Page 25 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. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
The Gardens of Pamlico
AL
Grantsboro
70
Facility 70
NC AVG 70
Rank #158 / 328
Yes
29
Facility 29
NC AVG 34
Rank #208 / 373
32.9%
Facility 32.9%
NC AVG 68.5%
Rank #164 / 186
95.50/200
Facility 95.50/200
NC AVG 92.7
Rank #193 / 291
C+18
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Marion Assisted Living
AL
Marion
54
Facility 54
NC AVG 70
Rank #241 / 328
Yes
66
Facility 66
NC AVG 34
Rank #23 / 373
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #261 / 291
B15
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Rose Care Home – Cary
AL
RESC
Cary (Churchill Downs)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
62
Facility 62
NC AVG 34
Rank #35 / 373
-
98.50/200
Facility 98.50/200
NC AVG 92.7
Rank #155 / 291
B-6
83%
Facility 83%
NC AVG 64.9%
Rank #126 / 301
-
Piedmont Christian Home
AL
MC
High Point
93
Facility 93
NC AVG 70
Rank #93 / 328
No
3
Facility 3
NC AVG 34
Rank #357 / 373
65.6%
Facility 65.6%
NC AVG 68.5%
Rank #112 / 186
92.00/200
Facility 92.00/200
NC AVG 92.7
Rank #250 / 291
C-18
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Windsor House
AL
HOS
Windsor
60
Facility 60
NC AVG 70
Rank #200 / 328
No
37
Facility 37
NC AVG 34
Rank #154 / 373
78.3%
Facility 78.3%
NC AVG 68.5%
Rank #82 / 186
79.50/200
Facility 79.50/200
NC AVG 92.7
Rank #269 / 291
D+19
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Rockbridge Senior Home Living
AL
RESC
Durham (Country Club Heights)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
5
Facility 5
NC AVG 34
Rank #343 / 373
-
101.00/200
Facility 101.00/200
NC AVG 92.7
Rank #113 / 291
A+3
0%
Facility 0%
NC AVG 64.9%
Rank #1 / 301
Private / Semi-Private Rooms
Senior Fluent
AL
MC
RESC
Zebulon (Shepards Point)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
7
Facility 7
NC AVG 34
Rank #325 / 373
-
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
A+3
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
Private / Semi-Private Suites
Waltonwood Lake Boone
AL
IL
MC
Raleigh (Dairyland)
68Yes
51
Facility 51
NC AVG 34
Rank #86 / 373
-94.50/200B+771%1 Bed / 2 Bed
The Viridian
AL
IL
RC
New Bern
48
Facility 48
NC AVG 70
Rank #253 / 328
No
76
Facility 76
NC AVG 34
Rank #6 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
A-4
0%
Facility 0%
NC AVG 64.9%
Rank #22 / 301
-
Rose Glen Manor
AL
MC
RC
North Wilkesboro
60
Facility 60
NC AVG 70
Rank #200 / 328
No
61
Facility 61
NC AVG 34
Rank #42 / 373
-
100.00/200
Facility 100.00/200
NC AVG 92.7
Rank #125 / 291
A-11
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 Gardens of Pamlico

22 Magnolia Way Grantsboro, Nc 28529, Grantsboro, NC 28529
Overview of The Gardens of Pamlico

The Gardens of Pamlico offers assisted living in Grantsboro, NC. Assisted living includes help with daily activities, while the Secured Living program may suit someone who needs a secured setting with additional supervision.

The community has 70 beds. Medicaid is accepted, which can matter when a family’s savings may not cover a long stay. Restaurant style dining includes healthy, balanced meals prepared to meet dietary needs, and the library and entertainment room give residents places to read and take part in indoor activities. An outdoor common area offers time outside, while transportation services can support travel without driving independently; rehabilitation services are also available, and residents may keep a pet in the community.

Contact The Gardens of Pamlico

Marion Assisted Living

5235 Nc 226 South Marion, Nc 28752, Marion, NC 28752
Overview of Marion Assisted Living

Marion Assisted Living is an assisted living community in Marion, NC, providing help with daily personal care and medication monitoring for residents who need support with routine tasks. With 54 beds, the community is in the smaller-community range, which may suit someone who prefers a setting where staff and residents can get to know each other.

Assistance with daily personal care can support residents who need help with activities such as bathing or dressing. Medication monitoring helps with ongoing medication routines, while nutritional and dietary counseling addresses food and nutrition needs. Regular activities and social events give residents scheduled opportunities to participate.

Medicaid is accepted, giving families using that coverage a payment option for a long-term stay. Pets are allowed, so a resident can keep a pet at the community. The area has a Walk Score of 66 / 100 and is somewhat walkable, meaning some errands can be done on foot; for a resident who no longer drives, some shopping and errands may be possible without a car or ride.

Contact Marion Assisted Living

Overview of Rose Care Home – Cary

Rose Care Home is a vibrant assisted living community in Cary, NC, that offers personal care plans. The community strives to accommodate older adults with its home-like environment. Recreational activities and household services are also offered, ensuring residents have a maintenance-free lifestyle. With its dedication to residents’ welfare, the community crafts care plans tailored to their unique needs.

Fun recreational activities, light exercises, and plenty of interest groups accompany older adults, promoting an active lifestyle. With spacious outdoors, naturally-lit hallways, and cozy gathering spaces, residents have more places to spend their free time. Situated in the quiet neighborhood of Cary, the community promises a stress-free retirement. This assisted living community is ideal for older adults in North Carolina, especially with its friendly setting.

Contact Rose Care Home – Cary

Piedmont Christian Home

1510 Deep River Road High Point, Nc 27265, High Point, NC 27265
Overview of Piedmont Christian Home

In High Point, NC, Piedmont Christian Home has assisted living and memory care under its license. Assisted living is the arrangement where bathing, dressing, and medication get help while the remainder of the day does not. Memory care handles a wandering risk by supervising the resident inside a secured setting.

Both levels belong to the same license here, which is what lets a resident’s needs change without the address changing with them. The bed count is 93.

Rehabilitation services are on-site, so therapy happens where the resident already lives. Dining runs as a named program, the Nutritious Dining Experience.

Contact Piedmont Christian Home

Windsor House

336 Rhodes Avenue Windsor, Nc 27983, Windsor, NC 27983
Overview of Windsor House

Windsor House in Windsor, North Carolina, offers a dual approach to senior care by combining assisted living with hospice services. Residents in assisted living receive daily help with personal tasks like dressing, bathing, and managing medications. Having hospice care integrated directly on-site lets individuals facing end-of-life needs remain in familiar surroundings while receiving tailored assistance.

Nurse Director Calm-Cdp Pat T. Nixon oversees health operations across this 60-bed facility. Specialized clinical services include complete medication management, insulin administration, and dedicated diabetic care routines. Daily transportation is necessary for off-site trips and local errands, as reflected by the location’s car-dependent walk score of 37.

Prospective representatives seeking daily support services or specialized hospice options in Bertie County can reach out to Windsor House for details on current admissions.

Contact Windsor House

Overview of Rockbridge Senior Home Living

Spend your golden years at Rockbridge Senior Home Living, an outstanding community in Durham, NC, offering assisted living. A kind and highly trained team provides the highest quality of care tailored to residents’ unique needs 24/7, ensuring their comfort and safety. With housekeeping, laundry, and linen services, residents can rest assured of living a hassle-free lifestyle.

A thoughtfully planned calendar of engaging activities and enriching programs is conducted to keep residents active and socially connected. Three delicious and healthy meals are also served to satisfy residents’ dietary needs and preferences. Medication management is also taken care of for convenience. The community is a great option for those needing assistance to enjoy a blissful retirement.

Contact Rockbridge Senior Home Living

Senior Fluent

3004 Bunnfield Dr, Zebulon, NC 27597
Overview of Senior Fluent

Senior Fluent offers assisted living, memory care, and residential care in Zebulon, NC. Assisted living provides help with daily tasks, while memory care offers supervision in a secured setting for someone living with Alzheimer’s, dementia, or cognitive decline. Residential care is also available, and the range of care types may suit a resident whose support needs change over time.

Located in the Shepards Point neighborhood, the home has 6 beds, making it a small community where residents and staff can become familiar with one another. Private and semi-private suites are available: a private suite gives one resident a personal living space, while a semi-private suite accommodates shared living.

The listed starting price is $7,500 per month, which families can use as an initial figure when budgeting for care. The home provides an outdoor garden, sitting area, large front yard, and screened-in patio, giving residents several on-site outdoor spaces. A salon is available for hair-care appointments, and transportation options cover shopping and doctor visits.

Dining includes fresh, home-cooked meals tailored to resident preferences, with special diets available for residents who have specific dietary needs. Social, leisure, recreational, and educational activities give residents structured ways to spend time and participate in interests. Senior Fluent may be a good fit for someone living with dementia who needs memory-focused care in a small residential setting.

Starting Price $7,500/Month

Contact Senior Fluent

Overview of Waltonwood Lake Boone

Settled in the serene setting of Wilson, NC, Waltonwood Lake Boone offers a full continuum of care, including independent living, assisted living, and memory care. This family-owned community ensures residents receive the right level of support to age in place, with comfortable one-bedroom and two-bedroom floor plans designed to enhance daily life.

This vibrant community prides itself on a variety of services and activities that encourage social engagement, including a garden house, lifestyle club, and travel club. With gourmet dining, wellness programs, and an inviting environment, residents enjoy a carefree, maintenance-free lifestyle. Waltonwood Lake Boone also offers opportunities for family involvement, ensuring loved ones remain a part of the journey. A perfect blend of care, comfort, and community awaits, offering an enriching and fulfilling lifestyle.

Contact Waltonwood Lake Boone

The Viridian

3003 Waterscape Way New Bern, Nc 28562, New Bern, NC 28562
Overview of The Viridian

Respite care, independent living, and assisted living make up what The Viridian is licensed for in New Bern, NC. Assisted living brings the help a person needs with medication, bathing, and dressing. Independent living is the one with community services and no daily care attached. Respite care is a short stay, arranged when a resident’s usual caregiver travels or recovers.

Forty-eight beds put this among the smaller places, where staff and residents come to know one another. Because the range is licensed at one address, support needs that grow do not force a search elsewhere.

At 76, the walk score is very walkable, so most errands stay on foot for a resident who has given up driving. On-site therapy means rehabilitation happens where the resident already is.

Contact The Viridian

Rose Glen Manor

240 Independence Avenue North Wilkesboro, Nc 28659, North Wilkesboro, NC 28659
Overview of Rose Glen Manor

Three care types belong to Rose Glen Manor in North Wilkesboro, NC, respite care, memory care, and assisted living. Under assisted living, the help is with daily tasks, medication management, bathing, and dressing. For someone at risk of wandering, memory care means the setting is secured, and staff supervises inside it.

Respite is the short stay families use when the caregiver has their own surgery to recover from. Rose Glen Manor is licensed for 60 beds, and Secured Living is named as a program, which is where a resident living with dementia would be supervised.

Having all three levels here answers two different questions at once, one from a resident whose needs are changing and one from the person doing the caring. Medicaid is on the list of accepted payments, the answer for families whose savings run out before the care does.

Dining is among the amenities. A 61 for walking puts part of the area within reach on foot and leaves the rest of it to a car.

Contact Rose Glen Manor

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.