Page 26 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. 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.
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.
Windsor House
AL
HOS
Windsor
60
Facility 60
NC AVG 72
Rank #230 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
78.3%
79.50/200
Facility 79.50/200
NC AVG 92.2
Rank #294 / 321
38
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
Southfork
AL
MC
RC
Winston-Salem
78
Facility 78
NC AVG 72
Rank #161 / 387
No
20
Facility 20
NC AVG 36
Rank #377 / 536
60.3%
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
23
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
The Oaks of Alamance
AL
Burlington
69
Facility 69
NC AVG 72
Rank #192 / 387
No
72
Facility 72
NC AVG 36
Rank #24 / 536
62.3%
86.00/200
Facility 86.00/200
NC AVG 92.2
Rank #279 / 321
26
92%
Facility 92%
NC AVG 76.2%
Rank #303 / 333
Morningstar Assisted Living
AL
RC
Sylva
55
Facility 55
NC AVG 72
Rank #283 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
58.2%
71.00/200
Facility 71.00/200
NC AVG 92.2
Rank #301 / 321
24
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Four Oaks Senior Living
AL
MC
RC
Four Oaks
96
Facility 96
NC AVG 72
Rank #89 / 387
No
53
Facility 53
NC AVG 36
Rank #128 / 536
66.7%
85.25/200
Facility 85.25/200
NC AVG 92.2
Rank #282 / 321
29
93%
Facility 93%
NC AVG 76.2%
Rank #311 / 333
Wilson House
AL
MC
Wilson
136
Facility 136
NC AVG 72
Rank #19 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
33.1%
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
45
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
Faith Assisted Living Facility
AL
Taylorsville
30
Facility 30
NC AVG 72
Rank #326 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
53.3%
97.50/200
Facility 97.50/200
NC AVG 92.2
Rank #185 / 321
23
87%
Facility 87%
NC AVG 76.2%
Rank #267 / 333
Cypress Manor
AL
Roper
40
Facility 40
NC AVG 72
Rank #310 / 387
No
15
Facility 15
NC AVG 36
Rank #414 / 536
30.0%
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
23
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
The Bradford Village of Kernersville – West
AL
Kernersville
62
Facility 62
NC AVG 72
Rank #222 / 387
No
17
Facility 17
NC AVG 36
Rank #403 / 536
79.0%
96.00/200
Facility 96.00/200
NC AVG 92.2
Rank #205 / 321
54
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
Sanford Senior Living
AL
MC
Sanford
50
Facility 50
NC AVG 72
Rank #292 / 387
No
72
Facility 72
NC AVG 36
Rank #24 / 536
36.0%
95.25/200
Facility 95.25/200
NC AVG 92.2
Rank #220 / 321
38
92%
Facility 92%
NC AVG 76.2%
Rank #303 / 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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Windsor House

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

Windsor House is located at 336 Rhodes Avenue in Windsor, which is a small town in Bertie County in the countryside of North Carolina. This sixty-bed home provides assisted living and end-of-life care, and its walking score of 37 means the area is only slightly walkable. While a few local stores might be close enough for a short walk, most daily tasks will require the use of a car.

Right now, about 78 percent of the home is full because 47 out of the 60 beds have people living in them. The building has a special area for extra care and keeps trained nurses and health assistants working at all hours of the day and night. Families who want help at their own houses can use the home care program that runs at the same time as the main residence. Workers at the facility manage and give out medicine on-site, and they also take care of residents who need help with blood sugar or shots.

The food at Windsor House is made from scratch, and a health program serves as the main part of the daily schedule. State inspectors have focused on three main areas during their visits: medicine help, fire safety, and keeping the building free of dangerous materials. These check-ups look at regular safety rules that the state always watches rather than just looking at one single problem.

Windsor House is designed for families who want a smaller place with many workers in a country setting, particularly for those who need a special care unit and help with medicine nearby.

Contact Windsor House

Southfork

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

Southfork is a 78-bed nursing home at 1345 Jonestown Road in Winston-Salem, North Carolina. It provides skilled nursing care. A secured living program runs alongside 24-hour staffing. Short-term respite stays are also available.

The location scores 20 on the Walk Score scale, placing it in the car-dependent range. Getting to most errands from here means driving. Walkable options nearby are limited. Occupancy stands at 60 percent, which works out to 47 of the 78 beds.

On-site amenities include restaurant-style dining, a library, and an entertainment room. There is also an outdoor common area. The facility provides housekeeping, maintenance, and transportation. The secured living program covers residents who need a monitored setting.

Medicaid is accepted as a payment pathway for residents who qualify.

State inspections have documented findings across four areas at Southfork: medication management, fire-safety systems, staffing and staff credentials, and dietary and food service. These four categories mark the scope of what regulators have recorded at the facility.

Southfork pairs skilled nursing with a secured living option across one 78-bed campus in Winston-Salem. Medicaid is accepted, and the site sits in a car-dependent part of Forsyth County.

Contact Southfork

The Oaks of Alamance

1670 Westbrook Avenue Burlington, Nc 27215, Burlington, NC 27215
Overview of The Oaks of Alamance

Burlington’s Oaks of Alamance sits at 1670 Westbrook Avenue and offers both assisted living and memory care under one roof. The community holds 69 beds, with 43 currently occupied, putting occupancy at 62%. Walkability here scores 72 out of 100, high enough that most errands can be handled on foot and daily essentials sit within easy reach.

Licensed nurses and certified nursing assistants staff the community around the clock, working at a ratio of one caregiver for every eight residents. Safety infrastructure runs through the building itself: 24/7 security, emergency call systems built into bedrooms and bathrooms, and in-house medical alert systems layered across resident living spaces. A structured wellness program gives residents a consistent activity to anchor their days, and a library rounds out the amenities on offer.

North Carolina’s Division of Health Service Regulation, part of the state’s Department of Health and Human Services, inspects the community as part of its oversight of senior care statewide. Across more than a decade of inspection history, recurring areas of regulatory focus have included medication management, fire-safety systems, staffing and staff credentials, environmental and hazardous-materials safety, care planning and documentation, and housekeeping and upkeep. These are important categories North Carolina regulators examine across assisted living communities generally.

What stands out about The Oaks of Alamance is the combination of continuous nursing coverage and a walkable setting, backed by emergency systems built directly into where residents sleep and bathe.

Contact The Oaks of Alamance

Morningstar Assisted Living

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

Morningstar Assisted Living sits at 95 Morningstar Lane in Sylva, North Carolina, a small mountain town in the western part of the state. The community provides assisted living and respite care. The surrounding neighborhood earns a Walk Score of 55, described as moderately walkable, which means some errands can be handled on foot with a mix of nearby amenities within reach.

The building holds 55 beds and currently houses 32 residents, putting occupancy at 58 percent. That leaves meaningful room available for families who need a placement without a long wait.

Care here covers rehabilitation services alongside respite care for families who need short-term coverage. Licensed nurses and certified nursing assistants are part of the staffing picture. The community also runs on-site medical care.

Activity programming runs at 14 or more hours of planned group activities each week. The schedule includes bingo, exercise sessions, socials, crafts, and outings into the surrounding area. For residents who want structure in their week, that volume of programming gives them consistent options.

State inspections of this community have touched on medication management and infection prevention and control. Those are two of the areas regulators examine closely at assisted living residences across the country.

Morningstar Assisted Living offers a mid-sized assisted living setting in Sylva with respite care, on-site medical services, and a regular activity calendar, in a neighborhood where some daily errands remain within walking distance.

Contact Morningstar Assisted Living

Four Oaks Senior Living

565 Boyette Road Four Oaks, Nc 27524, Four Oaks, NC 27524
Overview of Four Oaks Senior Living

Four Oaks Senior Living is a 96-bed community in Four Oaks, North Carolina, offering assisted living, memory care, and respite care at 565 Boyette Road. The neighborhood is moderately walkable, with a Walk Score of 53, meaning some errands can be handled on foot while most still call for a car.

The community currently houses 64 residents across its 96 beds, an occupancy rate of 67%. That leaves meaningful room available, which matters for families who need placement without a long wait. Staffing runs 24 hours a day, and respite care is available for families needing short-term coverage.

Memory care here operates under a named Secured Living program, which pairs the memory care designation with a protected physical environment. Residents have access to restaurant-style dining, a library, an entertainment room, and an outdoor common area. Housekeeping, maintenance, and transportation services are also provided.

State inspections have focused on medication management and environmental safety conditions rather than other areas of daily operation. These are categories that inspectors examine across adult care homes in North Carolina.

Four Oaks Senior Living accepts Medicaid, which shapes the planning picture for families weighing long-term coverage rather than private funds alone. The community fits older adults who need assisted living or memory care support in a larger shared setting, with room currently available and a secured option for residents whose cognition requires it.

Contact Four Oaks Senior Living

Wilson House

1800 Martin Luther King Jr. Parkway Wilson, Nc 27893, Wilson, NC 27893
Overview of Wilson House

Wilson House sits on Martin Luther King Jr. Parkway in Wilson, North Carolina. It offers assisted living and memory care. The neighborhood is built for drivers, not walkers. A Walk Score of 2 tells you most of what you need to know: errands, appointments, and outings all mean getting in a car.

The community holds 136 beds; about 45 are filled right now, so occupancy runs near 33%. That leaves a lot of open space. For some families, a fuller building signals demand. For others, room to spare means a resident gets more of the common areas and less of a waitlist.

Two kinds of care happen here: assisted living covers help with daily routines, while Memory care runs through a secured living program for residents with dementia. The building backs that up with a secured perimeter and an emergency alert system. Nursing services are on hand, and staff stay on-site around the clock.

Meals are served restaurant-style. There is a library, an entertainment room, and an outdoor common area for time outside. Staff handle housekeeping and maintenance. Transportation services run for appointments and errands, which carries real weight in a spot this far from walkable shops.

Medicaid is accepted. For North Carolina families sorting through coverage, that widens the field considerably.

State surveys of the community have looked at fire-safety systems, upkeep of the building, and environmental safety conditions. Those are standard areas North Carolina inspectors review at adult care homes.

Wilson House is a large, secured community with round-the-clock staffing and a Medicaid pathway, set in a part of Wilson where a car is part of the plan.

Contact Wilson House

Faith Assisted Living Facility

3032 N.c. Highway 16 South Taylorsville, Nc 28681, Taylorsville, NC 28681
Overview of Faith Assisted Living Facility

Faith Assisted Living Facility is a 30-bed assisted living community offering memory care in Taylorsville, North Carolina. The facility sits at 3032 NC Highway 16 South in Alexander County, in a moderately walkable setting with a Walk Score of 55. Catawba Valley Medical Center serves as the nearby acute-care resource for the area.

The community currently has 16 of its 30 beds occupied, an occupancy rate of 53 percent. Residents receive 24-hour care, including personal care support and medication administration and monitoring. Housekeeping, laundry, and emergency care are provided as part of daily operations.

Social and recreational activities are offered on a regular basis, along with transportation services and attention to safety and security. State inspections have covered areas including medication management, infection prevention and control, fire-safety systems, and care planning and documentation. Housekeeping and upkeep along with environmental and hazardous-materials safety have also been part of the inspection record.

Faith Assisted Living Facility is positioned for older adults in Alexander County who need daily personal care and memory support in a residential setting close to local medical resources.

Contact Faith Assisted Living Facility

Cypress Manor

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

Cypress Manor sits in Roper, a small town in northeastern North Carolina. This is rural country. The Walk Score of 15 tells you what you need to know about getting around here, which is that you will need a car for nearly everything. Families visiting should count on driving.

The building is licensed for 40 beds. Right now 12 of those are filled, which works out to 30 percent occupancy. That is a lot of open space in a building this size. For a family that needs a spot soon, availability is not going to be the obstacle here.

Day to day, residents get help with the routine tasks that have gotten harder to manage alone. Transportation to medical appointments is arranged by the community, which spares families a recurring logistical headache. A dietician guides the meal planning. Linens and laundry are handled on site, activities run daily, and there is a salon in the building for haircuts and appointments.

Medicaid is accepted here; Medicaid participation among North Carolina assisted living communities is uneven, and it shapes which doors are actually open to a family working with that funding. State inspectors have looked at medication management, fire-safety systems, environmental and hazardous-materials safety, and care planning and documentation.

What Cypress Manor offers is a small rural setting with meals, rides, daily programming, and a Medicaid pathway that many nearby communities do not provide.

Contact Cypress Manor

The Bradford Village of Kernersville – West

602 Piney Grove Road Kernersville, Nc 27284, Kernersville, NC 27284
Overview of The Bradford Village of Kernersville – West

The Bradford Village of Kernersville – West holds 62 beds at 602 Piney Grove Road in Kernersville, North Carolina. It provides assisted living and memory care. The surrounding area is car-dependent, and a Walk Score of 17 reflects that plainly. Families visiting will drive rather than walk in from nearby streets.

Forty-nine of the 62 beds are occupied, putting the community at 79 percent capacity. Openings exist. The building is mid-sized by North Carolina assisted living standards, neither a small residential home nor a large campus.

Staffing runs around the clock, covering assisted living residents and memory care residents alike. Clinical services sit inside the building: physical therapy, occupational therapy, and speech therapy. A physician and podiatry service operates on site, and pharmacy access is arranged through the community. That combination reduces the number of outside appointments a resident has to travel to.

An on-site beauty shop rounds out the day-to-day amenities. State inspections here have covered medication management, care planning and documentation, staffing and staff credentials, fire-safety systems, and housekeeping and upkeep. Medicaid is accepted, which shapes the financial picture for families looking past a short private-pay window.

This community fits older adults who need consistent hands-on daily support, either in assisted living or in memory care, and who benefit from having therapy and physician services located where they live.

Contact The Bradford Village of Kernersville – West

Sanford Senior Living

1107 Carthage Street Sanford, Nc 27330, Sanford, NC 27330
Overview of Sanford Senior Living

Sanford Senior Living provides assisted living and memory care in Sanford, North Carolina, at 1107 Carthage Street. The address puts residents near the local medical community, with shopping and restaurants close by. A Walk Score of 72 marks the neighborhood as very walkable, meaning most errands can be handled on foot. Families visiting can park once and cover several stops.

The building holds 50 beds and currently houses 18 residents. That works out to 36 percent occupancy. A community this size generally sits between the personal attention of a small home and the wider amenity list of a large one. Current occupancy leaves considerable room in the building.

Clinical support includes rehabilitation services delivered on-site. Licensed nurses and certified nursing assistants staff the community, and coverage runs 24 hours with awake staff present overnight. Memory care operates alongside assisted living here, which means a resident whose cognitive needs shift may be able to stay in the same building rather than move.

Residents receive three meals each day through a full dining program. Housekeeping comes as part of the service package.

North Carolina regulators inspect adult care homes on an unannounced basis. At this community, inspection themes have centered on medication management, fire-safety systems, and housekeeping and upkeep. The oversight record covers more than a decade of data.

Sanford Senior Living is a mid-sized, walkably-located community offering both assisted living and memory care, with around-the-clock licensed staffing and a documented inspection history across those three areas.

Contact Sanford Senior Living

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.