Page 28 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. 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.
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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Sandy Ridge Assisted Living
AL
MC
Candor
120
Facility 120
NC AVG 72
Rank #35 / 387
No
32
Facility 32
NC AVG 36
Rank #289 / 536
-
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
12
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
-
Prestwick Village
AL
RC
Laurinburg
100
Facility 100
NC AVG 72
Rank #77 / 387
No
58
Facility 58
NC AVG 36
Rank #91 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
17
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 333
-
Piedmont Christian Home
AL
MC
High Point
93
Facility 93
NC AVG 72
Rank #113 / 387
No
3
Facility 3
NC AVG 36
Rank #515 / 536
65.6%
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #275 / 321
33
88%
Facility 88%
NC AVG 76.2%
Rank #274 / 333
-
Our Promise Care Homes at Heritage Hills
AL
RESC
Chapel Hill
6
Facility 6
NC AVG 72
Rank #335 / 387
No
12
Facility 12
NC AVG 36
Rank #440 / 536
-
96.00/200
Facility 96.00/200
NC AVG 92.2
Rank #205 / 321
13
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
Private Rooms / Semi-Private Roms
Brekenridge Retirement Center
AL
IL
Rocky Mount
64
Facility 64
NC AVG 72
Rank #213 / 387
No- 100.0%
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
17
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
-
Vienna Village
AL
IL
Pfafftown
90
Facility 90
NC AVG 72
Rank #116 / 387
No
36
Facility 36
NC AVG 36
Rank #254 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
17
59%
Facility 59%
NC AVG 76.2%
Rank #40 / 333
-
Dunmore Plantation
AL
MC
RC
Dobson
60
Facility 60
NC AVG 72
Rank #230 / 387
No
55
Facility 55
NC AVG 36
Rank #111 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
19
63%
Facility 63%
NC AVG 76.2%
Rank #48 / 333
-
The Ridge at New Bern
AL
MC
New Bern
72
Facility 72
NC AVG 72
Rank #176 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
58.3%
79.50/200
Facility 79.50/200
NC AVG 92.2
Rank #294 / 321
38
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
-
Morningside of Wilmington
AL
MC
Wilmington (Manorhouse Retirement Center)
-Yes
48
Facility 48
NC AVG 36
Rank #168 / 536
-----Studio / 1 Bed
Rose Glen Manor
AL
MC
RC
North Wilkesboro
60
Facility 60
NC AVG 72
Rank #230 / 387
No
61
Facility 61
NC AVG 36
Rank #66 / 536
-
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
17
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 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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Sandy Ridge Assisted Living

326 Bowman Road Candor, Nc 27229, Candor, NC 27229
Overview of Sandy Ridge Assisted Living

Sandy Ridge Assisted Living sits at 326 Bowman Road in Candor, North Carolina. The community is licensed for both assisted living and memory care, so it serves residents who need help with daily routines and residents living with cognitive decline. Candor is a small town in the rural center of the state. The Walk Score here is 32, which means a handful of destinations are within walking distance while most trips will call for a car.

With 120 beds, this is one of the larger assisted living settings in its part of North Carolina. The layout is a shared community building rather than a house-sized residence. That structure generally means more common space and more organized group programming, and it also means a bigger resident population than a small home would have.

Staffing is in place 24 hours a day, and the care team includes licensed nurses and certified nursing assistants working alongside a doctor on staff. Rehabilitation services are offered on site. The community also takes respite residents, which matters for families who need short-term coverage during a hospital recovery or a caregiver’s absence. Memory care residents live in a secured setting.

Staff handle meal preparation, housekeeping, personal hygiene, shopping, and diet monitoring, and they coordinate medical care. Companionship is listed as part of the program rather than left to chance. Amenities cover an emergency call response system, gathering areas, beauty and barber services, and landscaped grounds. An activity director works on staff to keep programming running.

Inspection themes at Sandy Ridge have clustered around medication management, fire-safety systems, and environmental and hazardous-materials safety. Medicaid and Medicare are both accepted, which opens more payment routes than many assisted living communities offer. For a family in Montgomery County weighing a larger community with 24-hour clinical staffing and dual public payment acceptance, Sandy Ridge presents a defined set of tradeoffs worth measuring against the alternatives.

Contact Sandy Ridge Assisted Living

Prestwick Village

1000 Johns Road Laurinburg, Nc 28352, Laurinburg, NC 28352
Overview of Prestwick Village

Prestwick Village is a senior living home in Laurinburg, North Carolina, located at 1000 Johns Road. It also offers short-term care, which allows family members to take a quick break while their loved one stays in a safe place. The home is located in an area that is somewhat easy to walk around, with a Walk Score of 58, meaning some basic tasks can be done on foot because there are several shops nearby.

The building has room for 100 people, which makes it one of the bigger senior homes in the local area. Large shared places like this one usually have more public rooms and more planned activities than a small private house can provide. People live in a place designed for daily help instead of living entirely on their own.

The care here focuses on help with daily chores, with trained workers at the home at all times. The home also offers safe living areas, an option created for people who need a more controlled setting. Medical therapy, medicine help, and doctor visits are all available right at the home, so people can take care of their health needs without having to go out.

Daily life includes eating in a dining room, a library, a room for movies and games, and an outside area for everyone to use. Cleaning, building repairs, and bus rides are all handled by the staff at the home.

Prestwick Village takes Medicaid, which is important for families thinking about how they will pay for care over a long time. North Carolina state workers check these senior homes without telling them first, and the reports for this home cover common areas: giving out medicine, fire safety, having enough workers, planning for care, and keeping people from falling or getting hurt.

Contact Prestwick Village

Piedmont Christian Home

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

Piedmont Christian Home sits at 1510 Deep River Road in High Point, North Carolina. The community holds 93 beds and offers both assisted living and memory care, including a Special Care Unit built for residents who need a secured setting. Licensed nurses and CNAs handle daily care.

Sixty-one residents live there now. That works out to 66 percent of capacity, which means the building runs well below what it was designed to hold. For a family shopping the High Point area, that translates to availability rather than a wait.

Getting anywhere requires a car, given how the Walk Score here is 3 out of 100, which puts the address in car-dependent territory with very little within walking distance. Residents who have stopped driving will rely on staff and family for every trip off the property. Visitors should expect to drive.

On-site rehabilitation services matter for residents coming off a hospital stay or a surgery, since therapy happens in the building instead of at an outside clinic. Licensed nursing coverage extends what the community can handle when a resident’s medical needs grow past personal care. Meals fall under a program the community calls the Nutritious Dining Experience.

State inspection activity at this community has concentrated on medication management, infection prevention and control, and environmental and hazardous-materials safety. Those categories cover the operational systems that determine how care actually gets delivered day to day.

The community suits older adults in the High Point area who need real daily assistance or a secured memory care environment, and whose families can handle transportation. On-site rehabilitation paired with licensed nursing coverage points toward residents whose care needs are likely to shift over time, not toward those looking mainly for a social setting.

Contact Piedmont Christian Home

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

Brekenridge Retirement Center

2500 Hunter Hill Road Rocky Mount, Nc 27804, Rocky Mount, NC 27804
Overview of Brekenridge Retirement Center

Brekenridge Retirement Center provides assisted living and independent living in Rocky Mount, North Carolina. The community operates independently rather than under a larger corporate brand. Its address is 2500 Hunter Hill Road, roughly 5.6 miles out from the city center. Both care levels operate under one roof, which means a resident whose needs increase does not have to move to a different building.

Location works against walkability here. The Walk Score registers 1 out of 100, meaning virtually nothing sits within walking distance. Residents and visitors will drive. The community runs a bus equipped with a lift, which covers transportation for those who have given up driving.

The building holds 64 beds and all 64 are currently occupied; full occupancy is a meaningful data point for anyone shopping now, since it affects how quickly a room becomes available. Nursing services and 24-hour staffing are both in place. Around-the-clock coverage is the more consequential of the two, since resident needs do not confine themselves to daytime hours. The independent living tier serves people who want minimal assistance while remaining in a setting that can accommodate greater needs later.

Common areas include two living rooms, an open dining room, an activity room, and a beauty parlor. Coffee is available at any hour. Scheduled activities run toward aerobics, bingo, card games, and music events.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation handles inspections for communities of this type. Inspection themes at Brekenridge have centered on medication management, fire-safety systems, care planning and documentation, and fall and injury prevention.

Contact Brekenridge Retirement Center

Vienna Village

6601 Yadkinville Road Pfafftown, Nc 27040, Pfafftown, NC 27040
Overview of Vienna Village

Vienna Village sits on Yadkinville Road in Pfafftown, North Carolina, a short drive from Winston-Salem. It offers both assisted living and independent living, and it has stayed in the same family since 1965. The setting is somewhat walkable, with a Walk Score of 36. You can reach a few things on foot. Most outings will need a car.

The community runs 90 beds in a single building. A larger community like this one usually has more room for shared spaces and group activities than a small residential home. Staff are on-site every hour, day and night.

Licensed nurses and certified nursing assistants provide the hands-on care. Because the community offers two levels of support, a resident who starts out fairly independent can shift toward more help without moving somewhere new. That continuity matters to a lot of families. The round-the-clock staffing means someone is always awake and available.

North Carolina’s health regulators oversee the community, and their reviews here have centered on medication handling and fire-safety systems. Those are routine areas the state examines at assisted living communities across the board.

What Vienna Village offers is straightforward: a long-running, family-run community near Winston-Salem, two levels of care under one roof, and nursing staff on hand at any hour.

Contact Vienna Village

Dunmore Plantation

515 W. Kapp Street Dobson, Nc 27017, Dobson, NC 27017
Overview of Dunmore Plantation

Dunmore Plantation operates in Dobson, North Carolina, at 515 W. Kapp Street. The community provides assisted living, memory care, and respite care. Dobson is the seat of Surry County, in the northwestern corner of the state. The neighborhood registers a Walk Score of 55, which places it in moderately walkable territory, with some errands manageable on foot and a mix of amenities within reach.

Sixty licensed beds put this community in the middle of the size range for North Carolina assisted living residences. Communities at that scale generally land somewhere between the close attention of a small home and the fuller amenity list of a large one. The resident population is mixed, spanning people who need routine daily assistance and people who need structured memory support.

Alzheimer’s care is part of the stated service picture here. The community describes its memory support in terms of experience and commitment to the people living there. Respite care rounds out the offering, which is the piece that matters when a family caregiver needs a defined stretch of time away or a relative is recovering from a hospital stay. Moving between those levels of care does not require moving to a different address.

Oversight comes from the North Carolina Department of Health and Human Services, Division of Health Service Regulation, which runs unannounced surveys of adult care homes across the state. Inspection themes at this community have gathered around fire-safety systems and around staffing and staff credentials.

The summary picture is a sixty-bed Dobson community carrying three levels of care, situated where some daily errands remain within walking distance.

Contact Dunmore Plantation

Overview of The Ridge at New Bern

The Ridge at New Bern operates a 72-bed assisted living and memory care facility in Craven County, located roughly 6.7 miles from the center of New Bern, North Carolina. Managed under facility president Justin Wray, the single-story community reports an occupancy rate of 58 percent. The single-level floor plan eliminates stairways, providing a flat layout designed to assist residents with mobility limitations.

The immediate area surrounding the building is car-dependent, holding a walk score of 2 out of 100. This layout requires staff and family visitors to use a vehicle for any errands or transit to the property. On-site services include scheduled meals, wellness programs, and coordinated local transportation.

Routine regulatory evaluations conducted by the North Carolina Department of Health and Human Services have identified historical compliance deficiencies, resulting in past enforcement actions.

Prospective residents can call the administrative office to verify current apartment availability and baseline fees.

Contact The Ridge at New Bern

Overview of Morningside of Wilmington

Administered by Amy Costin, Morningside of Wilmington is an assisted living and memory care community in Wilmington, North Carolina, about 3 miles from the city center. The two-story community has been serving residents for 27 years. Studio and one-bedroom residences are available. Each has a living area and private bathroom, and some also include a kitchenette.

Residents receive 24-hour support that includes personal care, transportation assistance, and medication management. The community’s Lifestyle360 program is based on Maslow’s hierarchy of needs and focuses on five areas of wellness: physical, social, emotional, intellectual, and spiritual. Rather than following a traditional activities schedule, the program supports each of these areas.

Restaurant-style dining, a full-service barber and beauty salon, and a dedicated activity center. Regular social and recreational events are offered here. Housekeeping services and exercise programs help residents stay active. The community welcomes pets, which residents can keep during their stay.

The area has a Walk Score of 48, which is somewhat walkable. A handful of nearby errands can be completed on foot, but most trips require a car. Families considering Morningside of Wilmington should ask about current room availability and the memory care program. Floor plans and care details are best confirmed during a tour or by speaking with the community directly.

Contact Morningside of Wilmington

Rose Glen Manor

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

Rose Glen Manor sits at 240 Independence Avenue in North Wilkesboro, North Carolina. It is an assisted living community that also provides memory care and respite care under the same roof. Families often value that combination, because care needs rarely stay fixed for long. A resident who arrives needing modest help may later need more.

The community has 60 beds. That size tends to land in useful territory, big enough to support real amenities and a social calendar, small enough that staff can learn who someone is. The Walk Score of 61 marks the surrounding area as moderately walkable, meaning some errands can be handled on foot and a mix of amenities sits within reach.

Nursing services are part of the care offering, and staffing runs around the clock. Overnight coverage is the piece families tend to focus on hardest, and it is here. Respite care handles the shorter stays, whether a family caregiver needs recovery time or a trial period makes sense before a longer commitment. The Secured Living program provides a structured, protected setting for residents living with memory loss.

Housekeeping, maintenance, and transportation handle the practical rhythms of the week. Meals are served restaurant-style. A library, an entertainment room, and an outdoor common area give residents places to land during the day that are not their own rooms.

The community accepts Medicaid. In a market where a great many assisted living communities take private payment only, that coverage pathway changes the arithmetic for a real number of families.

State inspection themes for this community have included medication management, fire-safety systems, and housekeeping and upkeep. Taken with the care mix and the Medicaid pathway, Rose Glen Manor reads as a mid-sized community built for families who need flexibility in both care level and payment.

Contact Rose Glen Manor

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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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.