Page 21 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. 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. 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.
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.
Edenton House
AL
MC
RC
Edenton
60
Facility 60
NC AVG 70
Rank #200 / 328
No
62
Facility 62
NC AVG 34
Rank #35 / 373
-
92.00/200
Facility 92.00/200
NC AVG 92.7
Rank #95 / 291
A-12
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Prestwick Village
AL
RC
Laurinburg
100
Facility 100
NC AVG 70
Rank #61 / 328
No
58
Facility 58
NC AVG 34
Rank #58 / 373
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A-11
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Landings of Swansboro
AL
MC
Swansboro
80
Facility 80
NC AVG 70
Rank #126 / 328
No
48
Facility 48
NC AVG 34
Rank #106 / 373
32.5%
Facility 32.5%
NC AVG 68.5%
Rank #165 / 186
65.75/200
Facility 65.75/200
NC AVG 92.7
Rank #278 / 291
C9
67%
Facility 67%
NC AVG 64.9%
Rank #22 / 301
-
Grand Villa Assisted Living at Winston
AL
MC
Winston-Salem (Swaimtown)
142
Facility 142
NC AVG 70
Rank #9 / 328
No
11
Facility 11
NC AVG 34
Rank #304 / 373
-
99.00/200
Facility 99.00/200
NC AVG 92.7
Rank #277 / 291
D-36
89%
Facility 89%
NC AVG 64.9%
Rank #126 / 301
Yes, Pets Allowed
Four Oaks Senior Living
AL
MC
RC
Four Oaks
96
Facility 96
NC AVG 70
Rank #70 / 328
No
53
Facility 53
NC AVG 34
Rank #81 / 373
66.7%
Facility 66.7%
NC AVG 68.5%
Rank #106 / 186
85.25/200
Facility 85.25/200
NC AVG 92.7
Rank #257 / 291
D-15
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Bridges on Parkview
AL
MC
RC
Henderson
86
Facility 86
NC AVG 70
Rank #105 / 328
No
47
Facility 47
NC AVG 34
Rank #111 / 373
66.3%
Facility 66.3%
NC AVG 68.5%
Rank #111 / 186
50.50/200
Facility 50.50/200
NC AVG 92.7
Rank #278 / 291
D-5
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Holly Springs Senior Living
AL
HOS
MC
RC
Holly Springs (Holly Heights)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
51
Facility 51
NC AVG 34
Rank #86 / 373
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
?1
0%
Facility 0%
NC AVG 64.9%
Rank #1 / 301
Private Rooms
Autumn Care of Statesville
AL
HOS
MC
NH
RC
SNF
Statesville (Eastfield Estates)
103
Facility 103
NC AVG 70
Rank #58 / 328
No
34
Facility 34
NC AVG 34
Rank #177 / 373
94.6%
Facility 94.6%
NC AVG 68.5%
Rank #37 / 186
--B4
75%
Facility 75%
NC AVG 64.9%
Rank #22 / 301
-
Peak Resources Charlotte
AL
HOS
IL
MC
NH
RC
SNF
Charlotte (Country Club Heights)
142
Facility 142
NC AVG 70
Rank #9 / 328
No
64
Facility 64
NC AVG 34
Rank #28 / 373
83.8%
Facility 83.8%
NC AVG 68.5%
Rank #63 / 186
--C+6
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Magnolia Gardens
AL
MC
RC
Southern Pines
110
Facility 110
NC AVG 70
Rank #47 / 328
No
10
Facility 10
NC AVG 34
Rank #309 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
B-15
100%
Facility 100%
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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Edenton House

323 Medical Arts Drive Edenton, Nc 27932, Edenton, NC 27932
Overview of Edenton House

Edenton House offers assisted living, memory care, and respite care in Edenton, NC. Assisted living includes help with daily activities, while memory care provides a secured setting with supervision. Respite care offers a short-term stay when someone’s usual caregiver needs to travel or recover. The combination may suit a resident who needs daily support, memory-related supervision, or temporary care.

Edenton House has 60 beds. On-site therapy means residents can receive therapy within the community instead of arranging transportation elsewhere, and on-site pharmacy services support access to pharmacy care where they live. Restaurant-style dining includes meals prepared to meet dietary needs. Transportation services can help residents attend appointments or complete errands.

The community accepts Medicaid, giving families a way to pay for care when a resident qualifies for that coverage. A Walk Score of 62 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may still be able to complete select nearby errands independently. James R. serves as the director.

Contact Edenton House

Prestwick Village

1000 Johns Road Laurinburg, Nc 28352, Laurinburg, NC 28352
Overview of Prestwick Village

Prestwick Village in Laurinburg, North Carolina, offers assisted living alongside short-term respite options and a dedicated Secured Living program. Staff members stay on duty 24 hours a day to help residents with daily routines and specialized care needs. Physical, occupational, or speech therapy programs operate directly on site, eliminating the hassle of organizing outside travel for therapy appointments.

A 100-bed facility, the community features restaurant-style dining tailored to dietary preferences and an in-house pharmacy service for convenient medication fulfillment. Medicaid options are accepted to help offset long-term care costs. Outside, a walk score of 58 indicates a somewhat walkable neighborhood where residents who prefer walking can access select nearby businesses on foot.

Interested individuals exploring care arrangements or temporary relief for a primary caregiver can contact Prestwick Village to review program options or set up a private visit.

Contact Prestwick Village

The Landings of Swansboro

280 Swansboro Loop Road Swansboro, Nc 28584, Swansboro, NC 28584
Overview of The Landings of Swansboro

The Landings of Swansboro in Swansboro, North Carolina, delivers assisted living and memory care solutions tailored to individual needs. Residents in assisted living receive support with medication management, bathing, and dressing while maintaining private living spaces. A dedicated memory care wing provides a secure environment designed to keep individuals with Alzheimer’s disease or dementia safe from wandering.

This 80-bed facility accepts Medicaid payment options to help cover extended care expenses. Dining services feature restaurant-style meals tailored to specific dietary requirements. Common areas include a library, an entertainment room, and landscaped outdoor spaces, alongside dedicated transportation options that make up for the surrounding area’s car-dependent location.

Families seeking tailored personal care or specialized dementia support can contact The Landings of Swansboro to request details on room availability, payment options, or scheduled tours.

Contact The Landings of Swansboro

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

Four Oaks Senior Living

565 Boyette Road Four Oaks, Nc 27524, Four Oaks, NC 27524
Overview of Four Oaks Senior Living

Four Oaks Senior Living has three care types in Four Oaks, NC. They are assisted living, memory care, and respite care. The assisted living side helps with medication, dressing, and bathing. Memory care adds staff supervision and secures the setting for someone liable to wander.

Those first two together are for someone whose needs are likely to deepen. Respite is a third level, and one that works differently, covering a short stay taken while the family’s caregiver deals with their own affairs, without anybody committing to a permanent move.

Ninety-six beds are licensed, and Medicaid gives another way to pay once personal savings run short. A library counts among the amenities. At 53, the Walk Score keeps a few nearby destinations within a walk for a non-driver.

Contact Four Oaks Senior Living

The Bridges on Parkview

105 W Parkview Dr Henderson, Nc 27536, Henderson, NC 27536
Overview of The Bridges on Parkview

Located in Henderson, NC, The Bridges on Parkview provides assisted living, memory care, and respite care. With a secure environment, the community accommodates older adults with Alzheimer’s and other forms of dementia and provides specialized care. Aside from assistance with daily tasks, support for household chores is also provided, including housekeeping and dining.

The community has 86 beds, with occupancy at 66.3%. Moreover, short-term stays are welcome through respite care, allowing usual caregivers to rest or spend time away. Medicaid is accepted, giving families another payment option when personal savings may not cover a long stay.

Furthermore, restaurant-style dining includes balanced meals prepared to meet dietary needs, so residents with special diets can receive food prepared for those requirements. A Walk Score of 47 places the area in a car-dependent setting, meaning most errands require a car or a transportation service. The community’s transportation services also provide an option for trips off-site when residents do not drive themselves.

Contact The Bridges on Parkview

Overview of Holly Springs Senior Living

Holly Springs Senior Living is an outstanding senior care community in Holly Springs, NC, that offers a wide range of care options, including memory care, assisted living, hospice care, and respite care. Dedicated to older adults’ peace of mind, the community strives to promote a home-like environment with its well-thought-out living spaces. Home-cooked meals, recreational activities, and a fire safety system are provided to enrich residents’ living experiences. With personalized care plans, the community strives to meet residents’ healthcare needs.

Fun social events, light exercises, and engaging programs provide residents with more opportunities to interact with their peers and try out new things. A family-style dining area, naturally lit communal spaces, and a spacious outdoor area also accompany residents during their stay. With serene parks and the UNC Rex Hospital nearby, residents have convenient access to their leisure and healthcare needs. As one of North Carolina’s finest senior living communities, this care home provides the highest quality of care for older adults to thrive in retirement.

Contact Holly Springs Senior Living

Overview of Autumn Care of Statesville

Recognized as the leading center for short-term rehabilitation, long-term skilled nursing care, and respite care in Statesville, North Carolina, Autumn Care of Statesville boasts a long-standing legacy of providing care with compassion and empathy to seniors. With a history of care, this community is committed to every senior’s well-being.

Autumn Care of Statesville is renowned for its specialized programs and personalized care plans to achieve the best possible outcomes for each resident. This community prioritizes individualized senior care to enhance residents’ physical and emotional well-being. Whether it’s short-term services or long-term care, their team is dedicated to addressing the unique needs of every senior. Experience the dedication and personalized care that has been the hallmark of Autumn Care of Statesville for years, where your well-being is their top priority.

Contact Autumn Care of Statesville

Overview of Peak Resources Charlotte

Located in Charlotte, North Carolina, Peak Resources Charlotte is an assisted living and nursing home community offering both short-term rehabilitation and long-term care services. 
With 142 beds, it is a sizable facility dedicated to providing quality care to its residents. The community proudly participates in Medicare and Medicaid, ensuring that residents have access to comprehensive healthcare services.

Contact Peak Resources Charlotte

Magnolia Gardens

594 Murray Hill Road Southern Pines, Nc 28387, Southern Pines, NC 28387
Overview of Magnolia Gardens

With a 110-bed capacity, Magnolia Gardens offers assisted living, memory care, and respite care in Southern Pines, NC. Residents also have access to nursing services with a doctor on-site, as well as 24-hour staffing. The community also provides temporary relief for families whose primary caregiver needs time away, allowing a short-term stay through respite care.

Private and semi-private rooms are available to accommodate those who prefer to live alone or share a room. Rehabilitation services are also provided to help improve residents’ ability to function. Moreover, payment options include Medicaid, which can help when a family’s savings may not cover a long stay, and Medicare for short-term skilled care after a hospital stay.

The community also features a memory care area, called Serenity Place, for those living with memory-related conditions. Scheduled transportation covers shopping, banking, and doctor’s appointments, with wheelchair-accessible transportation for residents who need it. Moreover, religious services, courtyards, porches, gardens, and a salon give residents access to therapy, outdoor areas, worship, and personal grooming within the community’s services. Debbie Ogburn serves as the director.

Contact Magnolia Gardens

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.