Page 29 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
Reviewed by
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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. 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.
The Gardens of Rose Hill
AL
RC
Rose Hill
45
Facility 45
NC AVG 70
Rank #255 / 328
No
26
Facility 26
NC AVG 34
Rank #222 / 373
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
B+14
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
The Landings of Oak Island
AL
MC
Oak Island
80
Facility 80
NC AVG 70
Rank #126 / 328
No
3
Facility 3
NC AVG 34
Rank #357 / 373
-
93.50/200
Facility 93.50/200
NC AVG 92.7
Rank #210 / 291
C+6
0%
Facility 0%
NC AVG 64.9%
Rank #66 / 301
-
Harmony House Memory Care
AL
MC
Statesville
40
Facility 40
NC AVG 70
Rank #258 / 328
No-
92.5%
Facility 92.5%
NC AVG 68.5%
Rank #42 / 186
82.75/200
Facility 82.75/200
NC AVG 92.7
Rank #264 / 291
D28
0%
Facility 0%
NC AVG 64.9%
Rank #120 / 301
-
Roxboro Assisted Living
AL
Roxboro
120
Facility 120
NC AVG 70
Rank #26 / 328
No--
81.00/200
Facility 81.00/200
NC AVG 92.7
Rank #268 / 291
D-15
73%
Facility 73%
NC AVG 64.9%
Rank #36 / 301
-
Calyx Living of Durham
AL
MC
RC
Durham
84
Facility 84
NC AVG 70
Rank #111 / 328
No-
39.3%
Facility 39.3%
NC AVG 68.5%
Rank #150 / 186
95.50/200
Facility 95.50/200
NC AVG 92.7
Rank #193 / 291
A+4
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
-
Care Home Corporation DBA LiveWell
AL
HC
HOS
Chapel Hill
6
Facility 6
NC AVG 70
Rank #278 / 328
No--
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
-21
71%
Facility 71%
NC AVG 64.9%
Rank #19 / 301
-
St. Joseph of the Pines, a CCRC
AL
CCRC
IL
MC
NH
SNF
Southern Pines
176
Facility 176
NC AVG 70
Rank #3 / 328
Yes
2
Facility 2
NC AVG 34
Rank #365 / 373
41.6%
Facility 41.6%
NC AVG 68.5%
Rank #146 / 186
--?--Private Rooms
Liberty Commons
AL
HOS
NH
PC
RC
SNF
Wilmington (Liberty Commons Center)
82
Facility 82
NC AVG 70
Rank #118 / 328
Yes
52
Facility 52
NC AVG 34
Rank #83 / 373
95.4%
Facility 95.4%
NC AVG 68.5%
Rank #34 / 186
--C--Private Rooms / Semi-Private Rooms
Champions Assisted Living at the Davis Community
AL
IL
MC
NH
RC
SNF
Wilmington
115
Facility 115
NC AVG 70
Rank #41 / 328
Yes
6
Facility 6
NC AVG 34
Rank #333 / 373
93.9%
Facility 93.9%
NC AVG 68.5%
Rank #39 / 186
--C+--1 Bed / 2 Bed
Kempton of Jacksonville
AL
MC
Jacksonville
79
Facility 79
NC AVG 70
Rank #133 / 328
No--
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
A12
0%
Facility 0%
NC AVG 64.9%
Rank #52 / 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

Rows per page:
View all Nearby Homes
1...282930...41

The Gardens of Rose Hill

571 S. Sycamore Street Rose Hill, Nc 28458, Rose Hill, NC 28458
Overview of The Gardens of Rose Hill

Situated in Rose Hill, NC, The Gardens of Rose Hill offers assisted living and respite care. Along with support with daily tasks, the community also provides rehabilitation services to help with residents’ mobility. Licensed nurses and CNAs are available on-site, along with 24-hour staffing, ensuring residents can access services whenever needed.

The community has 45 beds, equipped with an emergency alert system. Moreover, the Secured Living program provides a secure setting, while structured daily activities create planned opportunities throughout the day. Restaurant-style dining includes meals prepared to meet dietary needs, with special diets accommodated.

Residents can use the library, entertainment room, and outdoor common area for reading, indoor recreation, and time outside. Housekeeping is also provided for convenience. Medicaid is accepted, giving families whose savings may not cover a long stay a payment option.

Contact The Gardens of Rose Hill

The Landings of Oak Island

2910 Pine Plantation Parkway Oak Island, Nc 28461, Oak Island, NC 28461
Overview of The Landings of Oak Island

The Landings of Oak Island runs two care types in Oak Island, NC. Those two are memory care and assisted living. Assisted living is the care level that provides help with daily tasks a resident can’t manage unaided. Memory care supervises them within a secure setting and answers for wandering risks that come with dementia.

Here, one license carries both, so needs can grow later without obliging a move to somewhere new. The building holds 80 beds.

A library is among the amenities. Medicaid is accepted, and that helps a family whose money won’t cover a long stay. Secured Living is the program name given to the memory care setting.

Contact The Landings of Oak Island

Harmony House Memory Care

1372 Eufola Road Statesville, Nc 28677, Statesville, NC 28677
Overview of Harmony House Memory Care

Harmony House Memory Care delivers dedicated assisted living and specialized memory support in Statesville, North Carolina. Assisted living residents maintain private apartments while receiving help with bathing, dressing, and routine medication management. Secure living quarters feature constant supervision designed specifically to protect individuals with Alzheimer’s or dementia who might wander.

Accepted Medicaid coverage helps make long-term housing more affordable for families navigating ongoing care costs. This 40-bed residential center includes a full-service salon and spa, an outdoor patio with raised garden beds, a chapel, a game room, and a library. Dining services focus on chef-prepared dishes made with fresh ingredients to accommodate custom dietary requirements. Daily activities range from religious services and exercise sessions to creative arts, live musical performances, and organized group outings.

Families weighing senior care options can connect with Harmony House Memory Care to discuss room plans, explore payment choices, or arrange a guided walkthrough.

Contact Harmony House Memory Care

Overview of Roxboro Assisted Living

Roxboro Assisted Living, situated in the quaint beauty of North Carolina, offers seniors an array of services designed to elevate the senior living experience. With in-house physicians, podiatrists, and psychiatrists, this facility ensures residents have access to specialized medical care. The home also features physical, occupational, and speech therapy services delivered by a dedicated and professional team. Beyond medical assistance, the staff serves as companions, fostering meaningful connections and brightening each resident’s day.
Moreover, the close-knit community goes the extra mile to cater to memory care needs, offering a specialized unit that provides constant supervision and personalized support. Medication management and supervision are seamlessly integrated into daily routines, and residents enjoy nourishing three-course meals that delight the palate. The community offers a hair salon and a cozy café as well, providing spaces for relaxation and socialization. With engaging activities and amenities, staying active and engaged becomes second nature in this vibrant senior living community.

Contact Roxboro Assisted Living

Calyx Living of Durham

4214 Guess Road Durham, Nc 27712, Durham, NC 27712
Overview of Calyx Living of Durham

Calyx Living of Durham in Durham, NC, offers assisted living, memory care, and respite care. Assisted living provides help with daily tasks while a resident maintains their own living space, while memory care provides a secured setting with supervision for someone at risk of wandering.

Respite care offers a short-term stay when a resident’s usual caregiver needs time to travel, recover, or manage other responsibilities. The community has 84 beds, and residents can take part in the Beauty and Wellbeing and Resident Engagement programs. With several care levels available, Calyx Living of Durham may be a good fit for a resident whose support needs could grow over time without requiring a move to a different community.

Contact Calyx Living of Durham

Overview of Care Home Corporation DBA LiveWell

Care Home Corporation DBA LiveWell provides assisted living, home care, and hospice care in Chapel Hill, NC. Assisted living helps with daily tasks while a resident remains in their own living space, while home care, including the In-Home Care program, brings support to a person’s residence.

Hospice care focuses on comfort for someone with a life-limiting illness. The community has six beds, making it a small residential setting that may suit someone who prefers a more intimate home environment.

Contact Care Home Corporation DBA LiveWell

Overview of St. Joseph of the Pines, a CCRC

St. Joseph of the Pines by the Trinity Health community delivers quality service thoughtfully designed to offer both convenience and comfort in one setting. The continuing care retirement home specializes in independent living assisted living, and nursing care services. Reflected on their recognition by the U.S. News and World Report as the Best Nursing Homes for short-term rehabilitation, one can understand the home’s value. St. Joseph of the Pines continuously improves the lives of its residents by creating a cozy environment where an abundance of opportunities is available. 

The lifestyle at St. Joseph’s practices a personalized care approach anchored by the trusted bond between residents and staff; personal care services include ADLs, 24-hour care and nursing, medication administration, engaging programs, and on-site therapy services– speech, physical, and occupational. 

Contact St. Joseph of the Pines, a CCRC

Overview of Liberty Commons

Liberty Commons, a healthcare facility in Wilmington, NC, is dedicated to providing a range of services, including assisted living and skilled nursing services. The accommodation options at Liberty Commons feature spacious private and semi-private suites equipped with amenities such as complimentary WiFi internet, flat-screen TVs with complimentary cable, and in-room refrigerators. The community’s focus on healthcare services extends to assisted living, where residents receive personalized support tailored to their individual needs, including dressing, bathing, and medication reminders.

Liberty Commons offers a variety of amenities to enhance the living experience for residents. In-room dining, outdoor and indoor gathering areas, salon services, and daily housekeeping and laundry services contribute to a comfortable and well-maintained environment. The community ensures convenience with admissions available seven days a week. Residents also engage in social activities, fostering a sense of community and connection. Liberty Commons stands as a healthcare facility committed to providing not only essential services but also a supportive and engaging living experience for its residents.

Contact Liberty Commons

Overview of Champions Assisted Living at the Davis Community

Champions Assisted Living, located within The Davis Communities in Wilmington, NC, is a senior living community specifically designed for The Davies Communities’ residents living with Alzheimer’s and other forms of dementia. They provide assisted living services along with memory care, in their one-to-two bedroom units equipped with living area, ample closet space, kitchenette, and private bathroom. As part of their assisted living services, the residents are provided round-the-clock availability of staff for supervision and assistance, diabetic care, medication management, and monthly wellness checkup, as well as therapy services.

The residents of Champions Assisted Living are also able to enjoy a myriad of amenities they offer including meal preparation services and dining options within the community, assistance with daily living activities, mobility and transportation assistance, access to fitness rooms and pool, and grooming services at the salon and spa. Being conveniently situated within the Davis Communities, Champions Assisted Living Services are also provided access to their auditorium, club room, and art studio. Lastly, they offer laundry and housekeeping services, to ensure the overall comfort of their residents’ stay.

Contact Champions Assisted Living at the Davis Community

Kempton of Jacksonville

3045 Henderson Drive Extension Jacksonville, Nc 28546, Jacksonville, NC 28546
Overview of Kempton of Jacksonville

Kempton of Jacksonville offers assisted living and memory care in Jacksonville, NC. Assisted living provides help with daily tasks while allowing residents to keep their own living routines. Memory care provides a secured setting with supervision for someone at risk of wandering.

Having both care levels in one community can suit a resident whose needs grow over time and who may be able to move between care levels without leaving. Kempton of Jacksonville has 79 beds. Assisted living starts at $3,625 per month, giving families a starting point for budgeting that level of care. Twenty-four-hour staffing means support is available at any time of day or night, while residents are encouraged to maintain their individual choices and routines.

$3,625/Month

Contact Kempton of Jacksonville

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
Submit a correction

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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.