Other senior care options in North Carolina:

Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 390 assisted living communities in North Carolina using NC Dept. of Health and Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
Reviewed by
Last updated
Jun 2026
We analyzed
390 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: 33/ 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

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Brookdale South Charlotte
AL
MC
Charlotte (Wessex Square)
82
Facility 82
NC AVG 72
Rank #145 / 390
Yes
16
Facility 16
NC AVG 33
Rank #407 / 572
74.4%
Facility 74.4%
NC AVG 69.9%
Rank #122 / 246
A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 322
20
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Private Rooms / Semi-Private Rooms
The Arboretum at Woodland Terrace
AL
IL
MC
Cary (Woodland Terrace)
84
Facility 84
NC AVG 72
Rank #138 / 390
Yes
55
Facility 55
NC AVG 33
Rank #110 / 572
39.3%
Facility 39.3%
NC AVG 69.9%
Rank #211 / 246
-
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #210 / 322
19
84.2%
Facility 84.2%
NC AVG 76.2%
Rank #239 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Cary
AL
HC
MC
Cary (West Chatham Street)
85
Facility 85
NC AVG 72
Rank #135 / 390
Yes
34
Facility 34
NC AVG 33
Rank #271 / 572
40.0%
Facility 40.0%
NC AVG 69.9%
Rank #208 / 246
A-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 322
18
66.7%
Facility 66.7%
NC AVG 76.2%
Rank #69 / 335
Studio / Suite / 1 Bed
Brookdale Dickinson Avenue
AL
MC
Greenville
76
Facility 76
NC AVG 72
Rank #169 / 390
Yes
38
Facility 38
NC AVG 33
Rank #235 / 572
67.1%
Facility 67.1%
NC AVG 69.9%
Rank #150 / 246
A+
84.50/200
Facility 84.50/200
NC AVG 92.2
Rank #285 / 322
16
87.5%
Facility 87.5%
NC AVG 76.2%
Rank #274 / 335
Studio / Suite / 1 Bed
Terrabella Asheboro
AL
MC
Asheboro (Laurel Wood Hills)
96
Facility 96
NC AVG 72
Rank #91 / 390
Yes
0
Facility 0
NC AVG 33
Rank #548 / 572
-A+
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 322
26
80.8%
Facility 80.8%
NC AVG 76.2%
Rank #181 / 335
Studio / 1 Bed
Chatham Ridge
AL
MC
Chapel Hill
91
Facility 91
NC AVG 72
Rank #118 / 390
Yes
33
Facility 33
NC AVG 33
Rank #280 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
23
87%
Facility 87%
NC AVG 76.2%
Rank #268 / 335
Studio / Suite
Brookdale Union Park
AL
Monroe (Lakeview Estates)
87
Facility 87
NC AVG 72
Rank #129 / 390
Yes
10
Facility 10
NC AVG 33
Rank #457 / 572
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / Companion Rooms
Brookdale Union
AL
Gastonia
78
Facility 78
NC AVG 72
Rank #164 / 390
Yes
35
Facility 35
NC AVG 33
Rank #260 / 572
100.0%
Facility 100.0%
NC AVG 69.9%
Rank #1 / 246
A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
28
75%
Facility 75%
NC AVG 76.2%
Rank #120 / 335
Studio
Brookdale Elizabeth City
AL
MC
Elizabeth City
76
Facility 76
NC AVG 72
Rank #169 / 390
Yes
30
Facility 30
NC AVG 33
Rank #308 / 572
28.9%
Facility 28.9%
NC AVG 69.9%
Rank #229 / 246
A+
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 322
20
90%
Facility 90%
NC AVG 76.2%
Rank #298 / 335
Studio / 1 Bed / 2 Bed
Brookdale Carriage Club Providence
AL
IL
MC
NH
Charlotte (Olde Providence North)
77
Facility 77
NC AVG 72
Rank #168 / 390
Yes
12
Facility 12
NC AVG 33
Rank #440 / 572
71.5%
Facility 71.5%
NC AVG 69.9%
Rank #135 / 246
A+
98.75/200
Facility 98.75/200
NC AVG 92.2
Rank #167 / 322
15
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
Studio / 1 Bed / 2 Bed
Sunrise of Raleigh
AL
MC
Raleigh (Northwest Raleigh)
100
Facility 100
NC AVG 72
Rank #79 / 390
Yes
49
Facility 49
NC AVG 33
Rank #161 / 572
-A-
77.50/200
Facility 77.50/200
NC AVG 92.2
Rank #297 / 322
24
79.2%
Facility 79.2%
NC AVG 76.2%
Rank #161 / 335
Studio / 2 Bed
Brookdale Wake Forest
AL
MC
Wake Forest
70
Facility 70
NC AVG 72
Rank #186 / 390
Yes
54
Facility 54
NC AVG 33
Rank #124 / 572
52.9%
Facility 52.9%
NC AVG 69.9%
Rank #190 / 246
A+
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #225 / 322
21
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Studio / 1 Bed / 2 Bed
Phoenix Assisted Care
AL
Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 72
Rank #36 / 390
No
24
Facility 24
NC AVG 33
Rank #349 / 572
52.5%
Facility 52.5%
NC AVG 69.9%
Rank #191 / 246
A+-
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #306 / 322
42
85.7%
Facility 85.7%
NC AVG 76.2%
Rank #257 / 335
Private Rooms / Semi-Private Rooms
Brookdale Durham
AL
MC
Durham (Northeast Durham)
119
Facility 119
NC AVG 72
Rank #49 / 390
Yes
9
Facility 9
NC AVG 33
Rank #462 / 572
62.2%
Facility 62.2%
NC AVG 69.9%
Rank #167 / 246
A+
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #276 / 322
38
92.1%
Facility 92.1%
NC AVG 76.2%
Rank #311 / 335
Studio
Brookdale Hickory Northeast
AL
Hickory (16Th Street Northeast)
88
Facility 88
NC AVG 72
Rank #126 / 390
Yes
31
Facility 31
NC AVG 33
Rank #294 / 572
-A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 322
18
72.2%
Facility 72.2%
NC AVG 76.2%
Rank #106 / 335
Studio / Suite
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Overview of Searstone Retirement Community

Searstone Retirement Community, located in Cary, NC, is a senior living community offering a range of services from assisted living, memory support and skilled nursing services. Their professional caring staff works closely with the residents as well as their families, in creating individualized care plans, in order to determine and meet the residents’ specific care needs.

Their First class skilled nursing services provides residents with 24/7 staff availability for supervision and assistance, round the clock personalized care, medication administration and management, and access to medical care on site as well as other professional services. Additionally their amenities like concierge and transportation services, meal provision and housekeeping and linen service, as well as 24/hr security and emergency call response, enhances the residents experiences during their stay at Searstone.

Contact Searstone Retirement Community

Overview of The Stewart Health Center

Thrive in your golden years with The Stewart Health Center, an excellent community in Charlotte, NC, offering short-term rehabilitation, long-term care, and memory care. Their excellent care team consists of nurses, doctors, specialists, and support team members to ensure residents receive well-rounded care and support. The community features 67 private rooms & 6 shared rooms that foster privacy and safety, alongside an outstanding staff-to-resident ratio that guarantees personalized care and high-level supervision.

With the help of their dedicated recreation specialist, the community provides residents with a wide selection of fun and engaging activities to enjoy and participate in. To ensure residents are receiving proper nourishment, the community has a talented culinary team to serve residents delicious and nutritionally balanced meals. The community also has access to physical, occupational, and speech therapy, ensuring residents recovering from hospitalization can get back on their feet as quickly as possible. The Stewart Health Center provides a relaxing, healing environment with plenty of opportunities for fun and recreation.

Contact The Stewart Health Center

Overview of Peace Haven Assisted Living

Peace Haven Assisted Living offers a cozy, home-like environment for its residents. Residents live their best lives because of excellent services that help a speedy recovery. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Contact Peace Haven Assisted Living

Overview of Asbury Health & Rehabilitation Center

Asbury Health & Rehabilitation Center, situated in Charlotte, North Carolina, is renowned for its exceptional healthcare services and holds the top-rated position in the region. Nestled within the serene and picturesque surroundings of Aldersgate’s park-like campus, Asbury Health & Rehabilitation Center offers comprehensive care that caters to a wide range of needs, all conveniently located in one place.

The community embraces the healing power of nature, providing residents with access to outdoor courtyards and gardens, creating a peaceful and tranquil environment. With a remarkable team member-to-resident ratio, Asbury ensures that every individual receives personalized and compassionate care from a dedicated, considerate, and respectful staff. The center has consistently received outstanding ratings from Medicare.gov and has been honored as a “Best Nursing Home” by U.S. News & World Report, reflecting its commitment to excellence in senior care.

Contact Asbury Health & Rehabilitation Center

Overview of Meadow Lakes of Statesville

Meadow Lakes of Statesville maintains elegance and professionalism for its residents, promoting mutual respect and trust in a warm and welcoming atmosphere. The home-like nursing home boasts its competent care staff, who strive to meet and deliver the needs of each individual resident. Trusted as a facility committed to achieving holistic wellness, Meadow Lakes sets the standard for enriching the lives of its residents. 

Expect vibrant community living at Meadow Lakes, which provides state-of-the-art features that enhance seniors’ speedy recovery. With a specialization in skilled nursing and memory care support, residents are eligible for services such as daily meal preparation, dietary monitoring, medication management, long-term care, and ADLs.

Contact Meadow Lakes of Statesville

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Willow Valley Center for Nursing and Rehabilitation

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

Overview of Avendelle at Macarthur

Avendelle at Macarthur is a supportive assisted living community in Cary, NC, that offers 24-hour personalized care. The community has six private rooms, designed for older adults’ comfort and safety. Educational activities, an emergency alert system, and concierge services are also offered to enrich residents’ living experiences. With its dedication to residents’ welfare, the community strives to create care plans tailored to their unique needs.

For residents’ holistic wellness, social activities, recreational programs, and light exercises are conducted. A nurse on the team also provides weekly health checks and monthly assessments to ensure up-to-date information about residents’ health. Overlooking the scenic Bond Lake and Oxford Hunt Greenway, the community ensures a laid-back retirement. This assisted living community is a top choice for older adults in North Carolina, especially with its nurturing environment and cozy living spaces.

Contact Avendelle at MacArthur

Overview of Our Promise Care Homes at Heritage Hills

Offering an intimate atmosphere, Our Promise Care Homes at Heritage Hills is a peaceful community in Chapel Hill, NC that offers independent living and assisted living. With customized care plans and reliable assistance with daily living activities, residents here maintain both their well-being and independence. Catering to only a few residents, the community allows for one-on-one care and focused attention within a nurturing setting.

Residents here are inspired to live active lives with the community’s vibrant activities. Fresh, delicious meals are served daily to help residents maintain their health and wellness. With compassionate caregivers available 24/7, living a well-supported yet liberating lifestyle here is easy.

Contact Our Promise Care Homes at Heritage Hills

Overview of House of Peace

Nestled in the neighborhood of Charlotte, North Carolina, House of Peace is an inviting residential care home, offering various assisted living and memory care services. Residents enjoy their peace of mind with 24-hour supervision from an expert care team and a registered nurse that curates individualized care plans for individual preferences and needs. The community makes sure residents have access to various services, including assistance with daily living activities, medication management, and in-home physician services for a comfortable living experience.

Utilizing a holistic approach to care, the community also offers residents plenty of opportunities for life enrichment through a wide variety of activities, including social activities, horticulture program, recreational activities, and more. Meals and snacks are provided daily with accommodations for special diets for residents’ daily sustenance needs. State-of-the-art amenities, including lush gardens, cozy living areas, and therapeutic spaces are available for a more fulfilling experience.

Contact House of Peace

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
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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 390 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.