addison

Overlooking the peaceful neighborhood of Durham, NC, The Addison is a vibrant senior living community, offering assisted living, memory care, and short term care. Residents here are warmly welcomed into bright and spacious accommodations, in a variety of private, semi-private suites, and one-bedroom apartments. The community features an excellent care team that thoroughly adheres to excellence in providing care and support to residents, from assistance with daily living activities to specialized memory support.

Residents here are inspired to live a vibrant day to day life with a broad range of interesting and stimulating daily programming that explores culture and the arts, faith, fitness, leadership, learning, recreation, and travel. The community also makes sure residents are free from the common hassles of living by handling most of the chores, including the meal preparation and replacing it with an excellent dining experience featuring delicious and palate-pleasing meals. With its comprehensive services, convenient amenities, and enriching programs, the community makes an ideal place for retirees seeking to live full, meaningful lives.

Contact The Addison

Overview of Parkview Retirement Center, INC.

We are Sanford’s only retirement community to offer several types of senior living. Located on thirty-three acres of beautiful land across from Kiwanis Park in Sanford.

At Parkview we are dedicated to providing you with the finest services and features available at an affordable rate and no entrance fee or buy in. Our complex offersIndependent Living Apartments, Secure Wing, and Assisted Living. We are still Locally Owned and Operated. We have set the standard for quality care at affordable prices for over 37 years.

We offer Large Private Rooms and Semi-Private Rooms throughout our Main Assisted Living Facility. These rooms are equipped with either a private bathroom or a shared bathroom. Our main facility also offers Round the clock care with a Nurse on duty 24 hours a day, Assistance with all personal care as needed, Call Bell System in every room, Full Generator Service for Power Failure, Full Sprinkler/Fire System throughout, Spaces for Outdoor and Indoor Gatherings, Vibrant Social Activities, Lots of Outside Community Programs Visit the main building monthly, there are beauty salon services offered on site for those residing in our main building, along with daily room housekeeping and laundry. We are proud to offer delicious Home-cooked meals to our residents.

Our Independent Living Apartments are located outside the main facility on the grounds and offer one bedroom/one bathroom, two bedroom/two bathroom, and/or three Bedroom/two Bathroom Units with spacious closets. All of the Apartment Units are Handicap Accessible with Safety Bath or Showers to help maintain your independence. There is an emergency call bell/pull station located in every unit. There is a social/activity group just for the Apartments. Meals are delivered daily to the individual apartments, and our staff provides one hour a week housekeeping for each unit.

Visit with us today and discover what your new home will feel like!! Be a part of our Parkview Family.

Contact Parkview Retirement Center, Inc.

Overview of Home Place of New Bern

Offering compassionate care to the community of New Bern, NC, Home Place of New Bern is a classic senior living community that features a range of senior living options, including assisted living and memory care. The community offers a wide range of floor plans, including studios, companion suites, and one-bedroom apartments, complemented with an array of care services, including recreational and occupational therapy, various rehab therapies, and personal fitness training.

Recognized as Best Assisted Living and Best Memory Care by U.S. News and World Report, Home Place of New Bern proves its capability in providing exceptional senior living experience supported with excellent care and services. Here, residents find comfort and convenience through amenities, such as family-style dining, spacious activity center, an array of social and recreational events, a full-service barber and beauty salon. At Home Place of New Bern, residents live life on their own terms with outstanding support and assistance by a compassionate team.

Contact Home Place of New Bern

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

TerraBella Cramer Mountain

500 Cramer Mountain Rd, Cramerton, NC 28032
Overview of Terrabella Cramer Mountain

Terra Bella Cramer Mountain is a trusted senior living community nestled in the serene neighborhood of Cramerton, NC, providing assisted living and memory care. The community features elegant floor plans ranging from suites to one-bedroom apartments. Proving its top-notch quality, the community was recognized as one of the Top Assisted Living Communities in 2020 by Best of Gaston County.

The community features a variety of signature programs for the betterment of its residents. With a variety of activities and programs scheduled over the month such as live entertainment and local outings, residents experience fun and relaxation. Moreover, meals are prepared based on the seniors’ dietary needs and cravings. Terra Bella Cramer Mountain provides residents with amenities to enhance their well-being including a jacuzzi spa, an arts and crafts studio, a multifunction game room, a library, a covered outdoor patio, a private courtyard and community garden, and serene walking paths.

Contact TerraBella Cramer Mountain

Mallard Ridge

9420 N North Carolina Hwy 150, Clemmons, NC 27012
Overview of Mallard Ridge

Designed to meet seniors’ every need in a home-like environment, Mallard Ridge in Multnomah County, Clemmons, NC, is a charming senior living community that offers assisted living and memory care. The community’s compassionate caregiving team coordinates closely with residents and their families to create personalized care plans and programs that closely align with their specific needs. Here, residents are liberated from home and yard maintenance, providing them plenty of time to enjoy the community’s calendar of daily activities and delicious restaurant-style dining.

Residents experiencing Alzheimer’s or any stage of dementia are provided a safe and secure haven for a more personal and focused care and attention that serves their specific needs. Emergency response systems are also available in each apartment to make sure residents are provided immediate assistance during emergencies. A full-time social director is available to carefully plan an array of social activities, wellness programs, and outings to local attractions, restaurants, and community events, for a vibrant and fulfilling living experience.

Contact Mallard Ridge

Overview of The Pines on Carmel Senior Living

The Pines on Carmel Senior Living is a captivating community that caters to individuals seeking various senior living options. Whether you require assisted living, memory care living, or simply a place to call home, this remarkable community has it all. Nestled in a picturesque setting, The Pines on Carmel offers a warm and inviting environment where residents can confidently embrace the next chapter of their lives.

With specialized programs and services designed to support those with memory-related challenges, they create a nurturing and secure environment where residents can thrive. The commitment to excellence extends to their assisted living places as well, ensuring that residents receive the highest level of care and support tailored to their individual needs. Within this exceptional community, you’ll find a wealth of amenities and services that enhance the overall living experience. From beautifully appointed apartments to engaging activities and events, there is something for everyone to enjoy. The compassionate and dedicated staff is available around the clock, providing peace of mind and reassurance to both residents and their loved ones.

Contact The Pines on Carmel Senior Living

Overview of The Rosewood Health Center – the Cypress of Raleigh

Step into the serene atmosphere of The Cypress at Raleigh, part of Rosewood Health Center, where seniors can enjoy a fulfilling retirement lifestyle in a refined and secure community. Opened in 2008 as a nonprofit organization, The Cypress at Raleigh provides top-quality care and independent living, assisted living, and home care services for seniors.

As a Medicare-certified facility, The Cypress at Raleigh dedicates itself to giving accessible care and service to people in their autumn years. They also feature a private wing for memory care that provides utmost comfort and care for those who need it. The community crafts a wonderful living experience for its residents, with delicious dining options and activities to keep them active and engaged. They have a community life services coordinator that ensures programs that suit all interests, from aqua aerobics and book clubs to bridge and card groups and more.

Contact The Rosewood Health Center – The Cypress of Raleigh

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 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 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.