Other senior care options in North Carolina:

Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 390 assisted living communities in North Carolina using NC Dept. of Health and Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
Reviewed by
Last updated
Jun 2026
We analyzed
390 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: 33/ 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

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Brookdale South Charlotte
AL
MC
Charlotte (Wessex Square)
82
Facility 82
NC AVG 72
Rank #145 / 390
Yes
16
Facility 16
NC AVG 33
Rank #407 / 572
74.4%
Facility 74.4%
NC AVG 69.9%
Rank #122 / 246
A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 322
20
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Private Rooms / Semi-Private Rooms
The Arboretum at Woodland Terrace
AL
IL
MC
Cary (Woodland Terrace)
84
Facility 84
NC AVG 72
Rank #138 / 390
Yes
55
Facility 55
NC AVG 33
Rank #110 / 572
39.3%
Facility 39.3%
NC AVG 69.9%
Rank #211 / 246
-
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #210 / 322
19
84.2%
Facility 84.2%
NC AVG 76.2%
Rank #239 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Cary
AL
HC
MC
Cary (West Chatham Street)
85
Facility 85
NC AVG 72
Rank #135 / 390
Yes
34
Facility 34
NC AVG 33
Rank #271 / 572
40.0%
Facility 40.0%
NC AVG 69.9%
Rank #208 / 246
A-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 322
18
66.7%
Facility 66.7%
NC AVG 76.2%
Rank #69 / 335
Studio / Suite / 1 Bed
Brookdale Dickinson Avenue
AL
MC
Greenville
76
Facility 76
NC AVG 72
Rank #169 / 390
Yes
38
Facility 38
NC AVG 33
Rank #235 / 572
67.1%
Facility 67.1%
NC AVG 69.9%
Rank #150 / 246
A+
84.50/200
Facility 84.50/200
NC AVG 92.2
Rank #285 / 322
16
87.5%
Facility 87.5%
NC AVG 76.2%
Rank #274 / 335
Studio / Suite / 1 Bed
Terrabella Asheboro
AL
MC
Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 72
Rank #91 / 390
Yes
0
Facility 0
NC AVG 33
Rank #548 / 572
-A+
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 322
26
80.8%
Facility 80.8%
NC AVG 76.2%
Rank #181 / 335
Studio / 1 Bed
Chatham Ridge
AL
MC
Chapel Hill
91
Facility 91
NC AVG 72
Rank #118 / 390
Yes
33
Facility 33
NC AVG 33
Rank #280 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
23
87%
Facility 87%
NC AVG 76.2%
Rank #268 / 335
Studio / Suite
Brookdale Union Park
AL
Monroe (Lakeview Estates)
87
Facility 87
NC AVG 72
Rank #129 / 390
Yes
10
Facility 10
NC AVG 33
Rank #457 / 572
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / Companion Rooms
Brookdale Union
AL
Gastonia
78
Facility 78
NC AVG 72
Rank #164 / 390
Yes
35
Facility 35
NC AVG 33
Rank #260 / 572
100.0%
Facility 100.0%
NC AVG 69.9%
Rank #1 / 246
A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
28
75%
Facility 75%
NC AVG 76.2%
Rank #120 / 335
Studio
Brookdale Elizabeth City
AL
MC
Elizabeth City
76
Facility 76
NC AVG 72
Rank #169 / 390
Yes
30
Facility 30
NC AVG 33
Rank #308 / 572
28.9%
Facility 28.9%
NC AVG 69.9%
Rank #229 / 246
A+
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 322
20
90%
Facility 90%
NC AVG 76.2%
Rank #298 / 335
Studio / 1 Bed / 2 Bed
Brookdale Carriage Club Providence
AL
IL
MC
NH
Charlotte (Olde Providence North)
77
Facility 77
NC AVG 72
Rank #168 / 390
Yes
12
Facility 12
NC AVG 33
Rank #440 / 572
71.5%
Facility 71.5%
NC AVG 69.9%
Rank #135 / 246
A+
98.75/200
Facility 98.75/200
NC AVG 92.2
Rank #167 / 322
15
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Raleigh
AL
MC
Raleigh (Northwest Raleigh)
100
Facility 100
NC AVG 72
Rank #79 / 390
Yes
49
Facility 49
NC AVG 33
Rank #161 / 572
-A-
77.50/200
Facility 77.50/200
NC AVG 92.2
Rank #297 / 322
24
79.2%
Facility 79.2%
NC AVG 76.2%
Rank #161 / 335
Studio / 2 Bed
Brookdale Wake Forest
AL
MC
Wake Forest
70
Facility 70
NC AVG 72
Rank #186 / 390
Yes
54
Facility 54
NC AVG 33
Rank #124 / 572
52.9%
Facility 52.9%
NC AVG 69.9%
Rank #190 / 246
A+
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #225 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / 1 Bed / 2 Bed
Phoenix Assisted Care
AL
Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 72
Rank #36 / 390
No
24
Facility 24
NC AVG 33
Rank #349 / 572
52.5%
Facility 52.5%
NC AVG 69.9%
Rank #191 / 246
A+-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #306 / 322
42
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Private Rooms / Semi-Private Rooms
Brookdale Durham
AL
MC
Durham (Northeast Durham)
119
Facility 119
NC AVG 72
Rank #49 / 390
Yes
9
Facility 9
NC AVG 33
Rank #462 / 572
62.2%
Facility 62.2%
NC AVG 69.9%
Rank #167 / 246
A+
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #276 / 322
38
92.1%
Facility 92.1%
NC AVG 76.2%
Rank #311 / 335
Studio
Brookdale Hickory Northeast
AL
Hickory (16Th Street Northeast)
88
Facility 88
NC AVG 72
Rank #126 / 390
Yes
31
Facility 31
NC AVG 33
Rank #294 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
18
72.2%
Facility 72.2%
NC AVG 76.2%
Rank #106 / 335
Studio / Suite
Rows per page:
View all Nearby Homes
Overview of At Home Loving Care

Create meaningful moments at At Home Loving Care, a blissful retreat in North Carolina, offering independent living, assisted living and respite care. With a cozy and welcoming setting, residents are guaranteed the utmost comfort and safety. A compassionate and well-trained team also provides top-notch care for their daily living activities and personal needs around the clock.

Here, residents make new friends and gain meaningful experiences, accompanied by a jam-packed calendar of engaging activities and enriching programs. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. Residents have the finest retirement experience with the community’s state-of-the-art amenities and exceptional services.

Contact At Home Loving Care

Overview of Our Promise Care Homes at Durham

Surrounded by trees in Bay Point Drive, Durham, NC, Our Promise Care Homes at Durham is a distinct community that focuses on assisted living. The community goes above and beyond to provide a haven for up to six residents while providing them with top-tier care and support around the clock to live their daily lives without hassles. With a dedicated and highly trained team, residents can rest their worries knowing a trusted community has their backs.

Enjoy a jam-packed calendar of enriching activities and stimulating programs to maintain a blissful and healthy lifestyle. Have hassle-free dining with nutritious and delightful home-cooked meals that cater to dietary needs and tastes. Physical, occupational, and physical therapy are also provided alongside in-house physician visits to ensure residents get better to gain meaningful experiences in their golden years.

Contact Our Promise Care Homes at Durham

Overview of Alphawell Care Homes

Experience senior living to its fullest with Alphawell Care Homes, conveniently situated in Statesville, NC, offering supportive living services. Here, residents can select from well-appointed and comfortable single-story homes with private rooms. The community’s goal is to provide a home-like environment for its residents ensuring their peace of mind and relaxation. Having a highly trained and compassionate team, the community also provides the utmost care and support every resident deserves.

Offering above-and-beyond amenities and services, residents can enjoy delectable and healthy meals, housekeeping and laundry service, and a diverse set of social activities and life-enrichment programs. Explore its beautifully created common spaces and meet new companions along the way. With Alphawell Care Homes, seniors are assured of an empowering and secure living experience.

Contact Alphawell Care Homes

Overview of Roxboro Healthcare & Rehabilitation Center

Roxboro Healthcare and Rehabilitation Center is conveniently located in Roxboro, North Carolina. This healthcare facility offers a comprehensive spectrum of care services, including short-term rehabilitation, skilled nursing, long-term living, outpatient therapy, hospice care, palliative care, and respite care.

As part of a holistic treatment plan, The center also provides access to various medical services, addressing other conditions. Upon arrival at Roxboro, senior residents are welcomed by a dedicated clinical team that works to create a person-centered care plan, specifically designed to help them regain essential skills and minimize the risk of hospital readmission.

Contact Roxboro Healthcare & Rehabilitation Center

Overview of The Arc of Hope Mills

An elegant and luxurious home that steeps compassionate and dedicated professional care, The Arc of Hope Mills raises the standard of senior living. The assisted living home strives to be a place of growth where seniors are encouraged to be themselves and create new memories. The community practices a results-driven lifestyle that aims to provide quality service for its assisted living and memory care residences. Seniors can thrive at The Arc.
Assisted living and memory care residents each receive specific care in terms of providing assistance with daily living and memory care– help with bathing, grooming, dressing; medication management; activities for physical and mental stimulation.

Contact The Arc of Hope Mills

Tower of Blessing A Refuge to Seek

632 Christopher Rd, Chapel Hill, NC 27514
Overview of Tower of Blessing a Refuge to Seek

Tower of Blessing is an exceptional community with several towers across North Carolina, offering assisted living and hospice care. With 24-hour care from a respectful and well-trained team, residents do not have to worry about their daily living activities, like dressing and grooming. Laundry services, medication management, and on-site doctors’ appointments are also provided, ensuring residents enjoy a convenient lifestyle.

Prioritizing residents’ leisure and wellness, fun activities and exciting events, including light exercises, game nights, and community outings, are conducted. Delicious, home-cooked meals are also served, striving to meet residents’ dietary needs and preferences. Residents can also travel conveniently and safely with transportation services. The community has six towers in Durham and Chapel Hill, NC, offering the ideal setting for residents to spend their golden years without worry.

Contact Tower of Blessing A Refuge to Seek

Ivy at Clemmons

6010 Meadowbrook Mall Ct, Clemmons, NC 27012
Overview of Ivy at Clemmons

Ivy at Clemmons offers exceptional personal care for assisted living and memory care residents. Expect nothing but elegance and professionalism at the assisted living home. The vibrant community performs nothing less than exceptional service offered by its professional and compassionate staff. Residents are guaranteed to enjoy their stay because of the building’s astonishing, beautifully decorated interiors– adding to the community’s charm.

The lifestyle at Ivy is an all-inclusive community that includes a range of services and amenities to ensure that residents live a hassle-free lifestyle– restaurant-style meals provided, housekeeping and laundry, 24/7 nurse on-site, and activities that focus on mental and physical stimulation.

Contact Ivy at Clemmons

Overview of The Addison of Fuquay-Varina

Situated in Fuquay-Varina, NC, The Addison of Fuquay-Varina is an inviting senior living community that offers attentive Assisted Living, Memory Care, and Short Term Care services. Residents relax in well-appointed apartments ranging from one-bedroom apartments to private and semi-private suites. Located just 16 miles from Raleigh, the community is surrounded by lush greenery, museums, shops, and restaurants. The community provides a welcoming and friendly environment where residents can enjoy attentive care by a 24/7 care team.

At The Addison, residents benefit from a variety of amenities and programs designed to elevate their living experience. The community features a beauty and barber shop, emergency call response system, main and private dining rooms, and stimulating programming and events. Residents can also enjoy the walking path, outdoor patio area, spacious community rooms with TVs and DVDs, and pet-friendly spaces, all while having the comfort of individually controlled heating and air.

Contact The Addison of Fuquay-Varina

Overview of Joyful Living Group Home

Joyful Living Group Home operates as a private-pay assisted living community at 6125 Louise St in Fayetteville, North Carolina, roughly 20 miles from the city center. The single-story facility is located in the Seventy-First neighborhood, where a walk score of 33 means residents will need transportation for most daily errands and services. The community provides assisted living with round-the-clock staffing and individualized care plans. Memory care and rehabilitation services are listed as available.

A critical distinction: this facility is not Medicare or Medicaid certified. Unlike regulated nursing homes and many larger assisted living communities that operate under federal oversight, Joyful Living Group Home functions as a private provider outside the CMS framework.

This means families interested in this community should request licensing verification directly from the North Carolina Department of Health and Human Services and inquire about any state-level oversight.

The facility operates on a private-pay model. North Carolina residents may have access to financial assistance through programs like Medicaid Special Assistance (which provides supplemental funds for licensed adult care home residents), Community Alternatives Program for Disabled Adults, and VA benefits for eligible veterans.

Direct contact with the facility is necessary to assess services, verify credentials, understand care protocols, and determine whether the community’s offerings align with individual care needs.

Contact Joyful Living Group Home

Overview of Carebridge Assisted Living and Rehabilitation

Carebridge Assisted Living and Rehabilitation is a remarkable senior living community nestled in the vibrant city of Greensboro, North Carolina. They strive to enhance the overall well-being of residents by considering supplemental medical insurance and connecting them with Medicare and other community resources when additional medical services are required. The goal is to ensure that residents have access to comprehensive healthcare support and resources, giving them peace of mind and the highest quality of care.
The community takes pride in providing the freshest and most delicious meals for seniors to enjoy, with the expertise of a registered dietitian on-site to cater to their specific dietary needs. Moreover, they understand the importance of staying connected, which is why wireless Internet and cable television services are available for residents, ensuring that they can stay entertained and engaged.

Contact CareBridge Assisted Living and Rehabilitation

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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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 390 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.