Page 20 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. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. 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.
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.
Grand Villa Assisted Living at Winston
AL
MC
Winston-Salem (Swaimtown)
142
Facility 142
NC AVG 72
Rank #14 / 387
No
11
Facility 11
NC AVG 36
Rank #449 / 536
---
43.75/200
Facility 43.75/200
NC AVG 92.2
Rank #304 / 321
68
94%
Facility 94%
NC AVG 76.2%
Rank #313 / 333
Yes, Pets Allowed
Hearts of Gold Family Care LLC
AL
Knightdale
6
Facility 6
NC AVG 72
Rank #335 / 387
No
36
Facility 36
NC AVG 36
Rank #254 / 536
--
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
11
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
Private / Shared Rooms
Deerfield Ridge
AL
MC
Boone
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
7
Facility 7
NC AVG 36
Rank #476 / 536
28.1% A+
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
18
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
Studio / Suite
The Addison of Indian Trail
AL
MC
Monroe
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes- 22.9% -
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
21
90%
Facility 90%
NC AVG 76.2%
Rank #294 / 333
Suite / 1 Bed
Springdaile Assisted Living
AL
Durham (Grove Park)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
3
Facility 3
NC AVG 36
Rank #515 / 536
--
98.00/200
Facility 98.00/200
NC AVG 92.2
Rank #181 / 321
6
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Champions Assisted Living at the Davis Community
AL
IL
MC
NH
RC
SNF
Wilmington
115
Facility 115
NC AVG 72
Rank #53 / 387
Yes
6
Facility 6
NC AVG 36
Rank #484 / 536
93.9% -----1 Bed / 2 Bed
Sunrise at North Hills
AL
HOS
MC
Raleigh (North Raleigh)
160
Facility 160
NC AVG 72
Rank #9 / 387
Yes
68
Facility 68
NC AVG 36
Rank #35 / 536
-A-
97.50/200
Facility 97.50/200
NC AVG 92.2
Rank #185 / 321
21
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
Studio / 1 Bed / 2 Bed
Livewell @ Hope Valley (Durham)
AL
HC
MC
Durham (Hope Valley)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes---
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
5
40%
Facility 40%
NC AVG 76.2%
Rank #15 / 333
-
Care Home Corporation DBA LiveWell
AL
HC
HOS
Chapel Hill
6
Facility 6
NC AVG 72
Rank #335 / 387
No---
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
21
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
-
Cadence Senior Living at Mint Hill by Cogir
AL
MC
Mint Hill
84
Facility 84
NC AVG 72
Rank #135 / 387
Yes
36
Facility 36
NC AVG 36
Rank #254 / 536
42.9% -
100.50/200
Facility 100.50/200
NC AVG 92.2
Rank #130 / 321
16
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Suite / Studio / 1 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.

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Overview of Grand Villa Assisted Living at Winston

Live a vibrant life with Grand Villa Assisted Living at Winston, a charming senior living community, based in Winston-Salem, NC, offering assisted living and memory care services. The community ensures residents live a comfortable life with the help of a professional trained team and an on-call registered nurse trained to provide various care and support. Residents are also offered access to physical, occupational, and speech therapies, along with in-house physicians, podiatrists, & psychiatrists for other services that residents may need.

Committed to delivering a nurturing environment that empowers residents to live well, the community offers an array of amenities and services designed to ensure quality living and a healthy lifestyle. A variety of activities and exercise opportunities are provided to help residents stay active and engaged. Three course meals are also provided to ensure residents always eat healthy and on time.

Contact Grand Villa Assisted Living at Winston

Hearts of Gold Family Care LLC

1004 Edenburghs Keep Dr, Knightdale, NC 27545
Overview of Hearts of Gold Family Care

Age without worries at Hearts of Gold Family Care, a distinct community in Knightdale, NC, offering assisted living. Here, residents enjoy a worry-free lifestyle with a compassionate and highly trained team providing exceptional care tailored to their daily living activities around the clock. Light housekeeping of its specially designed and secure accommodations is also taken care of, ensuring residents feel at ease during their stay.

Dedicated to residents’ happiness and wellness, a fun-filled calendar of activities is conducted based on their interests and capabilities. There’s no need to worry about meals, with delightful and healthy dining options served to satisfy residents’ dietary needs and preferences. Medication administration is also provided for convenience. The community is a good option for those needing assistance to live comfortably in retirement, especially with its exceptional services and well-maintained amenities.

Contact Hearts of Gold Family Care LLC

Overview of Deerfield Ridge

Experience an exceptional stay with Deerfield Ridge located in Boone, NC. This prominent senior living community offers assisted living and memory care services. Here, residents can choose from a wide array of cozy and spacious accommodations ranging from private studios to shared suites. With its expert and compassionate team, this community offers a cutting-edge memory care program named Pathways to Discovery that is thoughtfully designed for those with cognitive conditions. This community also renders an emergency response system and 24/7 personalized care services.

With its excellent amenities and services, residents can enjoy delectable meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Engage in diverse social activities and community events. At Deerfield Ridge, seniors can surely achieve an empowering retirement.

Contact Deerfield Ridge

Overview of The Addison of Indian Trail

Peacefully burrowed in Monroe, NC, The Addison of Indian Trail is a warm and welcoming senior living community focused on providing exceptional Assisted Living, Memory Care, and Short Term Care services. Residents enjoy an engaging lifestyle filled with care, friendliness, and comfort with carefully built accommodations. With a compassionate team, personalized care plans, and licensed nursing team available 24/7, residents receive the highest quality care to meet their individual needs.

The community is dedicated to maintaining residents’ independence and creating opportunities for them to thrive with a variety of amenities and programs designed to foster choice and connection. Residents can enjoy a beauty and barber shop, lovely dining areas, stimulating programming and events, a card room, and a courtyard with a shaded walking path. Other amenities include spacious community rooms, guest parking, complimentary Wi-Fi, and a pet-friendly environment. The community ensures comfort and safety with an emergency call response system and individually controlled heat and air.

Contact The Addison of Indian Trail

Overview of Springdaile Assisted Living

Overlooking the neighborhood of Durham, NC, Springdaile Assisted Living is a compassionate senior living community, offering premiere assisted living services. Residents here receive excellent, all-inclusive care in a safe and comfortable environment that fosters independence and autonomy. A team of compassionate, qualified caregivers are always available to provide residents with various services and assistance with their daily living activities or anything they may need help with.

The community recognizes that residents’ needs and preferences are as unique as them. Hence, they offer personalized care services curated to their individual needs and care goals. Here, residents are provided with a family-like environment of like-minded individuals who share the same enthusiasm for living vibrantly and actively. With skilled professionals, a nurturing environment, and all-encompassing care, residents here are guaranteed to flourish and thrive.

Contact Springdaile Assisted Living

Overview of Champions Assisted Living at the Davis Community

Champions Assisted Living, located within The Davis Communities in Wilmington, NC, is a senior living community specifically designed for The Davies Communities’ residents living with Alzheimer’s and other forms of dementia. They provide assisted living services along with memory care, in their one-to-two bedroom units equipped with living area, ample closet space, kitchenette, and private bathroom. As part of their assisted living services, the residents are provided round-the-clock availability of staff for supervision and assistance, diabetic care, medication management, and monthly wellness checkup, as well as therapy services.

The residents of Champions Assisted Living are also able to enjoy a myriad of amenities they offer including meal preparation services and dining options within the community, assistance with daily living activities, mobility and transportation assistance, access to fitness rooms and pool, and grooming services at the salon and spa. Being conveniently situated within the Davis Communities, Champions Assisted Living Services are also provided access to their auditorium, club room, and art studio. Lastly, they offer laundry and housekeeping services, to ensure the overall comfort of their residents’ stay.

Contact Champions Assisted Living at the Davis Community

Overview of Sunrise at North Hills

Sunrise at North Hills is a full-service senior living community located in a convenient Raleigh, North Carolina location, helping residents enjoy excursions to popular local destinations as well as a variety of amenities and curated programs. The community offers room rates starting at $3,891 per month and welcomes residents into a loving, compassionate environment, working closely with each individual to develop a tailored plan that helps sustain their independence and autonomy. Sunrise at North Hills measures success by residents’ happiness, health, and safety, providing access to a comprehensive schedule of on-site activities designed to keep their mind, body, and spirit engaged, while also organizing frequent outings to popular local destinations, including shopping centers, restaurants, and movie theaters.

The community boasts a variety of amenities, such as a TV lounge with a fireplace, a physical therapy room, and putting green, as well as a range of floor plans, including studios, one-bedroom, two-room, and companion suites, allowing residents to express their style. Sunrise at North Hills offers engaging activities that exercise the mind with Cranium Crunches, the body with weight lifting, and the spirit with meditation, while the team of experts is frequently consulted by journalists for insights on senior care, assisted living, and memory care. Located in Raleigh, NC, on Spring Forest Road between Falls of Neuse Road and Six Forks Road, the community provides easy access to Raleigh’s more than 40 historic attractions and museums, diverse performing arts and music scene, and medical support at nearby hospitals, including WakeMed Raleigh Hospital, Duke Raleigh Hospital, and Rex Hospital.

Contact Sunrise at North Hills

Overview of Livewell @ Hope Valley (durham)

LiveWell at Hope Valley is a prominent senior living provider in Durham, North Carolina, dedicated to fostering happiness throughout aging. This establishment extends Assisted Living and Memory Care services to its esteemed senior residents.

Notably, LiveWell Cares is the sole elder care service provider in North Carolina to offer a comprehensive range of solutions, encompassing both Home Care and Care Home options.

Contact Livewell @ Hope Valley (Durham)

Overview of Care Home Corporation DBA LiveWell

Located in the neighborhood of Chapel Hill, NC, Care Home Corporation DBA LiveWell is a well-established senior living community that specializes in both assisted living & memory care options. Boasting a 1:3 staff-to-resident ratio, the community ensures its residents are offered truly personalized care and focused attention for a comfortable living experience. The community also ensures its team of caregivers undergo extensive training and continuing education programs to keep their skills and knowledge updated.

Residents are also given private accommodations that foster an intimate atmosphere and more personal connections among residents and caregivers. Every residence is equipped with modern safety features to ensure residents are comfortable and safe within their living environment. With its custom care solutions, welcoming environment, and dependable care team, Care Home Corporation DBA LiveWell guarantees its residents a comfortable retirement experience.

Contact Care Home Corporation DBA LiveWell

Overview of Cadence Senior Living at Mint Hill by Cogir

Located in the serene neighborhood of Margaret Wallace Road, Mint Hill, NC, Cadence Senior Living at Mint Hill by Cogir is a renowned senior living community offering assisted living and memory care. Promising unmatched relaxation and safety, the community features snug and sophisticated residences including private and companion studios and one-bedroom apartments. Thrive and optimize freedom with a reliable and highly skilled team taking care of your needs and aspirations.

Live every moment fiercely and cherish experiences along the way with engaging activities and energizing programs conducted for leisure and wellness. The community focuses on the strengths and interests of the residents to ensure they feel welcomed. Eat good and feel good with healthy and tasty meals for dietary satisfaction. Cadence Senior Living at Mint Hill by Cogir doubles its efforts to provide a safe place for seniors to enjoy their golden years fabulously with stunning and convenient amenities.

Contact Cadence Senior Living at Mint Hill by Cogir

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.