Page 24 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
Tyrrell House
AL
RC
Columbia
50
Facility 50
NC AVG 72
Rank #292 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
76.0%
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
25
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
Cadence at Clemmons by Cogir
AL
MC
Clemmons
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
25
72%
Facility 72%
NC AVG 76.2%
Rank #105 / 333
Scotland House
AL
MC
RC
Scotland Neck
60
Facility 60
NC AVG 72
Rank #230 / 387
No
30
Facility 30
NC AVG 36
Rank #309 / 536
90.0%
86.25/200
Facility 86.25/200
NC AVG 92.2
Rank #278 / 321
8
63%
Facility 63%
NC AVG 76.2%
Rank #48 / 333
Brookdale Carriage Club Providence II
AL
IL
MC
NH
SNF
Charlotte
34
Facility 34
NC AVG 72
Rank #322 / 387
Yes
16
Facility 16
NC AVG 36
Rank #407 / 536
79.4%
103.00/200
Facility 103.00/200
NC AVG 92.2
Rank #69 / 321
20
65%
Facility 65%
NC AVG 76.2%
Rank #60 / 333
Alpha Care One Assisted Living
AL
Greenville
120
Facility 120
NC AVG 72
Rank #35 / 387
No
88
Facility 88
NC AVG 36
Rank #1 / 536
68.3%
82.00/200
Facility 82.00/200
NC AVG 92.2
Rank #291 / 321
47
87%
Facility 87%
NC AVG 76.2%
Rank #267 / 333
Cedar Mountain House
AL
MC
Brevard
64
Facility 64
NC AVG 72
Rank #213 / 387
No
74
Facility 74
NC AVG 36
Rank #14 / 536
54.7%
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
28
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
Dunmore Senior Living of Zebulon
AL
Zebulon
60
Facility 60
NC AVG 72
Rank #230 / 387
No
58
Facility 58
NC AVG 36
Rank #91 / 536
71.7%
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
17
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 333
The Landings of Mills River
AL
MC
Mills River
65
Facility 65
NC AVG 72
Rank #207 / 387
No
17
Facility 17
NC AVG 36
Rank #403 / 536
30.8%
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
11
64%
Facility 64%
NC AVG 76.2%
Rank #57 / 333
Open Arms Retirement Center
AL
MC
RC
Raeford
90
Facility 90
NC AVG 72
Rank #116 / 387
No
63
Facility 63
NC AVG 36
Rank #50 / 536
55.6%
89.25/200
Facility 89.25/200
NC AVG 92.2
Rank #266 / 321
36
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
Franklin House
AL
MC
Franklin
70
Facility 70
NC AVG 72
Rank #183 / 387
No
59
Facility 59
NC AVG 36
Rank #77 / 536
40.0%
97.00/200
Facility 97.00/200
NC AVG 92.2
Rank #189 / 321
32
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 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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Tyrrell House

950 Us Highway 64 E Columbia, Nc 27925, Columbia, NC 27925
Overview of Tyrrell House

Tyrrell House sits on US Highway 64 East in Columbia, North Carolina. there are fifty beds, and thirty-eight of them are filled, which works out to 76% occupancy. The surrounding area earns a Walk Score of 51, so a resident or a visiting family member can manage some errands on foot but will want a car for the rest.

The care model here is assisted living: help with daily activities, not skilled nursing. Staff are on hand 24 hours. Two options widen the picture. Secured living is available for residents who need a protected setting, and respite care gives families a place to turn when a caregiver at home needs a break.

Meals are served restaurant-style. Residents also have a library, an entertainment room, and an outdoor common area to use. Housekeeping, maintenance, and transportation are part of what the community handles.

State inspection themes at Tyrrell House include medication management, staffing and staff credentials, care planning and documentation, and resident rights and protections.

Medicaid is accepted, which shapes who can realistically plan a long stay here. Tyrrell House is a mid-sized community in a small town, three-quarters full, built for older adults who want assisted living without leaving the area and who may need secured living along the way.

Contact Tyrrell House

Overview of Cadence at Clemmons by Cogir

Cadence at Clemmons by Cogir is a senior living community in Clemmons, North Carolina, providing assisted living and memory care. Featuring 96 beds in a single-story setting, the community has a variety of studio and one-bedroom apartment options.

Licensed nurses and CNAs support daily care needs, while dining is prepared on-site by a chef using fresh, seasonal ingredients. Additionally, menus are designed to accommodate varied dietary needs, with a cafe-style approach that encourages a more social, gathering-focused mealtime experience for older adults.

State inspections have generally resulted in corrective follow-ups, including prior concerns related to medication administration and staff training. This was addressed in the following inspections. Moreover, a separate review examined a fire suppression system issue that led to water damage, which was also corrected.

The surrounding area has a Walk Score of 35, indicating a slightly walkable environment where a few errands can be completed on foot, though a car is generally required.

Contact Cadence at Clemmons by Cogir

Scotland House

27669 Highway 125 Scotland Neck, Nc 27874, Scotland Neck, NC 27874
Overview of Scotland House

Scotland House is a 60-bed assisted living and memory care community at 27669 Highway 125 in Scotland Neck, North Carolina. The building sits in a somewhat walkable area (Walk Score 30), where a few destinations are reachable on foot but most trips will require a car or the community’s transportation service. Roughly 90 percent of the beds are filled, which puts the community close to capacity for a building of this size.

Care here covers three tracks. Residents can receive assisted living support, memory care, or respite care for shorter stays, with nursing services and 24-hour staffing behind all three. The community also runs a named program called Secured Living, which is relevant for families weighing a memory care placement where wandering is a concern.

Day-to-day life is built around a set of shared spaces. Meals are served restaurant-style rather than on trays, and residents have access to a library, an entertainment room, and an outdoor common area. Housekeeping, maintenance, and scheduled transportation are handled by the community.

State inspections have centered on routine areas such as medication management and housekeeping and upkeep rather than the structure of the care model itself. Scotland House accepts Medicaid, which matters for families planning coverage over a long horizon rather than a short private-pay stretch. Between the secured memory care track and the respite option, the community is set up for older adults who need daily hands-on support in a small-town setting, including those whose dementia has progressed far enough to require a secured environment.

Contact Scotland House

Brookdale Carriage Club Providence II

5816 Old Providence Road Charlotte, Nc 28226, Charlotte, NC 28226
Overview of Brookdale Carriage Club Providence II

Brookdale Carriage Club Providence II is found on Old Providence Road in the southern part of Charlotte, North Carolina. This big home works as a place where old people can stay forever, which means that help with daily life and medical care are all offered in one spot. The area has a very low score for walking, so you should expect to use a car whenever you need to go to the store or see a doctor.

The part for people who need a lot of medical help is small with only 34 beds, and right now 27 of those beds are being used. For health needs, the home helps people get stronger after being sick and gives family members a break from taking care of their loved ones. Workers are there to help at all times of the day and night. Every building is easy to move through with a wheelchair and has a special button to push if there is a sudden problem.

You can find a pool outside, a room for exercise, a place to read books, and a small church right on the land. In the yard, the people living there can enjoy paths for walking, a garden, a spot for golf, and a small pond for catching fish. Rides to places, help with chores, a hair shop, and extra rooms for family to stay in are also provided, and everyone eats together like they are at a food shop; animals are allowed to live there too.

The main things that leaders look at in the records are how medicine is given, the plans for taking care of people, and the tools for stopping fires.

Living there without much help starts at $3,430 every month, but the price goes up if you need more help with your memory or your body. The reports show a small place with many fun things to do in a part of Charlotte where you must drive, but it has the good point of changing how it helps you as you get older.

Contact Brookdale Carriage Club Providence II

Alpha Care One Assisted Living

2060 West Fifth Street Greenville, Nc 27834, Greenville, NC 27834
Overview of Alpha Care One Assisted Living

Alpha Care One Assisted Living sits at 2060 West Fifth Street in Greenville, North Carolina, operated by Alpha Care One Assisted Living LLC. The surrounding blocks earn a Walk Score of 88, which lands squarely in very walkable range. Most errands can be handled on foot from the front door. Visiting family can park once and stay put.

Licensing covers 120 beds, and 82 of them are currently filled. That works out to 68 percent occupancy, which means real availability for families working against a deadline. The building itself is a larger shared setting rather than a converted house, so common areas and group programming have room to operate.

The care model rests on continuous supervision paired with hands-on daily assistance. Residents receive help with bathing, feeding, dressing, toileting, and getting around the building. Licensed nurses and CNAs are part of the staff, and coverage holds at 24 hours rather than tapering after business hours.

Programming runs through a mix of regular activities and seasonal events across the calendar. An aviary occupies part of the living room, which gives residents a reason to sit down together in the middle of an ordinary afternoon.

State inspection activity at this community has concentrated on medication management, infection prevention and control, fire-safety systems, and care planning and documentation. What the record describes is a large, centrally located Greenville community with licensed nursing coverage around the clock, room to accept new residents, and inspection attention clustered in four identifiable areas.

Contact Alpha Care One Assisted Living

Cedar Mountain House

11 Sherwood Ridge Road Brevard, Nc 28712, Brevard, NC 28712
Overview of Cedar Mountain House

Cedar Mountain House sits at 11 Sherwood Ridge Road in Brevard, North Carolina, offering assisted living alongside a secured memory care wing. Brevard is mountain country in the western end of the state. The address itself carries a Walk Score of 74, putting it solidly in the very walkable range, so errands are reachable on foot and visiting relatives can get around without keys in hand.

The community has sixty-four beds, with thirty-five of them filled, which works out to 55 percent occupancy. For a family on a short timeline, that open capacity means the waiting list is not the obstacle it can be elsewhere. It also means staff are spread across fewer residents on any given shift.

Two kinds of care run under one roof here. Assisted living covers the daily rhythm of bathing, dressing, and medication reminders, with caregivers on the floor around the clock. The secured wing serves residents with dementia whose safety depends on a controlled exit. Staffing holds at 24 hours throughout the building.

A fair amount of clinical support happens on the premises. Therapy, pharmacy, and visiting providers all operate on site, which strips out a real number of car trips for someone juggling several conditions at once. Housekeeping, maintenance, and scheduled transportation handle the ordinary logistics.

Residents have a library, an entertainment room, and outdoor common space to use, the last of which earns its keep in a setting like this one. Dining is restaurant style rather than tray service. Medicaid is accepted, and that carries real weight in North Carolina, where assisted living coverage moves through state and county channels rather than Medicare.

Inspection records here go back more than a decade. Over that stretch, the themes have clustered around medication management, emergency preparedness, environmental and hazardous materials safety, and housekeeping and upkeep. For a family weighing this community, the picture is a mid sized building with room to accept new residents, dementia care available without a second move, and a walkable pocket of Brevard just outside the door.

Contact Cedar Mountain House

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 sits at 1205 W Gannon Avenue, roughly a half hour east of Raleigh. It offers both assisted living and independent living. Walk Score for the address comes in at 58. That is moderately walkable, meaning some errands are doable on foot and a mix of amenities sits within reach.

Sixty licensed beds make up the community, and currently forty-three of them are filled, which works out to 72 percent occupancy. Families searching on a compressed timeline will find room here. A community this size lands in useful middle ground: bigger than a residential care home, smaller than a sprawling campus.

Nursing services are available, and staffing holds steady around the clock. Rehabilitation happens on site, which spares residents a car trip after a hospital discharge or a bad fall. Respite care gives family caregivers a place to turn when they need short-term coverage. The building itself is wheelchair accessible, with a secured perimeter and an emergency alert system.

Meals arrive restaurant-style. Housekeeping and maintenance are handled. Residents can get a haircut without leaving, borrow a book from the library, or sit outside on the patio. Transportation covers appointments and errands. Activities lean social: group outings, movie nights, fitness sessions, arts and crafts, live entertainment, guest visitors.

North Carolina inspectors have looked at medication management, care planning and documentation, dietary and food service, and resident rights protections.

Put together, Dunmore reads as a mid-sized North Carolina community with real clinical depth behind its assisted living designation, a comfortable amenity set, and open beds in a walkable stretch of Zebulon.

Contact Dunmore Senior Living of Zebulon

The Landings of Mills River

4143 Haywood Road Mills River, Nc 28759, Mills River, NC 28759
Overview of The Landings of Mills River

The Landings of Mills River sits at 4143 Haywood Road in Mills River, North Carolina, in the mountains southwest of Asheville. It offers assisted living and memory care. The location is rural, and the Walk Score of 17 confirms what the address suggests. Errands require a car here, and so does most everything else.

Licensed capacity is 65 beds; twenty residents live there now, which puts occupancy at 31 percent. That is a lightly populated building. Space is available, and the resident group is small enough that recognition between staff and residents comes easily.

Nursing services are provided, and staffing runs 24 hours. The community also operates a Secured Living program for residents with dementia who need a protected setting. That program runs alongside general assisted living rather than in place of it.

Housekeeping, maintenance, and transportation are all covered by the community. Transportation carries real weight given how far the location sits from most services. Dining is restaurant-style. Residents also have a library, an entertainment room, and an outdoor common area suited to the mountain surroundings.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation surveys adult care homes without advance notice. At this community, inspection themes have gathered around medication management, care planning and documentation, dietary and food service, and housekeeping and upkeep. Medicaid is accepted, which shapes the financial picture for families working within limits or planning to spend down.

The Landings of Mills River is a 65-bed assisted living and memory care community running at low occupancy in a rural mountain setting, with round-the-clock staffing, a secured dementia program, and Medicaid acceptance.

Contact The Landings of Mills River

Open Arms Retirement Center

612 Health Drive Raeford, Nc 28376, Raeford, NC 28376
Overview of Open Arms Retirement Center

Open Arms Retirement Center sits at 612 Health Drive in Raeford, North Carolina. The community is licensed for 90 beds and provides assisted living, memory care, and respite care. Its neighborhood scores 63 for walkability, which places it in moderate territory. Some errands work on foot from here. Most others will call for a car.

Fifty of the 90 beds are currently occupied, putting the community at 56 percent capacity. For families working against a hospital discharge date, that available room is the practical detail. It means a bed can likely be secured without a long wait.

Licensed nurses and certified nursing assistants handle resident care, and staffing coverage runs 24 hours. Rehabilitation services are offered on site, which keeps therapy appointments from becoming a separate logistical problem. The memory care option matters for a specific reason: a resident whose cognitive needs grow may be able to stay put rather than move to a new building and a new set of faces.

State inspections here have focused on medication management, care planning and documentation, and housekeeping and upkeep. Those three areas govern how reliably daily care actually gets delivered.

The community fits older adults in and around Raeford who need hands-on daily support, particularly families who want assisted living and memory care available under a single roof.

Contact Open Arms Retirement Center

Franklin House

186 One Center Court Franklin, Nc 28734, Franklin, NC 28734
Overview of Franklin House

Franklin House sits at 186 One Center Court in Franklin, North Carolina, in the mountainous western corner of the state. The community offers assisted living alongside memory care. Walkability here is moderate, scoring 59, which means some errands can be handled on foot while others will require a vehicle.

Capacity is licensed at 70 beds. Currently, 28 of those beds are occupied, putting the community at 40 percent occupancy. Space is available for families who need placement without waiting. Having both assisted living and memory care under one roof matters for households whose needs may change as cognition declines.

Nursing services are available to residents, and staffing coverage runs around the clock. An emergency alert system is installed in the building. For families managing memory loss, that combination of continuous coverage and on-site nursing forms the practical floor of what the community provides.

Meals are served restaurant-style, and staff handle housekeeping and maintenance. Residents can use a library, an entertainment room, and an outdoor common area. Transportation is arranged for appointments and errands off the property.

Medicaid is accepted here. For families with limited resources, or those who expect to spend down assets over a longer horizon, that coverage pathway carries real weight in planning.

Inspection records for this community cover about ten years of oversight. Themes appearing in those reviews include medication management along with care planning and documentation. Franklin House presents a straightforward picture: substantial open capacity, dual care levels under one roof, Medicaid coverage, and an oversight record with themes families should factor into their evaluation.

Contact Franklin House

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.