Page 27 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. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Waterbrooke of Elizabeth City
AL
HOS
MC
Elizabeth City
130
Facility 130
NC AVG 70
Rank #14 / 328
No
49
Facility 49
NC AVG 34
Rank #101 / 373
-
93.25/200
Facility 93.25/200
NC AVG 92.7
Rank #217 / 291
D16
0%
Facility 0%
NC AVG 64.9%
Rank #90 / 301
-
Wesley Pines
AL
CCRC
IL
MC
NH
SNF
Lumberton
62
Facility 62
NC AVG 70
Rank #193 / 328
Yes
9
Facility 9
NC AVG 34
Rank #314 / 373
88.5%
Facility 88.5%
NC AVG 68.5%
Rank #54 / 186
--?--1 Bed / Cottage / Villa
Cleveland House
AL
Shelby
72
Facility 72
NC AVG 70
Rank #151 / 328
No
73
Facility 73
NC AVG 34
Rank #12 / 373
-
82.50/200
Facility 82.50/200
NC AVG 92.7
Rank #265 / 291
C-17
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Retreat at Cary
AL
PC
RESC
Cary
6
Facility 6
NC AVG 70
Rank #278 / 328
No
14
Facility 14
NC AVG 34
Rank #289 / 373
-
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
A+6
33%
Facility 33%
NC AVG 64.9%
Rank #126 / 301
-
Revived Senior Living
AL
RESC
Mint Hill (Wilgrove)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
12
Facility 12
NC AVG 34
Rank #298 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
A+7
29%
Facility 29%
NC AVG 64.9%
Rank #126 / 301
-
Trinity Elms Assisted Living
AL
CCRC
IL
MC
NH
SNF
Clemmons
104No
30
Facility 30
NC AVG 34
Rank #199 / 373
-101.00/200B+1173%Studio / 1 Bed / 2 Bed
Tre’ More Manor ALF
AL
Oxford
31
Facility 31
NC AVG 70
Rank #269 / 328
No
64
Facility 64
NC AVG 34
Rank #28 / 373
-
94.50/200
Facility 94.50/200
NC AVG 92.7
Rank #203 / 291
B-17
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Haven in the Village at Carolina Place
AL
MC
Pineville
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
56
Facility 56
NC AVG 34
Rank #69 / 373
33.3%
Facility 33.3%
NC AVG 68.5%
Rank #161 / 186
100.50/200
Facility 100.50/200
NC AVG 92.7
Rank #119 / 291
B15
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Drake
AL
MC
RC
Concord
66
Facility 66
NC AVG 70
Rank #171 / 328
No-
37.9%
Facility 37.9%
NC AVG 68.5%
Rank #153 / 186
75.00/200
Facility 75.00/200
NC AVG 92.7
Rank #273 / 291
C5
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Springdaile Assisted Living
AL
Durham (Grove Park)
6
Facility 6
NC AVG 70
Rank #278 / 328
Yes
3
Facility 3
NC AVG 34
Rank #357 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #166 / 291
C+3
100%
Facility 100%
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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Waterbrooke of Elizabeth City

143 Rosedale Drive Elizabeth City, Nc 27909, Elizabeth City, NC 27909
Overview of Waterbrooke of Elizabeth City

Waterbrooke of Elizabeth City offers assisted living, hospice care, and memory care in Elizabeth City, NC. Assisted living includes help with bathing, dressing, and medication while a resident keeps a private living space. Memory care provides supervision in a secured setting for someone at risk of wandering, while hospice care focuses on comfort and symptom management near the end of life.

Respite care provides short stays, which can help a family caregiver who needs temporary support. The range of care options can also suit a resident whose needs change over time. The community has 130 beds.

A Walk Score of 49 places the area in a car-dependent category, so most errands require a car or a ride. Pets are allowed, letting residents continue living with their pets in the community. Restaurant-style dining includes chef-prepared meals and menu options that change daily.

A salon and outdoor porches offer places for personal care and time outside, including a back porch privacy courtyard. In-house physician, psychiatric, and laboratory services are available through the community, along with medication management and appointment scheduling and reminders. Transportation, rehabilitation services, and staff available around the clock are also offered.

Contact Waterbrooke of Elizabeth City

Wesley Pines

1000 Wesley Pines Rd, Lumberton, NC 28358
Overview of Wesley Pines

With its rich history of providing exceptional senior care since 1977, Wesley Pines Retirement Community in the beautiful setting of Wesley Pines Road, Lumberton, NC features independent living, assisted living, skilled nursing, and rehabilitation. Set on 49 acres of serene grounds, the community has a variety of cottages and villas with two-bedroom floor plans for seniors to live comfortably and safely. As a life plan community, Wesley Pines Retirement Community doubles its efforts to meet seniors’ ever-changing needs and aspirations.

Handling the maintenance and other household responsibilities, the community provides a full slate of enjoyable activities and fun programs for residents to remain happy and well-connected. Here, healthy and delightful dining options are served for a satisfactory mealtime. Wesley Pines Retirement Community offers top-tier services and incredible amenities, ensuring seniors optimize their freedom.

Contact Wesley Pines

Cleveland House

950 Hardin Drive Shelby, Nc 28150, Shelby, NC 28150
Overview of Cleveland House

Cleveland House is an assisted living community in Shelby, NC, with a 72-bed capacity. The community also helps with housekeeping, along with support with daily tasks. Secured living is also available, while 24-hour staffing ensures residents have access to services at all times.

Medicaid is accepted, giving eligible residents a possible payment source for assisted living. Restaurant-style dining gives residents meals in a restaurant-style setting. Therapy services avoid arranging transportation elsewhere, while pharmacy services provide pharmacy access on-site.

A Walk Score of 73 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives may still reach nearby shops or services independently. Transportation services are also available.

Contact Cleveland House

Overview of The Retreat at Cary

The Retreat at Cary, located in Cary, NC, is a close-knit senior living community offering elderly care together with its sister facility in the area, The Retreat at Cary Corner. They offer round the clock supervision with a 1:3 staff to resident ratio, ensuring that the residents are well cared for. Other services they offer include medication management, and assistance with daily living activities such as bathing and dressing, feeding, and toileting.

The residents of The Retreat at Cary are also provided meals that match their dietary needs, as well as housekeeping and laundry services. They also encourage residents to participate in their daily activities that targets their physical, emotional, social, spiritual, and intellectual well being.

Contact The Retreat at Cary

Overview of Revived Senior Living

Experience the essence of exceptional care at Revived Senior Living located in Mint Hill, NC, where every detail is crafted to offer a sanctuary of comfort and personalized care. Choose from elegantly designed accommodations that perfectly suit your style and needs. The dedicated team is passionate about their calling, serving with courage and a deep sense of teamwork. Here, residents can choose from well-appointed and cozy accommodations with several floor plans based on their preferences.

Amenities include daily activities, laundry service, and beauty and barbershop services. Enjoy peace of mind with a round-the-clock surveillance system, alarm exit doors, and an external fire alarm. Access to Atrium or Novant Health Hospitals and resident physicians is available, while RN oversight ensures top-quality care with a 3:1 resident-to-caregiver ratio.

Contact Revived Senior Living

Overview of Trinity Elms Assisted Living

Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.

Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.

Contact Trinity Elms Assisted Living

Tre’ More Manor ALF

6016 Pine Town Road Oxford, Nc 27565, Oxford, NC 27565
Overview of Tre’ More Manor ALF

Tre’ More Manor ALF is an assisted living community in Oxford, NC, where residents can receive help with daily tasks such as dressing, bathing, and medication while maintaining their own living space. With 31 beds, it may suit someone who prefers a smaller setting where staff and residents can get to know each other.

A salon provides grooming services within the community, and rehabilitation services are available for residents who need that type of care. Meals are chef prepared and home cooked, with options without added salt and with reduced concentrated sweets for residents with those dietary needs. A doctor is on staff, and transportation is available when residents need it.

The area has a Walk Score of 64, described as somewhat walkable. Some errands can be completed on foot, so a resident who no longer drives may be able to reach certain destinations independently.

Contact Tre’ More Manor ALF

Overview of The Haven in the Village at Carolina Place

Memory care and assisted living are what The Haven in the Village at Carolina Place has in Pineville, NC. Assisted living covers the everyday business of medication, bathing, and dressing, for a person who manages the rest of a day without much help. Memory care answers a wandering risk with a secured space and staff supervising inside it.

Both are licensed at this one address, so a family choosing here is not obliged to choose again once needs deepen. The building is licensed for 60 beds. Walkability rates 56, so part of the surrounding area opens up on foot. Pets are welcome, so nobody arrives having given up the animal they live with.

A salon is among the amenities, and a courtyard gives residents somewhere to be outdoors. Scheduled transportation handles whatever needs a vehicle, and daily activities and events fill the calendar. Veterans living here have a Military Veterans Program for them.

Contact The Haven in the Village at Carolina Place

The Drake

1195 Drake Mill Lane Sw Concord, Nc 28025, Concord, NC 28025
Overview of The Drake

The Drake provides assisted living, memory care, and respite care in Concord, NC. Assisted living supports residents with daily tasks while they continue living in their own apartment, while memory care offers a secured setting with supervision for someone who may be at risk of wandering. Respite care provides a short stay when a resident’s usual caregiver needs time to travel, recover, or manage other responsibilities.

The Drake has 66 beds and accepts Medicaid, giving families another payment option when personal savings may not cover a long stay. Its secured living program supports the supervised setting associated with memory care, and restaurant style dining includes meals prepared to meet dietary needs. Transportation services give residents access to transportation without requiring them to arrange every trip independently. The community’s multiple care levels may suit a resident whose needs could grow over time, while respite care can support a family seeking short term assistance.

Contact The Drake

Overview of Springdaile Assisted Living

Overlooking the neighborhood of Durham, NC, Springdaile Assisted Living is a compassionate senior living community, offering premiere assisted living services. Residents here receive excellent, all-inclusive care in a safe and comfortable environment that fosters independence and autonomy. A team of compassionate, qualified caregivers are always available to provide residents with various services and assistance with their daily living activities or anything they may need help with.

The community recognizes that residents’ needs and preferences are as unique as them. Hence, they offer personalized care services curated to their individual needs and care goals. Here, residents are provided with a family-like environment of like-minded individuals who share the same enthusiasm for living vibrantly and actively. With skilled professionals, a nurturing environment, and all-encompassing care, residents here are guaranteed to flourish and thrive.

Contact Springdaile Assisted 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.