Page 20 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 403 assisted living communities in NC using NC Dept. of Health & Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
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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.
403 homes
Other senior care options in North Carolina:

Compare Assisted Living around North Carolina

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

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

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. 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.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
The Addison of Lincolnton
AL
MC
Lincolnton
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
21
Facility 21
NC AVG 34
Rank #246 / 373
-
82.00/200
Facility 82.00/200
NC AVG 92.7
Rank #266 / 291
-12
92%
Facility 92%
NC AVG 64.9%
Rank #90 / 301
Suite / 1 Bed
Homestead Hills Assisted Living
AL
IL
MC
NH
SNF
Winston-Salem
66
Facility 66
NC AVG 70
Rank #171 / 328
Yes
20
Facility 20
NC AVG 34
Rank #251 / 373
30.3%
Facility 30.3%
NC AVG 68.5%
Rank #167 / 186
82.00/200
Facility 82.00/200
NC AVG 92.7
Rank #31 / 291
?13
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Our Promise Care Homes At Lake Boone Trail
AL
RESC
Raleigh (Dairyland)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
40
Facility 40
NC AVG 34
Rank #140 / 373
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A+3
0%
Facility 0%
NC AVG 64.9%
Rank #9 / 301
Private Rooms
Sandy Ridge Assisted Living
AL
MC
Candor
120
Facility 120
NC AVG 70
Rank #26 / 328
No
32
Facility 32
NC AVG 34
Rank #186 / 373
-
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
A+7
0%
Facility 0%
NC AVG 64.9%
Rank #22 / 301
-
Carolina Reserve of Laurel Park
AL
Hendersonville
48
Facility 48
NC AVG 70
Rank #253 / 328
Yes
34
Facility 34
NC AVG 34
Rank #177 / 373
-
91.50/200
Facility 91.50/200
NC AVG 92.7
Rank #227 / 291
A-17
59%
Facility 59%
NC AVG 64.9%
Rank #36 / 301
Studio / 1 Bed
Our Promise Care Homes at Durham
AL
RESC
Durham
6
Facility 6
NC AVG 70
Rank #278 / 328
No
19
Facility 19
NC AVG 34
Rank #257 / 373
-
103.00/200
Facility 103.00/200
NC AVG 92.7
Rank #64 / 291
A-9
44%
Facility 44%
NC AVG 64.9%
Rank #126 / 301
Private Rooms
Brookdale Lenoir
AL
Lenoir (Powell Road Northeast)
82
Facility 82
NC AVG 70
Rank #118 / 328
Yes
28
Facility 28
NC AVG 34
Rank #212 / 373
-
97.75/200
Facility 97.75/200
NC AVG 92.7
Rank #227 / 291
A-16
69%
Facility 69%
NC AVG 64.9%
Rank #126 / 301
Studio / Suite
The Brownstone
AL
MC
RESC
Charlotte (Stonehaven)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
2
Facility 2
NC AVG 34
Rank #365 / 373
-
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
B+6
50%
Facility 50%
NC AVG 64.9%
Rank #126 / 301
Private Rooms
Brookdale Asheboro
AL
MC
Asheboro (North Asheboro)
76
Facility 76
NC AVG 70
Rank #141 / 328
Yes
11
Facility 11
NC AVG 34
Rank #304 / 373
-
95.00/200
Facility 95.00/200
NC AVG 92.7
Rank #200 / 291
B+14
64%
Facility 64%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Cross Road Retirement Community
AL
IL
MC
Asheboro
152
Facility 152
NC AVG 70
Rank #7 / 328
No-
55.3%
Facility 55.3%
NC AVG 68.5%
Rank #128 / 186
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
B+15
47%
Facility 47%
NC AVG 64.9%
Rank #126 / 301
-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NC assisted living community we track that reports that metric, not just the 403 on this page. See how we rank facilities

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Overview of The Addison of Lincolnton

Overlooking Lincolnton, NC, The Addison of Lincolnton is a premier senior living community that offers Assisted Living, Memory Care, and Short Term Care services. The community is dedicated to providing attentive care in a warm and inviting environment, making it an ideal home for local seniors. Residents can enjoy a variety of activities, from socializing with friends and participating in planned social activities to relaxing in their private apartments. The beautiful surroundings and vibrant community atmosphere create a welcoming space for seniors to thrive.

The Addison of Lincolnton offers an array of amenities designed to enhance the residents’ quality of life. With features like a beauty and barber shop, main and private dining rooms, and a pet-friendly, smoke-free environment, residents have everything they need for comfortable living. Outdoor enthusiasts can enjoy the walking path, outdoor patio area, and courtyard. The dedicated culinary team ensures that all meals are delicious and nutritious, served in a restaurant-style dining room where residents can connect with their neighbors and loved ones.

Contact The Addison of Lincolnton

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 offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Winston-Salem, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication. Memory care is provided in a secured setting with supervision, and nursing home and skilled nursing care provide licensed nursing on site around the clock.

Several care levels allow a resident whose needs grow to move between types of care without leaving the community or starting over socially. Respite care offers short stays when a family caregiver needs to travel or recover, so the community may be a good fit for households planning for changing care needs or a temporary caregiving gap. The community has 66 beds, with 5 hours and 57 minutes of nurse staffing per resident per day, representing the daily hands-on nurse time allocated to each resident.

Medicare and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, while private pay means the cost is paid directly rather than through a listed benefit. Residents have access to a pool, on-site salon services for personal grooming, transportation services, and rehabilitation services. Dining uses a menu system similar to fine dining restaurants and offers flexible dining options, allowing residents to select menu-based meals. Pets are allowed, and Sandra Lebeau-Davis serves as director.

Contact Homestead Hills Assisted Living

Overview of Our Promise Care Homes at Lake Boone Trail

Peacefully located in Raleigh, NC, Our Promise Care Homes at Lake Boone Trail is a safe retreat for those who need assisted living. Residents here are offered assistance with their daily activities to help them enjoy the lifestyle they want. Designed to accommodate only six residents, the community guarantees truly personalized and focused care.

Caregivers are available 24 hours a day, 7 days a week to care for residents, alongside in-house doctor visits to keep their health in check. Residents here are motivated to stay active and socialize with the community’s dynamic activities. Nutritionally balanced meals are also served daily to ensure residents are always filled with energy to enjoy a vibrant living experience.

Contact Our Promise Care Homes At Lake Boone Trail

Sandy Ridge Assisted Living

326 Bowman Road Candor, Nc 27229, Candor, NC 27229
Overview of Sandy Ridge Assisted Living

Sandy Ridge Assisted Living, in Candor, NC, names assisted living and memory care. Assisted living steps in for medication, dressing, and bathing. Memory care supervises residents inside a secured setting when dementia creates a wandering risk family’s need help preventing.

Two levels under the one license here mean residents needing the heightened level of care later won’t need a different address for it. The licensed count here is 120 beds. Respite care is also available; it’s a short stay taken while a family caregiver needs to travel or get over a recovery of their own. Rehabilitation services here put therapy inside the care a resident is already receiving.

A doctor on staff covers any need for physician care within the community. A salon is on the amenity list for grooming needs.

Medicaid and Medicare are both accepted; Medicaid matters when savings won’t carry a long stay, and Medicare for paying the cost of a short course of skilled care.

At 32, the Walk Score means the area is car-dependent.

Contact Sandy Ridge Assisted Living

Overview of Carolina Reserve of Laurel Park

Situated in the welcoming community of Hendersonville, NC, the Carolina Reserve of Laurel Park is a peculiar senior living community that provides assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations based on their needs or preferences. Having a highly skilled and dedicated team, this community offers an emergency response system and round-the-clock personalized care services.

Committed to providing exceptional amenities and other services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and social events. With the Carolina Reserve of Laurel Park, seniors can truly enjoy a glorious retirement.

Contact Carolina Reserve of Laurel Park

Overview of Our Promise Care Homes at Durham

Surrounded by trees in Bay Point Drive, Durham, NC, Our Promise Care Homes at Durham is a distinct community that focuses on assisted living. The community goes above and beyond to provide a haven for up to six residents while providing them with top-tier care and support around the clock to live their daily lives without hassles. With a dedicated and highly trained team, residents can rest their worries knowing a trusted community has their backs.

Enjoy a jam-packed calendar of enriching activities and stimulating programs to maintain a blissful and healthy lifestyle. Have hassle-free dining with nutritious and delightful home-cooked meals that cater to dietary needs and tastes. Physical, occupational, and physical therapy are also provided alongside in-house physician visits to ensure residents get better to gain meaningful experiences in their golden years.

Contact Our Promise Care Homes at Durham

Overview of Brookdale Lenoir

Nestled in the foothills of the Blue Ridge Mountains, Brookdale Lenoir offers assisted living accommodations in historic Lenoir, North Carolina. This exclusive senior living community provides a unique kind of independence, allowing residents to trade everyday stress and hassles for a full schedule of engaging activities. With its prime location near restaurants, shopping, banks, and physicians’ offices, Brookdale Lenoir ensures a vibrant and fulfilling lifestyle for its residents.

Brookdale Lenoir balances independence with personalized care, offering services like medication management, assistance with bathing and dressing, and coordination with healthcare providers. Residents can enjoy delicious, healthy meals in a restaurant-style dining room and benefit from amenities such as a wellness center, cafe, bistro, community kitchen, and walking paths. Apartment options include spacious two-bedroom suites with ample storage and natural light. The community is pet-friendly, adding to the welcoming atmosphere.

Starting Price $4,905/Month

Contact Brookdale Lenoir

Overview of The Brownstone

Nestled in the tranquil area of Charlotte, NC, The Brownstone is a cozy and secure haven for those seeking compassionate assisted living services. Their bright and spacious accommodations provide residents with a relaxing environment where they can receive 24/7 supervision, daily living assistance, and access to a range of healthcare services on-site. Those living with memory conditions also have access to personalized memory enrichment activities tailored to their individual abilities and in slowing cognitive decline.

Their campus is equipped with advanced safety features, emergency systems, visual cues, and wheelchair-accessible ramps to ensure residents feel safe and secure in their surroundings. They also ensure residents’ meals are tailored to their nutritional needs and approved by a registered dietician. With relaxing common areas, fun celebrations, and exciting events, residents find plenty of opportunities to celebrate life and make meaningful connections that last.

Contact The Brownstone

Overview of Brookdale Asheboro

Brookdale Asheboro in Asheboro, North Carolina, offers both assisted living and memory care services tailored to the unique needs of its residents. In this inviting community, seniors can enjoy a variety of engaging activities, from joining a walking group to attending movie nights with friends. With the support of dedicated caregivers, residents can focus on fun and fulfilling experiences while receiving assistance with daily tasks such as personal grooming, medication management, and household chores.

Brookdale Asheboro aims to promote independence and enrich the lives of its residents through personalized care and vibrant social programs. Amenities include an emergency alert system, transportation, a beauty/barber shop, and beautifully landscaped grounds featuring a courtyard, garden, and walking paths. With a range of activities like B-Fit exercise programs, crafts, devotional services, and social outings, Brookdale Asheboro ensures that residents have plenty of opportunities to enjoy life to the fullest in a supportive and engaging environment.

$4,745/Month

Contact Brookdale Asheboro

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

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
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Assisted Living in North Carolina at a glance

Avg Monthly Cost: $6,747The average monthly cost across facilities in North Carolina. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 34/ 100The average Walk Score across facilities in North Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 70The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90
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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 403 assisted living facilities in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in North Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in North Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.