Page 16 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. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
Homestead Hills
AL
IL
MC
NH
SNF
Winston-Salem
-Yes
24
Facility 24
NC AVG 36
Rank #349 / 536
----1 Bed / 2 Bed / 3 Bed
Legacy Heights
AL
MC
RC
Charlotte (Ballantyne)
122
Facility 122
NC AVG 72
Rank #33 / 387
Yes
59
Facility 59
NC AVG 36
Rank #77 / 536
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
36
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
Studio / Suite
TerraBella Newton
AL
MC
Newton
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
20
Facility 20
NC AVG 36
Rank #377 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
16
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
-
The Addison of Lincolnton
AL
MC
Lincolnton
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
21
Facility 21
NC AVG 36
Rank #371 / 536
82.00/200
Facility 82.00/200
NC AVG 92.2
Rank #291 / 321
30
77%
Facility 77%
NC AVG 76.2%
Rank #150 / 333
Suite / 1 Bed
The Pines on Carmel Senior Living
AL
MC
RC
Charlotte
125
Facility 125
NC AVG 72
Rank #28 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
83.50/200
Facility 83.50/200
NC AVG 92.2
Rank #288 / 321
40
90%
Facility 90%
NC AVG 76.2%
Rank #294 / 333
Studio / 2 Bed
Joyful Senior Living
AL
MC
Huntersville
6
Facility 6
NC AVG 72
Rank #335 / 387
No
58
Facility 58
NC AVG 36
Rank #91 / 536
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
7
57%
Facility 57%
NC AVG 76.2%
Rank #35 / 333
Private / Semi-Private
Lakepark Family Care Home
AL
MC
RESC
Raleigh (North Raleigh)
5
Facility 5
NC AVG 72
Rank #381 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
7
29%
Facility 29%
NC AVG 76.2%
Rank #11 / 333
Private Rooms
Brookdale Burlington
AL
Burlington (Crestwood)
52
Facility 52
NC AVG 72
Rank #289 / 387
Yes
39
Facility 39
NC AVG 36
Rank #232 / 536
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
17
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 333
Studio
LiveWell @ Vintage Gardens (North Raleigh)
AL
HC
MC
Raleigh (Hidden Valley)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
20
Facility 20
NC AVG 36
Rank #377 / 536
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
4
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Private / Semi-Private Rooms
Carolina Reserve of Laurel Park
AL
Hendersonville
48
Facility 48
NC AVG 72
Rank #302 / 387
Yes
34
Facility 34
NC AVG 36
Rank #272 / 536
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
28
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
Studio / 1 Bed

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

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Homestead Hills

3250 Homestead Club Dr, Winston-Salem, NC 27103
Overview of Homestead Hills

Situated in Winston-Salem, North Carolina, Homestead Hills stands as a premier retirement community with a rich tradition of commitment. Living options encompass Independent Living, Assisted Living, Memory Care, Skilled Nursing, and Short-Term Rehabilitation & Therapy, all unified by a dedicated mission: to help its Members live Longer, Healthier, Happier lives.

Homestead Hills extends a warm invitation to individuals eager to experience an ideal retirement. Within this community, residents find luxurious accommodations, a vibrant social calendar, restaurant-style fine dining, and an award-winning wellness program, all designed to make retirement genuinely fulfilling.

Contact Homestead Hills

Legacy Heights

11230 Ballantyne Trace Ct, Charlotte, NC 28277
Overview of Legacy Heights

Tucked away in the serene neighborhood of Charlotte, NC, Legacy Heights is a peaceful senior living community that offers assisted living, memory care, respite care, and short-term stays. The community offers beautifully appointed apartments with access to numerous services, including weekly housekeeping and linen service, restaurant-style dining, 24/7 front desk concierge and nursing team. Featuring Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program, the community provides residents’ dealing with memory loss the right support and care.

Committed to giving its residents a vibrant lifestyle with access to comprehensive care, the community provides tailored medical resources and a team trained to help residents in all aspects of their well-being. With a wealth of amenities, such as a spacious activity center, numerous social and recreational events, and a full-service barber and beauty salon, residents never ran out of things to enjoy and do.

Contact Legacy Heights

TerraBella Newton

1088 Radio Station Rd, Newton, NC 28658
Overview of TerraBella Newton

Nestled in the quaint city of Newton, North Carolina, TerraBella Newton is a premier senior living community offering assisted living and memory care. With a variety of suites and one-bedroom apartments, the community offers residents plenty of options to choose their preferred floor plan based on their needs. Residents living with Alzheimer’s and dementia are given help to navigate life with memory loss through TerraBella’s SHINE Memory Care Program, offering scientifically backed approaches to memory care.

TerraBella Newton provides all the care, comfort, and ease residents could dream of. The community offers round-the-clock care, a full calendar of engaging activities, and a host of amenities designed to provide residents with comfort and leisure. At TerraBella Newton, residents enjoy full access to three meals daily plus snacks, senior-specific wellness classes, professional beauty salons & barber shops, local outings & excursions, and in-house religious services to guarantee holistic wellness. Other amenities include a jacuzzi spa, arts & crafts studio, activities room, library, live entertainment, and scenic walking paths.

Contact TerraBella Newton

Overview of The Addison of Lincolnton

Overlooking Lincolnton, NC, The Addison of Lincolnton is a premier senior living community that offers Assisted Living, Memory Care, and Short Term Care services. The community is dedicated to providing attentive care in a warm and inviting environment, making it an ideal home for local seniors. Residents can enjoy a variety of activities, from socializing with friends and participating in planned social activities to relaxing in their private apartments. The beautiful surroundings and vibrant community atmosphere create a welcoming space for seniors to thrive.

The Addison of Lincolnton offers an array of amenities designed to enhance the residents’ quality of life. With features like a beauty and barber shop, main and private dining rooms, and a pet-friendly, smoke-free environment, residents have everything they need for comfortable living. Outdoor enthusiasts can enjoy the walking path, outdoor patio area, and courtyard. The dedicated culinary team ensures that all meals are delicious and nutritious, served in a restaurant-style dining room where residents can connect with their neighbors and loved ones.

Contact The Addison of Lincolnton

Overview of The Pines on Carmel Senior Living

Located in south Charlotte, North Carolina, The Pines on Carmel Senior Living is a single-story community offering assisted living, memory care, and respite care in one location. The community has 125 beds. It offers studio and two-bedroom residences to support a wide range of care needs, from short-term respite stays to long-term memory care.

The community is about 8. 9 miles from downtown Charlotte and less than 2 miles from Atrium Health Pineville. Residents and families have convenient access to nearby hospital care when needed. The neighborhood has a Walk Score of 35, which is somewhat walkable. A few nearby shops and services can be reached on foot, while most errands and outings require a car. Residents also have access to transportation services, along with fitness and recreation programs that encourage an active lifestyle.

State inspections conducted by North Carolina’s Division of Health Service Regulation have focused on medication management. These include how physician orders and therapeutic diets are carried out and documented. Inspection records have also included complaints involving resident supervision and monitoring for individuals at risk of wandering. A separate construction-related item was reviewed during a follow-up survey and confirmed as corrected.

The community welcomes pets, allowing residents to keep a companion animal after moving in. Families considering The Pines on Carmel Senior Living should ask about current staffing levels, memory care supervision practices, and how residents with changing care needs are supported daily.

Contact The Pines on Carmel Senior Living

Joyful Senior Living

16627 Ranger Trail, Huntersville, NC 28078
Overview of Joyful Senior Living

Experience the warmth and care of Joyful Senior Living in Huntersville, NC, where exceptional assisted living services and a supportive community come together to enhance daily life. Specializing in the care of residents with dementia and Alzheimer’s disease, the dedicated team at Joyful Senior Living crafts personalized care plans that are regularly updated to meet the evolving needs and goals of each resident. In the inviting one-story home, residents receive round-the-clock assistance and emergency care, complemented by on-call physician services and oversight from registered nurses.

With a committed executive director, activity director, certified nurse assistants, med techs, and pharmacy services, every aspect of care is handled with expertise. Enjoy engaging activities such as embroidery and arts and crafts, along with therapeutic diets managed by a registered dietitian and reliable house maintenance services. At Joyful Senior Living, each day is designed to inspire comfort, creativity, and a true sense of community.

Contact Joyful Senior Living

Overview of Lakepark Family Care Home

Enjoy true comfort in Lakepark Family Care Home, a serene community in Raleigh, NC, offering compassionate assisted living services. Their accommodations here are designed to provide plenty of privacy and guarantee safety, allowing residents to enjoy their precious personal time in comfort and peace. With their ideal resident-to-caregiver ratio and 24/7 access to personal care and daily living assistance, residents are guaranteed to maintain their best state and well-being.

Individualized activities are available to encourage residents to stay active and socially engaged in their community. Residents’ meals are always served fresh and healthy with accommodations to their dietary needs to make sure mealtimes are always satisfying and nourishing. With no chores to worry about, round-the-clock care, and enriching activities, residents here are guaranteed to enjoy the life they deserve without hassles and worries.

Contact Lakepark Family Care Home

Overview of Brookdale Burlington

Providing assisted living and short-term respite care, Brookdale Burlington is an assisted living community on South Mebane Street in Burlington, North Carolina, with a 52-bed capacity. The community also offers studio apartments starting at $4,905 per month in a single-story setting. Licensed nurses and certified nursing assistants also provide support 24 hours a day.

Restaurant-style, chef-prepared meals are served in an elegant dining room with private dining available for family gatherings and special occasions. Additionally, residents can participate in quilting groups, book clubs, exercise classes, and other social activities that encourage connection and well-being. The pet-friendly community also features a piano, community kitchen, library, café/bistro, beauty and barber shop, whirlpool, landscaped walking paths, a courtyard and garden, and a putting green for recreation and relaxation.

Meanwhile, transportation and concierge services help residents attend appointments and participate in outings. The surrounding neighborhood is somewhat walkable, with some nearby destinations accessible on foot.

State inspections have focused on building systems and maintenance, and the community has maintained compliance with applicable safety standards while completing corrective measures when required.

Contact Brookdale Burlington

Overview of LiveWell @ Vintage Gardens (north Raleigh)

Peacefully nestled in the area of Raleigh, NC, LiveWell @ Vintage Gardens (North Raleigh) is an intimate senior living community, offering specialized memory care services. Offering a mix of private and semi-private rooms that foster tight-knit connections, the community ensures residents are offered truly focused and personalized care. A team of expertly trained caregivers is available to ensure residents are comfortable and well-cared for.

Residents here maintain an active and stimulating lifestyle with a full range of activities and programs conducted regularly by the community. Delicious meals and replenishing snacks are also offered to make sure residents are receiving their proper nutrition and nourishment. Here, residents are provided with all the comforts and conveniences they need to continue living a fulfilling retirement despite their condition.

Contact LiveWell @ Vintage Gardens (North Raleigh)

Overview of Carolina Reserve of Laurel Park

Situated in the welcoming community of Hendersonville, NC, the Carolina Reserve of Laurel Park is a peculiar senior living community that provides assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations based on their needs or preferences. Having a highly skilled and dedicated team, this community offers an emergency response system and round-the-clock personalized care services.

Committed to providing exceptional amenities and other services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and social events. With the Carolina Reserve of Laurel Park, seniors can truly enjoy a glorious retirement.

Contact Carolina Reserve of Laurel Park

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.