Page 18 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
Reviewed by
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. 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. 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Twelve Oaks
AL
MC
RC
Mount Airy
112
Facility 112
NC AVG 70
Rank #45 / 328
No
74
Facility 74
NC AVG 34
Rank #9 / 373
25.9%
Facility 25.9%
NC AVG 68.5%
Rank #176 / 186
-
90.75/200
Facility 90.75/200
NC AVG 92.7
Rank #234 / 291
C+18
0%
Facility 0%
NC AVG 64.9%
Rank #90 / 301
-
TerraBella Shelby
AL
MC
RC
Shelby (Brittain Village)
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
10
Facility 10
NC AVG 34
Rank #309 / 373
-C+
82.50/200
Facility 82.50/200
NC AVG 92.7
Rank #133 / 291
C17
59%
Facility 59%
NC AVG 64.9%
Rank #126 / 301
-
The Gardens of Nashville
AL
Nashville
62
Facility 62
NC AVG 70
Rank #193 / 328
No
55
Facility 55
NC AVG 34
Rank #71 / 373
88.7%
Facility 88.7%
NC AVG 68.5%
Rank #53 / 186
-
96.00/200
Facility 96.00/200
NC AVG 92.7
Rank #165 / 291
C10
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
TerraBella Knightdale
AL
MC
Knightdale
96
Facility 96
NC AVG 70
Rank #70 / 328
No
40
Facility 40
NC AVG 34
Rank #140 / 373
59.4%
Facility 59.4%
NC AVG 68.5%
Rank #119 / 186
-
75.50/200
Facility 75.50/200
NC AVG 92.7
Rank #180 / 291
C-23
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Morningside of Wilmington
AL
MC
Wilmington (Manorhouse Retirement Center)
101Yes
48
Facility 48
NC AVG 34
Rank #106 / 373
-A+71.00/200D-2976%Studio / 1 Bed
Alpha Care One Assisted Living
AL
Greenville
120
Facility 120
NC AVG 70
Rank #26 / 328
No
88
Facility 88
NC AVG 34
Rank #1 / 373
68.3%
Facility 68.3%
NC AVG 68.5%
Rank #101 / 186
-
82.00/200
Facility 82.00/200
NC AVG 92.7
Rank #266 / 291
D29
0%
Facility 0%
NC AVG 64.9%
Rank #120 / 301
-
Hillside Nursing & Rehab
AL
NH
SNF
Wake Forest
130
Facility 130
NC AVG 70
Rank #14 / 328
No
19
Facility 19
NC AVG 34
Rank #257 / 373
88.3%
Facility 88.3%
NC AVG 68.5%
Rank #55 / 186
---A+3
33%
Facility 33%
NC AVG 64.9%
Rank #10 / 301
Private Rooms
Magnolia Creek
AL
MC
RC
Winston-Salem (Crosslands)
117
Facility 117
NC AVG 70
Rank #38 / 328
No-
24.8%
Facility 24.8%
NC AVG 68.5%
Rank #177 / 186
A+
99.00/200
Facility 99.00/200
NC AVG 92.7
Rank #155 / 291
B+13
69%
Facility 69%
NC AVG 64.9%
Rank #126 / 301
-
Summit Place of Kings Mountain
AL
MC
RC
Kings Mountain
65
Facility 65
NC AVG 70
Rank #180 / 328
Yes
9
Facility 9
NC AVG 34
Rank #314 / 373
--
100.50/200
Facility 100.50/200
NC AVG 92.7
Rank #119 / 291
A+12
42%
Facility 42%
NC AVG 64.9%
Rank #126 / 301
Suite / 1 Bed / 2 Bed
The Landings of Chestnut Grove
AL
IL
RC
Sparta
40
Facility 40
NC AVG 70
Rank #258 / 328
No
57
Facility 57
NC AVG 34
Rank #65 / 373
--
101.00/200
Facility 101.00/200
NC AVG 92.7
Rank #113 / 291
A+6
83%
Facility 83%
NC AVG 64.9%
Rank #17 / 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

Rows per page:
View all Nearby Homes
1...171819...41

Twelve Oaks

1297 Galax Trail Mount Airy, Nc 27030, Mount Airy, NC 27030
Overview of Twelve Oaks

Twelve Oaks in Mount Airy, NC, offers memory care and assisted living. Respite care rounds out the license. Bathing, medication management, and dressing are handled under assisted living, and a resident keeps their own apartment.

A setting kept secure, with staff watching inside it, is what memory care means for somebody at risk of wandering. Respite is the short stay a usual caregiver needs for travel or time for recovery.

All three together answer either a resident whose needs grow or a family caregiver wanting cover for a stretch. One hundred and twelve beds are on the license.

Medicaid is an accepted route, useful where a resident’s savings won’t cover a long stay. A 74 Walk Score is very walkable, and most errands can be handled without a vehicle.

Contact Twelve Oaks

TerraBella Shelby

1550 Charles Rd, Shelby, NC 28152
Overview of TerraBella Shelby

TerraBella Shelby is a quality senior living community burrowed in the quiet city of Shelby, NC, offering assisted living and memory care. The community features spacious apartments with a kitchenette, emergency call system, and natural light, ensuring a comfortable and safe living environment. With their person-centered memory care programs, residents living with Alzheimer’s and dementia are encouraged to nurture their current skills, engage in purposeful activities, and live an enriched life.

Committed to elevating its residents’ standard of living, TerraBella Shelby offers five exclusive senior lifestyle programs. From chef-prepared meals and a full schedule of activities to an all-encompassing approach to health and wellness, residents find everything they need right here. To make an even greater difference in how residents live each day, the community also offers various amenities, including a professional beauty salon and barber shop on-site, a lifetime veterans savings program, visiting physicians, local outings & excursions, and housekeeping services, making residents’ lives more at ease and carefree.

Contact TerraBella Shelby

The Gardens of Nashville

1022 Eastern Avenue Nashville, Nc 27856, Nashville, NC 27856
Overview of The Gardens of Nashville

The Gardens of Nashville provides assisted living in Nashville, North Carolina. Assisted living includes help with daily activities such as dressing, bathing, and medication management, while supporting residents’ day to day routines. Its secured living program may suit a resident whose care plan calls for a secured setting.

The community has 62 beds. Restaurant style dining offers healthy, balanced meals prepared to meet dietary needs, so a resident with specific dietary requirements can have those needs addressed within the community. On site therapy services allow a resident to receive rehabilitation without arranging transportation away from home. On site pharmacy services provide access to pharmacy support within the community.

Medicaid is accepted, giving an eligible resident a payment option when personal savings may not cover a long stay. The Walk Score is 55. The area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle certain outings independently.

Contact The Gardens of Nashville

TerraBella Knightdale

2408 Hodge Road Knightdale, Nc 27545, Knightdale, NC 27545
Overview of TerraBella Knightdale

TerraBella Knightdale offers assisted living and memory care in Knightdale, North Carolina. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private apartment. Memory care provides a secured setting with supervision.

Having both care levels in one community may suit a resident whose needs grow over time, because care can continue without moving to a different community. TerraBella Knightdale has 96 beds. Assisted living starts at $4,085 per month, while memory care starts at $6,695; the higher rate reflects the secured setting and supervision required at that level.

Meals are prepared by a chef, and outdoor spaces give residents somewhere to spend time outside. Salon and barber services provide grooming on site. Transportation services can help with trips when a resident cannot arrange every ride independently, and a Military Veterans Program is available.

The area has a Walk Score of 40 out of 100 and is largely dependent on cars, so most errands require a car or a ride. A resident who no longer drives would need transportation for those errands. Overall, the community may be a good fit for someone who needs assisted living or memory care now and may need a higher level of support later.

$4,085/Month

Contact TerraBella Knightdale

Overview of Morningside of Wilmington

Administered by Amy Costin, Morningside of Wilmington is an assisted living and memory care community in Wilmington, North Carolina, about 3 miles from the city center. The two-story community has been serving residents for 27 years. Studio and one-bedroom residences are available. Each has a living area and private bathroom, and some also include a kitchenette.

Residents receive 24-hour support that includes personal care, transportation assistance, and medication management. The community’s Lifestyle360 program is based on Maslow’s hierarchy of needs and focuses on five areas of wellness: physical, social, emotional, intellectual, and spiritual. Rather than following a traditional activities schedule, the program supports each of these areas.

Restaurant-style dining, a full-service barber and beauty salon, and a dedicated activity center. Regular social and recreational events are offered here. Housekeeping services and exercise programs help residents stay active. The community welcomes pets, which residents can keep during their stay.

The area has a Walk Score of 48, which is somewhat walkable. A handful of nearby errands can be completed on foot, but most trips require a car. Families considering Morningside of Wilmington should ask about current room availability and the memory care program. Floor plans and care details are best confirmed during a tour or by speaking with the community directly.

Contact Morningside of Wilmington

Alpha Care One Assisted Living

2060 West Fifth Street Greenville, Nc 27834, Greenville, NC 27834
Overview of Alpha Care One Assisted Living

Alpha Care One Assisted Living is an assisted living community in Greenville, NC, providing 24-hour supervision and support with daily activities such as bathing and feeding. It may be a good fit for a resident who needs ongoing oversight and direct help with these tasks.

With 120 beds, the community has a Walk Score of 88, meaning most errands can be completed on foot. A resident who no longer drives may still be able to get out independently.

Contact Alpha Care One Assisted Living

Overview of Hillside Nursing & Rehab

Enjoy an improved quality of life with Hillside Nursing & Rehab, a compassionate community in Wake Forest, NC, offering assisted living, rehabilitation, and skilled nursing services. Residents here are given a warm and comforting environment where they can receive round-the-clock care, supervision, and assistance with their daily living activities. Those living with chronic illnesses and require long-term care have access to comprehensive nursing care and physician services from Hillside’s Medical Directors.

With access to physical, occupational, and speech therapy services, residents recovering from an injury or hospitalization can enjoy a quick and smooth healing journey in the community. They also feature a vibrant activity program designed to keep residents moving and actively engaged in their community. Proper nutrition is always observed by their registered dietitian who carefully curates residents’ meal plans. At Hillside Nursing & Rehab, residents are given diverse opportunities to enjoy life even as they face serious illness or recover from an injury.

Contact Hillside Nursing & Rehab

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 Summit Place of Kings Mountain

Situated in the heart of Kings Mountain, NC, the Summit Place of Kings Mountain is a peculiar senior living community that offers assisted living, memory care, and respite care services. Here, residents are treated as members of the family. Spacious and luxurious accommodations are available to ensure comfort and relaxation among its residents. With its compassionate team, the community radiates a supportive environment to ease the stresses of daily living. For memory care services, it offers the Signature Memory Care Neighborhood which provides a caring and peaceful home that caters not only to physical tasks but also to the emotional wellness of its residents with cognitive conditions like Alzheimer’s disease and dementia.

With its above-and-beyond amenities and services, residents can enjoy individualized care plans, medication management, personal laundry and linen service, daily housekeeping, daily wellness checks, and many more. Equipped with the right tools and people, seniors can never go wrong with the Summit Place of Kings Mountain.

Contact Summit Place of Kings Mountain

The Landings of Chestnut Grove

158 Chestnut Grove Church Road Sparta, Nc 28675, Sparta, NC 28675
Overview of The Landings of Chestnut Grove

Assisted living, respite care, and independent living are the three care types The Landings of Chestnut Grove holds in Sparta, NC. Independent living carries community services and no daily care. Assisted living adds help with bathing, dressing, medication management, and other daily tasks. Respite care is a short-term stay, arranged around a caregiver’s own trip or recovery.

Forty beds make it small, which is the setting a resident gets known in. With independent living and assisted living both licensed here, living independently now does not close off more help later. Medicaid works here as payment, which matters to a family whose savings will not stretch to a long stay.

A library is on the list of amenities, and transportation is available for outings and appointments. At 57, the Walk Score puts a few errands within a walk, so a non-driver can still reach some of them alone and on foot.

Contact The Landings of Chestnut Grove

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
Submit a correction

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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.