Page 26 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. 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Brookdale Northwest Greensboro
AL
Greensboro (Oak Ridge Meadows)
81
Facility 81
NC AVG 70
Rank #125 / 328
Yes--
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
B+15
73%
Facility 73%
NC AVG 64.9%
Rank #126 / 301
Studio / 2 Bed
The Bradford Village of Kernersville – West
AL
Kernersville
62
Facility 62
NC AVG 70
Rank #193 / 328
No
17
Facility 17
NC AVG 34
Rank #271 / 373
79.0%
Facility 79.0%
NC AVG 68.5%
Rank #80 / 186
104.00/200
Facility 104.00/200
NC AVG 92.7
Rank #188 / 291
C32
0%
Facility 0%
NC AVG 64.9%
Rank #125 / 301
-
Haywood Lodge and Retirement Center
AL
MC
RC
Waynesville
72
Facility 72
NC AVG 70
Rank #151 / 328
No
73
Facility 73
NC AVG 34
Rank #12 / 373
-
92.50/200
Facility 92.50/200
NC AVG 92.7
Rank #223 / 291
C+12
0%
Facility 0%
NC AVG 64.9%
Rank #78 / 301
-
Twin Lakes Memory Care
AL
ADC
MC
NH
SNF
Burlington
32
Facility 32
NC AVG 70
Rank #268 / 328
No
72
Facility 72
NC AVG 34
Rank #15 / 373
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
?3
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Addison of Fayetteville
AL
MC
Fayetteville (Seventy-First)
96
Facility 96
NC AVG 70
Rank #70 / 328
No
19
Facility 19
NC AVG 34
Rank #257 / 373
22.9%
Facility 22.9%
NC AVG 68.5%
Rank #182 / 186
-
0.00/200
Facility 0.00/200
NC AVG 92.7
Rank #278 / 291
-13
92%
Facility 92%
NC AVG 64.9%
Rank #90 / 301
Suite / 1 Bed
Country Time Inn
AL
MC
RC
Kings Mountain
59
Facility 59
NC AVG 70
Rank #234 / 328
No
37
Facility 37
NC AVG 34
Rank #154 / 373
-
87.50/200
Facility 87.50/200
NC AVG 92.7
Rank #248 / 291
A-10
90%
Facility 90%
NC AVG 64.9%
Rank #126 / 301
-
Spring Arbor of Wilmington
AL
MC
Wilmington (Pine Valley Estates)
66Yes
58
Facility 58
NC AVG 34
Rank #58 / 373
-103.00/200B1560%Private Rooms / Semi-Private Rooms
Somerset Court of Cherryville
AL
RC
Cherryville
60
Facility 60
NC AVG 70
Rank #200 / 328
No
52
Facility 52
NC AVG 34
Rank #83 / 373
-
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
B+13
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Williamston House
AL
MC
RC
Williamston
60
Facility 60
NC AVG 70
Rank #200 / 328
No
51
Facility 51
NC AVG 34
Rank #86 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
B-20
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Montgomery Senior Living
AL
MC
RC
Star
54
Facility 54
NC AVG 70
Rank #241 / 328
No
26
Facility 26
NC AVG 34
Rank #222 / 373
51.9%
Facility 51.9%
NC AVG 68.5%
Rank #136 / 186
95.50/200
Facility 95.50/200
NC AVG 92.7
Rank #278 / 291
C17
0%
Facility 0%
NC AVG 64.9%
Rank #90 / 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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Overview of Brookdale Northwest Greensboro

Located in Greensboro, North Carolina, Brookdale Northwest Greensboro offers a supportive environment for assisted living, focusing on fostering social connections and enriching experiences for older adults. Residents here enjoy a vibrant community where they can engage with peers who share similar interests, enhancing their quality of life. With a variety of floor plans, including private cottages, residents can enjoy the comforts of home without the responsibilities, allowing them to embrace a lifestyle filled with meaningful activities and companionship.

The community provides personalized care that promotes independence while ensuring assistance is readily available, whether it’s with daily activities like dressing and bathing or the maintenance of their living spaces. Brookdale Northwest Greensboro also prioritizes safety and peace of mind, offering round-the-clock emergency response services. This commitment allows residents and their families to rest assured that help is always at hand, contributing to a secure and supportive living environment.

Starting Price $4,105/Month

Contact Brookdale Northwest Greensboro

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 is an assisted living community in Kernersville, NC. Assisted living includes support with walking and medication dispensing, which may suit a resident who needs help with those tasks while living in a private or shared room. The community has 62 beds, with private rooms offering individual living space and shared rooms accommodating residents who live with a roommate.

Medicaid is accepted as a payment option for families whose savings may not cover a long stay. Physical, occupational and speech therapy are available for residents who need support with movement, daily function or communication, while physician, podiatry and pharmacy services address other health needs. An on-site beauty shop allows residents to arrange grooming within the community, and religious services are available for those who want that form of worship or observance. Michael Wilson serves as the director.

Contact The Bradford Village of Kernersville – West

Haywood Lodge and Retirement Center

251 Shelton Street Waynesville, Nc 28786, Waynesville, NC 28786
Overview of Haywood Lodge and Retirement Center

Haywood Lodge and Retirement Center provides assisted living, memory care, and respite care in Waynesville, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps their own apartment. Memory care offers a secured setting with supervision for a resident at risk of wandering.

Respite care provides a short term stay when a family’s usual caregiver needs to travel or recover. The combination of assisted living and memory care may suit a resident whose needs grow over time, since the care level can change without leaving the community. That continuity may matter as daily support needs change.

Haywood Lodge and Retirement Center opened in 1963 and has 72 beds. A Walk Score of 73 places the area in the very walkable band, with most errands possible on foot, so a resident who no longer drives can still get out independently for nearby errands. In house physical therapy supports rehabilitation without requiring travel to an outside therapy location, while in house lab and X ray services mean some diagnostic testing can take place within the community. Hair care is also available at the on site barbershop and beauty shop.

Contact Haywood Lodge and Retirement Center

Twin Lakes Memory Care

3810 Heritage Drive Burlington, Nc 27215, Burlington, NC 27215
Overview of Twin Lakes Memory Care

Twin Lakes Memory Care in Burlington, North Carolina, supplies a broad spectrum of care options, including adult day care, assisted living, memory care, nursing home placement, and skilled nursing. Day programs allow participants to attend during working hours without moving in, while assisted living supports daily routines like dressing, medication management, and personal hygiene in an apartment setting. Secured memory care units protect individuals prone to wandering, and round-the-clock licensed nursing ensures continuous clinical support as physical or medical needs change over time.

Physical amenities on this 32-bed campus include lakes, walking areas, gardens, a pool, and an on-site salon and spa. Residents can dine at local venues such as The Hearth Café, The Blue Heron Pub, and The Terrace Restaurant without a mandatory meal contract, and culinary teams accommodate custom dietary restrictions. Wellness activities run through the Thrive Wellness Program alongside physical rehabilitation services, short-term respite stays, and arranged transportation.

Location benefits include a walk score of 72, which lets non-driving residents walk to nearby services. Medicare coverage is accepted for post-hospital recovery and short-term skilled treatments.

Families looking for flexible day programs, specialized dementia care, or progressive senior housing can connect with Twin Lakes Memory Care to explore dining plans, check open beds, or request a facility tour.

Contact Twin Lakes Memory Care

Overview of The Addison of Fayetteville

The Addison of Fayetteville provides a quintessential community for assisted living. Residents are guaranteed to enjoy their stay because of the astonishing, beautifully decorated interiors of the building– adding to the charm the community holds. The assisted living home heeds a warm and welcoming environment. As a proud member of the Senior Lifestyle community, The Addison strives to fulfill the needs of its residents, including their general health and activity level.

The Addison of Fayetteville comprises all-inclusive services, including 24/7 support and assistance, dining areas, weekly physician and nurse practitioner visits, wellness programs, social outings, nutritious meal plans, fall prevention, and extensive safety features.

Contact The Addison of Fayetteville

Country Time Inn

602 Brevard Road Kings Mountain, Nc 28086, Kings Mountain, NC 28086
Overview of Country Time Inn

Country Time Inn is an assisted living, memory care, and respite care community in Kings Mountain, NC. Assisted living includes help with daily tasks, while memory care and the community’s Secured Living program provide a secured setting with supervision for residents who may be at risk of wandering. Respite care offers a short term stay when someone’s usual caregiver needs temporary relief, travel time, or recovery time.

The community has 59 beds, creating a smaller setting where staff and residents can get to know one another. Medicaid is accepted, giving families another payment option when personal savings may not cover the full cost of a long stay. Country Time Inn may be a good fit for someone who needs daily assistance, a secured memory care setting, or temporary residential care.

Restaurant style dining includes meals prepared to meet dietary needs, with special diets available for residents with specific food requirements. Transportation services can provide a ride when a resident cannot drive independently, and the outdoor common area offers shared space outside the building. With a Walk Score of 37, the area is car dependent, so most errands require a car or a ride. Residents who no longer drive would need transportation for those trips.

Contact Country Time Inn

Overview of Spring Arbor of Wilmington

Spring Arbor of Wilmington, situated in Wilmington, NC, is a prominent senior living community providing assisted living and memory care services. The community offers spacious apartments with individual climate control, including multiple floorplan options to suit residents’ preferences. Cable is included, and spacious common areas are available for family gatherings, fostering a sense of community.

Dedicated to resident well-being, Spring Arbor of Wilmington provides personalized care with 24/7 supervision and support, assisting residents with daily living activities, and medication management. The community also offers a comprehensive list of amenities, including high-speed internet, a well-stocked library, three delicious meals per day plus snacks, an outdoor courtyard, sunroom, full-service beauty and barber salon, on-site therapy, a wellness program, spacious rocking chair front porch, fitness center, scheduled transportation, and a traditional dining room with restaurant-style dining. Residents also enjoy engaging activities, such as walking paths, volunteer programs from the School of Gerontology, pet therapy, and a self-serve coffee shop.

Contact Spring Arbor of Wilmington

Somerset Court of Cherryville

401 West Academy Street Cherryville, Nc 28021, Cherryville, NC 28021
Overview of Somerset Court of Cherryville

Somerset Court of Cherryville provides assisted living and respite care in Cherryville, NC. Assisted living includes help with daily activities such as dressing, bathing, and medication while a resident keeps a private apartment.

Respite care offers a short stay. It may suit a family whose usual caregiver needs to travel or recover.

The community has 60 beds, and its Secured Living program provides a secured setting with supervision for a resident who needs that type of environment. Onsite therapy services let residents receive therapy without arranging transportation elsewhere, while onsite pharmacy services support access to pharmacy care within the community.

Restaurant style dining includes healthy, balanced meals prepared to meet dietary needs, so a resident’s requirements can be addressed during daily meals. A Walk Score of 52 means the area is somewhat walkable, with some errands possible on foot, and Medicaid is accepted as a payment option for eligible residents whose personal savings may not cover the full cost of care.

Contact Somerset Court of Cherryville

Williamston House

160 Santree Drive Williamston, Nc 27892, Williamston, NC 27892
Overview of Williamston House

Williamston House is licensed for three care types in Williamston, NC. They are memory care, respite care, and assisted living. The assisted living level of care takes on daily help with dressing, medication, and bathing. Memory care runs under the Secured Living name, pairing staff supervision with a setting kept secure for a resident who might wander.

Respite care is a stay whose length the resident knows before it starts, taken up while the usual caregiver travels or recovers. Sixty beds are licensed, and with two of the three levels running as permanent arrangements, a resident whose care needs grow later is not also hunting for a new address.

Respite suits a family after temporary cover, and Medicaid is accepted, which gives a household already on the program a way to pay. At 51, the Walk Score leaves some errands inside walking distance, and that matters to somebody who has handed over the car keys. An occasional trip stays possible without a lift being arranged first.

Contact Williamston House

Montgomery Senior Living

327 Freeman Street Star, Nc 27356, Star, NC 27356
Overview of Montgomery Senior Living

Memory care, assisted living, and respite care all are licensed to Montgomery Senior Living in Star, NC. Help with medication, dressing, and bathing is what assisted living amounts to. Memory care adds supervision in a setting that is secured against wandering.

Respite care answers a temporary problem of care coverage and ends when that problem does, which covers a caregiver away traveling or getting well. All three are at the single address, so needs that grow don’t force a search for somewhere else.

Fifty-four beds make this a smaller building, and a resident here deals with a narrower roster of staff. The fit is structured memory care, or short-term respite cover for a family.

Planned group activities run to more than 14 hours a week, with Bingo, exercise, socials, crafts, and outings among them. Rehabilitation services are available, and the building is wheelchair accessible.

Contact Montgomery 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.
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.