Page 14 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. 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. 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.
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 Peachtree
AL
MC
Statesville
87
Facility 87
NC AVG 72
Rank #126 / 387
Yes
14
Facility 14
NC AVG 36
Rank #424 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
20
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Studio / 1 Bed
Cadence North Raleigh
AL
MC
Raleigh (North Raleigh)
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
45
Facility 45
NC AVG 36
Rank #191 / 536
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
19
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
Studio / Suite / 1 Bed
Senior Fluent
AL
MC
RESC
Zebulon (Shepards Point)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
7
Facility 7
NC AVG 36
Rank #476 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
4
25%
Facility 25%
NC AVG 76.2%
Rank #8 / 333
Private / Semi-Private Suites
Brookdale Skeet Club
AL
High Point (Deep River)
79
Facility 79
NC AVG 72
Rank #157 / 387
Yes
30
Facility 30
NC AVG 36
Rank #309 / 536
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
18
78%
Facility 78%
NC AVG 76.2%
Rank #158 / 333
Private Rooms
Brookdale Eden
AL
Eden
82
Facility 82
NC AVG 72
Rank #142 / 387
Yes
37
Facility 37
NC AVG 36
Rank #245 / 536
97.75/200
Facility 97.75/200
NC AVG 92.2
Rank #184 / 321
20
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
Studio / Suite
Parkwood Village and The Landing
AL
IL
MC
Wilson (Westwood)
70
Facility 70
NC AVG 72
Rank #183 / 387
Yes
42
Facility 42
NC AVG 36
Rank #211 / 536
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
27
85%
Facility 85%
NC AVG 76.2%
Rank #246 / 333
1 Bed / 2 Bed
Cadence Huntersville by Cogir
AL
MC
Huntersville
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
18
Facility 18
NC AVG 36
Rank #394 / 536
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
30
77%
Facility 77%
NC AVG 76.2%
Rank #150 / 333
Studio / Suite / 1 Bed
Brookdale MacArthur Park
AL
MC
Cary (Carolina House Of Cary)
80
Facility 80
NC AVG 72
Rank #150 / 387
Yes
12
Facility 12
NC AVG 36
Rank #440 / 536
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
24
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
Studio / Suite / 1 Bed
Carmel Hills
AL
HOS
IL
Charlotte (Montibello)
38
Facility 38
NC AVG 72
Rank #316 / 387
No
6
Facility 6
NC AVG 36
Rank #484 / 536
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
20
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
1 Bed / 2 Bed
TerraBella Hendersonville
AL
MC
RC
Hendersonville
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
22
Facility 22
NC AVG 36
Rank #360 / 536
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
29
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
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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 Peachtree

Brookdale Peachtree, nestled in Statesville, North Carolina, offers compassionate assisted living and memory care for seniors seeking a supportive environment. The community is designed to promote independence while ensuring a relaxed retirement lifestyle. We handle daily tasks like cooking and cleaning, allowing residents to focus on activities they enjoy. Our pet-friendly environment features comfortable accommodations and convenient amenities such as fitness classes and a well-stocked library.

With staff available around the clock for emergencies, Brookdale Peachtree provides peace of mind and a high quality of life for all residents. If you or a loved one could benefit from assistance with daily tasks such as bathing or medication management, our assisted living services offer personalized support to enhance your independence. For those needing specialized memory care, we provide tailored programs that cater to individual needs, ensuring a comfortable and engaging environment. At Brookdale Peachtree, we’re committed to creating a warm and welcoming community where seniors can thrive.

Contact Brookdale Peachtree

Overview of Cadence North Raleigh

Led by Executive Director and Administrator Brandon Johnson, Cadence North Raleigh is an assisted living and memory care community on Old Wake Forest Road in Raleigh, North Carolina, offering both levels of care under one roof. It’s home to 96 residents who choose from studio, suite, and one-bedroom floor plans suited to different needs and preferences.

The community sits in a moderately walkable neighborhood where some errands can be finished on foot, with most trips needing a car. That location fits occupants and visiting families wanting a calmer residential setting over a busier commercial area. Residents live in an environment built around practical comfort and engagement. The facility offers housekeeping and laundry services, an emergency call system for added safety, and maintains an outdoor patio and porches where residents can enjoy fresh air and scenic views. Common spaces span a well-stocked library for quiet time and a salon and barbershop for personal care. The community welcomes pets, which many families value when selecting a place for their dearest one. Staff organize regular outings and live entertainment to engage residents in community life. Daily life here balances support with the independence and choice relevant to older adults. Occupants benefit from assisted living and memory care programming, so families can find appropriate care levels for the duration they need.

Contact Cadence North Raleigh

Senior Fluent

3004 Bunnfield Dr, Zebulon, NC 27597
Overview of Senior Fluent

Senior Fluent operates a 6-bed memory care and assisted living community at 3004 Bunnfield Drive in the Shepards Point neighborhood of Zebulon, Wake County, North Carolina. The single-story licensed facility houses residents in private and semi-private suites with 24-hour nursing services and maintains a 1:3 staff-to-resident ratio.

Daily meal service includes three fresh, home-cooked meals prepared to individual dietary preferences. Housekeeping, recreation, social activities, transportation coordination, visiting physician services, and on-site hairdressing support constitute the facility’s full service menu. An outdoor garden and programmed activities titled “Our Homes” serve the memory care population. Residents may access North Carolina Special Assistance and the Community Alternatives Program for eligible Medicaid coverage. Monthly pricing begins at $7,500.

Across four inspections over two years, the facility documented 2 deficiencies; a rate of 1 per year, 96% below North Carolina’s average of 23. Only one of the four inspections resulted in cited deficiencies.

The March 27, 2024 inspection identified fire safety issues: a missing fire-rated attic cover and insufficient egress from an enclosed outdoor area. Senior Fluent responded promptly by installing the required attic cover and adding a second emergency exit. Earlier inspection cycles generated no reportable findings. No complaints were investigated, no fines assessed, and no enforcement actions initiated.

The facility’s overall inspection deficiency rate of 25% represents a 65-percentage-point improvement above North Carolina’s 90% average.

Positioned 1.3 miles from downtown Zebulon in a car-dependent neighborhood (Walk Score 7), the community integrates security monitoring, wheelchair access, fire suppression systems, and emergency alert infrastructure throughout its physical plant.

Senior Fluent serves older adults with cognitive impairment, dementia, or Alzheimer’s disease requiring secured residential memory care with round-the-clock nursing, meal preparation, and structured activities in a small, specialized-care setting.

Contact Senior Fluent

Overview of Brookdale Skeet Club

Located in the charming city of High Point, North Carolina, Brookdale Skeet Club offers an assisted living experience designed to balance fun and freedom. The community provides personalized care to meet the diverse needs of its residents. Spacious apartments, flooded with natural light, offer a welcoming and customizable living space. Here, residents can focus on what matters most, from enjoying moments with loved ones in the garden to revisiting cherished hobbies like painting or music. With utilities and maintenance included in the monthly service rate, residents can enjoy a worry-free lifestyle in a vibrant, supportive environment.

Brookdale Skeet Club is housed within an intimate, single-story building, exuding the vibrant energy of a resort rather than a typical assisted living community. Residents have access to a variety of amenities including a library, café/bistro, beauty/barber shop, arts and crafts studio, walking paths, and more. The community’s dedicated team is available around the clock to assist in case of emergencies, ensuring peace of mind for residents and their families. With just the right amount of personal assistance, Brookdale Skeet Club empowers its residents to live their best lives, enjoying the activities and moments that bring them joy.

Contact Brookdale Skeet Club

Overview of Brookdale Eden

Offering a luxurious retirement lifestyle, Brookdale Eden, based in Eden, North Carolina, is a remarkable senior living community offering assisted living near the serene convergence of the Dan and Smith rivers. Residents here enjoy a vibrant community where they can shape their days according to their interests and preferences. Whether it’s rediscovering hobbies like needlework or exploring new passions like painting, there’s ample opportunity to live life on your terms.

At Brookdale Eden, residents can indulge in a variety of activities and amenities designed to enrich their daily lives. From peaceful moments with coffee beside the fireplace to engaging in activities like tai chi or meditation classes, every day offers something new. The community features beautifully landscaped grounds, a game room for social gatherings, and a welcoming courtyard for enjoying fresh air. With 24/7 emergency support and scheduled transportation for outings to local attractions such as the Eden Historical Museum or Chinqua Penn Plantation, residents can live actively and independently, supported by attentive staff who ensure their well-being.

Contact Brookdale Eden

Overview of Parkwood Village and the Landing

Parkwood Village and the Landing, a 70-bed nonprofit community at 1730 Parkwood Blvd W in Wilson, Wilson County, North Carolina, is operated by Well Spring Retirement Community. The facility serves residents with assisted living, independent living, memory care, and respite care needs on both Medicare and private-pay bases.

The inspection record reflects persistent challenges with medication administration and safety.

Since 2015, the facility has accumulated 62 deficiencies, 35 percent more than the state average and with recurring concerns including missed medication doses, failure to directly observe medication intake, and inaccurate medication records. Four state penalties totaling $25,000 were assessed between 2023 and 2024, including a settlement agreement. The most recent February 2025 annual inspection identified two moderate-level deficiencies: unsecured oxygen tanks stored in a resident’s room and missing physician-ordered therapeutic diet documentation for three sampled residents. These findings suggest ongoing gaps in storage protocols and dietary coordination despite previous cited deficiencies.

The facility’s 5-star CMS rating reflects substantial investment in staffing depth. Average nursing care runs 8 hours 7 minutes per resident per day, representing a 65 percent margin above the state benchmark and ranking third among North Carolina nursing homes. This staffing commitment provides meaningful direct care capacity for residents requiring frequent assistance.

Amenities include a theater with reclining seating, a secured memory care garden, and a patio courtyard. Residents participate in live entertainment, arts programming, walking groups, bingo, exercise classes, and scheduled excursions. The facility offers beauty services, a library, fitness facilities, and complimentary transportation. On-site staff operate around the clock.

The community fits residents and families prioritizing high nurse-staffing ratios and structured activity programming alongside acceptance of a facility with a record of medication administration compliance challenges that persist despite remedial efforts.

Contact Parkwood Village and The Landing

Overview of Cadence Huntersville by Cogir

Welcoming guests and seniors with an ethereal setting, Cadence Huntersville by Cogir is a prominent senior living community in Commerce Center Drive, Huntersville, NC, that provides assisted living and memory care. Featuring cozy and sophisticated accommodations ranging from studio to one-bedroom apartments, seniors enjoy comfort and safety at its finest. The community exceeds expectations in delivering top-tier care and support for seniors to live a wonderful retirement free from household responsibilities.

Committed to enhancing seniors’ quality of life, the community conducts energizing activities and engaging events for them to maintain an active and blissful lifestyle. Chat with fellow residents and revel in restaurant-style meals catering to residents’ dietary satisfaction and tastes. With its tranquil spaces and warm environment, Cadence Huntersville by Cogir is a good place to spend a fabulous retirement.

Contact Cadence Huntersville by Cogir

Overview of Brookdale MacArthur Park

Situated in Cary, NC, Brookdale MacArthur Park is a thriving senior living community, offering a warm and welcoming senior living community with both assisted living and memory care options. Residents can enjoy personalized care tailored to their needs, whether it’s assistance with daily tasks or engaging in purposeful memory care programs. The community features a selection of pet-friendly apartments with ample natural lighting and includes basic utilities and maintenance. Seniors will appreciate the vibrant social calendar and delicious meals in the elegant dining room, all while knowing that help is available 24/7 for any emergencies.

Brookdale MacArthur Park’s mission is to provide a nurturing environment where seniors can thrive. The community offers a range of amenities to enhance residents’ quality of life, including an emergency alert system, transportation, and a concierge service. Residents can relax in the fireside living room, enjoy the courtyard and garden, or socialize in the game room. The café/bistro and private dining room ensure every meal is a delightful experience, supporting both nutrition and social connections.

Contact Brookdale MacArthur Park

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

TerraBella Hendersonville

3851 Howard Gap Rd, Hendersonville, NC 28792
Overview of TerraBella Hendersonville

Overlooking the picturesque nature of Henderson County, Terra Bella Hendersonville is a blissful senior living community located in Howard Gap Road, Hendersonville, NC, providing assisted living and memory care. The community offers suite and one-bedroom apartments for seniors looking to experience a cozy and graceful retirement. Received the Great Place to Work Award, the community ensures round-the-clock customized care and assistance.

Terra Bella Hendersonville fosters a warm and welcoming community, paving the way for its residents to connect with their peers and participate in wonderful activities. Catering to its residents’ dietary needs and meal preferences, the community serves healthy and delicious meals from breakfast to dinner daily. Amenities include an arts and crafts studio, a multifunction game room, a library, a covered outdoor patio, a private courtyard and community garden, and peaceful walking paths.

Contact TerraBella Hendersonville

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.