Page 17 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 403 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.
403 homes
Other senior care options in North Carolina:

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-ranked to lowest-ranked based on our 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. 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.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Joyful Senior Living
AL
MC
Huntersville
6
Facility 6
NC AVG 70
Rank #278 / 328
No
58
Facility 58
NC AVG 34
Rank #58 / 373
-
92.50/200
Facility 92.50/200
NC AVG 92.7
Rank #223 / 291
A5
40%
Facility 40%
NC AVG 64.9%
Rank #12 / 301
Private / Semi-Private
The Landings of Mills River
AL
MC
Mills River
65
Facility 65
NC AVG 70
Rank #180 / 328
No
17
Facility 17
NC AVG 34
Rank #271 / 373
30.8%
Facility 30.8%
NC AVG 68.5%
Rank #166 / 186
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
B+7
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Brookdale MacArthur Park
AL
MC
Cary (Carolina House Of Cary)
80
Facility 80
NC AVG 70
Rank #126 / 328
Yes
12
Facility 12
NC AVG 34
Rank #298 / 373
-
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
A-15
67%
Facility 67%
NC AVG 64.9%
Rank #126 / 301
Studio / Suite / 1 Bed
Brookdale Burlington
AL
Burlington (Crestwood)
52
Facility 52
NC AVG 70
Rank #244 / 328
Yes
39
Facility 39
NC AVG 34
Rank #145 / 373
-
93.50/200
Facility 93.50/200
NC AVG 92.7
Rank #210 / 291
B+9
56%
Facility 56%
NC AVG 64.9%
Rank #36 / 301
Studio
Brookdale Forest City
AL
MC
Forest City
76
Facility 76
NC AVG 70
Rank #141 / 328
Yes
16
Facility 16
NC AVG 34
Rank #273 / 373
-
101.00/200
Facility 101.00/200
NC AVG 92.7
Rank #113 / 291
B+15
67%
Facility 67%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed
Brookdale Morehead City
AL
MC
Morehead City (Spooners Creek East Harbor)
72
Facility 72
NC AVG 70
Rank #151 / 328
Yes
45
Facility 45
NC AVG 34
Rank #117 / 373
-
89.25/200
Facility 89.25/200
NC AVG 92.7
Rank #241 / 291
B+15
73%
Facility 73%
NC AVG 64.9%
Rank #126 / 301
Studio / Suite / 1 Bed
Marjorie McCune Memorial Center
AL
IL
Black Mountain
64
Facility 64
NC AVG 70
Rank #184 / 328
Yes
75
Facility 75
NC AVG 34
Rank #8 / 373
-
104.00/200
Facility 104.00/200
NC AVG 92.7
Rank #28 / 291
A12
92%
Facility 92%
NC AVG 64.9%
Rank #126 / 301
-
TerraBella Hillsborough
AL
MC
RC
Hillsborough
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
32
Facility 32
NC AVG 34
Rank #186 / 373
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A-14
57%
Facility 57%
NC AVG 64.9%
Rank #126 / 301
-
Yadkin Valley Senior Living
AL
IL
RC
Elkin
60
Facility 60
NC AVG 70
Rank #200 / 328
No
60
Facility 60
NC AVG 34
Rank #46 / 373
55.0%
Facility 55.0%
NC AVG 68.5%
Rank #129 / 186
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
C+20
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Meadowview Terrace of Wadesboro
AL
Wadesboro
60
Facility 60
NC AVG 70
Rank #200 / 328
No
50
Facility 50
NC AVG 34
Rank #95 / 373
83.3%
Facility 83.3%
NC AVG 68.5%
Rank #64 / 186
97.00/200
Facility 97.00/200
NC AVG 92.7
Rank #173 / 291
C+21
0%
Facility 0%
NC AVG 64.9%
Rank #109 / 301
-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NC assisted living community we track that reports that metric, not just the 403 on this page. See how we rank facilities

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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

The Landings of Mills River

4143 Haywood Road Mills River, Nc 28759, Mills River, NC 28759
Overview of The Landings of Mills River

In Mills River, NC, The Landings of Mills River is licensed for assisted living and memory care. The daily business of dressing, medication, and bathing is what assisted living handles, for a resident who needs that much and no more. Memory care puts someone prone to wandering under supervision in a secured area.

Both care types belong to one license at one address, which spares a family the second search later on. Sixty-five beds are licensed in the building. Secured Living is the program behind the memory care here, and dementia far enough along to need that level of supervision is what brings a family to it.

Medicaid is accepted, so a resident already qualified can put that coverage against the cost of a stay. Residents have a library, and transportation is available as well.

Contact The Landings of Mills River

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.

$7,020/Month

Contact Brookdale MacArthur Park

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.

Starting Price $4,905/Month

Contact Brookdale Burlington

Overview of Brookdale Forest City

Brookdale Forest City, located in Forest City, NC, offers a tranquil yet convenient setting for seniors. The community provides both assisted living services and memory care for individuals living with memory loss. Residents can enjoy pet-friendly apartments filled with natural light, and they have the freedom to personalize their living spaces. With round-the-clock monitoring and assistance from a dedicated team, residents are guaranteed to receive assistance whenever they need it.

Fostering an active and engaging lifestyle, Brookdale Forest City offers a wealth of amenities, including a library, beauty/barber shop, therapy room, private dining room, and walking paths. Residents can relax in the fireside living room or on the porch, and stay connected with Wi-Fi access throughout the community. With beautifully landscaped grounds and a variety of programs and activities, Brookdale Grandon Farms offers a vibrant and supportive environment, making it an excellent choice for seniors.

$6,430/Month

Contact Brookdale Forest City

Overview of Brookdale Morehead City

Located in the coastal town of Morehead City, North Carolina, Brookdale Morehead City offers a welcoming community environment and personalized care services. The community provides assisted living and memory care amidst the beautiful background of North Carolina’s renowned beaches. Residents benefit from a full social calendar that encourages exploration of new hobbies and fosters friendships, along with personalized care assessments to ensure individual needs are met.

The dedicated team is available around the clock to respond promptly to any emergency, offering peace of mind to residents and their families. Amenities at Brookdale Morehead City include a library, beauty/barber shop, courtyard and garden spaces, a greenhouse for gardening enthusiasts, and accessible Wi-Fi throughout. Residents enjoy the comforts of a fireside living room, community kitchen, meeting rooms for social gatherings, and a screened lanai for outdoor relaxation. The beautifully landscaped grounds provide serene spaces for leisurely strolls and peaceful moments amidst nature.

$5,675/Month

Contact Brookdale Morehead City

Marjorie McCune Memorial Center

101 Lions Way Black Mountain, Nc 28711, Black Mountain, NC 28711
Overview of Marjorie McCune Memorial Center

Located in Black Mountain, NC, Marjorie McCune Memorial Center offers assisted living, independent living, and respite care. The community has a doctor on-site and 24-hour staffing, allowing residents to access nursing services and other care options whenever needed. Rehabilitation services are also available to help improve residents’ ability to function.

Moreover, respite care provides a short-term stay when a usual caregiver needs temporary support. The center has 64 beds, with rates starting from $3,000 for a semi-private room and $6,000 for a private room, giving families two room arrangements with different levels of personal space. Medicaid is accepted, which may help a family use that program toward eligible costs.

A salon, transportation, religious services, special events, and outings are available on-site. Housekeeping, laundry, and three meals daily are also provided for convenience. Moreover, pets are allowed, so a resident may be able to bring an animal companion when moving in.

The area has a Walk Score of 75, meaning it is very walkable and most errands can be done on foot, suggesting that a resident who no longer drives can still reach nearby errands independently.

$3,000/Month

Contact Marjorie McCune Memorial Center

TerraBella Hillsborough

1911 Orange Grove Rd, Hillsborough, NC 27278
Overview of TerraBella Hillsborough

Located in the historical community of Hillsborough, NC, Terra Bella Hillsborough is a one-of-a-kind senior living community offering assisted living and memory care. The community features cozy suites and elegant one-bedroom apartments for seniors to find solace in. With its exceptional care and assistance 24/7, residents keep their peace of mind and enjoy a maintenance-free lifestyle. Alongside its signature SHINE Memory Care program, the community provides various signature programs encompassing dining activities, activities, and transportation. To ensure seniors are in their best condition, the community provides fun and exciting activities. Moreover, meals that are served from breakfast to dinner are of the highest quality to cater to its residents’ dietary needs and preferences. Terra Bella Hillsborough is a pet-friendly community that provides its residents with local outings, live entertainment, and wellness classes in its wonderful amenities such as a private courtyard, a community garden, and scenic walking paths.

Contact TerraBella Hillsborough

Yadkin Valley Senior Living

500 Johnson Ridge Road Elkin, Nc 28621, Elkin, NC 28621
Overview of Yadkin Valley Senior Living

Yadkin Valley Senior Living occupies an Elkin, NC address, with assisted living, respite care, and independent living on the license. Assisted living here is help with daily tasks. Independent living leaves the daily care out and keeps what the community runs in.

Respite covers a stretch a caregiver cannot be there for, a busy season, or a trip that will not move. The license here allows 60 beds.

Each week brings 14 or more hours of planned group activities, Bingo, exercise, socials, crafts, and outings among them. On-Site Medical Care is a named program, and rehabilitation services are listed too, so therapy does not send a resident out of the building. Sixty on the walking scale is the somewhat walkable band, so some of what a resident wants stays possible without asking for a lift.

Contact Yadkin Valley Senior Living

Meadowview Terrace of Wadesboro

123 Anson High School Road Wadesboro, Nc 28170, Wadesboro, NC 28170
Overview of Meadowview Terrace of Wadesboro

Meadowview Terrace of Wadesboro offers assisted living in Wadesboro, North Carolina, with help available for daily activities such as dressing, bathing, and medication. Residents can receive that support while retaining as much independence as possible. The community has 60 beds overall, and its Secured Living program provides a secured setting for residents who need that level of supervision.

Medicaid is accepted, giving eligible residents a potential way to pay for care when private savings are limited. Betty Kester serves as the director. Meadowview Terrace of Wadesboro may be a good fit for someone who needs daily support and may rely on Medicaid to help cover a longer stay.

Restaurant-style dining includes healthy, balanced meals prepared to meet dietary needs while offering variety. On-site therapy, pharmacy services, and provider services allow residents to receive those services within the community rather than requiring an off-site trip. A Walk Score of 50 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to handle certain nearby errands independently.

Contact Meadowview Terrace of Wadesboro

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in North Carolina at a glance

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: 34/ 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: 70The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90
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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 403 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.