Page 2 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
Aug 2026
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):
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.
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.
Carolina Village
AL
IL
MC
NH
SNF
Hendersonville
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
82
Facility 82
NC AVG 36
Rank #3 / 536
79.8% -
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
15
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
-
Croasdaile Village
AL
HC
IL
MC
NH
SNF
Durham
64
Facility 64
NC AVG 72
Rank #213 / 387
Yes
9
Facility 9
NC AVG 36
Rank #462 / 536
--
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
15
60%
Facility 60%
NC AVG 76.2%
Rank #43 / 333
-
Homestead Hills Assisted Living
AL
IL
MC
NH
SNF
Winston-Salem
66
Facility 66
NC AVG 72
Rank #198 / 387
Yes
20
Facility 20
NC AVG 36
Rank #377 / 536
30.3% -
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
19
74%
Facility 74%
NC AVG 76.2%
Rank #116 / 333
-
The Shaire Center
AL
MC
NH
PC
SNF
Lenoir
82
Facility 82
NC AVG 72
Rank #142 / 387
No
76
Facility 76
NC AVG 36
Rank #9 / 536
--
98.00/200
Facility 98.00/200
NC AVG 92.2
Rank #181 / 321
19
74%
Facility 74%
NC AVG 76.2%
Rank #116 / 333
-
Brookdale Meadowmont
AL
MC
Chapel Hill (Glen Lennox Appartments)
64
Facility 64
NC AVG 72
Rank #213 / 387
Yes
53
Facility 53
NC AVG 36
Rank #128 / 536
100.0% -
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
17
65%
Facility 65%
NC AVG 76.2%
Rank #60 / 333
Studio / Suite
Our Promise Care Homes at Falls Church
AL
RESC
Raleigh
6
Facility 6
NC AVG 72
Rank #335 / 387
No
70
Facility 70
NC AVG 36
Rank #31 / 536
100.0% -
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
10
40%
Facility 40%
NC AVG 76.2%
Rank #15 / 333
Private Rooms
Carolina Inn at Village Green
AL
MC
Fayetteville (Terry Sanford)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes
60
Facility 60
NC AVG 36
Rank #72 / 536
--
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
18
72%
Facility 72%
NC AVG 76.2%
Rank #105 / 333
1 Bed / 2 Bed
Brookdale Reidsville
AL
MC
Reidsville
76
Facility 76
NC AVG 72
Rank #166 / 387
Yes
32
Facility 32
NC AVG 36
Rank #289 / 536
100.0% -
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
17
65%
Facility 65%
NC AVG 76.2%
Rank #60 / 333
Studio / Suite
Terrabella Lake Norman
AL
IL
MC
Mooresville
120
Facility 120
NC AVG 72
Rank #35 / 387
Yes
46
Facility 46
NC AVG 36
Rank #186 / 536
100.0% C+
96.00/200
Facility 96.00/200
NC AVG 92.2
Rank #205 / 321
30
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
Suite / 1 Bed / 2 Bed
Brookdale Carriage Club Providence
AL
IL
MC
NH
SNF
Charlotte (Olde Providence North)
77
Facility 77
NC AVG 72
Rank #165 / 387
Yes
12
Facility 12
NC AVG 36
Rank #440 / 536
-A+
98.75/200
Facility 98.75/200
NC AVG 92.2
Rank #167 / 321
15
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
Studio / 1 Bed / 2 Bed

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
123...39

Carolina Village

600 Carolina Village Road Hendersonville, Nc 28792, Hendersonville, NC 28792
Overview of Carolina Village

Residents at Carolina Village stay for an average of 84 days, meaning the facility mostly focuses on short-term rehab alongside some long-term care. Located in North Carolina, this 60-bed home runs at about 71 percent occupancy and accepts both Medicare and private pay. If you’re planning a visit, the neighborhood is very pedestrian-friendly, with a walkability score of 82 out of 100, so family members can easily run most errands on foot.

To handle daily medical routines, clinical operations supply an average of 6 hours and 42 minutes of total nursing care per resident each day. The 24-hour scheduling structure breaks this down into 1 hour and 31 minutes from registered nurses, 1 hour and 11 minutes from licensed practical nurses, and 3 hours and 58 minutes from nurse aides. This hands-on clinical volume supports individuals recovering from surgery, stroke, or acute medical transitions.

While older inspection logs noted tracking items regarding fire safety measures and medication administration protocols, the most recent health department files confirm that the administration updated its tracking systems to resolve these past issues, requiring no further action and keeping the overall cumulative citations-per-inspection rate at zero.

Prospective representatives will find a campus equipped with an exercise pool, a therapy pool, fitness centers, a library, a woodworking shop, and an arts studio. The grounds feature nature trails with mountain and lake views, while daily social options include a book group and a Spanish club. The dining setup provides a traditional dining room with tableside service alongside fast-casual options, a bar, and a coffee nook, with base fees covering utilities, WiFi, laundry, housekeeping, and property maintenance.

Contact Carolina Village

Croasdaile Village

2600 Croasdaile Farm Parkway Durham, Nc 27705, Durham, NC 27705
Overview of Croasdaile Village

Croasdaile Village operates a skilled nursing unit within its community in Durham, North Carolina, coordinating care across multiple payment tracks, including Medicare, Medicaid, and private pay. For visitors, the surrounding suburban area carries a walkability score of 3 out of 100, meaning the location is car-dependent and family members will need a personal vehicle to reach the property.

Clinical operations lean on a high volume of hands-on assistance, supplying an average of 5 hours and 45 minutes of total nursing care per resident each day. The daily schedule structures this time to prioritize direct personal care, allocating 4 hours and 52 minutes of that total to nurse aides who assist with daily living activities, alongside clinical monitoring from licensed nursing staff.

State records track the facility’s compliance history through recurring public health evaluations. Documentation verifies that the administration maintains its clinical routines and building operations in line with statutory rules, managing tracking protocols effectively to keep the facility’s cumulative citations-per-inspection rate at zero.

Interested individuals have access to general rehabilitation services, temporary respite stays, a dedicated memory care track called Heartfelt Connections, and a health navigation program to help coordinate care plans. The campus features five distinct dining venues that offer a range of casual and fine dining atmospheres. The daily routine balances these food service choices with structured wellness programs, housekeeping assistance, laundry services, and open visiting hours for families.

Contact Croasdaile Village

Homestead Hills Assisted Living

2101 Homestead Hills Drive Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Homestead Hills Assisted Living

Homestead Hills Assisted Living runs 66 beds in Winston-Salem, North Carolina. Right now about 20 of those beds are filled, which puts occupancy near 30 percent. For a family weighing placement, that low a figure cuts two ways. There is room to move in without a wait. It also means the building is running well under capacity, worth sitting with as you visit.

The setting is not a walkable one. With a Walk Score of 20, most trips out mean getting in a car. Plan visits around that.

Residents have access to rehabilitation services, respite stays for caregivers who need a break, and staffing that covers all 24 hours. Total nursing care runs about 5 hours and 17 minutes per resident each day, with licensed practical nurses adding close to an hour of that. Wellness programming, dining, concierge and salon services, housekeeping, and transportation fill out the day. An emergency call system runs around the clock.

State inspections have focused on standard operational ground: medication management, infection prevention, and fire-safety systems, rather than direct resident care. Medicare and private pay are both accepted here. The place suits an older adult who needs rehabilitation-minded care and steady daily help, and whose family does not mind a quieter building with beds to spare.

Contact Homestead Hills Assisted Living

The Shaire Center

1450 Shaire Center Drive Lenoir, Nc 28645, Lenoir, NC 28645
Overview of The Shaire Center

At 1450 Shaire Center Drive in Lenoir, Caldwell County, The Shaire Center runs an 82-bed operation that combines nursing home, assisted living, memory care, and skilled nursing under one roof. The surrounding part of Lenoir scores 76 on the Walk Score index, high enough that most errands don’t require a car.

Rehabilitation services and a doctor on staff cover the medical side of daily operations. A dedicated memory care unit sits alongside hospice services, discharge planning, and care planning, the kind of structure that matters for residents whose needs shift between short-term recovery and longer-term support.

Nursing coverage averages 4 hours and 49 minutes per resident each day, drawn from registered nurses, nurse aides, and licensed practical nurses working in combination. Medicaid, Medicare, and private pay are all accepted, which widens the field of families who can plan around the cost of a stay.

Inspections of The Shaire Center have touched on medication management, staffing and staff credentials, and resident rights and protections. Between the rehab services, the memory care unit, and the hospice and discharge planning on offer, the facility is built for residents moving through different stages of care rather than staying in one lane.

Contact The Shaire Center

Overview of Brookdale Meadowmont

Live your best life at Brookdale Meadowmont, a peaceful senior living community in Chapel Hill, NC, offering assisted living and memory care. The community provides the ideal blend of support and independence, where residents can enjoy various activities such as board games, live music, fitness classes, and social outings. Memory care residents benefit from specialized programs, including chair exercises, trivia games, and arts and crafts, all designed to enhance their quality of life.

Brookdale Meadowmont empowers seniors to live purposefully and age gracefully. The community offers a continuum of care, allowing residents to transition seamlessly as their needs change. With private apartments, cozy common areas, and 24/7 on-site assistance, Brookdale Meadowmont ensures a secure and comfortable living experience. Personalized care assessments on arrival ensure residents receive the support they need, making this community a place where seniors can truly thrive.

Contact Brookdale Meadowmont

Overview of Our Promise Care Homes at Falls Church

Nestled in the neighborhood of Raleigh, NC, Our Promise Care Homes at Falls Church is an oasis for those in need of assisted living. Helping residents maintain their independence and well-being, the community offers round-the-clock assistance with daily living activities. With its customized care plans and intimate setting, residents here enjoy focused care that’s tailored to their needs.

Dedicated to creating a vibrant environment, the community offers an array of inspiring and stimulating activities regularly. Meals here are nutritious and healthy to satisfy both residents’ nutritional needs and cravings. With its welcoming atmosphere and kind care team, the community makes a great place for enjoying your golden years to the fullest.

Contact Our Promise Care Homes at Falls Church

Overview of Carolina Inn at Village Green

Carolina Inn at Village Green is a 100-bed assisted living community at 400 Forsythe Street in Fayetteville, North Carolina. The facility occupies a three-story building and offers one-bedroom and two-bedroom units. Walk Score puts the location at 60, which means it is moderately walkable, with some nearby amenities accessible on foot.

The community provides respite care, 24-hour staffing, 24-hour security and maintenance, medication management and monitoring, and memory care support. Meals are prepared on-site. An activity calendar structures programming throughout the week, supported by two designated services: Dine with Us and a news program.

Inspection records show significant recurring themes. Staffing qualifications, food service execution, medication administration, and infection control have been consistent areas of documented concern. The facility’s history includes repeated failures in therapeutic diet adherence and food service cleanliness spanning multiple years. Earlier surveys documented building maintenance, fire safety, and door-latching code violations, with only partial remediation; some issues persisted in follow-up inspections.

Carolina Inn operates a moderately scaled assisted living community oriented toward residents with memory care needs. The inspection history suggests meaningful compliance gaps in critical operational areas; food safety and medication handling stand out, paired with building-system and safety-code issues that required repeated follow-up.

This is a facility where structural and procedural adherence has been uneven, and the historical data suggests ambiguity regarding the effectiveness of recent corrective measures.

Contact Carolina Inn at Village Green

Brookdale Reidsville

2931 Vance Street Extension, Reidsville, NC 27320
Overview of Brookdale Reidsville

Maintain social relationships and friendships at Brookdale Reidsville, an inviting senior living community in Reidsville, NC, offering assisted living and memory care. Here, residents enjoy spacious common areas or settle down in their cozy, pet-friendly apartments, equipped with plenty of natural light and modern conveniences. Residents can forgo tiresome chores with a dedicated team that provides assistance with daily living activities and housekeeping, and a culinary team that serves nutritious meals.

Life at Brookdale Reidsville means a brimming calendar of activities for both assisted living and memory care residents, including exercise programs, resident-led clubs, live music, frequent off-site excursions, brain games, and crafts. Residents also enjoy full-access to various amenities, including a barbershop, a library, a community kitchen, and a porch, where they can bask in the sun and fresh air. With compassionate and comprehensive care and a dedicated team available 24/7, residents are guaranteed a secure and comfortable living environment.

Contact Brookdale Reidsville

Terrabella Lake Norman

140 Carriage Club Dr, Mooresville, NC 28117
Overview of Terrabella Lake Norman

Terrabella Lake Norman is a senior living community in Mooresville, North Carolina, offering independent living, assisted living, and memory care on a single campus. That continuum matters for families planning ahead, because a resident whose needs change over time can often move between levels of care without leaving the community or the staff they know. The community is led by Executive Director Dee Medlin.

The two-story building holds 120 beds and includes a dedicated Special Care Unit for memory care residents. Housing options range from suites to one and two bedroom apartments, so couples and residents who want more room have real choices. The community currently runs at full occupancy, which speaks to steady local demand and is worth factoring into timing if you are beginning a search.

Daily life here centers on lifestyle programming built around residents’ interests, chef-prepared meals, and fitness and recreation options. Transportation services help residents get to appointments and errands, and pets are welcome, which is often a deciding factor for someone moving from a long-time home. An emergency alert system supports residents around the clock, and the apartment community and grounds are actively maintained.

State inspections by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, have tended to focus on two areas: clinical documentation practices such as care plan completion, medication records, and admission health screening, along with building systems upkeep including fire safety components and ventilation. Follow-up surveys have confirmed corrections after cited items. Families touring the community may want to ask how care plans are reviewed and updated.

The address on Carriage Club Drive places the community about 3 miles from downtown Mooresville, with Duke Health Lake Norman Hospital roughly the same distance away, a practical consideration for medical appointments and hospital stays. The surrounding neighborhood carries a walk score of 46, meaning a few errands are reachable on foot while most trips call for a car. The setting keeps the small-town character of Mooresville while staying close to the Lake Norman area and its access toward Charlotte.

Contact Terrabella Lake Norman

Overview of Brookdale Carriage Club Providence

Experience an all-encompassing care at Brookdale Carriage Club Providence, an exceptional senior living community in Charlotte, NC, offering comprehensive levels of care and healthcare services. These include independent living, assisted living, and memory care, ensuring that residents receive the support they need while enjoying a fulfilling lifestyle. Here, residents can enjoy gatherings in the elegant, light-filled lobby or savor nutritious meals in the stately dining room. The community features a lakeside porch, a year-round pool, and various activities for relaxation and recreation. At Brookdale Carriage Club Providence, residents have access to a range of supportive services tailored to their needs.

The community offers short-term respite stays, ideal for those needing a temporary break or recovery after surgery. Skilled nursing care is available around the clock, along with physical, occupational, and speech therapy for recovery. For those requiring long-term skilled care, Brookdale provides a comfortable setting with professional nursing services. Additionally, transitional care helps residents transition from hospital to home, and hospice care is available through a network of preferred providers, ensuring consistent, high-quality support.

Contact Brookdale Carriage Club Providence

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.