Page 22 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. 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. 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.
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 Gardens of Statesville Assisted Living
AL
IL
MC
Statesville
67
Facility 67
NC AVG 70
Rank #168 / 328
Yes
15
Facility 15
NC AVG 34
Rank #279 / 373
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
A+14
57%
Facility 57%
NC AVG 64.9%
Rank #21 / 301
-
Kelley’s Family Care Home
AL
RESC
Raleigh (North Raleigh)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
18
Facility 18
NC AVG 34
Rank #265 / 373
-
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
A+5
0%
Facility 0%
NC AVG 64.9%
Rank #1 / 301
Private / Semi-Private Rooms
The Landings of Lake Gaston
AL
MC
RC
Littleton
60
Facility 60
NC AVG 70
Rank #200 / 328
No
42
Facility 42
NC AVG 34
Rank #130 / 373
-
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
A4
50%
Facility 50%
NC AVG 64.9%
Rank #126 / 301
-
Brekenridge Retirement Center
AL
IL
Rocky Mount
64
Facility 64
NC AVG 70
Rank #184 / 328
No-
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
103.00/200
Facility 103.00/200
NC AVG 92.7
Rank #68 / 291
A13
92%
Facility 92%
NC AVG 64.9%
Rank #126 / 301
-
TerraBella Harrisburg
AL
MC
Harrisburg
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
13
Facility 13
NC AVG 34
Rank #294 / 373
-
99.00/200
Facility 99.00/200
NC AVG 92.7
Rank #149 / 291
A9
44%
Facility 44%
NC AVG 64.9%
Rank #22 / 301
-
Dunmore Senior Living of Zebulon
AL
Zebulon
60
Facility 60
NC AVG 70
Rank #200 / 328
No
58
Facility 58
NC AVG 34
Rank #58 / 373
71.7%
Facility 71.7%
NC AVG 68.5%
Rank #96 / 186
93.50/200
Facility 93.50/200
NC AVG 92.7
Rank #210 / 291
D+11
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Landings of Smithfield
AL
MC
RC
Smithfield
66
Facility 66
NC AVG 70
Rank #171 / 328
No
65
Facility 65
NC AVG 34
Rank #25 / 373
28.8%
Facility 28.8%
NC AVG 68.5%
Rank #171 / 186
86.00/200
Facility 86.00/200
NC AVG 92.7
Rank #254 / 291
D-10
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Avendelle at MacArthur
AL
Cary
6
Facility 6
NC AVG 70
Rank #278 / 328
No
15
Facility 15
NC AVG 34
Rank #279 / 373
-
107.50/200
Facility 107.50/200
NC AVG 92.7
Rank #1 / 291
?1
0%
Facility 0%
NC AVG 64.9%
Rank #1 / 301
Private Rooms
Serenity Falls Family Care Home
AL
RESC
Raleigh (Cedar Hill Estates)
3
Facility 3
NC AVG 70
Rank #325 / 328
No
36
Facility 36
NC AVG 34
Rank #161 / 373
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
?1
0%
Facility 0%
NC AVG 64.9%
Rank #12 / 301
Private Rooms
Capital Nursing And Rehabilitation Center
AL
HOS
NH
PC
RC
SNF
Raleigh (East Raleigh)
125
Facility 125
NC AVG 70
Rank #19 / 328
No
43
Facility 43
NC AVG 34
Rank #128 / 373
80.5%
Facility 80.5%
NC AVG 68.5%
Rank #72 / 186
--B+5
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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Overview of The Gardens of Statesville Assisted Living

Gardens of Statesville is a serene oasis in North Carolina, surrounded by lush greenery. The home provides an ideal retreat for seniors seeking memory care, independent living, and assisted living options. This well-established community takes pride in offering care while creating a comfortable environment. Every aspect of the community is carefully curated to exude comfort, from the well-appointed furniture to the housekeeping and transportation services, ensuring that residents feel pampered and at ease.
Spacious common areas are thoughtfully designed to encourage social interactions and provide a sense of togetherness among residents. The community boasts a beauty salon and a delightful dining space where residents can indulge in relaxation and culinary delights. It is also a pet-friendly haven, allowing furry friends to be a part of residents’ mundane living. With a wide array of engaging activities, such as outings, social gatherings, arts and crafts sessions, and invigorating exercise classes, seniors can enjoy a vibrant, fulfilling lifestyle.

Contact The Gardens of Statesville Assisted Living

Overview of Kelley’s Family Care Home

Experience a blissful retirement with Kelley’s Family Care Home, a blissful retreat surrounded by convenient local amenities in Raleigh, NC, that offers assisted living. A kind and highly trained team strives to meet residents’ unique needs with round-the-clock care and support. Residents also enjoy hassle-free living, with the community helping with their day-to-day activities and household responsibilities.

A jam-packed calendar of fun activities and engaging programs is conducted to keep residents active and socially engaged. Mealtimes are also something to look forward to, with diverse dining options that cater to dietary needs and preferences. Medication assistance and an in-home doctor are also available, alongside transportation services for residents’ convenience. The community is ideal for those looking to live comfortably in their golden years, especially with its cozy and welcoming amenities.

Contact Kelley’s Family Care Home

The Landings of Lake Gaston

206 North Mosby Ave Littleton, Nc 27850, Littleton, NC 27850
Overview of The Landings of Lake Gaston

The Landings of Lake Gaston offers assisted living, memory care, and respite care in Littleton, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication management, while memory care is provided through the Secured Living program.

The secured setting includes supervision for a resident who may be at risk of wandering. Respite care offers a short stay when a usual caregiver needs time to travel or recover. Together, assisted living and memory care can suit someone whose needs grow over time, while respite care may fit a family caregiver who needs temporary support.

The community has 60 beds, and Medicaid is accepted when savings may not cover a long stay. Restaurant-style dining includes healthy, balanced meals prepared for dietary needs, including special diets. Residents can read in the library, spend time in the entertainment room, or use the outdoor common area.

Transportation services provide rides for trips away from the community. A Walk Score of 42 places the area in a car-dependent setting, so most errands require a car or a ride. A resident who no longer drives would need transportation for those trips. James R. serves as director.

Contact The Landings of Lake Gaston

Brekenridge Retirement Center

2500 Hunter Hill Road Rocky Mount, Nc 27804, Rocky Mount, NC 27804
Overview of Brekenridge Retirement Center

Brekenridge Retirement Center offers assisted living and independent living in Rocky Mount, NC. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as bathing, dressing, and medication.

Both levels are available within the same community, so someone may begin with independent living and remain at Brekenridge if daily care needs grow. The center has 64 beds and is currently at full occupancy, meaning all listed beds are filled.

Room options include semi-private rooms, private rooms, and private suites. Residents can choose shared or individual living arrangements, along with access to two living areas, a large covered front porch, an activity room, and a beauty parlor.

Activities include aerobics, bingo, card games, and special music. Restaurant-style meals are served three times daily, with special diets available, and a facility bus with a lift provides transportation to local medical appointments, including for residents who use wheelchairs. Brekenridge may be a good fit for someone who wants independent living now while keeping assisted living in the same community if daily care needs grow.

Contact Brekenridge Retirement Center

TerraBella Harrisburg

6200 Roberta Rd, Harrisburg, NC 28075
Overview of TerraBella Harrisburg

Settling in the enchanting city of Harrisburg, NC, Terra Bella Harrisburg is an idyllic senior living community offering assisted living and memory care. The community ensures comfort and safety with a wide range of floor plans including suites and one-bedroom apartments. With picturesque sceneries of local attractions and breathtaking nature, residents experience a relaxing retirement.

Terra Bella Harrisburg commits to empowering seniors with top-notch care and assistance, providing them opportunities to keep learning and engaging with their surroundings. With a Silver Spoon Award under its belt, the culinary team serves exquisite meals catering to its residents’ needs and desires. The community provides charming amenities including a jacuzzi spa, an arts and crafts studio, a multifunction game room, a library, a covered sunroom, a private courtyard and community garden, and tranquil walking paths for its residents’ leisure and wellness.

Contact TerraBella Harrisburg

Dunmore Senior Living of Zebulon

1205 W Gannon Avenue Zebulon, Nc 27597, Zebulon, NC 27597
Overview of Dunmore Senior Living of Zebulon

Dunmore Senior Living of Zebulon is an assisted living community in Zebulon, NC. Residents can receive help with daily tasks such as dressing, bathing, and medication while continuing to live in their own apartment. The community has 60 beds, giving families a clear sense of its size when considering whether the setting suits their needs.

Respite care is available for short stays. This can help when a family’s usual caregiver is traveling or recovering and needs temporary support in place. Rehabilitation services are also available, so residents can receive therapy without arranging care at a separate location.

Restaurant style dining serves meals in a setting modeled on a restaurant, while the salon and spa provide personal care services on site. Residents can spend time on the outdoor patio, join group outings and social hours, or attend movie nights and live entertainment. Fitness activities, games, puzzles, arts and crafts, and special celebrations offer additional ways to spend time with others.

The community has a Walk Score of 58, meaning the area is somewhat walkable and some errands can be done on foot. Transportation services are available for trips that are not practical to make by walking. Respite care can make Dunmore Senior Living of Zebulon a possible fit for a family seeking short term support for a resident while a primary caregiver is unavailable.

Contact Dunmore Senior Living of Zebulon

The Landings of Smithfield

200 Kellie Drive Smithfield, Nc 27577, Smithfield, NC 27577
Overview of The Landings of Smithfield

In Smithfield, NC, The Landings of Smithfield is licensed to run respite care, assisted living, and memory care. Assisted living covers the daily tasks, such as dressing and bathing, to taking medication, among others. Memory care wraps supervision around someone with dementia liable to put themselves at risk by wandering, in a secure setting. Respite care covers a short stay, while the regular caregiver is either away or taking time to rest or recover.

So, the fit is someone with dementia needing secured supervision, or a family needing someone to cover for an absent caregiver for a while. Sixty-six beds are licensed here, and Medicaid is among the payment sources available.

A Walk Score of 65 leaves some errands walkable. So a resident off the road can make occasional trips on their own.

Contact The Landings of Smithfield

Overview of Avendelle at MacArthur

Avendelle at MacArthur is a supportive assisted living community in Cary, NC, that offers 24-hour personalized care. The community has six private rooms, designed for older adults’ comfort and safety. Educational activities, an emergency alert system, and concierge services are also offered to enrich residents’ living experiences. With its dedication to residents’ welfare, the community strives to create care plans tailored to their unique needs.

For residents’ holistic wellness, social activities, recreational programs, and light exercises are conducted. A nurse on the team also provides weekly health checks and monthly assessments to ensure up-to-date information about residents’ health. Overlooking the scenic Bond Lake and Oxford Hunt Greenway, the community ensures a laid-back retirement. This assisted living community is a top choice for older adults in North Carolina, especially with its nurturing environment and cozy living spaces.

Contact Avendelle at MacArthur

Overview of Serenity Falls Family Care Home

Serenity Falls Family Care Home is an idyllic retreat situated in the peaceful neighborhood of Raleigh, NC, that offers assisted living. Residents here enjoy top-tier care and assistance tailored to their needs and preferences from a compassionate and highly skilled available 24/7. With its cozy and nurturing environment, residents keep their peace of mind and live comfortably in their golden years.

Encouraging residents to interact with their surroundings and gain meaningful experiences, a jam-packed calendar of fun activities and engaging programs is conducted. Here, residents have a delightful dining experience with delicious and healthy home-cooked meals that cater to dietary needs and preferences. The community is ideal for those seeking assistance in their golden years, especially with its dedicated care and beautifully furnished amenities.

Contact Serenity Falls Family Care Home

Overview of Capital Nursing and Rehabilitation Center

Capital Nursing and Rehabilitation Center is an award-winning senior living community in Holston Lane, Raleigh, NC, that is dedicated to improving seniors’ quality of life and provides a wide array of care services. These include short-term rehabilitation, skilled nursing, outpatient therapy, hospice care, palliative care, respite care, and long-term care. A team of compassionate and highly trained professionals welcomes seniors and takes care of their needs and aspirations.

Remain well-engaged and do the things you enjoy with a well-thought-of calendar of enriching activities and exciting programs. Filled with extensive amenities, Capital Nursing and Rehabilitation Center strives to provide a comfortable and safe retirement for seniors to thrive and live their lives to the fullest.

Contact Capital Nursing And Rehabilitation Center

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.