Page 19 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. 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. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
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.
Terrabella Asheboro
AL
MC
Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes--
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
26
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 333
Studio / 1 Bed
The Retreat at Cary
AL
PC
RESC
Cary
6
Facility 6
NC AVG 72
Rank #335 / 387
No
14
Facility 14
NC AVG 36
Rank #424 / 536
-
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
5
20%
Facility 20%
NC AVG 76.2%
Rank #6 / 333
-
Walnut Ridge
AL
NH
MC
Walnut Cove
63
Facility 63
NC AVG 72
Rank #221 / 387
No
50
Facility 50
NC AVG 36
Rank #150 / 536
100.0%
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
19
47%
Facility 47%
NC AVG 76.2%
Rank #20 / 333
Studio / Suite
The Addison of Fayetteville
AL
MC
Fayetteville (Seventy-First)
96
Facility 96
NC AVG 72
Rank #89 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
22.9% -
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
25
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
Suite / 1 Bed
Revived Senior Living
AL
RESC
Mint Hill (Wilgrove)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
12
Facility 12
NC AVG 36
Rank #440 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
9
44%
Facility 44%
NC AVG 76.2%
Rank #18 / 333
-
Rockbridge Senior Home Living
AL
RESC
Durham (Country Club Heights)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
-
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
3
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Private / Semi-Private Rooms
Brookdale Northwest Greensboro
AL
Greensboro (Oak Ridge Meadows)
81
Facility 81
NC AVG 72
Rank #149 / 387
Yes--
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
28
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
Studio / 2 Bed
The Stewart Health Center
AL
MC
NH
SNF
Charlotte (Beverly Woods)
-No
15
Facility 15
NC AVG 36
Rank #414 / 536
-----Private / Shared Rooms
The Cypress of Charlotte
AL
HC
IL
MC
NH
SNF
Charlotte (Beverly Woods)
65
Facility 65
NC AVG 72
Rank #207 / 387
No
15
Facility 15
NC AVG 36
Rank #414 / 536
87.4% --4
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
1 Bed / 2 Bed
Mallard Ridge
AL
MC
Clemmons
54
Facility 54
NC AVG 72
Rank #285 / 387
Yes
7
Facility 7
NC AVG 36
Rank #476 / 536
59.3% -
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
41
90%
Facility 90%
NC AVG 76.2%
Rank #294 / 333
Private Rooms / Semi-Private Rooms

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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Terrabella Asheboro

2925 Zoo Pkwy, Asheboro, NC 27205
Overview of Terrabella Asheboro

Opened four years ago, Terrabella Asheboro is a 96-bed assisted living and memory care community in the Laurel Wood Hills neighborhood of Asheboro, a car-dependent area at the outskirts of town. The one-story building offers both studio and one-bedroom floor plans. It welcomes pets to let residents keep their companions with them.

The facility sits on Zoo Parkway, with easy access to the Asheboro Zoo and associated recreational areas. Since the surrounding neighborhood is largely residential with limited pedestrian infrastructure, visiting family members will want transportation. The walk score reflects this car-centric setting. The home’s relatively recent opening positions it as a newer option in the Asheboro market, and the presence of assisted living and memory care services means it can serve occupants across care levels in one place.

Over the past decade, state inspections have documented findings about medication administration and documentation practices. Recent surveys flagged concerns with accurate dosing and controlled-substance record-keeping.

Families contemplating Terrabella Asheboro must ask during tours about how it has addressed compliance areas and what safeguards are implemented for medication oversight.

Contact Terrabella Asheboro

Overview of The Retreat at Cary

The Retreat at Cary, located in Cary, NC, is a close-knit senior living community offering elderly care together with its sister facility in the area, The Retreat at Cary Corner. They offer round the clock supervision with a 1:3 staff to resident ratio, ensuring that the residents are well cared for. Other services they offer include medication management, and assistance with daily living activities such as bathing and dressing, feeding, and toileting.

The residents of The Retreat at Cary are also provided meals that match their dietary needs, as well as housekeeping and laundry services. They also encourage residents to participate in their daily activities that targets their physical, emotional, social, spiritual, and intellectual well being.

Contact The Retreat at Cary

Overview of Walnut Ridge

Located in Multnomah County, Walnut Cove, NC, Walnut Ridge is a blissful senior living community that offers assisted living and memory care services. Overlooking the scenic views of Walnut Cove’s rolling hills and picturesque cliffs, the community provides a relaxing retirement environment with access to excellent care and compassionate team. Residents here are able to maintain their independence and autonomy while benefiting from personalized care services, including assistance with daily living activities and medication management.

At Walnut Ridge, residents are free from the tiring hassles of chores with housekeeping, laundry, and in-house maintenance services offered. With more free time on their hands, residents are available to enjoy the community’s varied daily social activities planned by a full-time social director, including wellness programs, fun games, and excursions. Three restaurant-style meals are served daily in the elegant dining room with seasonal menus curated by dietitians. Here, residents are able to live worry-free with an extensive array of services, amenities, and activities that fosters a comfortable and meaningful lifestyle.

Contact Walnut Ridge

Overview of The Addison of Fayetteville

The Addison of Fayetteville provides a quintessential community for assisted living. Residents are guaranteed to enjoy their stay because of the astonishing, beautifully decorated interiors of the building– adding to the charm the community holds. The assisted living home heeds a warm and welcoming environment. As a proud member of the Senior Lifestyle community, The Addison strives to fulfill the needs of its residents, including their general health and activity level.

The Addison of Fayetteville comprises all-inclusive services, including 24/7 support and assistance, dining areas, weekly physician and nurse practitioner visits, wellness programs, social outings, nutritious meal plans, fall prevention, and extensive safety features.

Contact The Addison of Fayetteville

Overview of Revived Senior Living

Experience the essence of exceptional care at Revived Senior Living located in Mint Hill, NC, where every detail is crafted to offer a sanctuary of comfort and personalized care. Choose from elegantly designed accommodations that perfectly suit your style and needs. The dedicated team is passionate about their calling, serving with courage and a deep sense of teamwork. Here, residents can choose from well-appointed and cozy accommodations with several floor plans based on their preferences.

Amenities include daily activities, laundry service, and beauty and barbershop services. Enjoy peace of mind with a round-the-clock surveillance system, alarm exit doors, and an external fire alarm. Access to Atrium or Novant Health Hospitals and resident physicians is available, while RN oversight ensures top-quality care with a 3:1 resident-to-caregiver ratio.

Contact Revived Senior Living

Overview of Rockbridge Senior Home Living

Spend your golden years at Rockbridge Senior Home Living, an outstanding community in Durham, NC, offering assisted living. A kind and highly trained team provides the highest quality of care tailored to residents’ unique needs 24/7, ensuring their comfort and safety. With housekeeping, laundry, and linen services, residents can rest assured of living a hassle-free lifestyle.

A thoughtfully planned calendar of engaging activities and enriching programs is conducted to keep residents active and socially connected. Three delicious and healthy meals are also served to satisfy residents’ dietary needs and preferences. Medication management is also taken care of for convenience. The community is a great option for those needing assistance to enjoy a blissful retirement.

Contact Rockbridge Senior Home Living

Overview of Brookdale Northwest Greensboro

Located in Greensboro, North Carolina, Brookdale Northwest Greensboro offers a supportive environment for assisted living, focusing on fostering social connections and enriching experiences for older adults. Residents here enjoy a vibrant community where they can engage with peers who share similar interests, enhancing their quality of life. With a variety of floor plans, including private cottages, residents can enjoy the comforts of home without the responsibilities, allowing them to embrace a lifestyle filled with meaningful activities and companionship.

The community provides personalized care that promotes independence while ensuring assistance is readily available, whether it’s with daily activities like dressing and bathing or the maintenance of their living spaces. Brookdale Northwest Greensboro also prioritizes safety and peace of mind, offering round-the-clock emergency response services. This commitment allows residents and their families to rest assured that help is always at hand, contributing to a secure and supportive living environment.

Contact Brookdale Northwest Greensboro

Overview of The Stewart Health Center

Thrive in your golden years with The Stewart Health Center, an excellent community in Charlotte, NC, offering short-term rehabilitation, long-term care, and memory care. Their excellent care team consists of nurses, doctors, specialists, and support team members to ensure residents receive well-rounded care and support. The community features 67 private rooms & 6 shared rooms that foster privacy and safety, alongside an outstanding staff-to-resident ratio that guarantees personalized care and high-level supervision.

With the help of their dedicated recreation specialist, the community provides residents with a wide selection of fun and engaging activities to enjoy and participate in. To ensure residents are receiving proper nourishment, the community has a talented culinary team to serve residents delicious and nutritionally balanced meals. The community also has access to physical, occupational, and speech therapy, ensuring residents recovering from hospitalization can get back on their feet as quickly as possible. The Stewart Health Center provides a relaxing, healing environment with plenty of opportunities for fun and recreation.

Contact The Stewart Health Center

Overview of The Cypress of Charlotte

Live a wondrous retirement with The Cypress of Charlotte, an astounding community set in the tranquil residential area of Cypress Club Drive, Charlotte, NC, that offers independent living. The community features luxurious and specially designed cottages and villas, providing residents with a wide range of choices for accommodation. Here, residents make the most out of their golden years with the community’s vibrant and inviting environment.

With a full calendar of enriching activities and extensive amenities, residents will not run out of things to do for leisure and wellness. Indulge in delightful and healthy meals through the community’s dining venues available all day. The community is equipped with a fireside bistro, a large community hall, a fitness center, an art studio, a library, and serene outdoor verandas, making it an enticing option for those looking to live independently in their golden years.

Contact The Cypress of Charlotte

Mallard Ridge

9420 N North Carolina Hwy 150, Clemmons, NC 27012
Overview of Mallard Ridge

Designed to meet seniors’ every need in a home-like environment, Mallard Ridge in Multnomah County, Clemmons, NC, is a charming senior living community that offers assisted living and memory care. The community’s compassionate caregiving team coordinates closely with residents and their families to create personalized care plans and programs that closely align with their specific needs. Here, residents are liberated from home and yard maintenance, providing them plenty of time to enjoy the community’s calendar of daily activities and delicious restaurant-style dining.

Residents experiencing Alzheimer’s or any stage of dementia are provided a safe and secure haven for a more personal and focused care and attention that serves their specific needs. Emergency response systems are also available in each apartment to make sure residents are provided immediate assistance during emergencies. A full-time social director is available to carefully plan an array of social activities, wellness programs, and outings to local attractions, restaurants, and community events, for a vibrant and fulfilling living experience.

Contact Mallard Ridge

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.
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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.