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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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Overview of Hillside Nursing & Rehab

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

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

Contact Hillside Nursing & Rehab

Overview of Carmel Hills

Live your golden years in a relaxing retirement environment with Carmel Hills, a non-profit, Christian community in Charlotte, NC for residents needing independent living and assisted living. With its intimate and welcoming setting, residents enjoy closer relationships with the care team and fellow residents. Those needing extra care and support can feel at ease with a highly trained team of care professionals available round-the-clock to help them with their personal care, daily living activities, medication management, and more.

By handling the housekeeping and laundry for residents, Carmel Hills gives residents more free time to enjoy their passions and focus on their well-being. The community also organizes an array of activities to bring residents closer together and make sure they have plenty of opportunities to stay active and motivated. Well-balanced meals and replenishing snacks are also available to ensure residents never skip meal times and maintain proper nutrition. With Carmel Hills, residents can enjoy a fulfilling lifestyle without worrying about mundane chores or their finances.

Contact Carmel Hills

Overview of Magnolia Creek

Dedicated to empowering seniors to live their best lives, Magnolia Creek in Multnomah County, Winston-Salem, NC, is an inspiring senior living community that offers assisted living, memory care, and respite care. The community offers an ideal blend of comfortable residence and exceptional health and personal care needed to live fully and comfortably. Residents enjoy compassionate care and assistance provided by a dedicated care team.

The community makes sure residents are provided with plenty of opportunities for an active and vibrant living experience with an array of fitness and wellness programs. Housekeeping and maintenance services are also offered to give residents plenty of time to enjoy their retirement life fully. With comprehensive services, friendly care team, and convenient amenities, residents at Magnolia Creek are able to live their lives fully and comfortably.

Contact Magnolia Creek

Overview of Brookdale Charlotte East

Nestled in the vibrant community of Charlotte, NC, Brookdale Charlotte East offers a picturesque setting for independent and assisted living. Enjoy spacious, sunlit common areas that evoke a resort-like ambiance, complemented by pet-friendly apartments featuring private patios or balconies. Residents can engage in daily fitness classes or join scheduled excursions, embracing a maintenance-free lifestyle that celebrates independence. With a 24/7 care team ensuring prompt response to emergencies, you can relax and thrive in a community designed for your comfort and peace of mind.

Discover a fulfilling lifestyle at Brookdale Charlotte East, where every day brings new opportunities for social engagement and personal enrichment. Embrace the freedom from household chores and savor the perks of restaurant-style dining and a vibrant social calendar. Whether you’re seeking vibrant community life or peace and tranquility, the community offers the perfect blend of convenience and care, ensuring you live each day to the fullest.

Contact Brookdale Charlotte East

Overview of Grand Villa Assisted Living at Winston

Live a vibrant life with Grand Villa Assisted Living at Winston, a charming senior living community, based in Winston-Salem, NC, offering assisted living and memory care services. The community ensures residents live a comfortable life with the help of a professional trained team and an on-call registered nurse trained to provide various care and support. Residents are also offered access to physical, occupational, and speech therapies, along with in-house physicians, podiatrists, & psychiatrists for other services that residents may need.

Committed to delivering a nurturing environment that empowers residents to live well, the community offers an array of amenities and services designed to ensure quality living and a healthy lifestyle. A variety of activities and exercise opportunities are provided to help residents stay active and engaged. Three course meals are also provided to ensure residents always eat healthy and on time.

Contact Grand Villa Assisted Living at Winston

Overview of Fayetteville Manor

Fayetteville Manor offers exceptional memory care support in a cozy, home-like environment. Expect elegance and professionalism when delivering an assisted living approach for Alzheimer’s and dementia seniors; the professional care staff ensures that each individual receives the proper resident-focused approach to holistic wellness for a comfortable and flexible senior lifestyle.  Residents are guaranteed to enjoy their stay in a safe, secure, and charming environment.

Fayetteville Manor’s all-inclusive services include various services and amenities to ensure residents live hassle-free lives. These include nutritious meals, housekeeping and laundry, 24/7 on-site nursing, recreational activities, and specialized memory care activities.

Contact Fayetteville Manor

Overview of The Reserve at Mills Farm

The Reserve at Mills Farm continues to excel in creating a lifestyle that suits the needs of its residents. The luxurious community offers many opportunities for blossoming friendships between staff and residents. Cultivating personal growth and holistic wellness is what they are known for; residents learn to live vibrant social lives during their golden years.

The Reserve offers many activities and amenities that cater to the interests of every senior– it features a recreational room, transportation services, in-house maintenance service, seasonal menus served occasionally, social activities, and wellness programs ensuring that residents stay entertained and engaged throughout the day.

Contact The Reserve at Mills Farm

Overview of The Gardens of Roseboro

Set in the inviting town of Roseboro, NC, The Gardens of Roseboro is a vibrant senior living community that provides assisted living and respite care services. Well-appointed and cozy accommodations tailored to the levels of care are available for its residents. This community is committed to providing a lifestyle of one-of-a-kind convenience, leisure, and beauty. Having a highly equipped and dedicated team, residents can receive the utmost care and support that they deserve.

With its above-and-beyond amenities and services, residents can enjoy on-site maintenance and management services, housekeeping, transportation services, and restaurant-style dining. Meet new companions in its multi-purpose meeting spaces, library with lounge area, and expansive grounds and walking trails. Engage in weekly social activities and other life enrichment programs. At The Gardens of Roseboro, seniors can enjoy a wonderful living experience.

Contact The Gardens of Roseboro

Cross Road Retirement Community

1302 Old Cox Rd Asheboro, Nc 27205, Usa
Overview of Cross Road Retirement Community

Cross Road Retirement Community in Asheboro, NC offers a continuum of care for seniors seeking independence with varying levels of support. Residents can choose from independent living, assisted living, and memory care options, all designed to promote well-being and a fulfilling lifestyle. Independent living allows seniors to enjoy their own private apartments with the freedom to come and go as they please. Assisted living provides personalized care plans to assist with daily tasks like bathing, dressing, and medication management. Memory care offers a secure environment specifically designed for those with Alzheimer’s disease or related dementia, featuring specially trained staff and stimulating activities. As a non-profit organization, Cross Road approaches senior care with authenticity and a genuine devotion to providing those in search of care the best service they can.

Contact Cross Road Retirement Community

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

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.