Page 22 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. 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.
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.
Magnolia Gardens
AL
MC
RC
Southern Pines
110
Facility 110
NC AVG 72
Rank #60 / 387
No
10
Facility 10
NC AVG 36
Rank #457 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
24
63%
Facility 63%
NC AVG 76.2%
Rank #48 / 333
-
Wilkesboro Assisted Living Center
AL
MC
NH
SNF
North Wilkesboro
102
Facility 102
NC AVG 72
Rank #75 / 387
No
61
Facility 61
NC AVG 36
Rank #66 / 536
70.6%
104.00/200
Facility 104.00/200
NC AVG 92.2
Rank #28 / 321
16
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
-
Brookdale Country Day Road
AL
Goldsboro
104
Facility 104
NC AVG 72
Rank #69 / 387
Yes
10
Facility 10
NC AVG 36
Rank #457 / 536
79.8%
76.00/200
Facility 76.00/200
NC AVG 92.2
Rank #297 / 321
21
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
Studio / Alcove / 1 Bed / 2 Bed
Brookdale Smithfield
AL
MC
Smithfield
74
Facility 74
NC AVG 72
Rank #173 / 387
Yes
45
Facility 45
NC AVG 36
Rank #191 / 536
-
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
27
85%
Facility 85%
NC AVG 76.2%
Rank #246 / 333
Studio / Suite
The Pavilion Health Center at Brightmore
AL
HOS
NH
PC
RC
SNF
Charlotte (Provincetowne)
108
Facility 108
NC AVG 72
Rank #63 / 387
No
20
Facility 20
NC AVG 36
Rank #377 / 536
94.9% -----
The Canterbury House
AL
RC
Roxboro
60
Facility 60
NC AVG 72
Rank #230 / 387
No
9
Facility 9
NC AVG 36
Rank #462 / 536
-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
31
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
-
The Hermitage
AL
MC
RC
Sylva
90
Facility 90
NC AVG 72
Rank #116 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
71.1%
102.75/200
Facility 102.75/200
NC AVG 92.2
Rank #72 / 321
26
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
-
Somerset Court of Mocksville
AL
MC
RC
Mocksville
60
Facility 60
NC AVG 72
Rank #230 / 387
No
54
Facility 54
NC AVG 36
Rank #125 / 536
88.3%
104.00/200
Facility 104.00/200
NC AVG 92.2
Rank #28 / 321
24
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
-
Zebulon House
AL
MC
RC
Zebulon
60
Facility 60
NC AVG 72
Rank #230 / 387
No
58
Facility 58
NC AVG 36
Rank #91 / 536
100.0%
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
25
92%
Facility 92%
NC AVG 76.2%
Rank #303 / 333
-
Patriot Living of Yadkinville
AL
Yadkinville
50
Facility 50
NC AVG 72
Rank #292 / 387
No
59
Facility 59
NC AVG 36
Rank #77 / 536
88.0%
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
38
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
-

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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Magnolia Gardens

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

Magnolia Gardens sits at 594 Murray Hill Road in Southern Pines, North Carolina, roughly 1.3 miles from the center of town. It is a 110-bed community that combines assisted living, memory care, and respite care under one roof. The Walk Score here is 10, which means the neighborhood is car-dependent.

Rooms come in private and semi-private configurations. The clinical staffing includes nursing services, a doctor on staff, and coverage that runs 24 hours. Rehabilitation services are handled on-site, and respite care gives families a short-term option when a caregiver at home needs relief.

Memory care operates under the name Serenity Place. Residents in that program have access to a computerized medication system and daily medication monitoring, which addresses a practical problem for anyone whose memory loss makes managing their own prescriptions unreliable. Professional staff handle assistance with daily activities.

Residents receive three meals and snacks daily, weekly housekeeping, and weekly personal laundry and linen service. A central bath with whirlpool is available. Transportation is scheduled and includes wheelchair-accessible options, and beauty and barber services operate on-site.

State inspections at this community have touched on fire-safety systems, staffing and staff credentials, and resident rights and protections. Environmental and hazardous-materials safety and housekeeping and upkeep have also come under regulator review.

Medicaid and Medicare are both accepted here, which opens more payment pathways than a private-pay-only community would. Magnolia Gardens presents a specific profile for families to weigh: a named memory care program, a physician on staff, and continuous staffing coverage, set against an inspection history that regulators have engaged with across five distinct areas of the operation.

Contact Magnolia Gardens

Wilkesboro Assisted Living Center

206 Old Brickyard Road North Wilkesboro, Nc 28659, North Wilkesboro, NC 28659
Overview of Wilkesboro Assisted Living Center

Wilkesboro Assisted Living Center is on Old Brickyard Road in North Wilkesboro, North Carolina. Four levels of care operate here: skilled nursing, assisted living, memory care, and rehabilitation. For families weighing a move, that breadth is the practical draw. A resident whose needs deepen does not automatically need a new address.

The community holds 102 beds. Right now 72 of them are filled, putting occupancy at 71%. Rooms come in private and semi-private configurations. It is a large shared setting, and size shows up in the common areas rather than in the bedrooms.

Therapy happens on-site in a dedicated rehab gym, which spares residents the trip out for post-surgical or post-hospital recovery work. Staffing runs 24 hours. Two named programs, nutritional care and wound and skin care, round out the picture. Both suggest a resident population with real medical complexity, not just custodial needs.

On-site residents can enjoy the services of a beauty and barbershop. There’s also a large activity room and a courtyard to sit in. Visiting is open 24 hours, though the entrance doors lock from 8:00 am to 8:00 pm.

The surrounding area scores 61 on Walk Score: moderately walkable. A visiting daughter can handle a few errands on foot without moving her car.

State inspection themes here have clustered around fire-safety systems, emergency preparedness, and housekeeping and upkeep. Those are building and operations categories.

Wilkesboro Assisted Living Center is a mid-sized North Carolina community built around rehabilitation and skilled nursing, with enough room in the census to accept new residents and enough range in its care levels to keep them.

Contact Wilkesboro Assisted Living Center

Overview of Brookdale Country Day Road

Find quality care and genuine relationships at Brookdale Country Day Road, a warm senior living community in Goldsboro, NC, offering assisted living. Ensuring a comfortable lifestyle, the community offers freshly prepared meals, transportation assistance, and engaging activities both on and off-site. The community emphasizes safety with 24/7 availability of care providers and advanced security measures, including an emergency alert system and keypad entries.

Brookdale Country Day Road features a variety of amenities designed to enrich daily life. Residents can participate in fitness classes, game nights, and enjoy the well-stocked library, arts and crafts studio, and beautiful courtyard and garden. Additional conveniences include postal services, a delivery service through the Personal Solutions program, and access to a therapy room, chapel, meeting rooms, and a private dining room. With a constantly changing activities calendar and numerous on-site amenities, residents have the freedom to create a fulfilling and enjoyable lifestyle every day.

Contact Brookdale Country Day Road

Overview of Brookdale Smithfield

Enjoy a life of independence while still receiving the care you need at Brookdale Smithfield, an excellent senior living community based in Smithfield, NC, offering assisted living and memory care. The community offers pet-friendly apartments featuring large windows with plenty of natural light, along with a compassionate team available 24/7 to provide assistance in emergencies. To ensure residents dealing with cognitive challenges receive the proper care and support they need, the community provides a gentle daily structure of six planned programs, complemented with consistent care assignments.

Residents at Brookdale Smithfield find fun and entertainment with a jam-packed calendar of activities, such as joining a walking club, fun exercise classes, or stimulating brain games, aroma therapy, and daily music programs for memory care residents. A culinary team ensures residents get the nourishment they need with tasty and nutritious meals, tailored to residents’ dietary needs and preferences. Amenities include a library, a game room, community kitchen, and beautiful walking paths and courtyard, where they can enjoy nature alone or with friends.

Contact Brookdale Smithfield

Overview of The Pavilion Health Center at Brightmore

The Pavilion Health Center at Brightmore is a 108-bed nursing home in Charlotte’s Provincetowne neighborhood, part of the larger Brightmore of South Charlotte campus. Situated on Providence Road in a car-dependent area, it’s equipped to serve individuals needing rehabilitation post-hospitalization, surgery, or other acute events, plus those needing longer-term nursing care. Medicare, Medicaid, and private pay, offering multiple routes for coverage.

The facility supports an extensive array of care services: skilled nursing, assisted living, hospice, palliative care, and respite care. This variety lets families find the right level of support in one location as care needs change. With 108 beds and an occupancy rate running at about 83 percent, the home serves a mix of short-term rehabilitation occupants and those in long-term care. The typical stay length is around 60 days, reflecting post-acute admissions and ongoing residents. Clinical care rests on a groundwork of person-centered planning, where a dedicated clinical team works with residents to develop individualized care plans focused on their unique needs and goals. The home prioritizes helping occupants regain skills and independence where possible, aiming to decrease hospital readmissions. Nursing staffing includes a total of 3 hours 46 minutes per resident day, broken down among registered nurses, licensed practical nurses, licensed vocational nurses, and nurse aides. The location on Providence Road is moderately car-dependent, with a Walk Score of 20, so most errands and visits need a drive. However, the facility setting provides a contained atmosphere for residents and visiting family to spend time together.

An in-person tour by families considering this home gives a good sense of the facility’s layout, care team, and daily rhythm. This can help ensure it matches their loved one’s specific care and lifestyle needs.

Contact The Pavilion Health Center at Brightmore

Overview of The Canterbury House

Located on Leasburg Road in Roxboro, North Carolina, The Canterbury House serves older adults in Person County. The single-story community offers assisted living and respite care across 60 beds. It supports residents who need help with bathing, dressing, medication management, and meals. The care approach also encourages as much independence as each resident can comfortably maintain.

The community is in a car-dependent area where most errands require a vehicle. Nearby walkable options are limited, so families should plan for driving when visiting or handling needs. Since assisted living homes differ in services and amenities, an in-person visit is a helpful next step.

Touring is a good way for families to see what The Canterbury House offers beyond the basics. Families get an up-close look at the rooms, dining areas, and daily activities. This can also help them get a better sense of the care philosophy and daily setting.

Fire safety and physical plant maintenance issues have been the repeated focus of state inspections. These include fire alarm documentation, equipment maintenance, and ventilation system operation. Those shortcomings have been addressed earlier.

Contact The Canterbury House

The Hermitage

185 Brick Farm Road Sylva, Nc 28779, Sylva, NC 28779
Overview of The Hermitage

The Hermitage sits on Brick Farm Road in Sylva, North Carolina, and holds licensure for assisted living, memory care, and respite care. Its Walk Score of 55 puts the neighborhood in moderately walkable territory, which means some errands can be handled on foot with a mix of amenities within reach. This is a larger shared building rather than a small residential home, with common spaces and organized community services.

Ninety beds are licensed here, and 71% of them are filled. Openings exist for families searching on a short timeline. Building size also shapes what the community can sustain, since larger settings generally support more common area and a wider slate of organized activity.

Nursing services and 24-hour staffing mean coverage does not lapse overnight. Respite care handles short stays, which suits families bridging a caregiver’s recovery or absence. Memory care operating under the same roof as assisted living gives residents a path forward if cognitive needs shift, without a move to another address. A secured perimeter and emergency alert system round out the safety setup.

Medicaid is accepted here, and that single fact reshapes the affordability math for many families weighing long-term options.

Regulatory attention at the community has centered on infection prevention and control, fire-safety systems, environmental and hazardous-materials safety, and fall and injury prevention. The North Carolina Department of Health and Human Services conducts unannounced surveys covering these areas across adult care homes.

What the record shows is a mid-sized Sylva community with continuous staffing, a Medicaid coverage pathway, and three care types under one license.

Contact The Hermitage

Somerset Court of Mocksville

150 Ken Dwiggins Drive Mocksville, Nc 27028, Mocksville, NC 27028
Overview of Somerset Court of Mocksville

Somerset Court of Mocksville sits at 150 Ken Dwiggins Drive in Mocksville, North Carolina. It is an assisted living and secured living community with 60 beds. Fifty-three of those beds are filled right now, which puts occupancy at 88 percent. The neighborhood scores a 54 for walkability, so some errands work on foot and others will need a car.

Staffing runs around the clock and the secured living option gives residents who need a more protected setting a place suited to that level of care. Families who need short-term coverage can use the respite care program. This is a supported setting, not independent apartment living.

Meals come through a restaurant-style dining program. Housekeeping, transportation, and maintenance are handled in-house, so the everyday work of keeping a household running does not fall to residents or their families. There is a library, an entertainment room, and an outdoor common area for anyone who wants time outside or a change of scene.

The community accepts Medicaid, so for families who depend on that coverage, that matters as much as any amenity.

State inspections here have looked at medication management, infection prevention, and fall and injury prevention, along with food service and environmental safety. What you get at Somerset Court is a mid-sized secured community with staffing, dining, and daily services in place.

Contact Somerset Court of Mocksville

Zebulon House

551 Pony Road Zebulon, Nc 27597, Zebulon, NC 27597
Overview of Zebulon House

Zebulon House sits on Pony Road in Zebulon, North Carolina, roughly thirty minutes east of Raleigh. The Walk Score is 58, so a few errands are doable on foot but a car still helps. Assisted living is the core offering. Memory care and respite stays round it out.

All 60 beds are filled; a full house tells you something about demand in this corner of Wake County, though it also tells you to call early. Openings at a community running at capacity tend to move fast.

Staffing runs 24 hours, and residents who need a more protected setting can move into the Secured Living program, and families managing their own caregiving load can arrange respite care rather than a permanent placement. That flexibility is worth noting when you are planning around a surgery, a trip, or simple exhaustion.

Meals are served restaurant-style. There is a library, an entertainment room, and an outdoor common area for time outside. Housekeeping, maintenance, and transportation are handled by staff, which removes a whole category of small logistics from a resident’s week. State inspection themes at Zebulon House center on medication management, fire-safety systems, and care planning and documentation.

Medicaid is accepted here. For North Carolina families sorting through what a long stay will actually cost, that single fact often narrows the list faster than anything else on a brochure.

Contact Zebulon House

Patriot Living of Yadkinville

409 Harrison Avenue Yadkinville, Nc 27055, Yadkinville, NC 27055
Overview of Patriot Living of Yadkinville

Patriot Living of Yadkinville sits at 409 Harrison Avenue, a 50-bed assisted living community in Yadkinville, North Carolina. The surrounding streets score a 59 for walkability. That puts some errands within walking distance and leaves the rest to a car.

Forty-four of the 50 beds are filled. An 88% occupancy rate is high for a community this size, and it tells you something useful: local families keep choosing this building. It also means open rooms may not be waiting when you need one.

Fifty beds puts this community in the middle of the range. Big enough for shared meals and a daily routine. Small enough that staff learn names instead of room numbers. For families deciding between a residential home and a full campus, that middle ground is often the point.

North Carolina inspects adult care homes without warning. At this community, inspection attention has settled on medication management. That matters more than it might sound. Assisted living residents often take several prescriptions a day, and getting them right depends entirely on staff.

The fit here is an older adult who needs steady, hands-on help with daily life and wants to stay near Yadkinville. But at 88% full, asking about admission early will shape your options more than anything else.

Contact Patriot Living of Yadkinville

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.