Other senior care options in North Carolina:

Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 390 assisted living communities in North Carolina using NC Dept. of Health and Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
Reviewed by
Last updated
Jun 2026
We analyzed
390 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: 33/ 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

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Brookdale South Charlotte
AL
MC
Charlotte (Wessex Square)
82
Facility 82
NC AVG 72
Rank #145 / 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
The Arboretum at Woodland Terrace
AL
IL
MC
Cary (Woodland Terrace)
84
Facility 84
NC AVG 72
Rank #138 / 390
Yes
55
Facility 55
NC AVG 33
Rank #110 / 572
39.3%
Facility 39.3%
NC AVG 69.9%
Rank #211 / 246
-
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #210 / 322
19
84.2%
Facility 84.2%
NC AVG 76.2%
Rank #239 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Cary
AL
HC
MC
Cary (West Chatham Street)
85
Facility 85
NC AVG 72
Rank #135 / 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
MC
Greenville
76
Facility 76
NC AVG 72
Rank #169 / 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
AL
MC
Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 72
Rank #91 / 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
MC
Chapel Hill
91
Facility 91
NC AVG 72
Rank #118 / 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
Monroe (Lakeview Estates)
87
Facility 87
NC AVG 72
Rank #129 / 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
Gastonia
78
Facility 78
NC AVG 72
Rank #164 / 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
MC
Elizabeth City
76
Facility 76
NC AVG 72
Rank #169 / 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
AL
IL
MC
NH
Charlotte (Olde Providence North)
77
Facility 77
NC AVG 72
Rank #168 / 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
MC
Raleigh (Northwest Raleigh)
100
Facility 100
NC AVG 72
Rank #79 / 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
MC
Wake Forest
70
Facility 70
NC AVG 72
Rank #186 / 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
AL
Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 72
Rank #36 / 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
AL
MC
Durham (Northeast Durham)
119
Facility 119
NC AVG 72
Rank #49 / 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
Hickory (16Th Street Northeast)
88
Facility 88
NC AVG 72
Rank #126 / 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 Waltonwood – Cary

Experience redefined retirement living at Waltonwood’s Luxurious Senior Living. This community’s mission goes beyond being just another Senior Community. They strive to treat each resident and family member with dignity, respect, and personalized care that exceeds expectations. Committed to upholding a “Tradition of Excellence,” Waltonwood is dedicated to going above and beyond for residents and their families.

This care facility offers a lifestyle of utmost independence and choice, surrounded by warm and inviting environments, comfortable amenities, and a compassionate staff. Waltonwood places a strong emphasis on providing personalized services that cater to individual needs, ensuring residents have the freedom to live life on their own terms. The community’s commitment to excellence and attention to detail create an environment where residents can thrive and enjoy a fulfilling retirement experience. With a range of living options available, residents can select from luxurious Independent Living cottages and apartments with optional services, Assisted Living apartments providing customized support, and specialized care for individuals with Dementia/Alzheimer’s. 

Contact Waltonwood – Cary

Overview of Clemmons Village Ii- Assisted Living

Clemmons Village II is an extraordinary senior living community located at Holder Road, Clemmons, NC, providing a variety of living options including assisted living, independent living, and memory care. The community features various floor plans including companion suites, couple suites, and small, and large private suites. With a team of registered nurses and certified medication technicians, Clemmons Village II ensures a comfortable and safe residence.

The community fosters a vibrant environment, conducting enriching social activities that residents may participate in. Alongside fun activities, seniors may converse over healthy and delicious meals carefully prepared by the team. Clemmons Village II prides itself on wonderful amenities including a beauty salon and barbershop, pet-friendly spaces, a campus chapel, and beautiful outdoor areas. Moreover, the community is conveniently located near local amenities and sceneries, ensuring a relaxing stay.

Contact Clemmons Village II- Assisted Living

Overview of Brightmore of South Charlotte

Brightmore of South Charlotte is an exceptional retirement community that celebrates individuality and offers a full-service rental retirement home experience. Step into a vibrant atmosphere where beautifully designed independent living floor plans await, providing the perfect balance of comfort and independence. Brightmore is committed to accommodating diverse needs, offering a range of amenity options catering to residents seeking independent living, memory care units, and residential assisted living.

Indulge in distinctive dining experiences tailored to individual preferences and dietary needs. Immerse yourself in an array of amenities, including a library for literary adventures, an indoor heated pool for invigorating swims, and a beauty salon and barber for personal grooming. Brightmore also welcomes pets, ensuring that residents can cherish the companionship of their furry friends throughout their stay. With conveniences such as storage spaces, building elevators, concierge services, and 24-hour emergency response, every aspect of senior living is meticulously cared for.

Contact Brightmore of South Charlotte

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 The Sanctuary at Stonehaven

The Sanctuary at Stonehaven provides memory care at 6741 Ciscayne Pl in Charlotte’s Mecklenburg County, a six-resident facility housed in a single-story building designed for older adults with Alzheimer’s disease and dementia. The small community emphasizes specialized staffing trained in cognitive impairment, with higher caregiver-to-resident ratios supporting residents requiring memory care oversight and supervision.

Daily life includes dining, beauty services, recreational and exercise programming, health services, and housekeeping assistance. Transportation services help families navigate medical appointments and errands, though the neighborhood itself is car-dependent (Walk Score 3); the facility sits 7.7 miles from downtown Charlotte, placing it near regional healthcare but in a low-walkability area.

The facility’s regulatory record shows significant strengths. Across seven state inspections since 2018, it recorded nine deficiencies; 80% fewer than the North Carolina state average of 46 over the same period. The facility’s DHSR quality score of 103.5 exceeds the state average of 98.

No fines, enforcement actions, or immediate jeopardy findings appear in the regulatory record.

However, inspection reports identify a persistent pattern: medication management and staff training deficiencies have appeared across multiple years (2018, 2019, 2021) without demonstrated full resolution. The most recent 2021 inspection documented expired staff CPR certification and a missed medication dose spanning 60 days. Earlier inspections cited medication labeling, documentation, storage, and physician order implementation gaps. The trajectory shows no clear improvement or decline.

This community fits families seeking a small, highly supervised memory care setting where residents receive individualized attention in a contained environment, with regulatory oversight showing notably lower deficiency rates than average.

Contact The Sanctuary at Stonehaven

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 Avendelle on Kildaire Farm

Avendelle on Kildaire Farm, located in Cary, NC, is a senior living community by Avendelle that offers assisted living services and amenities to its residents. As part of their assisted living services, they provide their residents with 24 hour personalized care and supervision, medication administration and management, as well as regular physician visits for health checks and assessments.

Additionally, the residents are also provided nutritional meals and snacks throughout the day where special diets are also accommodated. This senior living community also offers housekeeping and laundry services, as well as grooming services, providing convenience and comfort during the residents’ stay in the community

Contact Avendelle on Kildaire Farm

Overview of Renaissance Care Home at Brier Creek

In Durham, North Carolina, Renaissance Care Home at Brier Creek emerges as a dedicated assisted living community, emphasizing enhancing seniors’ well-being through a commitment to offering unparalleled personalized care within assisted living facilities. A central tenet of their mission revolves around providing exemplary client care across their family care homes.

The team at Renaissance Care Home stands fueled by motivation and unwavering determination, unified in their pursuit of establishing it as the epitome of exceptional assisted living facilities. They pledge a persistent presence, tending to residents’ needs while fulfilling their desires. Discover a haven where personalized care flourishes at Renaissance Care Home at Brier Creek.

Contact Renaissance Care Home at Brier Creek

Overview of Livewell @ Brassfield Rd. (north Raleigh)

Make every moment of your best years count with LiveWell at Brassfield Road, an extraordinary senior living community in Raleigh, NC, that focuses on memory care. A team of compassionate and highly trained professionals works hard 24/7 to meet residents’ needs and aspirations. Thrive and live your life to the fullest with the community’s intimate and cozy setting.

Promoting familiarity and comfort, the community ensures residents live a stress-free retirement. Residents benefit from personalized care tailored to their preferences. Moreover, purposely built amenities are provided for residents to maintain an active and happy lifestyle amidst the community’s tranquil and inviting setting.

Contact LiveWell @ Brassfield Rd. (North Raleigh)

Overview of Navion of New Bern

Situated in the heart of New Bern, NC, the Navion of New Bern is an enticing senior living community providing assisted living. A wide array of cozy and spacious accommodations with several floor plans ranging from one-bedroom to two-bedroom are available. Having a highly equipped and compassionate team, this community offers an emergency response team and round-the-clock personalized care services.

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 and community events. With the Navion of New Bern, seniors are assured of a wonderful retirement.

Contact Navion of New Bern

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 390 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.