Page 29 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. 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Edenton House
AL
MC
RC
Edenton
60
Facility 60
NC AVG 72
Rank #230 / 387
No
62
Facility 62
NC AVG 36
Rank #58 / 536
-
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
17
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
-
Terrace Ridge Assisted Living
AL
MC
Gastonia
74
Facility 74
NC AVG 72
Rank #173 / 387
No
46
Facility 46
NC AVG 36
Rank #186 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
19
58%
Facility 58%
NC AVG 76.2%
Rank #38 / 333
-
The Landings of Lake Gaston
AL
MC
RC
Littleton
60
Facility 60
NC AVG 72
Rank #230 / 387
No
42
Facility 42
NC AVG 36
Rank #211 / 536
-
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
6
33%
Facility 33%
NC AVG 76.2%
Rank #12 / 333
-
The Landings of Chestnut Grove
AL
IL
RC
Sparta
40
Facility 40
NC AVG 72
Rank #310 / 387
No
57
Facility 57
NC AVG 36
Rank #101 / 536
-
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
9
56%
Facility 56%
NC AVG 76.2%
Rank #33 / 333
-
Brookstone Terrace of Thomasville
AL
MC
Thomasville
62
Facility 62
NC AVG 72
Rank #222 / 387
No
71
Facility 71
NC AVG 36
Rank #28 / 536
-
102.50/200
Facility 102.50/200
NC AVG 92.2
Rank #73 / 321
28
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
-
Avendelle at MacArthur
AL
Cary
6
Facility 6
NC AVG 72
Rank #335 / 387
No
15
Facility 15
NC AVG 36
Rank #414 / 536
-
107.50/200
Facility 107.50/200
NC AVG 92.2
Rank #1 / 321
1
0%
Facility 0%
NC AVG 76.2%
Rank #1 / 333
Private Rooms
Mt. Pleasant House
AL
RC
Mt. Pleasant
74
Facility 74
NC AVG 72
Rank #173 / 387
No
30
Facility 30
NC AVG 36
Rank #309 / 536
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
19
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
-
Somerset Court of Cherryville
AL
RC
Cherryville
60
Facility 60
NC AVG 72
Rank #230 / 387
No
52
Facility 52
NC AVG 36
Rank #131 / 536
-
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
22
77%
Facility 77%
NC AVG 76.2%
Rank #150 / 333
-
Mebane Ridge
AL
MC
Mebane
-Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
A+----Studio / Suite
Pennybyrn
AL
ADC
MC
NH
SNF
High Point
-Yes
25
Facility 25
NC AVG 36
Rank #346 / 536
A+----Cottages / Apartments

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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Edenton House

323 Medical Arts Drive Edenton, Nc 27932, Edenton, NC 27932
Overview of Edenton House

At 323 Medical Arts Drive in Edenton, North Carolina, Edenton House runs a 60-bed community offering assisted living, memory care, and respite care under one roof. The surrounding area is moderately walkable, with a Walk Score of 62 putting a handful of daily errands within a short walk.

Secured living is part of the setup here, alongside rehabilitation services for residents working through recovery and respite stays for families who need short-term coverage. Licensed nurses and CNAs staff the building around the clock. Therapy and pharmacy services are both available on-site, which cuts down on how often residents need to leave for routine appointments.

Meals are served restaurant-style, and residents can spend time outdoors in a dedicated common area. Medicaid is accepted, which matters for families mapping out how to fund care over the longer term.

Inspections at Edenton House have covered medication management, fire-safety systems, housekeeping and upkeep, and fall and injury prevention. These categories show up across assisted living inspections broadly and reflect standard regulatory scope rather than anything specific to this community.

With secured memory care, respite options, and licensed staffing available at once, Edenton House is built for families balancing an immediate need for support with the possibility of longer-term memory care down the road.

Contact Edenton House

Terrace Ridge Assisted Living

1251 E Hudson Blvd Gastonia, Nc 28054, Gastonia, NC 28054
Overview of Terrace Ridge Assisted Living

Terrace Ridge Assisted Living sits at 1251 East Hudson Boulevard in Gastonia, North Carolina. It offers assisted living and memory care under one roof. The address puts it about two miles out from Gastonia’s city center, which keeps visits from turning into an ordeal for family who live locally.

Seventy-four beds places this community in the middle of the size range for North Carolina assisted living residences. Communities at this scale usually carry more shared programming than a small residential home would. They also stay small enough that staff and residents are not strangers to each other.

When a resident’s memory needs shift, having both levels licensed in the same building can mean the difference between an internal adjustment and a full relocation. Terrace Ridge describes its memory care as coming with events, activities, and family resources.

The neighborhood scores 46 out of 100, which the rating puts in the somewhat walkable category. Some nearby services are reachable on foot. Most trips will still need a car or a scheduled ride, so plan around that.

The North Carolina Department of Health and Human Services, Division of Health Service Regulation oversees this community. Inspection themes on record center on medication management and fire-safety systems. What the record supports is a mid-sized community offering two care levels in a car-dependent part of Gastonia, with inspection attention falling on medication handling and fire-safety systems.

Contact Terrace Ridge Assisted Living

The Landings of Lake Gaston

206 North Mosby Ave Littleton, Nc 27850, Littleton, NC 27850
Overview of The Landings of Lake Gaston

Sixty beds, one building, downtown Littleton. The Landings of Lake Gaston sits at 206 North Mosby Avenue in this small North Carolina town, offering assisted living alongside memory care. Walkability here is limited. A Walk Score of 42 puts a handful of errands within reach on foot, but a car handles most of what a resident or a visiting family member would need to do.

The care model covers three things: assisted living, memory care, and respite stays for families bridging a gap. Nursing services operate on site. Staffing holds around the clock, and a Secured Living program serves residents who need a protected setting rather than an open floor plan.

Housekeeping, maintenance, and transportation cover the practical side of daily life here. Dining is restaurant-style rather than tray service. A library, an entertainment room, and an outdoor common area give residents places to go beyond their own rooms during the day.

Oversight comes from the North Carolina Department of Health and Human Services, Division of Health Service Regulation. State inspections of this community have focused on medication management rather than broader areas of hands-on resident care.

Medicaid is accepted here, which shapes who can realistically plan a long stay. Put together, the small bed count, the secured memory care track, and the constant staffing describe a community built for older adults who need substantial daily support and whose families want them nearby in the Lake Gaston area.

Contact The Landings of Lake Gaston

The Landings of Chestnut Grove

158 Chestnut Grove Church Road Sparta, Nc 28675, Sparta, NC 28675
Overview of The Landings of Chestnut Grove

Forty beds make up The Landings of Chestnut Grove, a combined assisted living, independent living, and respite care community at 158 Chestnut Grove Church Road in Sparta, North Carolina. Alleghany County’s seat sits in the state’s mountain region, and Wilkes Regional Medical Center is the nearest hospital for acute care. The neighborhood around the community is moderately walkable, with a Walk Score of 57 reflecting a mix of nearby amenities reachable without always needing a car.

Staffing runs around the clock, and respite stays give families a short-term option when they need a bridge rather than a permanent placement. Housekeeping and transportation services are handled for residents, meals are served restaurant-style, and a library rounds out the amenities on-site. State inspection findings here have grouped around a handful of recurring categories: fire-safety systems, care planning and documentation, and general housekeeping and upkeep.

Medicaid coverage is accepted, which matters for families planning around long-term costs rather than paying entirely out of pocket. Between the respite option and the longer-term assisted and independent living arrangements, the community can serve residents moving through different stages of need. For a family weighing a smaller, rural North Carolina option with steady daily support and Medicaid as a payment path, Sparta’s Landings of Chestnut Grove fits that profile.

Contact The Landings of Chestnut Grove

Brookstone Terrace of Thomasville

915 West Cooksey Drive Thomasville, Nc 27360, Thomasville, NC 27360
Overview of Brookstone Terrace of Thomasville

Brookstone Terrace of Thomasville is an assisted living and memory care community in Thomasville , in North Carolina. You’ll find it at its 915 West Cooksey Drive address. The neighborhood it’s located in is very walkable, with a Walk Score of 71, so residents and visitors can expect that most errands can be done on foot and many essentials are close by.

The community runs 62 beds, which is moderately sized, and so it lands somewhere between the personal feel of a small home and the fuller amenities of a larger one. Because it offers both assisted living and memory care, a family with a loved one working through a dementia diagnosis can keep them in one familiar place as needs shift.

Staffing runs 24 hours a day: licensed nurses and CNAs are on site around the clock. It’s worth highlighting that that around-the-clock coverage counts for a lot when someone needs help at odd hours or does better with a steady clinical presence nearby.

Meals are built into the rhythm of the day, with dietitian-approved food and regular dining service. Residents have activities on hand too, which gives structure to a day and keeps people connected to the folks around them.

State oversight of assisted living in North Carolina looks at areas like medication management, fire-safety systems, and emergency readiness. Those are the operational fundamentals regulators watch across residential care. For a family weighing this community, the picture is a mid-sized place offering both levels of care in a walkable part of Thomasville.

Contact Brookstone Terrace of Thomasville

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

Mt. Pleasant House

935 Page Street Mt. Pleasant, Nc 28124, Mt. Pleasant, NC 28124
Overview of Mt. Pleasant House

At 935 Page Street in Mt. Pleasant, North Carolina, Mt. Pleasant House runs as a 74-bed community offering assisted living, memory care, and secured living under one roof. Cabarrus County surrounds it with a somewhat walkable stretch of neighborhood, Walk Score 30, where a handful of errands are doable on foot but most still call for a car.

Secured living anchors the memory care side of the building, paired with round-the-clock staffing and assistance with daily tasks that doesn’t pause overnight. Respite stays give families a short-term option when they need one. On-site therapy, pharmacy, and provider services mean routine medical needs get handled without a trip off the property, a detail that matters most for residents whose mobility or memory makes outside appointments harder to manage.

Meals come restaurant-style, and residents have a library, an entertainment room, and an outdoor common area to move between. Housekeeping, transportation, and maintenance handle the rest of daily life in the background.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation, inspects the community, and its findings have centered on fire-safety systems rather than direct resident care. Medicaid coverage is accepted here, which matters for families planning a longer stay. Between the secured setting, on-site medical access, and continuous staffing, this is a community built around residents who need memory care supervision layered on top of everyday hands-on support.

Contact Mt. Pleasant House

Somerset Court of Cherryville

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

Somerset Court of Cherryville runs 60 beds out of a building at 401 West Academy Street, in the downtown part of Cherryville, North Carolina. The community handles both assisted living and memory care. Walk Score puts the neighborhood at 52, which means some errands work on foot and the rest require driving.

Secured living is part of how this community operates, not an add-on. That structure matters for residents who wander. Respite care is available for families who need coverage for a stretch rather than permanently, and caregivers are assigned around the clock on a dedicated basis.

Therapy, pharmacy, and provider services all operate inside the building. For a resident on a complicated medication schedule, or one who cannot easily manage a car trip, that arrangement cuts down the number of outside appointments in a given month. Assistance with daily tasks comes standard across the resident population.

Meals are served restaurant-style. There is a library, an entertainment room, and an outdoor common area, plus housekeeping, maintenance, and transportation handled by the community.

State inspection activity has concentrated on medication management, staffing and staff credentials, environmental and hazardous-materials safety, and resident rights and protections. Medicaid is accepted here, which shapes the financial picture for families planning a longer stay. Somerset Court of Cherryville is built for older adults in and around Cherryville who need daily assisted living support or memory care in a secured environment, with the clinical pieces available on-site rather than scattered across appointments elsewhere.

Contact Somerset Court of Cherryville

Overview of Mebane Ridge

Set in the idyllic neighborhood of Mebane, NC, the Mebane Ridge is an esteemed senior living community that offers assisted living and memory care services. Here, residents can select from a wide array of cozy and spacious accommodations ranging from private studios and shared suites. With its expert and compassionate team, this community thoughtfully designed the Pathways to Discover program intended for those with cognitive conditions like Alzheimer’s disease and dementia. Moreover, residents can access an emergency response team and round-the-clock personalized care services.

Committed to delivering above-and-beyond amenities and other services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and community events. At the Mebane Ridge, seniors are assured of a retirement worth-remembering.

Contact Mebane Ridge

Overview of Pennybyrn

Serving the senior community for over 76 years, Pennybyrn is a paradisal senior living community in Guilford County, High Point, NC, offering retirement living, assisted living, memory care, and rehabilitation. The community provides a team of licensed nurses, certified nursing assistants, and medical technicians available 24/7 to assist residents with various things. Residents can live comfortably with assistance with daily living activities, dining assistance, and access to physical, occupational, and speech therapy.

Wellness classes are designed to meet varying fitness levels and needs of residents, ensuring everyone is able to improve or maintain their well-being. A team of hardworking activity coordinators is available to carefully curate an array of social and educational events both on-site and off-site. Registered dietitians and chefs work together to prepare three nutritious and delicious meals and dietary planning to accommodate specific medical and health needs.

Contact Pennybyrn

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.