Page 23 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. 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.
The Shaire Center
AL
MC
NH
PC
SNF
Lenoir
82
Facility 82
NC AVG 70
Rank #118 / 328
No
76
Facility 76
NC AVG 34
Rank #6 / 373
-
98.00/200
Facility 98.00/200
NC AVG 92.7
Rank #166 / 291
?11
0%
Facility 0%
NC AVG 64.9%
Rank #36 / 301
Trinity Elms
AL
IL
MC
NH
SNF
Clemmons
104
Facility 104
NC AVG 70
Rank #53 / 328
No
56
Facility 56
NC AVG 34
Rank #69 / 373
-
101.00/200
Facility 101.00/200
NC AVG 92.7
Rank #113 / 291
B+11
0%
Facility 0%
NC AVG 64.9%
Rank #90 / 301
Southfork
AL
MC
RC
Winston-Salem
78
Facility 78
NC AVG 70
Rank #137 / 328
No
20
Facility 20
NC AVG 34
Rank #251 / 373
60.3%
Facility 60.3%
NC AVG 68.5%
Rank #117 / 186
91.50/200
Facility 91.50/200
NC AVG 92.7
Rank #227 / 291
B-14
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
Navion of Shelby
AL
MC
Shelby (Valleyhall)
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
19
Facility 19
NC AVG 34
Rank #257 / 373
-
85.00/200
Facility 85.00/200
NC AVG 92.7
Rank #258 / 291
A+13
54%
Facility 54%
NC AVG 64.9%
Rank #126 / 301
Cypress Manor
AL
Roper
40
Facility 40
NC AVG 70
Rank #258 / 328
No
15
Facility 15
NC AVG 34
Rank #279 / 373
30.0%
Facility 30.0%
NC AVG 68.5%
Rank #168 / 186
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
A-16
0%
Facility 0%
NC AVG 64.9%
Rank #90 / 301
The Landings of Albemarle
AL
IL
MC
RC
Hertford
50
Facility 50
NC AVG 70
Rank #245 / 328
No
32
Facility 32
NC AVG 34
Rank #186 / 373
-
98.50/200
Facility 98.50/200
NC AVG 92.7
Rank #155 / 291
A+5
80%
Facility 80%
NC AVG 64.9%
Rank #12 / 301
Avendelle on Tyrion
AL
Cary (Summerwinds)
6
Facility 6
NC AVG 70
Rank #278 / 328
Yes
41
Facility 41
NC AVG 34
Rank #137 / 373
-
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
A-5
40%
Facility 40%
NC AVG 64.9%
Rank #126 / 301
Terrace Ridge Assisted Living
AL
MC
Gastonia
74
Facility 74
NC AVG 70
Rank #148 / 328
No
46
Facility 46
NC AVG 34
Rank #114 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
B+13
85%
Facility 85%
NC AVG 64.9%
Rank #126 / 301
Morningstar Assisted Living
AL
RC
Sylva
55
Facility 55
NC AVG 70
Rank #239 / 328
No
55
Facility 55
NC AVG 34
Rank #71 / 373
58.2%
Facility 58.2%
NC AVG 68.5%
Rank #125 / 186
71.00/200
Facility 71.00/200
NC AVG 92.7
Rank #275 / 291
B15
0%
Facility 0%
NC AVG 64.9%
Rank #52 / 301
The East Tower at Cardinal North Hills
AL
IL
MC
NH
SNF
Raleigh
49
Facility 49
NC AVG 70
Rank #251 / 328
Yes
34
Facility 34
NC AVG 34
Rank #177 / 373
73.5%
Facility 73.5%
NC AVG 68.5%
Rank #93 / 186
95.50/200
Facility 95.50/200
NC AVG 92.7
Rank #193 / 291
C2
0%
Facility 0%
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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The Shaire Center

1450 Shaire Center Drive Lenoir, Nc 28645, Lenoir, NC 28645
Overview of The Shaire Center

With 82 beds, The Shaire Center is a nursing home, assisted living, memory care, palliative care, and skilled nursing community in Lenoir, NC. A doctor is available on-site to provide clinical support. Moreover, specialized care is provided for those living with Alzheimer’s and other forms of dementia. Aside from assistance with daily tasks, housekeeping and linen services are also provided for convenience.

Residents receive a total of 5 hours and 6 minutes of nursing care daily. Medicaid, Medicare, and private pay are also accepted, giving families several ways to cover eligible care and services. Rehabilitation services can support recovery or help a resident maintain function after illness or injury, while hospice services provide end-of-life care.

Additionally, outdoor spaces include sidewalks, gazebos, and benches, giving residents places to walk or sit outside. Meanwhile, a Walk Score of 76 places the area in the very walkable band, meaning most errands can be done on foot, so a resident who no longer drives can still get out independently. Transportation to medical and dental providers also helps residents attend those appointments.

Contact The Shaire Center

Trinity Elms

3750 Harper Road Clemmons, Nc 27012, Clemmons, NC 27012
Overview of Trinity Elms

Trinity Elms provides nursing home and skilled nursing, assisted living, independent living, and memory care in Clemmons, NC. Nursing home and skilled nursing include licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living offers private living with community services and no daily care, while memory care provides a secured setting with supervision for someone at risk of wandering.

The combination of care levels may suit a resident whose needs grow over time, since they can move between levels without leaving the community or starting over socially. There are 104 beds. That gives families a clear sense of the community’s stated capacity when deciding whether its scale matches their preferences.

Respite care provides a short stay when a usual caregiver needs to travel or recover. The Health & Rehab program includes rehabilitation services and short term rehab, giving a resident a temporary setting for recovery rather than an ongoing residence. Trinity Elms accepts Medicare, Medicaid, and private pay: Medicare covers short term skilled care after a hospital stay, Medicaid may matter when savings do not cover a long stay, and private pay means paying directly for care. A Walk Score of 56 places the area in the somewhat walkable category, where some errands can be done on foot, so a resident who no longer drives may be able to manage certain nearby outings independently.

Contact Trinity Elms

Southfork

1345 Jonestown Road Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Southfork

Southfork offers assisted living, memory care, and respite care in Winston-Salem, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication management. Memory care provides a secured setting with supervision for a resident who may be at risk of wandering, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Several care options are available in one community. Southfork may be a good fit for a resident whose needs may grow over time or for a family caregiver who needs short-term support. The community has 78 beds and accepts Medicaid, giving families who use that program a way to help pay for care, while restaurant-style dining and special diets allow meals to be served in a dining setting while accommodating dietary needs. Residents can also use transportation services for community-provided rides and spend time in an outdoor common area, library, or entertainment room for shared activities.

Contact Southfork

Overview of Navion of Shelby

Set in the welcoming community of Shelby, NC, the Navion of Shelby is an esteemed senior living community providing assisted living services. A wide range of cozy and spacious accommodations including one-bedroom and two-bedroom are available. Having a highly equipped and dedicated team, this community offers an emergency response team and round-the-clock personalized care services.

True to its goal of promoting a perfect balance between personal freedom and intentional care, residents can enjoy weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Experience delicious dining with delightful meals and snacks every day. Engage in diverse social activities and community events. Equipped with the right tools and people, seniors can never go wrong with Navion of Shelby.

Contact Navion of Shelby

Cypress Manor

503 West Buncombe Street Roper, Nc 27970, Roper, NC 27970
Overview of Cypress Manor

Cypress Manor, located in Roper, North Carolina, offers assisted living for seniors who need assistance with daily tasks. Residents receive direct help with bathing, dressing, and routine medication management while maintaining their living routines.

Medicaid coverage is accepted at this 40-bed facility, which helps eligible residents cover their ongoing care costs. On-site services include dietician-approved daily meals and a beauty salon for hair care. To support resident health, staff assists in arranging medical transportation for external appointments.

Interested individuals evaluating local care options can contact Cypress Manor to inquire about Medicaid eligibility, review service details, or schedule a tour.

Contact Cypress Manor

The Landings of Albemarle

603 South Church Street Hertford, Nc 27944, Hertford, NC 27944
Overview of The Landings of Albemarle

The Landings of Albemarle, in Hertford, NC, spans independent living, assisted living, memory care, and respite care. Independent living is the level that comes without daily personal care. Assisted living is where help with bathing, medication, and dressing enters the picture.

Memory care runs in a secured setting with supervision. Respite covers a stay with an end on it, which suits a person who needs somebody nearby rather than a nurse doing anything clinical. Fifty beds are licensed across those four care levels, which means a resident whose needs grow is not shopping for somewhere else to live.

Staff are on hand whatever the hour. Families already on Medicaid can use it toward an eligible stay. The amenities include a library.

The area scores 32 for walking and lands in the car-dependent category, so most errands ned a vehicle. The memory care setting has Secured Living as its named program.

Contact The Landings of Albemarle

Overview of Avendelle on Tyrion

Avendelle on Tyrion, located in Cary, NC, is a senior living community by Avendelle offering assisted living services and amenities to its residents. This senior living community provides its residents 24 hour personalized care and supervision, weekly checks and monthly assessment, as well as assistance with medication management and administration. Additionally, all accommodation units come with a cable tv, and the community is equipped with alarm systems.

Avendelle on Tyrion also offers a number of amenities and services designed to provide convenience and comfort. This includes visiting physicians and hairdressers, meal provisions, and housekeeping and laundry services. They also have an activity room where residents can engage, and socialize with staff as well as other residents.

Contact Avendelle on Tyrion

Terrace Ridge Assisted Living

1251 E Hudson Blvd Gastonia, Nc 28054, Gastonia, NC 28054
Overview of Terrace Ridge Assisted Living

Terrace Ridge Assisted Living provides assisted living and memory care in Gastonia, NC. Assisted living can help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering. Because both care types are available, Terrace Ridge Assisted Living may be a good fit for a resident whose needs could grow over time without requiring a move to another community.

The community has 74 beds. Its walk score is 46 out of 100, placing it in a car-dependent area where most errands require a car or a ride. Terrace Ridge Assisted Living also offers programs named Living Spaces and Health & Safety.

Contact Terrace Ridge Assisted Living

Morningstar Assisted Living

95 Morningstar Lane Sylva, Nc 28779, Sylva, NC 28779
Overview of Morningstar Assisted Living

In Sylva, NC, Morningstar Assisted Living has assisted living and respite care to its name. Help with dressing, bathing, and medication management is what assisted living brings. Respite care covers a short-term stay, taken while a usual caregiver is on a trip or mending.

Either a resident wanting that daily help or a family caregiver wanting temporary cover is who this suits. Fifty-five beds put this on the smaller side, where a resident and the staff get a real chance to know one another.

On-Site Medical Care is a named program, so medical attention happens where the resident lives. Rehabilitation services appear too, for recovery or for holding function steady.

Planned group activities run past 14 hours a week, with Bingo, exercise, socials, crafts, and outings included. A 55 for walking means part of the area stays reachable on foot by someone no longer driving.

Contact Morningstar Assisted Living

The East Tower at Cardinal North Hills

320 St. Albans Drive Raleigh, Nc 27609, Raleigh, NC 27609
Overview of The East Tower at Cardinal North Hills

The East Tower at Cardinal North Hills offers nursing home, skilled nursing, assisted living, independent living, and memory care in Raleigh, NC. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering. The combination of care levels can suit a resident whose needs grow over time.

Opened in 2017, the community has 49 beds. It is a smaller setting where staff and residents get to know each other, and Myra Aragones serves as director. Pets are allowed, with a dog park giving residents with dogs an on-site place for outdoor activity.

Residents can use the aquatic center and fitness centers for exercise, while the creative arts studio and libraries provide spaces for activities and reading. The salon and spa offer personal care services, and multiple restaurants serve seasonal dishes in different settings. A full calendar includes social, cultural, and educational activities, while on-site rehabilitation services provide therapy without arranging transportation elsewhere.

The area has a Walk Score of 34 and is car-dependent. Most errands require a car or a ride for a resident who no longer drives.

Contact The East Tower at Cardinal North Hills

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.