Page 21 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. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. 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.
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.
Brookdale Weddington Park
AL
Matthews (Providence Plantation)
83
Facility 83
NC AVG 72
Rank #141 / 387
Yes
48
Facility 48
NC AVG 36
Rank #168 / 536
-A+
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
19
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
Private Rooms / 2 Bed
Trinity Elms Health and Rehab
AL
IL
MC
NH
SNF
Clemmons
100
Facility 100
NC AVG 72
Rank #77 / 387
No
26
Facility 26
NC AVG 36
Rank #339 / 536
90.8% ------
Aldersgate
AL
HOS
IL
MC
NH
RC
SNF
Charlotte (Windsor Park)
-No
40
Facility 40
NC AVG 36
Rank #226 / 536
-A+--3
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
1 Bed / 2 Bed
Roxboro Assisted Living
AL
Roxboro
120
Facility 120
NC AVG 72
Rank #35 / 387
No---
81.00/200
Facility 81.00/200
NC AVG 92.2
Rank #293 / 321
23
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
-
East Towne
AL
RC
Charlotte (Windsor Park)
120
Facility 120
NC AVG 72
Rank #35 / 387
No
6
Facility 6
NC AVG 36
Rank #484 / 536
40.0% A+
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
36
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
-
LiveWell at Birchwood Lake Estates
AL
HC
MC
NH
Chapel Hill
6
Facility 6
NC AVG 72
Rank #335 / 387
No- 83.3% A+
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
Private Rooms / Semi-Private Rooms
House of Peace
AL
ADC
MC
RESC
RC
Charlotte
6
Facility 6
NC AVG 72
Rank #335 / 387
No
7
Facility 7
NC AVG 36
Rank #476 / 536
100.0% -
89.50/200
Facility 89.50/200
NC AVG 92.2
Rank #264 / 321
15
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
Private Rooms
Brookdale Chapel Hill
AL
MC
Chapel Hill (Falconbridge)
70
Facility 70
NC AVG 72
Rank #183 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
67.1% -
87.50/200
Facility 87.50/200
NC AVG 92.2
Rank #273 / 321
24
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
Private / Companion Suites
Charter Senior Living of Fox Hollow
AL
MC
RC
Pinehurst
85
Facility 85
NC AVG 72
Rank #132 / 387
Yes
27
Facility 27
NC AVG 36
Rank #336 / 536
80.0% -
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
28
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
Studio / 1 Bed
Liberty Commons
AL
HOS
NH
PC
RC
SNF
Wilmington (Liberty Commons Center)
82
Facility 82
NC AVG 72
Rank #142 / 387
Yes
52
Facility 52
NC AVG 36
Rank #131 / 536
95.4% -----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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Overview of Brookdale Weddington Park

Nestled in Matthews, North Carolina, Brookdale Weddington Park is an inviting senior living community that offers a vibrant assisted living experience where residents can maintain their independence while receiving the support they need. Located in a peaceful residential area near Brace Family YMCA and local amenities, Brookdale’s pet-friendly apartments provide a cozy retreat with easy access to nearby shops and medical facilities. A well-trained team handles household tasks and meal preparation, allowing residents to focus on enjoying their days with a variety of engaging activities.

Residents at Brookdale Weddington Park enjoy a lifestyle enriched by personalized care plans tailored to their unique needs. The community fosters wellness through fitness classes, nutritious dining options, and relaxing spa services. Engaging activities and supportive staff ensure a fulfilling experience, offering peace of mind with 24/7 emergency assistance. Discover a place where independence meets comfort and where each day brings new opportunities for enjoyment and relaxation.

Contact Brookdale Weddington Park

Overview of Trinity Elms Health and Rehab

Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.

Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.

Contact Trinity Elms Health and Rehab

Overview of Aldersgate

Situated along Shamrock Drive, Givens Aldersgate is a life plan community in Charlotte, NC, that offers assisted living, memory care, and skilled nursing. With a 230-acre campus, this 120-bed community provides a variety of accommodations, including private suites for those living with Alzheimer’s and dementia. Daily housekeeping, personal laundry, chef-prepared meals, and personal transportation are also provided to enrich residents’ living experiences. Nursing assistance is also available 24/7, along with physician services, to ensure accessibility of care at all times.

Enrichment activities, gardening, and spiritual support promote holistic wellness and encourage residents to live actively. Physical & speech therapy, as well as medication management, are also provided for residents’ welfare. Its location is also relatively walkable, with a walkability score of 40, indicating that some services can be reached on foot. Currently, the community has 93.8% occupancy, with an average length of stay of 50 days.

Contact Aldersgate

Overview of Roxboro Assisted Living

Roxboro Assisted Living, situated in the quaint beauty of North Carolina, offers seniors an array of services designed to elevate the senior living experience. With in-house physicians, podiatrists, and psychiatrists, this facility ensures residents have access to specialized medical care. The home also features physical, occupational, and speech therapy services delivered by a dedicated and professional team. Beyond medical assistance, the staff serves as companions, fostering meaningful connections and brightening each resident’s day.
Moreover, the close-knit community goes the extra mile to cater to memory care needs, offering a specialized unit that provides constant supervision and personalized support. Medication management and supervision are seamlessly integrated into daily routines, and residents enjoy nourishing three-course meals that delight the palate. The community offers a hair salon and a cozy café as well, providing spaces for relaxation and socialization. With engaging activities and amenities, staying active and engaged becomes second nature in this vibrant senior living community.

Contact Roxboro Assisted Living

East Towne

4815 N Sharon Amity Rd, Charlotte, NC 28205
Overview of East Towne

Discover an exceptional senior living community located in the beautiful neighborhood of Charlotte, NC. The East Towne offers outstanding assisted living and respite care services for its residents. The community provides one-of-a-kind care and support among its residents catering to their individualized needs and interests. Short-term stays are also available for its residents.

Live your best life with its top-of-the-line services and amenities including delightful and health meals in restaurant-style dining, housekeeping and maintenance services, and transportation services. Take time for self-care by visiting its salon and barbershop and its beautifully created patio. Participate in a jampacked calendar of activities intended for recreation, fitness, entertainment, and engagement coordinated by a professional team. At East Towne, seniors can surely acquire a retirement worth remembering.

Contact East Towne

Overview of LiveWell at Birchwood Lake Estates

Nestled within the vibrant landscape of Durham, North Carolina, LiveWell at Birchwood Lake Estates is an esteemed assisted living community. Standing proudly, this assisted living community presents an alternative vision of assisted living within the charming confines of Chapel Hill. Each dwelling within this community is meticulously crafted to exude warmth and hospitality, ensuring an environment that extends its embrace to friends and family alike.

Whether seniors are engaged in a stroll outdoors or savoring a delectable meal, the ethos of LiveWell encourages your presence, inviting you to share in their moments of joy and togetherness. Experience a different kind of assisted living community that redefines the essence of welcome and inclusivity at LiveWell at Birchwood Lake Estates.

Contact LiveWell at Birchwood Lake Estates

Overview of House of Peace

Nestled in the neighborhood of Charlotte, North Carolina, House of Peace is an inviting residential care home, offering various assisted living and memory care services. Residents enjoy their peace of mind with 24-hour supervision from an expert care team and a registered nurse that curates individualized care plans for individual preferences and needs. The community makes sure residents have access to various services, including assistance with daily living activities, medication management, and in-home physician services for a comfortable living experience.

Utilizing a holistic approach to care, the community also offers residents plenty of opportunities for life enrichment through a wide variety of activities, including social activities, horticulture program, recreational activities, and more. Meals and snacks are provided daily with accommodations for special diets for residents’ daily sustenance needs. State-of-the-art amenities, including lush gardens, cozy living areas, and therapeutic spaces are available for a more fulfilling experience.

Contact House of Peace

Brookdale Chapel Hill

2220 Farmington Dr, Chapel Hill, Nc 27517, Unites States
Overview of Brookdale Chapel Hill

With a 70-bed capacity, Brookdale Chapel Hill is an assisted living community in Chapel Hill, NC, that offers personal care and respite care. The community also features private and companion suites in a two-story setting, and is currently operating at 67% occupancy. Licensed nurses and certified nursing assistants are available around the clock to assist with daily activities, medication management, and changing care needs, with monthly rates beginning at $8,510.

This pet-friendly community is in a somewhat walkable neighborhood, with a Walk Score of 35, indicating that some nearby services can be reached on foot, while most outings are more easily accessed by transportation. Moreover, healthy, seasonal meals are served daily, with a private dining room available for family celebrations and special occasions, as well as a snack shop offering additional refreshments throughout the day.

A game room, library, piano, landscaped courtyard and garden, and an on-site beauty and barber shop are among the amenities available on-site, which promote opportunities for recreation, relaxation, and social engagement.

Contact Brookdale Chapel Hill

Overview of Charter Senior Living of Fox Hollow

Nestled in a sunny location that embraces warmth and friendliness, Fox Hollow Senior Living Community is a cozy senior living community in Pinehurst, NC, offering assisted living and memory care options. This community provides residents with studio and one-bedroom apartments tailored to their needs, ensuring a secure and comfortable living space with plenty of privacy. Seniors enjoy vibrant activities, from billiards games to live music around the cozy fireplace, fostering connections and joy.

At Fox Hollow, residents can take advantage of a variety of amenities and programs designed to enhance their daily lives. The community features a beauty salon, movie nights, and engaging exercise classes. With dedicated medical resources, weekly housekeeping, and 24/7 concierge and nursing staff, residents receive personalized support. Lifestyle360 activities and community transportation ensure that there’s always something exciting happening at Fox Hollow.

Contact Charter Senior Living of Fox Hollow

Overview of Liberty Commons

Liberty Commons, a healthcare facility in Wilmington, NC, is dedicated to providing a range of services, including assisted living and skilled nursing services. The accommodation options at Liberty Commons feature spacious private and semi-private suites equipped with amenities such as complimentary WiFi internet, flat-screen TVs with complimentary cable, and in-room refrigerators. The community’s focus on healthcare services extends to assisted living, where residents receive personalized support tailored to their individual needs, including dressing, bathing, and medication reminders.

Liberty Commons offers a variety of amenities to enhance the living experience for residents. In-room dining, outdoor and indoor gathering areas, salon services, and daily housekeeping and laundry services contribute to a comfortable and well-maintained environment. The community ensures convenience with admissions available seven days a week. Residents also engage in social activities, fostering a sense of community and connection. Liberty Commons stands as a healthcare facility committed to providing not only essential services but also a supportive and engaging living experience for its residents.

Contact Liberty Commons

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.