Page 25 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. 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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
The Gardens of Nashville
AL
Nashville
62
Facility 62
NC AVG 72
Rank #222 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
88.7%
98.25/200
Facility 98.25/200
NC AVG 92.2
Rank #180 / 321
19
95%
Facility 95%
NC AVG 76.2%
Rank #317 / 333
-
The Haven in the Village at Carolina Place
AL
MC
Pineville
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
56
Facility 56
NC AVG 36
Rank #106 / 536
33.3%
100.50/200
Facility 100.50/200
NC AVG 92.2
Rank #130 / 321
28
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
-
The Landings of Rockingham
AL
IL
RC
Reidsville
43
Facility 43
NC AVG 72
Rank #308 / 387
No
62
Facility 62
NC AVG 36
Rank #58 / 536
74.4%
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
10
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Bryson Senior Living
AL
Bryson City
50
Facility 50
NC AVG 72
Rank #292 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
68.0%
92.25/200
Facility 92.25/200
NC AVG 92.2
Rank #251 / 321
14
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
-
Waltonwood Lake Boone
AL
IL
MC
Raleigh
68
Facility 68
NC AVG 72
Rank #194 / 387
Yes
61
Facility 61
NC AVG 36
Rank #66 / 536
60.3%
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
12
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
-
The Landings of Smithfield
AL
MC
RC
Smithfield
66
Facility 66
NC AVG 72
Rank #198 / 387
No
65
Facility 65
NC AVG 36
Rank #43 / 536
28.8%
86.00/200
Facility 86.00/200
NC AVG 92.2
Rank #279 / 321
19
74%
Facility 74%
NC AVG 76.2%
Rank #116 / 333
-
The Parc at Sharon Amity
AL
MC
RC
Charlotte
64
Facility 64
NC AVG 72
Rank #213 / 387
No
44
Facility 44
NC AVG 36
Rank #200 / 536
81.3%
92.75/200
Facility 92.75/200
NC AVG 92.2
Rank #245 / 321
33
85%
Facility 85%
NC AVG 76.2%
Rank #246 / 333
-
TerraBella Knightdale
AL
MC
Knightdale
96
Facility 96
NC AVG 72
Rank #89 / 387
No
40
Facility 40
NC AVG 36
Rank #226 / 536
59.4%
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
37
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
-
Summit Place of Kings Mountain
AL
MC
RC
Kings Mountain
65
Facility 65
NC AVG 72
Rank #207 / 387
Yes
9
Facility 9
NC AVG 36
Rank #462 / 536
-
100.50/200
Facility 100.50/200
NC AVG 92.2
Rank #130 / 321
17
59%
Facility 59%
NC AVG 76.2%
Rank #40 / 333
Suite / 1 Bed / 2 Bed
Navion of Goldsboro
AL
MC
Goldsboro (Teakwood)
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
42
Facility 42
NC AVG 36
Rank #211 / 536
-
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
22
77%
Facility 77%
NC AVG 76.2%
Rank #150 / 333
Suite

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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The Gardens of Nashville

1022 Eastern Avenue Nashville, Nc 27856, Nashville, NC 27856
Overview of The Gardens of Nashville

The Gardens of Nashville sits at 1022 Eastern Avenue in Nashville, North Carolina. It is an assisted living community, built for seniors who need daily support without the clinical intensity of a nursing home. A secured living option is available for residents who require a more protected setting. The neighborhood scores 55 on the Walk Score scale, which is moderately walkable, so some errands can be handled without a car.

At 62 beds and 89% occupancy, this is a mid-sized community by North Carolina standards. That size tends to support shared amenities and group programming while keeping the resident population manageable.

Staffing runs 24 hours, and the care team includes licensed nurses and CNAs. Rehabilitation services are offered, and therapy happens onsite. Pharmacy and provider services are also available on the property, which cuts down the number of outside appointments a resident has to travel to. Dedicated caregivers cover the full day and night, and assistance with daily tasks is part of the standard care package.

Dining is restaurant-style, while housekeeping, maintenance, and transportation are handled by the community. Residents have a library, an entertainment room, and an outdoor common area available to them.

Medicaid is accepted here. For families relying on public coverage, that is a determining factor in whether a community is even an option.

State inspections at this community have focused on medication management and fire-safety systems. For families weighing this option, the picture is a mid-sized Medicaid-accepting community with onsite clinical services and round-the-clock staffing, in a neighborhood where walking covers some but not all daily needs.

Contact The Gardens of Nashville

Overview of The Haven in the Village at Carolina Place

The Haven in the Village at Carolina Place sits at 13150 Dorman Road in Pineville, North Carolina, a suburban town south of Charlotte. It offers assisted living alongside SHINE® Memory Care, so the community serves both residents who need help with daily tasks and residents living with dementia. The Walk Score of 56 puts it in moderately walkable territory, meaning some errands work on foot.

Sixty beds are licensed here, and 20 of them are filled; that works out to 33 percent occupancy. For a family that needs placement soon, availability is not the constraint it would be at a fuller building. Staffing runs around the clock rather than during daytime shifts only. Beyond the two care tracks, the community operates a Military Veterans Program and fills the calendar with daily activities and events.

Meals come chef-prepared, and the building holds a beauty salon and barber shop, a game and activity room, and a health and wellness center. A courtyard with a walking path gives residents somewhere to go outdoors without leaving the grounds. Weekly housekeeping and scheduled transportation cover the routine logistics, and small pets are welcome.

The North Carolina Department of Health and Human Services, Division of Health Service Regulation, oversees this community. Inspection themes have centered on fire-safety systems and on care planning and documentation. Taken with the low occupancy and the round-the-clock staffing, the record here describes a mid-sized community with room available and oversight attention focused on physical plant and paperwork rather than on hands-on care delivery.

Contact The Haven in the Village at Carolina Place

The Landings of Rockingham

2605 Swallow Rd Reidsville, Nc 27320, Reidsville, NC 27320
Overview of The Landings of Rockingham

The Landings of Rockingham sits at 2605 Swallow Rd in Reidsville, North Carolina. It is a 43-bed community licensed for assisted living, independent living, and respite care. The neighborhood earns a Walk Score of 62, which means some errands are reachable on foot and the rest are not.

Thirty-two of the 43 beds are occupied, an occupancy rate of 74 percent. Beds are open. For a family that cannot wait months for placement, that fact carries weight. Housing several care levels in one building also means a resident whose needs change may be able to stay put.

Staffing runs 24 hours. A secured living setting is available for residents who need a controlled environment, and respite stays cover families bridging a hospital discharge or a caregiver’s time away. Therapy, pharmacy, and provider services all operate inside the building, cutting down on trips out for appointments. Caregivers are assigned across every shift and assist with daily tasks.

Dining is restaurant-style. Beyond the dining room, residents have a library, an entertainment room, and an outdoor common area. The community handles transportation, housekeeping, and maintenance.

State inspections here have concentrated on medication management, care planning and documentation, and environmental and hazardous-materials safety.

Medicaid is accepted, which shapes who this community is built for. The Landings of Rockingham serves older adults in and around Reidsville who need daily assisted living support, may benefit from a secured setting, and are planning to fund care through Medicaid.

Contact The Landings of Rockingham

Bryson Senior Living

314 Hughes Branch Road Bryson City, Nc 28713, Bryson City, NC 28713
Overview of Bryson Senior Living

Bryson Senior Living sits on Hughes Branch Road in Bryson City, North Carolina, a small mountain town on the edge of the Great Smokies. The Walk Score of 51 puts it in moderately walkable territory. Some errands work on foot, but most trips out will mean driving. Visiting families should plan for a rural pace rather than a city one.

The community is licensed for 50 beds and 34 of them are filled, which works out to 68 percent occupancy; rooms are open. For families working against a hospital discharge clock or a sudden change at home, that availability is the practical fact worth knowing. It is also a mid-sized building, so residents are not lost in a crowd.

Licensed nurses and CNAs handle the clinical side, and staffing runs 24 hours. A secured living option is available for residents whose dementia puts them at risk of leaving the building unsupervised. Help with bathing, dressing, and other daily tasks comes standard, with caregivers assigned around the clock.

A fair amount happens on the property rather than off it. Therapy, pharmacy, and provider visits are all handled onsite. That cuts down on the car trips and waiting rooms that wear residents out. Housekeeping, maintenance, and transportation round out the operational side.

Meals are served restaurant-style. The building also holds a library, an entertainment room, and an outdoor common area for residents who want somewhere to go besides their own room.

North Carolina’s Division of Health Service Regulation surveys adult care homes across the state. At this community, survey attention has settled on medication management, staffing and staff credentials, care planning and documentation, and fall and injury prevention.

Medicaid is accepted here, which opens the door for families who cannot pay privately over the long term. Taken with the open beds and the onsite clinical services, that combination defines who this community is realistically built to serve.

Contact Bryson Senior Living

Waltonwood Lake Boone

3560 Horton Street Raleigh, Nc 27607, Raleigh, NC 27607
Overview of Waltonwood Lake Boone

Waltonwood Lake Boone sits on Horton Street in Raleigh, about 3.2 miles out from the city center. Three levels of care operate here: independent living, assisted living, and memory care. A resident whose needs grow can move up a level without packing up and starting over somewhere new. For a lot of families, that single fact does most of the work.

The neighborhood earns a Walk Score of 61. Moderately walkable. Some errands are doable on foot, and there is a reasonable mix of things nearby. Drivers coming in from elsewhere in the Triangle will find it straightforward to reach.

the community is 68 beds, and 41 of them are filled. Occupancy at 60 percent tells you two things worth knowing. There is room right now, which is not always true of Raleigh communities. And a lighter census often means staff are stretched less thin across the floor.

Pets are welcome. That is not a small thing when someone is being asked to leave a house behind. Tours run every day of the week, 9:00am to 5:00pm, weekends included, so no one has to burn a vacation day to see the place. North Carolina inspectors have looked at medication management and at staffing and staff credentials here.

What Waltonwood Lake Boone offers is three care levels in one building, current availability, and a Raleigh address that keeps family visits short.

Contact Waltonwood Lake Boone

The Landings of Smithfield

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

The Landings of Smithfield sits at 200 Kellie Drive in Smithfield, North Carolina. It is licensed for assisted living, and it also runs memory care and respite care on the same campus. For a family watching a parent’s needs shift over time, that combination means one move instead of two or three. Walk Score puts the neighborhood at 65, so some errands are reachable on foot without a car.

The building holds 66 beds; nineteen of them are occupied. A community running at 29% occupancy feels different from a full one, in staffing ratios, in dining room volume, and in the social life available to a resident who wants company.

Nursing services and 24-hour staffing are both in place, so coverage does not thin out overnight. Respite care handles the temporary situations, a caregiver’s surgery or a discharge that needs a bridge. A program called Secured Living supports residents living with memory loss.

Shared spaces run to a library, an entertainment room, and an outdoor common area. Meals are served restaurant-style. Housekeeping, maintenance, and transportation are all managed in house.

Medicaid is accepted here. State inspection attention at this community has centered on medication management and on care planning and documentation. The picture the record gives is a 66-bed community operating far below capacity, covering three care levels under one roof, accepting Medicaid, with regulatory attention focused on medication handling and resident records.

Contact The Landings of Smithfield

The Parc at Sharon Amity

4025 N. Sharon Amity Road Charlotte, Nc 28205, Charlotte, NC 28205
Overview of The Parc at Sharon Amity

Sixty-four beds sit at 4025 N. Sharon Amity Road in Charlotte, North Carolina. The Parc at Sharon Amity operates as an assisted living and memory care community, with respite stays available when a family needs shorter-term coverage. The surrounding streets earn a Walk Score of 44, which lands in somewhat walkable territory. A handful of destinations are reachable on foot, but most errands here mean getting into a vehicle.

Occupancy runs at 81%, so the building is neither full nor sparsely populated. Licensed nurses and certified nursing assistants handle resident care, and staffing coverage holds through the night rather than thinning after dinner. For residents living with Alzheimer’s disease or dementia, secured living is part of the setup. That secured component is what gives the memory care designation something concrete behind it.

Meals happen in a restaurant-style dining room. There is a library, an entertainment room, and an outdoor common area for residents who want time outside the building. Transportation services run from the community, which carries real weight given how the neighborhood scores for walkability.

Inspection themes on record include medication management, care planning and documentation, and fire-safety systems. Emergency preparedness and resident rights and protections round out the reviewed areas.

Medicaid is accepted here. For families weighing what happens after private funds run down, that coverage pathway changes the arithmetic of a long stay. The Parc at Sharon Amity is built for older adults who need hands-on daily support, and for those whose memory loss calls for a secured environment with nursing staff present at every hour.

Contact The Parc at Sharon Amity

TerraBella Knightdale

2408 Hodge Road Knightdale, Nc 27545, Knightdale, NC 27545
Overview of TerraBella Knightdale

TerraBella Knightdale sits on Hodge Road in Knightdale, a short drive east of Raleigh. It offers assisted living and memory care in the same building. The Walk Score is 40. A few errands are doable on foot. Most aren’t, so plan on driving.

With ninety-six beds in total and fifty-seven residents, that works out to 59% occupancy, which is worth knowing if you’re looking at a timeline and don’t want to sit on a waitlist. It’s a larger shared setting, so there’s more common space and more organized group activity than a small home can put together.

Licensed nurses and CNAs handle care. Memory support runs through a program the company calls GLOW℠. There’s also a Military Veterans Program for residents who served. Assisted Senior Living is the track for people who need a hand with daily routines but not skilled nursing.

Meals are chef-prepared. The community keeps a craft room, a salon and barber, outdoor grounds, and transportation on a schedule. Staff take care of housekeeping, laundry, and the grounds themselves.

North Carolina inspects assisted living residences in areas such as medication management, fire-safety systems, staff credentials, and dietary service. The starting rate is $4,085 a month. If you’re looking near Raleigh and want assisted living with a memory care option in the same place, this one has capacity now and nursing staff on site. That’s the practical place to begin.

Contact TerraBella Knightdale

Overview of Summit Place of Kings Mountain

Situated in the heart of Kings Mountain, NC, the Summit Place of Kings Mountain is a peculiar senior living community that offers assisted living, memory care, and respite care services. Here, residents are treated as members of the family. Spacious and luxurious accommodations are available to ensure comfort and relaxation among its residents. With its compassionate team, the community radiates a supportive environment to ease the stresses of daily living. For memory care services, it offers the Signature Memory Care Neighborhood which provides a caring and peaceful home that caters not only to physical tasks but also to the emotional wellness of its residents with cognitive conditions like Alzheimer’s disease and dementia.

With its above-and-beyond amenities and services, residents can enjoy individualized care plans, medication management, personal laundry and linen service, daily housekeeping, daily wellness checks, and many more. Equipped with the right tools and people, seniors can never go wrong with the Summit Place of Kings Mountain.

Contact Summit Place of Kings Mountain

Overview of Navion of Goldsboro

Settled in the calming community of Goldsboro, NC, the Navion of Goldsboro is a peculiar 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 surely enjoy a worry-free retirement Navion of Goldsboro.

Contact Navion of Goldsboro

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.