Page 17 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. 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.
Home Place of Burlington
AL
MC
Burlington (Red Oak Acres)
67
Facility 67
NC AVG 72
Rank #195 / 387
Yes
52
Facility 52
NC AVG 36
Rank #131 / 536
86.00/200
Facility 86.00/200
NC AVG 92.2
Rank #279 / 321
17
94%
Facility 94%
NC AVG 76.2%
Rank #313 / 333
Studio / 2 Bed
LiveWell @ Brassfield Rd. (North Raleigh)
AL
HC
MC
Raleigh
6
Facility 6
NC AVG 72
Rank #335 / 387
No
8
Facility 8
NC AVG 36
Rank #472 / 536
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
7
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
Private / Semi-Private Rooms
Brookdale Lenoir
AL
Lenoir (Powell Road Northeast)
82
Facility 82
NC AVG 72
Rank #142 / 387
Yes
28
Facility 28
NC AVG 36
Rank #328 / 536
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
25
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
Studio / Suite
Magnolia Creek
AL
MC
RC
Winston-Salem (Crosslands)
117
Facility 117
NC AVG 72
Rank #50 / 387
No-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
22
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
-
Calyx Living of Wakefield
AL
MC
RC
Raleigh (North Raleigh)
88
Facility 88
NC AVG 72
Rank #123 / 387
No
27
Facility 27
NC AVG 36
Rank #336 / 536
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
1
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Studio / 1 Bed
TerraBella Hillsborough
AL
MC
RC
Hillsborough
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
32
Facility 32
NC AVG 36
Rank #289 / 536
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
20
70%
Facility 70%
NC AVG 76.2%
Rank #88 / 333
-
Magnolia Glen
AL
IL
Raleigh (Northwest Raleigh)
66
Facility 66
NC AVG 72
Rank #198 / 387
Yes
50
Facility 50
NC AVG 36
Rank #150 / 536
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
17
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 333
-
Avendelle on Tyrion
AL
Cary (Summerwinds)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
41
Facility 41
NC AVG 36
Rank #220 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
6
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
-
Our Promise Care Homes at Durham
AL
RESC
Durham
6
Facility 6
NC AVG 72
Rank #335 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
103.00/200
Facility 103.00/200
NC AVG 92.2
Rank #69 / 321
13
62%
Facility 62%
NC AVG 76.2%
Rank #46 / 333
Private Rooms
Woodland Terrace
AL
IL
MC
Cary
84
Facility 84
NC AVG 72
Rank #135 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #209 / 321
19
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
-

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 Home Place of Burlington

Set in the dazzling neighborhood of Burlington, NC, Home Place of Burlington, is a welcoming senior living community, offering independent living, assisted living, and memory care. The community offers a range of warm and spacious apartments with modern amenities like private bathrooms and kitchenettes. With on-site maintenance, weekly housekeeping, and linen services, residents can let go of chores and find more time to relax and enjoy.

With a range of amenities, Home Place of Burlington focuses on resident comfort and enjoyment. Seniors can indulge in restaurant-style dining, visit the beauty salon, or unwind in the game room. Regular activities like cooking classes, gardening, and live entertainment foster a sense of community, making every day a new adventure. Moreover, scheduled transportation ensures easy access to cultural excursions and local events.

Contact Home Place of Burlington

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 Brookdale Lenoir

Nestled in the foothills of the Blue Ridge Mountains, Brookdale Lenoir offers assisted living accommodations in historic Lenoir, North Carolina. This exclusive senior living community provides a unique kind of independence, allowing residents to trade everyday stress and hassles for a full schedule of engaging activities. With its prime location near restaurants, shopping, banks, and physicians’ offices, Brookdale Lenoir ensures a vibrant and fulfilling lifestyle for its residents.

Brookdale Lenoir balances independence with personalized care, offering services like medication management, assistance with bathing and dressing, and coordination with healthcare providers. Residents can enjoy delicious, healthy meals in a restaurant-style dining room and benefit from amenities such as a wellness center, cafe, bistro, community kitchen, and walking paths. Apartment options include spacious two-bedroom suites with ample storage and natural light. The community is pet-friendly, adding to the welcoming atmosphere.

Contact Brookdale Lenoir

Overview of Magnolia Creek

Dedicated to empowering seniors to live their best lives, Magnolia Creek in Multnomah County, Winston-Salem, NC, is an inspiring senior living community that offers assisted living, memory care, and respite care. The community offers an ideal blend of comfortable residence and exceptional health and personal care needed to live fully and comfortably. Residents enjoy compassionate care and assistance provided by a dedicated care team.

The community makes sure residents are provided with plenty of opportunities for an active and vibrant living experience with an array of fitness and wellness programs. Housekeeping and maintenance services are also offered to give residents plenty of time to enjoy their retirement life fully. With comprehensive services, friendly care team, and convenient amenities, residents at Magnolia Creek are able to live their lives fully and comfortably.

Contact Magnolia Creek

Overview of Calyx Living of Wakefield

Calyx Living of Wakefield is a thriving community in Raleigh, NC, offering comprehensive assisted living and memory care services. Here, residents enjoy the comfort and convenience of having 24/7 access to a dedicated care team and their services, including daily living assistance, personal care support, and more. Their campus guarantees safety and peace of mind with 24-hour security and a personal pendant alert system available to everyone for faster response during emergencies.

Vibrant life enrichment activities and amenities like game rooms, wellness studios, and relaxing outdoor spaces are available to make residents’ living experience as vibrant and enjoyable as possible. The dining experience here is always delectable with chef-prepared meals cooked using fresh local ingredients. Here, you can receive compassionate care while staying close to everything you love.

Contact Calyx Living of Wakefield

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

Overview of Magnolia Glen

With a lodge-like vibe and a focus on balanced living, Magnolia Glen provides a comforting oasis where residents can enjoy their twilight years to the fullest. The community is conveniently located near Crabtree Valley Mall and Interstate 440, making it easily accessible for families and friends to visit. With no buy-in fees and emergency response services available, Magnolia Glen provides peace of mind for both residents and their families.

They also take pride in creating an ambience of sophistication and warmth, where residents feel welcomed and valued. The dining experience is one-of-a-kind, with cuisines to suit diverse tastes and dietary preferences. Meals are lovingly prepared by skilled chefs, creating a memorable experience for residents to savor and enjoy. In addition to exceptional dining, Magnolia Glen offers on-site therapies to support the physical and emotional well-being of residents. Bi-weekly housekeeping ensures a clean and comfortable living environment, while their aquatic programs provide a soothing and invigorating way to stay active.

Contact Magnolia Glen

Overview of Avendelle on Tyrion

Avendelle on Tyrion, located in Cary, NC, is a senior living community by Avendelle offering assisted living services and amenities to its residents. This senior living community provides its residents 24 hour personalized care and supervision, weekly checks and monthly assessment, as well as assistance with medication management and administration. Additionally, all accommodation units come with a cable tv, and the community is equipped with alarm systems.

Avendelle on Tyrion also offers a number of amenities and services designed to provide convenience and comfort. This includes visiting physicians and hairdressers, meal provisions, and housekeeping and laundry services. They also have an activity room where residents can engage, and socialize with staff as well as other residents.

Contact Avendelle on Tyrion

Overview of Our Promise Care Homes at Durham

Surrounded by trees in Bay Point Drive, Durham, NC, Our Promise Care Homes at Durham is a distinct community that focuses on assisted living. The community goes above and beyond to provide a haven for up to six residents while providing them with top-tier care and support around the clock to live their daily lives without hassles. With a dedicated and highly trained team, residents can rest their worries knowing a trusted community has their backs.

Enjoy a jam-packed calendar of enriching activities and stimulating programs to maintain a blissful and healthy lifestyle. Have hassle-free dining with nutritious and delightful home-cooked meals that cater to dietary needs and tastes. Physical, occupational, and physical therapy are also provided alongside in-house physician visits to ensure residents get better to gain meaningful experiences in their golden years.

Contact Our Promise Care Homes at Durham

Overview of Woodland Terrace

The 84-bed Arboretum at Woodland Terrace, located in Cary at 300 Kildaire Woods Dr, Wake County, North Carolina, provides specialized memory care for residents with Alzheimer’s and dementia. Executive Director Amanda Klobuchar oversees the specialized memory care community, which has maintained an active license throughout 27 years of continuous operation.

All 19 inspections since 2015 documented 43 deficiencies with no fines; deficiency rates of 3.9 per year are 7% better than North Carolina’s average. Most significantly, a March 2024 complaint investigation substantiated resident abuse; a staff member was terminated and criminally charged, though witnesses failed to intervene or report. January 2024 inspections cited food safety, resident screening, and tuberculosis testing deficiencies. The June 2025 follow-up confirmed all prior deficiencies had been corrected, with registered nurses providing 1 hour of care per resident daily, 71% above the state average.

Signature programming at the Arboretum includes the Art of Living Well®, Music & Memory (a specialized dementia-focused therapeutic approach), aquatics, and gardening activities designed to promote engagement and well-being. Residents benefit from comprehensive medication management, personal care assistance, three daily meals plus snacks, laundry and housekeeping services, scheduled transportation, recreational day trips, and planned social and educational events.

Pets are welcomed, and the facility’s 3-story building includes studio, one-bedroom, and two-bedroom floor plans ranging from 492 to 1,650 square feet.

The facility’s Woodland Terrace location carries a walk score of 55, indicating moderate walkability with some nearby amenities accessible on foot.

Memory care in a smaller, intimate setting with strong nursing presence characterizes The Arboretum at Woodland Terrace; its 39% occupancy reflects demand below the North Carolina state average of 76.4%.

Contact Woodland Terrace

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 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.