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Other senior care options in North Carolina:

Best Assisted Living in North Carolina

Reviewed by
Last updated
Jun 2026
We analyzed
428 homes in North Carolina

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

Other senior care options in North Carolina:

Compare Assisted Living around North Carolina

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

Click column headers to sort
Brookdale South Charlotte
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charlotte (Wessex Square)
82
Facility 82
NC AVG 76
Rank #156 / 390
Yes
16
Facility 16
NC AVG 33
Rank #407 / 572
74.4%
Facility 74.4%
NC AVG 69.9%
Rank #122 / 246
A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 322
20
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Private Rooms / Semi-Private Rooms
Brookdale Robinwood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gastonia
89
Facility 89
NC AVG 76
Rank #136 / 390
Yes
4
Facility 4
NC AVG 33
Rank #506 / 572
-A+
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #253 / 322
17
76.5%
Facility 76.5%
NC AVG 76.2%
Rank #137 / 335
Private Rooms / Semi-Private Rooms
Sunrise of Cary
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (West Chatham Street)
85
Facility 85
NC AVG 76
Rank #146 / 390
Yes
34
Facility 34
NC AVG 33
Rank #271 / 572
40.0%
Facility 40.0%
NC AVG 69.9%
Rank #208 / 246
A-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 322
18
66.7%
Facility 66.7%
NC AVG 76.2%
Rank #69 / 335
Studio / Suite / 1 Bed
Brookdale Dickinson Avenue
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Greenville
76
Facility 76
NC AVG 76
Rank #181 / 390
Yes
38
Facility 38
NC AVG 33
Rank #235 / 572
67.1%
Facility 67.1%
NC AVG 69.9%
Rank #150 / 246
A+
84.50/200
Facility 84.50/200
NC AVG 92.2
Rank #285 / 322
16
87.5%
Facility 87.5%
NC AVG 76.2%
Rank #274 / 335
Studio / Suite / 1 Bed
Terrabella Asheboro
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 76
Rank #103 / 390
Yes
0
Facility 0
NC AVG 33
Rank #548 / 572
-A+
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 322
26
80.8%
Facility 80.8%
NC AVG 76.2%
Rank #181 / 335
Studio / 1 Bed
Chatham Ridge
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Chapel Hill
91
Facility 91
NC AVG 76
Rank #129 / 390
Yes
33
Facility 33
NC AVG 33
Rank #280 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
23
87%
Facility 87%
NC AVG 76.2%
Rank #268 / 335
Studio / Suite
Brookdale Union Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Monroe (Lakeview Estates)
87
Facility 87
NC AVG 76
Rank #141 / 390
Yes
10
Facility 10
NC AVG 33
Rank #457 / 572
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / Companion Rooms
Brookdale Union
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gastonia
78
Facility 78
NC AVG 76
Rank #176 / 390
Yes
35
Facility 35
NC AVG 33
Rank #260 / 572
100.0%
Facility 100.0%
NC AVG 69.9%
Rank #1 / 246
A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
28
75%
Facility 75%
NC AVG 76.2%
Rank #120 / 335
Studio
Brookdale Elizabeth City
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Elizabeth City
76
Facility 76
NC AVG 76
Rank #181 / 390
Yes
30
Facility 30
NC AVG 33
Rank #308 / 572
28.9%
Facility 28.9%
NC AVG 69.9%
Rank #229 / 246
A+
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 322
20
90%
Facility 90%
NC AVG 76.2%
Rank #298 / 335
Studio / 1 Bed / 2 Bed
Brookdale Carriage Club Providence
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Charlotte (Olde Providence North)
77
Facility 77
NC AVG 76
Rank #180 / 390
Yes
12
Facility 12
NC AVG 33
Rank #440 / 572
71.5%
Facility 71.5%
NC AVG 69.9%
Rank #135 / 246
A+
98.75/200
Facility 98.75/200
NC AVG 92.2
Rank #167 / 322
15
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Raleigh
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Raleigh (Northwest Raleigh)
100
Facility 100
NC AVG 76
Rank #92 / 390
Yes
49
Facility 49
NC AVG 33
Rank #161 / 572
-A-
77.50/200
Facility 77.50/200
NC AVG 92.2
Rank #297 / 322
24
79.2%
Facility 79.2%
NC AVG 76.2%
Rank #161 / 335
Studio / 2 Bed
Brookdale Wake Forest
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wake Forest
70
Facility 70
NC AVG 76
Rank #197 / 390
Yes
54
Facility 54
NC AVG 33
Rank #124 / 572
52.9%
Facility 52.9%
NC AVG 69.9%
Rank #190 / 246
A+
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #225 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / 1 Bed / 2 Bed
Phoenix Assisted Care
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 76
Rank #46 / 390
No
24
Facility 24
NC AVG 33
Rank #349 / 572
52.5%
Facility 52.5%
NC AVG 69.9%
Rank #191 / 246
A+-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #306 / 322
42
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Private Rooms / Semi-Private Rooms
Brookdale Durham
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Durham (Northeast Durham)
119
Facility 119
NC AVG 76
Rank #60 / 390
Yes
9
Facility 9
NC AVG 33
Rank #462 / 572
62.2%
Facility 62.2%
NC AVG 69.9%
Rank #167 / 246
A+
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #276 / 322
38
92.1%
Facility 92.1%
NC AVG 76.2%
Rank #311 / 335
Studio
Brookdale Hickory Northeast
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hickory (16Th Street Northeast)
88
Facility 88
NC AVG 76
Rank #137 / 390
Yes
31
Facility 31
NC AVG 33
Rank #294 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
18
72.2%
Facility 72.2%
NC AVG 76.2%
Rank #106 / 335
Studio / Suite
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Overview of Avendelle at Shepherds Vineyard

Avendelle at Shepherds Vineyard is a cozy care home in Apex, NC, that offers assisted living and memory care. The community continuously promotes a nurturing environment with its cozy living spaces, ensuring older adults’ comfort and healing. Concierge services, an emergency alert system, and a beauty shop are available for residents’ convenience. With its commitment to improving residents’ quality of life, one-on-one attention is provided around the clock.

Leisure activities, wellness programs, and social events accompany residents during their stay, promoting an active lifestyle. Spacious dining area and well-lit communal spaces also provide residents with more avenues to interact with their surroundings. With its serene setting in the thriving neighborhood of Apex, the community guarantees accessibility and convenience. This care home is an ideal option for older adults in North Carolina, as showcased by its high-quality services.

Contact Avendelle at Shepherds Vineyard

Overview of Our Promise Care Homes at Wake Drive

An idyllic community located in the quiet neighborhood of Wake Drive, Wake Forest, NC, Our Promise Care Homes at Wake Drive offers assisted living. The community promotes a cozy and quaint setting that strives to provide a safe place for up to six residents. With care and assistance tailored to residents’ needs and aspirations, the community promises an exceptional quality of life.

Lead a fun-filled life with stimulating activities and enriching programs to remain active and happy. Home-cooked meals are prepared for residents to enjoy hassle-free dining that satisfies their needs and tastes. A compassionate and well-trained professional strives to meet residents’ ever-changing needs, ensuring they spend their golden years without worries.

Contact Our Promise Care Homes at Wake Drive

Overview of Caring Hands Senior Home

Situated in a serene location in Charlotte, NC, Caring Hands Senior Home is a welcoming senior living community that prioritizes residents’ well-being through its excellent assisted living services. The community features 10 years of extensive experience in delivering care and an ideal caregiver to resident ratio of 1 to 5, guaranteeing residents exceptional and personalized care. Featuring five spacious and cozy private rooms, the community fosters an intimate, family-like environment where residents and caregivers share deeper and more personal connections.

Caring for residents’ overall well-being, the community also created an inclusive social group and personal activities to promote social connectivity, along with on-site spiritual and emotional support to residents and family members. With a warm, family-like environment, holistic individualized care, friendly neighbors, and compassionate caregivers, residents here are guaranteed to live a meaningful and comfortable life.

Contact Caring Hands Senior Home

Contact Aldersgate

Overview of Pennybyrn

Serving the senior community for over 76 years, Pennybyrn is a paradisal senior living community in Guilford County, High Point, NC, offering retirement living, assisted living, memory care, and rehabilitation. The community provides a team of licensed nurses, certified nursing assistants, and medical technicians available 24/7 to assist residents with various things. Residents can live comfortably with assistance with daily living activities, dining assistance, and access to physical, occupational, and speech therapy.

Wellness classes are designed to meet varying fitness levels and needs of residents, ensuring everyone is able to improve or maintain their well-being. A team of hardworking activity coordinators is available to carefully curate an array of social and educational events both on-site and off-site. Registered dietitians and chefs work together to prepare three nutritious and delicious meals and dietary planning to accommodate specific medical and health needs.

Contact Pennybyrn

Carolina Meadows

100 Whippoorwill Ln, Chapel Hill, NC 27517
Overview of Carolina Meadows

Residing in the serene lands of Chapel Hill, NC, Carolina Meadows is an outstanding continuing care retirement community that offers assisted living, memory care, skilled nursing, and therapeutic services. The community features beautifully designed and elegant accommodations in various one-bedroom and two-bedroom floor plans for seniors to enjoy unmatched comfort and convenience. With a respectful and highly trained team delivering top-notch care and support, seniors optimize their independence and live as they prefer.

Learn something new and experience a meaningful retirement with a variety of nourishing classes and engaging activities. Moreover, Carolina Meadows is committed to understanding seniors’ needs and interests to provide them with better assistance. Have a delightful dining experience with delicious and healthy meals that satisfy cravings and meet dietary restrictions. Carolina Meadows is ideal for seniors wanting to enjoy every bit of their golden years without worries in its peaceful and inviting premises.

Contact Carolina Meadows

Overview of Heritage Woods Senior Living

Heritage Woods Senior Living in Multnomah County, Winston-Salem, NC, is an excellent senior living community that offers independent living and assisted living services. The community makes sure residents enjoy a cozy and spotless residence with weekly housekeeping service, with fresh linens and towels, as well as daily tidy-up service. Residents enjoy round-the-clock care and assistance provided by the caring and hardworking care team of the community.

At Heritage Woods Assisted Living, residents are able to lead the lifestyle they desire with an abundance of opportunities for leisure, learning, and entertainment through a wide range of classes and activities. The community provides plenty of amenities and services for health & wellness, such as a state-of-the-art fitness center, a consultant pharmacist, balance and mobility programs, as well as personal training and wellness assessments. Residents’ nutritions and cravings are also handled with deliciously prepared meals, beverages, and snacks available anytime.

Contact Heritage Woods Senior Living

Overview of Givens Highland Farms

At Givens Highland Farms, the vision is to empower seniors to lead fulfilling lives, fostering independence, community, and security. Offering home care and enhanced independent living, residents can explore their interests through numerous resident-led groups and enjoy the beauty of Black Mountain’s nature. With quality health services available on-site, seniors experience peace of mind knowing their needs will be met.

The community offers an array of amenities, including a winter greenhouse, dog park, and woodworking shop. Residents can engage in indoor activities like arts and crafts or utilize the fitness programs and medical services. Givens Highland Farms prioritizes active senior living and well-being from spacious residences to transportation services. Givens Highland Farms is the top choice for independent living and home services in Black Mountain, North Carolina.

Contact Givens Highland Farms

Concord Place

1501 Zion Church Rd E, Concord, NC 28025
Overview of Concord Place

Concord Place, nestled in Concord, North Carolina, is a dedicated senior living community committed to providing personalized care, ensuring each resident receives the utmost attention and support they deserve. With a devoted and skilled staff, Concord Place fosters residents’ well-being, nurturing mind and body through engaging activities. Embracing a pet-friendly ethos, Concord Place invites senior residents to enjoy various amenities within and around the community. Nestled in a tranquil part of town, the community sets the stage for an idyllic senior living experience, complemented by engaging excursions and activities crafted to enliven spirits. Every opportunity is tailored to keep everyone young at heart.
Catering to varied needs, this community offers specialized assisted living and memory care services, tailoring individual care plans to suit each resident’s unique requirements. A round-the-clock presence of a full-time licensed nurse ensures clinical oversight and seamless coordination of care, assuring residents’ health and safety.

Contact Concord Place

Overview of Avendelle on Maynard

Avendelle on Maynard, located in Cary, NC, is a senior living community by Avendelle, offering assisted living services to its residents. This assisted living community provides personalized care plans where residents receive varying levels of care and assistance as their needs change. This includes assistance with daily living activities, medication management, and 24/7 staff availability for supervision.

Additionally, residents are also provided freshly cooked meals throughout the day, as well as regular health and wellness assessments to ensure that they are receiving proper care according to their current needs. Grooming assistance and salon services are also offered regularly, and residents are also encouraged to participate in physical and social activities the staff prepared, to make sure that they maintain their mobility and keep their overall health and well being at its best.

Contact Avendelle on Maynard

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 428 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.