Page 3 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
Reviewed by
Last updated
Aug 2026
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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
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.
Morningside of Gastonia
AL
MC
Gastonia (Lake Wood)
105
Facility 105
NC AVG 72
Rank #67 / 387
Yes
42
Facility 42
NC AVG 36
Rank #211 / 536
--
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
18
61%
Facility 61%
NC AVG 76.2%
Rank #45 / 333
Studio / Suite / 1 Bed
Home Place of New Bern
AL
MC
New Bern (Quail Ridge)
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
57
Facility 57
NC AVG 36
Rank #101 / 536
100.0% -
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
16
63%
Facility 63%
NC AVG 76.2%
Rank #48 / 333
Suite / 2 Bed
Brookdale Union
AL
Gastonia
78
Facility 78
NC AVG 72
Rank #161 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
100.0% A+
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
28
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
Studio
Sunrise of Cary
AL
HOS
MC
Cary
85
Facility 85
NC AVG 72
Rank #132 / 387
Yes
34
Facility 34
NC AVG 36
Rank #272 / 536
40.0% A-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
18
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
Studio / Suite / 1 Bed
Waltonwood Cotswold
AL
MC
Charlotte (Sherwood Forest)
125
Facility 125
NC AVG 72
Rank #28 / 387
Yes
18
Facility 18
NC AVG 36
Rank #394 / 536
--
107.00/200
Facility 107.00/200
NC AVG 92.2
Rank #2 / 321
15
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
Studio / 1 Bed / 2 Bed
Brookdale High Point North
AL
High Point (Deep River)
102
Facility 102
NC AVG 72
Rank #75 / 387
Yes
59
Facility 59
NC AVG 36
Rank #77 / 536
100.0% -
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
29
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
Private Room / Studio / Suite
The Sharon at SouthPark
AL
IL
MC
NH
SNF
Charlotte (Beverly Woods)
19
Facility 19
NC AVG 72
Rank #333 / 387
Yes
49
Facility 49
NC AVG 36
Rank #162 / 536
36.3% -----Studio / 1 Bed / 2 Bed
Summit Place of South Park
AL
MC
Charlotte (Barclay Downs)
120
Facility 120
NC AVG 72
Rank #35 / 387
Yes
35
Facility 35
NC AVG 36
Rank #261 / 536
--
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
26
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
Studio / 1 Bed
Parkwood Village and The Landing
AL
IL
MC
Wilson (Westwood)
70
Facility 70
NC AVG 72
Rank #183 / 387
Yes
42
Facility 42
NC AVG 36
Rank #211 / 536
--
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
27
85%
Facility 85%
NC AVG 76.2%
Rank #246 / 333
1 Bed / 2 Bed
Brookdale Salisbury
AL
Salisbury (Holly Park)
88
Facility 88
NC AVG 72
Rank #123 / 387
Yes
51
Facility 51
NC AVG 36
Rank #138 / 536
100.0% -
98.00/200
Facility 98.00/200
NC AVG 92.2
Rank #181 / 321
26
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 333
Studio / 2 Bed

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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Overview of Morningside of Gastonia

Morningside of Gastonia is an elegant senior living community located in a vibrant neighborhood in Gastonia, NC, offering a range of care, including assisted living, memory care, and short-term stays. The community offers a wide range of living options, including studios and one-bedroom apartments with services tailored to residents’ unique needs and preferences. The community also offers Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program for residents dealing with memory loss.

The community’s ideal location provides easy access to shopping, restaurants, entertainment, and plenty of things to do, ensuring residents a vibrant living experience. With beautifully designed apartments and services, the community aims to enhance the quality of life of its residents. Amenities include restaurant-style dining, a spacious activity center, and engaging social events, along with a full-service barber and beauty salon, making it a perfect place to call home.

Contact Morningside of Gastonia

Overview of Home Place of New Bern

Offering compassionate care to the community of New Bern, NC, Home Place of New Bern is a classic senior living community that features a range of senior living options, including assisted living and memory care. The community offers a wide range of floor plans, including studios, companion suites, and one-bedroom apartments, complemented with an array of care services, including recreational and occupational therapy, various rehab therapies, and personal fitness training.

Recognized as Best Assisted Living and Best Memory Care by U.S. News and World Report, Home Place of New Bern proves its capability in providing exceptional senior living experience supported with excellent care and services. Here, residents find comfort and convenience through amenities, such as family-style dining, spacious activity center, an array of social and recreational events, a full-service barber and beauty salon. At Home Place of New Bern, residents live life on their own terms with outstanding support and assistance by a compassionate team.

Contact Home Place of New Bern

Overview of Brookdale Union

Gastonia, North Carolina, is home to the excellent senior living community – Brookdale Union, which offers assisted living where residents can redefine their independence. Nestled on beautifully landscaped grounds near Ferguson Park and the Catawba Creek Golf Course, Brookdale Union provides a serene environment while being conveniently close to dining, shopping, and medical facilities. Seniors here enjoy various activities, from restaurant-style dining to afternoon bingo games designed to keep them engaged and connected. The pet-friendly apartments are filled with natural light, creating a welcoming and comfortable atmosphere for all.

Brookdale Union is dedicated to helping residents live their best lives by providing personalized care and support. This includes assistance with daily activities like dressing, bathing, and medication management, allowing residents to focus on their passions and hobbies. Brookdale Union ensures a vibrant, secure, and fulfilling lifestyle with 24/7 emergency alert systems, transportation services, a beauty/barber shop, and an arts and crafts studio. Whether strolling through the courtyard garden or enjoying the fireside living room, residents find a true sense of community and belonging.

Contact Brookdale Union

Overview of Sunrise of Cary

Sunrise of Cary, located in Cary, NC, is a senior living community by Sunrise Senior Living. They offer assisted living, memory care, short-term stay, and hospice care services to their residents. This senior living ensures that the residents in their assisted living program receive the specific support they need by creating individualized care programs which may include assistance with daily living activities, medication management, and concierge services.

This pet friendly community also welcomes the residents pets, valuing the comfort and support they provide their senior owners. The accommodation options are also purposely designed, from their emergency call systems, to the facilities that promote mobility, and spaces to either rest or socialize in. Furthermore, they offer menu options featuring seasonal ingredients and regional dishes prepared by talented chefs.

Contact Sunrise of Cary

Overview of Waltonwood Cotswold

Waltonwood Cotswold is an exquisite assisted senior living community nestled in the charming city of Charlotte. The commitment to exceptional service and care is unparalleled, ensuring that each resident receives the utmost attention and support. With a range of services that include assisted living and memory care senior living, the community caters to the unique needs of every individual. The culinary team creates delectable meals that are both satisfying and memorable. From gourmet dishes to diverse dining options, every bite is a celebration of flavor and quality.

Located in the southeastern suburbs of Charlotte, Waltonwood Cotswold provides easy access to a wealth of conveniences. Residents can immerse themselves in the vibrant local community, with nearby restaurants, golf courses, healthcare centers, places of worship, and convenient expressway connections. The active community offers endless possibilities for exploration and engagement. With its captivating charm and inviting atmosphere, the community sets the stage for an enriching and fulfilling lifestyle. Experience the warmth and hospitality that permeate every aspect of the community, ensuring a truly exceptional assisted senior living and memory care senior living experience.

Contact Waltonwood Cotswold

Overview of Brookdale High Point North

Spend your day leisurely with Brookdale High Point North, a premiere senior living community in High Point, NC, offering comprehensive assisted living. Featuring various floor plans with plenty of space and privacy and individualized care tailored to residents’ unique needs, the community guarantees a comfortable and well-supported environment. With evidence-based programs, including B-Fit fitness classes, and Flex Your Brain sessions, residents are encouraged to stay on top of their health and wellness.

Committed to providing a carefree setting where residents can live the kind of unencumbered life they want, Brookdale High Point North offers various services and fun amenities. Residents enjoy charming community areas for visiting and entertaining, deliciously prepared meals, and assistance with medications, bathing, dressing and more, provided by a team of dedicated caregivers. Amenities include a well-stocked library, an arts & crafts studio, a whirlpool, and a beauty & barbershop for residents’ leisure and entertainment.

Contact Brookdale High Point North

Overview of The Sharon at SouthPark

Make your dream retirement come true with The Sharon at SouthPark, a compassionate community in Charlotte, NC, offering a continuum of care. Residents here have access to independent living, assisted living, and skilled nursing care provided by a team of kind and compassionate care experts. Their relaxing community is peacefully set amidst a 28-acre campus with easy access to shops, recreational amenities, and entertainment options in the area.

In addition to convenient services like housekeeping, laundry, and maintenance, the community provides access to a wide selection of hotel-like amenities, including gathering venues, recreational spaces, and wellness & fitness areas. Multiple dining areas and diverse menus are also available to ensure residents’ cravings and nutritional needs are met. Whatever your interests and passions are, The Sharon at SouthPark provides the opportunities and spaces you need to enjoy them while receiving compassionate care and assistance.

Contact The Sharon at SouthPark

Overview of Summit Place of South Park

Experience the retirement you deserve at Summit Place of South Park, an inviting senior living community in Charlotte, North Carolina, offering Assisted Living, Memory Care, and Respite Care & Short-Term Stays. Located in a warm and welcoming environment, residents can choose from a variety of floor plans, including a studio, deluxe studio, and one-bedroom apartments. With a team available 24/7, and an emergency call response system, residents can live peacefully knowing that support is available anytime.

Dedicated to delivering a stress-free and joyful living experience to its residents, the community features unique amenities like a theater with reclining seats, a beautiful sensory garden for Memory Care residents, and a trellis-covered patio where residents can relax and socialize. Residents enjoy a variety of activities, such as live entertainment, arts & crafts, walking clubs, bingo, themed lunches, cultural excursions, exercise classes, and community events. Other amenities include a beauty salon, library, gym, and free transportation, ensuring a comfortable and engaging lifestyle.

Contact Summit Place of South Park

Overview of Parkwood Village and the Landing

Parkwood Village and the Landing, a 70-bed nonprofit community at 1730 Parkwood Blvd W in Wilson, Wilson County, North Carolina, is operated by Well Spring Retirement Community. The facility serves residents with assisted living, independent living, memory care, and respite care needs on both Medicare and private-pay bases.

The inspection record reflects persistent challenges with medication administration and safety.

Since 2015, the facility has accumulated 62 deficiencies, 35 percent more than the state average and with recurring concerns including missed medication doses, failure to directly observe medication intake, and inaccurate medication records. Four state penalties totaling $25,000 were assessed between 2023 and 2024, including a settlement agreement. The most recent February 2025 annual inspection identified two moderate-level deficiencies: unsecured oxygen tanks stored in a resident’s room and missing physician-ordered therapeutic diet documentation for three sampled residents. These findings suggest ongoing gaps in storage protocols and dietary coordination despite previous cited deficiencies.

The facility’s 5-star CMS rating reflects substantial investment in staffing depth. Average nursing care runs 8 hours 7 minutes per resident per day, representing a 65 percent margin above the state benchmark and ranking third among North Carolina nursing homes. This staffing commitment provides meaningful direct care capacity for residents requiring frequent assistance.

Amenities include a theater with reclining seating, a secured memory care garden, and a patio courtyard. Residents participate in live entertainment, arts programming, walking groups, bingo, exercise classes, and scheduled excursions. The facility offers beauty services, a library, fitness facilities, and complimentary transportation. On-site staff operate around the clock.

The community fits residents and families prioritizing high nurse-staffing ratios and structured activity programming alongside acceptance of a facility with a record of medication administration compliance challenges that persist despite remedial efforts.

Contact Parkwood Village and The Landing

Overview of Brookdale Salisbury

Brookdale Salisbury offers exceptional assisted living for seniors in Salisbury, North Carolina. The community’s picturesque campus is ideally located near restaurants, shopping, banks, and physicians’ offices, providing residents with both convenience and accessibility. Residents and their families appreciate the small-town charm of Salisbury and the vibrant atmosphere of nearby Charlotte. At Brookdale Salisbury, seniors can trade the stress of daily life for a variety of enriching activities, all within a supportive and engaging environment. Personalized care is a hallmark of Brookdale Salisbury, where each resident receives a customized service plan tailored to their unique needs.

This approach ensures that residents receive the appropriate level of assistance, whether it’s help with daily tasks, medication management, or coordinating with healthcare providers. The community emphasizes holistic wellness through programs like B-Fit and Brain Fit, focusing on physical, mental, and emotional health. With a range of amenities and a commitment to fostering independence, Brookdale Salisbury is dedicated to helping residents live their best lives.

Brookdale Salisbury currently has openings available!

  • – Companion room that starts at $3200 / month
  • – Small Studio starting at $4200 / month
  • – Large Studio starts at $4600 / month
  • – Extra Large Studio $5000 / month
  • – A second person fee is $600 / month


Care Costs
 are additional and based on an individual’s needs. That can range from $889 / month to $2740 / month max.

There are a few services that would exceed the cap of $2740.

  • – 2 Person Lift / Assist
  • – Direct feeding assistance
  • – Nebulizers


Additional Costs

  • – Pharmacy Copays
  • – Incontinence Supplies (Briefs, wipes & gloves size Med)
  • – Beauty / Barber services

Contact Brookdale Salisbury

Weighting overview

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

Resident & Family Experience 35%

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

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

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

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

Visual Media & Transparency 15%

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

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

Website & Operator Transparency 10%

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

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

Community Stability 10%

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

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

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

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.