Page 11 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 389 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.
389 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: 36/ 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

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 to lowest based on our ranking 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
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.
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.
Brookdale Hickory Northeast
AL
Hickory
88
Facility 88
NC AVG 72
Rank #123 / 387
Yes
31
Facility 31
NC AVG 36
Rank #295 / 536
-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
18
72%
Facility 72%
NC AVG 76.2%
Rank #105 / 333
Studio / Suite
Brighton Gardens of Raleigh
AL
HOS
MC
Raleigh (Northwest Raleigh)
115
Facility 115
NC AVG 72
Rank #53 / 387
Yes
67
Facility 67
NC AVG 36
Rank #36 / 536
-
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
22
73%
Facility 73%
NC AVG 76.2%
Rank #112 / 333
Studio / 1 Bed
Morningside of Gastonia
AL
MC
Gastonia (Lake Wood)
105
Facility 105
NC AVG 72
Rank #67 / 387
Yes
42
Facility 42
NC AVG 36
Rank #211 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
18
61%
Facility 61%
NC AVG 76.2%
Rank #45 / 333
Studio / Suite / 1 Bed
Waltonwood Cotswold
AL
MC
Charlotte (Sherwood Forest)
125
Facility 125
NC AVG 72
Rank #28 / 387
Yes
18
Facility 18
NC AVG 36
Rank #394 / 536
-
107.00/200
Facility 107.00/200
NC AVG 92.2
Rank #2 / 321
15
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
Studio / 1 Bed / 2 Bed
Our Promise Care Homes At Lake Boone Trail
AL
RESC
Raleigh (Dairyland)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
40
Facility 40
NC AVG 36
Rank #226 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
4
25%
Facility 25%
NC AVG 76.2%
Rank #8 / 333
Private Rooms
Jurney‘s of Statesville
AL
MC
Statesville (Eastfield Estates)
60
Facility 60
NC AVG 72
Rank #230 / 387
No
39
Facility 39
NC AVG 36
Rank #232 / 536
23.3%
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
24
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Private Rooms / Semi-Private Rooms
Miss Bell’s at Fuquay
AL
MC
Fuquay-Varina (Avalon Springs)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
9
Facility 9
NC AVG 36
Rank #462 / 536
66.7%
95.00/200
Facility 95.00/200
NC AVG 92.2
Rank #221 / 321
9
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
Private / Semi-Private Rooms
Miss Bell’s at Garner
AL
Garner
6
Facility 6
NC AVG 72
Rank #335 / 387
No
4
Facility 4
NC AVG 36
Rank #506 / 536
66.7%
90.00/200
Facility 90.00/200
NC AVG 92.2
Rank #261 / 321
10
60%
Facility 60%
NC AVG 76.2%
Rank #43 / 333
Private / Semi-Private Rooms
Brookdale Lexington
AL
MC
Lexington (South Cecil)
76
Facility 76
NC AVG 72
Rank #166 / 387
Yes
33
Facility 33
NC AVG 36
Rank #281 / 536
28.9%
89.25/200
Facility 89.25/200
NC AVG 92.2
Rank #266 / 321
32
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
Studio / Suite / 1 Bed
Cadence at Clemmons
AL
MC
Clemmons
96
Facility 96
NC AVG 72
Rank #89 / 387
No
31
Facility 31
NC AVG 36
Rank #295 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
25
72%
Facility 72%
NC AVG 76.2%
Rank #105 / 333
Studio / 1 Bed

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 389 on this page.

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Overview of Brookdale Hickory Northeast

Committed to enhancing seniors independence while offering personalized care as needed, Brookdale Hickory Northeast is a remarkable senior living community in Hickory, North Carolina, offering personalized assisted living care in a cozy setting. Conveniently located near shopping, banks, and healthcare facilities, our community ensures residents receive attentive service and enjoy a worry-free lifestyle. A dedicated team is available around the clock for emergencies, providing peace of mind to residents and their families.

From assistance with daily tasks like dressing and medication management to organizing engaging activities such as fitness classes, bingo, and shopping trips, the community fosters an active and fulfilling lifestyle. Residents relish delicious, chef-prepared meals in our elegant dining room, where their preferences shape the weekly menus, ensuring every dining experience is enjoyable and satisfying. With amenities like an emergency alert system, pet-friendly environment, and convenient transportation services, residents live a comfortable and convenient life.

Contact Brookdale Hickory Northeast

Overview of Brighton Gardens of Raleigh

Brighton Gardens of Raleigh is a senior living community conveniently located near downtown Raleigh, North Carolina, helping residents connect with what inspires them, from fitness classes to giving back with local service projects. The community offers room rates starting at $3,466 per month and provides spacious grounds and open floor plans that inspire residents to spend their days socializing with friends and enjoying a variety of activities. Brighton Gardens of Raleigh offers frequent outings to nearby shopping and dining at Crabtree Valley Mall and the Museum of Art, ensuring residents make the most of each day.

The devoted and tenured team at Brighton Gardens of Raleigh delivers personalized care tailored to each resident’s unique needs and preferences. The pet-friendly community encourages an active lifestyle, with offerings such as soulful stretching, corn hole, and tabletop games. The chefs regularly consult with residents to incorporate their preferred menu items, while the Seniors with a Purpose Club carries out service projects for those living in the local community. Brighton Gardens of Raleigh is an award-winning community, with a four-star rating from the state and a Silver Spoon award for its dining program. The community is located in Raleigh, NC, near major highways, situated at the intersection of Duraleigh Road and Edwards Mill Road, close to downtown Raleigh, Crabtree Valley Mall, Museum of Art, the fairgrounds, restaurants, shopping, and one block from medical support at Rex Healthcare.

Contact Brighton Gardens of Raleigh

Overview of Morningside of Gastonia

Morningside of Gastonia is an elegant senior living community located in a vibrant neighborhood in Gastonia, NC, offering a range of care, including assisted living, memory care, and short-term stays. The community offers a wide range of living options, including studios and one-bedroom apartments with services tailored to residents’ unique needs and preferences. The community also offers Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program for residents dealing with memory loss.

The community’s ideal location provides easy access to shopping, restaurants, entertainment, and plenty of things to do, ensuring residents a vibrant living experience. With beautifully designed apartments and services, the community aims to enhance the quality of life of its residents. Amenities include restaurant-style dining, a spacious activity center, and engaging social events, along with a full-service barber and beauty salon, making it a perfect place to call home.

Contact Morningside of Gastonia

Overview of Waltonwood Cotswold

Waltonwood Cotswold is an exquisite assisted senior living community nestled in the charming city of Charlotte. The commitment to exceptional service and care is unparalleled, ensuring that each resident receives the utmost attention and support. With a range of services that include assisted living and memory care senior living, the community caters to the unique needs of every individual. The culinary team creates delectable meals that are both satisfying and memorable. From gourmet dishes to diverse dining options, every bite is a celebration of flavor and quality.

Located in the southeastern suburbs of Charlotte, Waltonwood Cotswold provides easy access to a wealth of conveniences. Residents can immerse themselves in the vibrant local community, with nearby restaurants, golf courses, healthcare centers, places of worship, and convenient expressway connections. The active community offers endless possibilities for exploration and engagement. With its captivating charm and inviting atmosphere, the community sets the stage for an enriching and fulfilling lifestyle. Experience the warmth and hospitality that permeate every aspect of the community, ensuring a truly exceptional assisted senior living and memory care senior living experience.

Contact Waltonwood Cotswold

Overview of Our Promise Care Homes at Lake Boone Trail

Peacefully located in Raleigh, NC, Our Promise Care Homes at Lake Boone Trail is a safe retreat for those who need assisted living. Residents here are offered assistance with their daily activities to help them enjoy the lifestyle they want. Designed to accommodate only six residents, the community guarantees truly personalized and focused care.

Caregivers are available 24 hours a day, 7 days a week to care for residents, alongside in-house doctor visits to keep their health in check. Residents here are motivated to stay active and socialize with the community’s dynamic activities. Nutritionally balanced meals are also served daily to ensure residents are always filled with energy to enjoy a vibrant living experience.

Contact Our Promise Care Homes At Lake Boone Trail

Overview of Jurney‘s of Statesville

Established in 1996, Jurney’s of Statesville is an assisted living community in Statesville, North Carolina, that offers personal care and memory care. The community has provided care and support to older adults in Statesville and the surrounding Iredell County area for nearly 30 years.

60 private and semi-private accommodations are offered, along with licensed nurses and certified nursing assistants available around the clock. Fitness and recreational activities are also provided to encourage engagement and daily wellness. Moreover, transportation services are available to help residents attend appointments and run errands. A hospital is also located nearby, offering convenient access to medical services.

Inspections conducted by North Carolina’s Division of Health Service Regulation highlight resident documentation and written disclosure practices within the specialized care unit, as well as fire safety measures related to door and wall systems. Previous inspections also addressed medication administration, infection control procedures, and compliance with therapeutic diet requirements.

The surrounding area is relatively walkable, allowing access to some nearby destinations on foot, though most travel is best accomplished by car.

Contact Jurney‘s of Statesville

Miss Bell’s at Fuquay

709 Minerva Dale Dr, Fuquay-Varina, NC 27526
Overview of Miss Bell’s at Fuquay

Spend a worry-free retirement at Miss Bell’s at Fuquay, an idyllic retreat in Fuquay-Varina, NC, offering assisted living and memory care. Residents can ease their worries with specialized care provided by a dedicated and well-trained team, especially with one caregiver assigned to every three residents. With beautifully designed and spacious accommodations, residents are guaranteed the utmost comfort and safety.

To improve residents’ cognition and living experiences, a jam-packed calendar of engaging programs and exciting events is conducted. Mealtimes are also something to look forward to, with delicious and healthy dining options that cater to their dietary needs and preferences. Promoting a nurturing and welcoming environment, the community creates the ideal setting where residents can thrive in their golden years.

Contact Miss Bell’s at Fuquay

Miss Bell’s at Garner

181 Kaspurr Dr, Garner, NC 27529
Overview of Miss Bell’s at Garner

Create meaningful moments at Miss Bell’s at Garner, a blissful community in Garner, NC, offering assisted living and memory care. Those with cognitive conditions can keep their peace of mind with a kind and highly skilled team attending to their needs around the clock. A caregiver is assigned to every three residents, alongside purposely built and secure accommodations, ensuring residents are comfortable and safe.

Residents have fun and learn new things with a thoughtfully curated calendar of stimulating programs and enriching activities. Delicious and healthy meals are also served, ensuring residents have a delightful dining experience that caters to their dietary needs and preferences. The community’s dedicated services and well-maintained amenities allow residents to make the most of their best years.

Contact Miss Bell’s at Garner

Overview of Brookdale Lexington

Located in the serene town of Lexington, North Carolina, Brookdale Lexington is a vibrant senior living community that offers assisted living and memory care services. Residents here enjoy a supportive environment where independence is cherished, complemented by personalized assistance with daily activities. Featuring studios and one-bedroom apartments, the community offers a comfortable residence that residents can personalize with their treasured belongings and furnishings.

Brookdale Lexington features a rich array of amenities and programs designed to enhance residents’ lives. From a bustling social calendar filled with engaging events to spacious common areas and private apartments, every day offers opportunities for relaxation and socialization. Amenities include convenient transportation services, a cozy café for casual gatherings, a well-stocked library, and serene courtyards for enjoying the outdoors. With Wi-Fi throughout the community and a fireside living room perfect for gatherings, Brookdale Lexington ensures comfort, convenience, and a fulfilling lifestyle for every resident.

Contact Brookdale Lexington

Overview of Cadence at Clemmons

As a senior community with a holistic approach to Assisted Living and Memory Care, Cadence at Clemmons prioritizes the well-being of their residents on all fronts: physical, emotional, social, spiritual, and intellectual. Within this enriching environment, senior residents can pursue their passions and foster meaningful connections while enjoying a sense of home.

Cadence at Clemmons provides wellness programs, dining experiences, and activities encouraging senior residents to connect with new people and explore new horizons. Their Assisted Living and Memory Care services are designed to nurture the mind, body, and spirit. This intimate setting, featuring 62 rooms, is carefully designed to promote overall wellness. Cadence at Clemmons aims to create a senior living community that embraces every aspect of well-being.

Contact Cadence at Clemmons

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 389 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.