Page 13 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. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. 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.
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.
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.
The Brownstone
AL
MC
RESC
Charlotte (Stonehaven)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
--
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
8
63%
Facility 63%
NC AVG 76.2%
Rank #48 / 333
Private Rooms
Accordius Health at Charlotte
AL
NH
Charlotte (Yorkmount)
116
Facility 116
NC AVG 72
Rank #51 / 387
No
13
Facility 13
NC AVG 36
Rank #432 / 536
76.0% A+-----
Forest Ridge
AL
MC
West Jefferson
60
Facility 60
NC AVG 72
Rank #230 / 387
No- 28.3% -
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
21
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
Studio / Suite
Phoenix Assisted Care
AL
MC
RC
Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 72
Rank #35 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
52.5% A+-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
42
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
Private Rooms / Semi-Private Rooms
TerraBella Cramer Mountain
AL
MC
Cramerton
128
Facility 128
NC AVG 72
Rank #25 / 387
Yes
19
Facility 19
NC AVG 36
Rank #384 / 536
39.1% -
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
21
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 333
-
Spring Arbor of Greensboro
AL
MC
Greensboro (White Horse Farms)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes
50
Facility 50
NC AVG 36
Rank #150 / 536
--
90.00/200
Facility 90.00/200
NC AVG 92.2
Rank #261 / 321
23
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
Studio / Alcove / 1 Bed
Carolina Reserve of Hendersonville
AL
MC
Hendersonville
61
Facility 61
NC AVG 72
Rank #229 / 387
Yes
29
Facility 29
NC AVG 36
Rank #322 / 536
--
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
16
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
Private / Companion Suite
Terrabella Greensboro
AL
MC
RC
Greensboro
125
Facility 125
NC AVG 72
Rank #28 / 387
Yes
14
Facility 14
NC AVG 36
Rank #424 / 536
--
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
24
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
Studio / 1 Bed
Priddy Manor
AL
MC
King
79
Facility 79
NC AVG 72
Rank #157 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
--
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
16
63%
Facility 63%
NC AVG 76.2%
Rank #48 / 333
Studio / Suite
The Reserve at Mills Farm
AL
IL
MC
Apex
35
Facility 35
NC AVG 72
Rank #321 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
--
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
8
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Studio / 1 Bed / 2 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 The Brownstone

Nestled in the tranquil area of Charlotte, NC, The Brownstone is a cozy and secure haven for those seeking compassionate assisted living services. Their bright and spacious accommodations provide residents with a relaxing environment where they can receive 24/7 supervision, daily living assistance, and access to a range of healthcare services on-site. Those living with memory conditions also have access to personalized memory enrichment activities tailored to their individual abilities and in slowing cognitive decline.

Their campus is equipped with advanced safety features, emergency systems, visual cues, and wheelchair-accessible ramps to ensure residents feel safe and secure in their surroundings. They also ensure residents’ meals are tailored to their nutritional needs and approved by a registered dietician. With relaxing common areas, fun celebrations, and exciting events, residents find plenty of opportunities to celebrate life and make meaningful connections that last.

Contact The Brownstone

Overview of Accordius Health at Charlotte

Accordius Health at Charlotte, located in Charlotte, North Carolina, is a reputable senior living provider offering comprehensive Nursing Home services. With a focus on providing exceptional care, Accordius Health caters to both short-term rehabilitation and long-term care needs.

As a medium-sized facility with 116 beds, they ensure a personalized and attentive approach to each resident’s well-being. They actively participate in Medicare and Medicaid programs, emphasizing their commitment to accessibility and quality care for individuals in need.

Contact Accordius Health at Charlotte

Forest Ridge

151 Village Park Dr, West Jefferson, NC 28694
Overview of Forest Ridge

Residing in the serene community of West Jefferson, NC, the Forest Ridge is a trusted senior living community that provides assisted living and memory care services. A wide range of comfortable and spacious accommodations including private studios, shared suites, and studio deluxe are available. In terms of memory care, a program called Pathways to Discovery is thoughtfully designed for those with cognitive conditions like Alzheimer’s disease and dementia. This community also renders an emergency response system and 24/7 personalized care services.

The community is dedicated to providing top-notch amenities and services wherein residents can enjoy delightful and healthy meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Participate in diverse social activities and wellness programs. With Forest Ridge, seniors are guaranteed a worthwhile living experience.

Contact Forest Ridge

Overview of Phoenix Assisted Care

Phoenix Assisted Care, located in Cary, NC, is a senior living community offering assisted living, memory care, and independent living services and amenities. Their memory care program is specifically designed for caring for their residents living with Alzheimer’s and other forms of dementia. Designed to provide a home away from home, this senior living community offers medical support, from assistance with daily living activities, medication management and coordination with other healthcare providers as needed.

Additionally, residents are provided meals that are prepared to cater to their preferences and dietary needs. They also offer transportation services for outside appointments, as well as housekeeping and salon services.

Contact Phoenix Assisted Care

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

Overview of Spring Arbor of Greensboro

Nestled in a quiet neighborhood in Guilford County, Greensboro, NC, Spring Arbor of Greensboro is a supportive senior living community that offers assisted living and memory care. Residents are warmly welcomed into beautifully designed living spaces, with an array of studios and one-bedroom apartments to choose from. With a built-in emergency response system in every residence and a maintenance-free lifestyle, residents here are guaranteed to thrive and enjoy a retirement life with no worries.

Committed to elevating residents’ experience and quality of life, the community offers an array of specially designed activities to rekindle old interests, develop new hobbies, and socialize with new people. Residents are also empowered to focus on their holistic wellness with a variety of programs, classes, and events. At Spring Arbor of Greensboro, everyday is filled with plenty of new experiences and programs that are specifically designed to empower residents to live fulfilling lives.

Contact Spring Arbor of Greensboro

Overview of Carolina Reserve of Hendersonville

Featuring the inviting neighborhood of Hendersonville, NC, the Carolina Reserve of Hendersonville is a peculiar senior living community providing assisted living and memory care services. Here, residents can choose among a wide array of spacious and comfortable accommodations with several floor plans ranging from private rooms to privacy/companion suites, and deluxe private companion suites. With its trained and dedicated team, this community offers an emergency response system and 24/7 personalized care services for its residents. In terms of memory care, those with cognitive conditions like Alzheimer’s and dementia are provided with a cutting-edge program named Pathways to Discovery through its well-trained and empathetic team.

The community is committed to providing a perfect balance between personal freedom and intentional care wherein residents can enjoy delightful and healthy meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Participate in diverse social activities like wellness programs. Equipped with the right tools and people, seniors can surely achieve a worthwhile retirement.

Contact Carolina Reserve of Hendersonville

Terrabella Greensboro

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

A 125-bed senior living community on New Garden Road in Greensboro, North Carolina, is Terrabella Greensboro. It operates from a three-story building and offers studio and one-bedroom housing options for occupants seeking supportive care in a residential setting.

With a Walk Score of 14, the home sits in a car-dependent neighborhood, so a vehicle is needed for most daily errands and activities. The surrounding area has limited walkable destinations, so residents and families, when considering this location, should plan for transportation needs.

State inspections over the past decade have flagged areas for improvement in medication administration practices and resident screening protocols. Terrabella Greensboro has demonstrated responsiveness by addressing construction-related deficiencies noted during regulatory follow-up reviews.

An on-site tour by families considering Terrabella Greensboro is the best way to understand the housing options, daily routines, and care approach offered. Contact the facility directly to discuss available care types, pricing, amenities, dining options, and whether its services match your loved one’s needs.

Contact Terrabella Greensboro

Overview of Priddy Manor

Settled in the vibrant place of King, NC, the Priddy Manor is a remarkable senior living community offering assisted living and memory care services. Here, residents can select from a wide array of spacious and beautifully appointed accommodations ranging from studio deluxe to private studio and share suite. In terms of memory care, a cutting-edge program named Pathways to Discovery is thoughtfully designed to address the needs of those with cognitive conditions like Alzheimer’s disease and dementia. 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. At the Priddy Manor, seniors are guaranteed a wondrous living experience.

Contact Priddy 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

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.