Page 18 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
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.
389 homes
Other senior care options in North Carolina:
Avg Monthly Cost: $6,747The average monthly cost across facilities in North Carolina. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 36/ 100The average Walk Score across facilities in North Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 72The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around North Carolina

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Cross Road Retirement Community
AL
IL
MC
Asheboro
152
Facility 152
NC AVG 72
Rank #11 / 387
No-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
21
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
-
Holly Springs Senior Living
AL
HOS
MC
RC
Holly Springs (Holly Heights)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
1
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Private Rooms
Avendelle on Kildaire Farm
AL
MC
Cary (The Bluffs Of Kildaire)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
22
Facility 22
NC AVG 36
Rank #360 / 536
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
4
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
-
Falls River Village Assisted Living
AL
MC
Raleigh (North Raleigh)
60
Facility 60
NC AVG 72
Rank #230 / 387
No
63
Facility 63
NC AVG 36
Rank #50 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
20
70%
Facility 70%
NC AVG 76.2%
Rank #88 / 333
-
Foundation Senior Living
AL
Garner
126
Facility 126
NC AVG 72
Rank #27 / 387
No
45
Facility 45
NC AVG 36
Rank #191 / 536
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
27
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
-
Trinity Elms
AL
IL
MC
NH
SNF
Clemmons
104
Facility 104
NC AVG 72
Rank #69 / 387
No
56
Facility 56
NC AVG 36
Rank #106 / 536
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
18
78%
Facility 78%
NC AVG 76.2%
Rank #158 / 333
-
Kelley’s Family Care Home
AL
RESC
Raleigh (North Raleigh)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
18
Facility 18
NC AVG 36
Rank #394 / 536
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
5
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Private / Semi-Private Rooms
The Gardens of Statesville Assisted Living
AL
IL
MC
Statesville
67
Facility 67
NC AVG 72
Rank #195 / 387
Yes
15
Facility 15
NC AVG 36
Rank #414 / 536
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
22
73%
Facility 73%
NC AVG 76.2%
Rank #112 / 333
-
Renaissance Care Home at Brier Creek
AL
MC
RESC
Durham (Fendol Farms)
6
Facility 6
NC AVG 72
Rank #335 / 387
No-
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
4
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
Private Rooms
Blissful Living Senior Care, Inc.
AL
HOS
MC
RC
Charlotte (Silverwood)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
97.00/200
Facility 97.00/200
NC AVG 92.2
Rank #189 / 321
6
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 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.

Rows per page:
View all Nearby Homes
1...171819...39
Overview of Cross Road Retirement Community

Cross Road Retirement Community in Asheboro, NC offers a continuum of care for seniors seeking independence with varying levels of support. Residents can choose from independent living, assisted living, and memory care options, all designed to promote well-being and a fulfilling lifestyle. Independent living allows seniors to enjoy their own private apartments with the freedom to come and go as they please. Assisted living provides personalized care plans to assist with daily tasks like bathing, dressing, and medication management. Memory care offers a secure environment specifically designed for those with Alzheimer’s disease or related dementia, featuring specially trained staff and stimulating activities. As a non-profit organization, Cross Road approaches senior care with authenticity and a genuine devotion to providing those in search of care the best service they can.

Contact Cross Road Retirement Community

Overview of Holly Springs Senior Living

Holly Springs Senior Living is an outstanding senior care community in Holly Springs, NC, that offers a wide range of care options, including memory care, assisted living, hospice care, and respite care. Dedicated to older adults’ peace of mind, the community strives to promote a home-like environment with its well-thought-out living spaces. Home-cooked meals, recreational activities, and a fire safety system are provided to enrich residents’ living experiences. With personalized care plans, the community strives to meet residents’ healthcare needs.

Fun social events, light exercises, and engaging programs provide residents with more opportunities to interact with their peers and try out new things. A family-style dining area, naturally lit communal spaces, and a spacious outdoor area also accompany residents during their stay. With serene parks and the UNC Rex Hospital nearby, residents have convenient access to their leisure and healthcare needs. As one of North Carolina’s finest senior living communities, this care home provides the highest quality of care for older adults to thrive in retirement.

Contact Holly Springs Senior Living

Overview of Avendelle on Kildaire Farm

Avendelle on Kildaire Farm, located in Cary, NC, is a senior living community by Avendelle that offers assisted living services and amenities to its residents. As part of their assisted living services, they provide their residents with 24 hour personalized care and supervision, medication administration and management, as well as regular physician visits for health checks and assessments.

Additionally, the residents are also provided nutritional meals and snacks throughout the day where special diets are also accommodated. This senior living community also offers housekeeping and laundry services, as well as grooming services, providing convenience and comfort during the residents’ stay in the community

Contact Avendelle on Kildaire Farm

Overview of Falls River Village Assisted Living

Located in Raleigh, North Carolina, Falls River Village Assisted Living offers a helping hand for seniors seeking a safe and supportive environment. With 24/7 on-site team, residents can expect a personalized approach to their well-being. Care plans are meticulously crafted to address each individual’s needs, ensuring they receive the right amount of assistance with daily tasks like dressing, bathing, and medication management. This personalized approach fosters a sense of independence while offering a helping hand when needed.

Falls River recognizes that well-being extends beyond just physical care. They offer a vibrant social atmosphere through engaging activities and social events. This not only promotes mental stimulation but also fosters a sense of community and belonging. Residents can enjoy participating in these events or simply relax in the secure knowledge that a caring team is always available. Falls River Village Assisted Living goes the extra mile to create a fulfilling and enriching experience for seniors.

Contact Falls River Village Assisted Living

Overview of Foundation Senior Living

Located in Aversboro Road Garner, NC, Foundation Senior Living offers an unparalleled living experience with its luxurious yet affordable services. The versatile living arrangements it offers allow residents to choose between private studios and companion rooms with both ensured to provide comfort and personalized care. Through the highly skilled and caring members of its team, Foundation Senior Living prioritizes the health and safety of its residents by providing comprehensive care services including medication administration, customized dietary management, and proactive fall assessment and prevention measures.

The community features top-notch amenities and services that enrich the quality of life of the residents, ranging from delicious and healthy meals, laundry and housekeeping, salon services, wellness programs, transportation options, and many more. At Foundation Senior Living, seniors can enjoy a wonderful retirement.

Contact Foundation Senior Living

Trinity Elms

3750 Harper Road Clemmons, Nc 27012, Clemmons, NC 27012
Overview of Trinity Elms

Trinity Elms is a 104-bed community at 3750 Harper Road in Clemmons, North Carolina. Accordius Health At Clemmons, LLC operates it. The building holds licensure for nursing home care, assisted living, independent living, memory care, and skilled nursing, which is a wide span for one address. A resident whose needs change does not necessarily have to move.

The surrounding area carries a Walk Score of 56, which places it in moderately walkable territory. Some errands work on foot, and some do not.

Short-term rehab and general rehabilitation services are both offered, alongside respite care for families managing a caregiving gap at home. The mix suggests a census divided between people recovering from a hospitalization and people who have settled in for longer stays.

Total nursing care runs four hours and six minutes per resident per day. Nurse aides account for two hours and 49 minutes of that, licensed practical nurses for 56 minutes, and registered nurses for 32 minutes.

Medicare, Medicaid, and private pay are all accepted here, which covers the funding routes most families end up using. Trinity Elms is built for older adults who need skilled nursing or memory care, with enough licensure range that a change in condition does not automatically mean a change in address.

Contact Trinity Elms

Overview of Kelley’s Family Care Home

Experience a blissful retirement with Kelley’s Family Care Home, a blissful retreat surrounded by convenient local amenities in Raleigh, NC, that offers assisted living. A kind and highly trained team strives to meet residents’ unique needs with round-the-clock care and support. Residents also enjoy hassle-free living, with the community helping with their day-to-day activities and household responsibilities.

A jam-packed calendar of fun activities and engaging programs is conducted to keep residents active and socially engaged. Mealtimes are also something to look forward to, with diverse dining options that cater to dietary needs and preferences. Medication assistance and an in-home doctor are also available, alongside transportation services for residents’ convenience. The community is ideal for those looking to live comfortably in their golden years, especially with its cozy and welcoming amenities.

Contact Kelley’s Family Care Home

Overview of The Gardens of Statesville Assisted Living

Gardens of Statesville is a serene oasis in North Carolina, surrounded by lush greenery. The home provides an ideal retreat for seniors seeking memory care, independent living, and assisted living options. This well-established community takes pride in offering care while creating a comfortable environment. Every aspect of the community is carefully curated to exude comfort, from the well-appointed furniture to the housekeeping and transportation services, ensuring that residents feel pampered and at ease.
Spacious common areas are thoughtfully designed to encourage social interactions and provide a sense of togetherness among residents. The community boasts a beauty salon and a delightful dining space where residents can indulge in relaxation and culinary delights. It is also a pet-friendly haven, allowing furry friends to be a part of residents’ mundane living. With a wide array of engaging activities, such as outings, social gatherings, arts and crafts sessions, and invigorating exercise classes, seniors can enjoy a vibrant, fulfilling lifestyle.

Contact The Gardens of Statesville Assisted Living

Overview of Renaissance Care Home at Brier Creek

In Durham, North Carolina, Renaissance Care Home at Brier Creek emerges as a dedicated assisted living community, emphasizing enhancing seniors’ well-being through a commitment to offering unparalleled personalized care within assisted living facilities. A central tenet of their mission revolves around providing exemplary client care across their family care homes.

The team at Renaissance Care Home stands fueled by motivation and unwavering determination, unified in their pursuit of establishing it as the epitome of exceptional assisted living facilities. They pledge a persistent presence, tending to residents’ needs while fulfilling their desires. Discover a haven where personalized care flourishes at Renaissance Care Home at Brier Creek.

Contact Renaissance Care Home at Brier Creek

Overview of Blissful Living Senior Care

At six beds, Blissful Living Senior Care, INC. is a residential care home rather than a traditional assisted living facility. That distinction matters: the Silverwood neighborhood address on Robinson Church Road in Charlotte puts residents in a house-scale setting in Mecklenburg County, about 8.5 miles from the city center. The neighborhood scores a 5 on the Walk Score scale, so a car is required for virtually any errand or outing outside the home.

The care model covers more ground than the size might suggest. Assisted living is the baseline, and the home also supports hospice care, memory care, and respite stays, so residents with more complex or shifting needs don’t necessarily have to move. Licensed nurses and CNAs provide round-the-clock coverage. The administrator, Martin Anuonye, is a licensed nurse himself, which means clinical oversight comes from the top. Angela Ezekwe-Anuonye serves as Vice President.

State inspections have generally centered on medication management, documentation and care planning, and staffing qualifications as recurring areas of attention.

For families who have looked at larger assisted living communities and found them impersonal, a six-bed home with licensed nursing on staff around the clock and the capacity to support hospice and memory care through end of life represents a meaningfully different option. That’s what Blissful Living is built to be.

Contact Blissful Living Senior Care, Inc.

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
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 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.