Page 3 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 404 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.
404 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. 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. 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.
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.
Brookdale Wake Forest
AL
MC
Wake Forest
70
Facility 70
NC AVG 70
Rank #158 / 328
Yes
54
Facility 54
NC AVG 34
Rank #79 / 373
52.9%
Facility 52.9%
NC AVG 68.5%
Rank #134 / 186
A+
94.50/200
Facility 94.50/200
NC AVG 92.7
Rank #203 / 291
9
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Terrabella Little Avenue
AL
MC
Charlotte (Carmel)
62
Facility 62
NC AVG 70
Rank #193 / 328
Yes
72
Facility 72
NC AVG 34
Rank #15 / 373
98.4%
Facility 98.4%
NC AVG 68.5%
Rank #32 / 186
-
88.50/200
Facility 88.50/200
NC AVG 92.7
Rank #245 / 291
13
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Suite
Heartfields at Cary
AL
MC
Cary
97
Facility 97
NC AVG 70
Rank #69 / 328
Yes
60
Facility 60
NC AVG 34
Rank #46 / 373
79.4%
Facility 79.4%
NC AVG 68.5%
Rank #78 / 186
-
97.50/200
Facility 97.50/200
NC AVG 92.7
Rank #170 / 291
12
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 2 Bed
Cadence Mooresville by Cogir
AL
MC
Mooresville
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
15
Facility 15
NC AVG 34
Rank #279 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
94.50/200
Facility 94.50/200
NC AVG 92.7
Rank #203 / 291
9
89%
Facility 89%
NC AVG 91.8%
Rank #66 / 301
Studio / Suite
Cadence at Wake Forest by Cogir
AL
MC
Wake Forest
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
43
Facility 43
NC AVG 34
Rank #128 / 373
27.1%
Facility 27.1%
NC AVG 68.5%
Rank #174 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
8
88%
Facility 88%
NC AVG 91.8%
Rank #52 / 301
Studio / 1 Bed
Zebulon House
AL
MC
RC
Zebulon
60
Facility 60
NC AVG 70
Rank #200 / 328
No
58
Facility 58
NC AVG 34
Rank #58 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
12
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
-
Clemmons Village I- Memory Care
AL
MC
Clemmons
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
26
Facility 26
NC AVG 34
Rank #222 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
A+
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
8
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 2 Bed
Brookdale East Broad
AL
Statesville (Broadview)
58
Facility 58
NC AVG 70
Rank #235 / 328
Yes
6
Facility 6
NC AVG 34
Rank #333 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
106.00/200
Facility 106.00/200
NC AVG 92.7
Rank #4 / 291
10
90%
Facility 90%
NC AVG 91.8%
Rank #78 / 301
Studio
LiveWell @ Governors Club Cottages (2) (Chapel Hill)
AL
HC
MC
Chapel Hill (Governors Club)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
7
Facility 7
NC AVG 34
Rank #325 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
10
60%
Facility 60%
NC AVG 91.8%
Rank #16 / 301
Private / Semi-Private Rooms
Sunrise at North Hills
AL
HOS
MC
Raleigh (North Raleigh)
160
Facility 160
NC AVG 70
Rank #6 / 328
Yes
68
Facility 68
NC AVG 34
Rank #21 / 373
-A-
97.50/200
Facility 97.50/200
NC AVG 92.7
Rank #170 / 291
10
90%
Facility 90%
NC AVG 91.8%
Rank #78 / 301
Studio / 1 Bed / 2 Bed

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 404 on this page. See how we rank facilities

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Overview of Heartfields at Cary

Heartfields at Cary envisions memory care that goes beyond mere accommodation – it’s about fostering love, connection, and meaningful engagement. The community is situated in Cary, NC, and boasts elegant living and communal spaces with just the right touch of warmth. The vision is to create an environment where residents love their surroundings, the people they’re with, and the activities they engage in. Heartfields at Cary aims to be a place where families reconnect, fostering a sense of community and shared experiences.

In addition to its vibrant living spaces, Heartfields at Cary is committed to providing top-notch Memory Care through Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program. The community prioritizes familiarity, safety, and comfort, offering individualized attention with recreational and occupational therapy. Residents can enjoy restaurant-style dining, a spacious activity center, various social and recreational events, and even access a full-service barber and beauty salon. The Memory Care apartments at Heartfields at Cary are designed to be safe, secure, and comfortable, with a range of options, including studio and companion apartments.

Contact Heartfields at Cary

Overview of Cadence at Wake Forest by Cogir

Breathe in the fresh air of Heritage Trade Drive, Wake Forest, NC, with the trusted senior living community of Cadence at Wake Forest that provides assisted living and memory care. Enjoy your golden years within the beautiful and spacious residences of Cadence at Wake Forest in variations of one-bedroom apartments, and private and shared studios. An experienced and highly skilled team lends necessary care and support for residents to enjoy a maintenance-free lifestyle.

The community doubles its efforts to ensure residents experience unparalleled comfort and convenience, providing them with the utmost attention for their every need. Leisure and wellness is not a problem with a combination of enjoyable and nurturing activities conducted for seniors to maintain a happy and active lifestyle. Good dining completes the finest experience with healthy restaurant-style meals catering to seniors’ dietary needs and preferences. Cadence at Wake Forest is ideal for seniors seeking a haven to spend a peaceful yet well-engaged retirement with its bright and airy campus.

Contact Cadence at Wake Forest by Cogir

Overview of Clemmons Village I- Memory Care

Clemmons Village I- Memory Care is a licensed assisted living community that offers everything Forsyth County seniors desire in an inviting setting on the outskirts of Winston-Salem in Clemmons, North Carolina. For seniors facing Alzheimer’s or dementia, the Revere Memory Care℠ provides specialized care with a lifestyle focus, all within a secure community that truly feels like home.

With 62 rooms, Cadence at Clemmons is undergoing a lifestyle renaissance, emphasizing wellness programming, nutritional dining, and engaging activities tailored to resident preferences. Discover the Southern charm and serenity of Cadence at Clemmons.

Contact Clemmons Village I- Memory Care

Overview of Brookdale East Broad

Brookdale East Broad offers a serene senior living experience nestled in Statesville, North Carolina. Designed for comfort and independence, this assisted living community provides a tranquil retirement setting where residents can relax and enjoy life without the stress of daily chores. With a focus on maintaining personal freedom, Brookdale East Broad ensures peace of mind with round-the-clock emergency response services, ensuring assistance is always at hand when needed.

Residents at Brookdale East Broad can indulge in a vacation-style lifestyle enriched with amenities such as an emergency alert system, pet-friendly accommodations, and convenient transportation services. The community offers beautifully landscaped grounds, inviting porches, and cozy meeting rooms ideal for social gatherings. Additional conveniences include onsite beauty and barber services, a greenhouse for gardening enthusiasts, and easy access to pharmacy and postal services. With keypad entry for security and a soothing piano for musical enjoyment, Brookdale East Broad is dedicated to fostering a fulfilling and comfortable living environment for its residents.

Contact Brookdale East Broad

Overview of Brookdale Wake Forest

Nestled in the charming college town of Wake Forest, North Carolina, Brookdale Wake Forest, offers a vibrant senior living community tailored to meet diverse care needs. Located conveniently in one community, Brookdale Wake Forest provides both assisted living and memory care. Residents here enjoy the freedom to live life to the fullest, supported by a caring team available around the clock.

Experience a rich calendar of events and personalized care assessments designed to meet individual needs and preferences. At Brookdale Wake Forest, dining is a delight with nutritionally balanced, home-cooked meals served in a restaurant-style setting. For those in memory care, there are dementia-friendly menus and intimate dining environments with personalized assistance. The community fosters a supportive environment where residents can thrive with the help of dedicated staff committed to their well-being and safety.

Contact Brookdale Wake Forest

Overview of Cadence Mooresville by Cogir

An idyllic senior living community residing in the tranquil neighborhood of East Waterlynn Road, Mooresville, NC, that offers assisted living and memory care. Live your best years embraced by beautiful and inviting residences including a wide array of private studio and one-bedroom apartments. A kind and compassionate team strives to deliver the highest quality of care and support that best matches seniors’ needs and interests.

Learn something new and hone your acquired skills with engaging activities and exciting programs for leisure and well-being. Eat well and feel your best with healthy and delicious meals served for seniors’ dietary needs and satisfaction. Surround yourself with beautiful garden views and a serene environment with Cadence Mooresville by Cogir for a glorious retirement.

Contact Cadence Mooresville by Cogir

Terrabella Little Avenue

7745 Little Ave, Charlotte, NC 28226
Overview of Terrabella Little Avenue

A 62-bed assisted living and memory care community in Charlotte’s Carmel neighborhood on Little Avenue is Terrabella Little Avenue. With nearly full occupancy at 98 percent, the home operates with a consistent resident base. The neighborhood scores 72 on the Walk Score scale, making it really walkable. Within a short walk are most daily errands and nearby essentials.

Terrabella Little Avenue is set up as a suite-style residential setting, offering occupants assisted living and memory care services. Pets are welcome, which can provide valuable companionship for those living here and visiting family members. The location offers good neighborhood walkability without the bustle of a major commercial corridor, suiting residents who cherish a calmer residential setting.

Over the past decade, inspections have touched on supervision, administrative protocols, clinical medication practice, and facility maintenance. These are areas families may want to know more fully during a tour and consultation with Terrabella Little Avenue.

For families assessing this community in Charlotte, visiting is a crucial next step to see the suite layouts, understand daily cultures, and get a clear sense of how the team manages care and daily life.

Contact Terrabella Little Avenue

Zebulon House

551 Pony Road Zebulon, Nc 27597, Zebulon, NC 27597
Overview of Zebulon House

Zebulon House sits on Pony Road in Zebulon, North Carolina, roughly thirty minutes east of Raleigh. The Walk Score is 58, so a few errands are doable on foot but a car still helps. Assisted living is the core offering. Memory care and respite stays round it out.

All 60 beds are filled; a full house tells you something about demand in this corner of Wake County, though it also tells you to call early. Openings at a community running at capacity tend to move fast.

Staffing runs 24 hours, and residents who need a more protected setting can move into the Secured Living program, and families managing their own caregiving load can arrange respite care rather than a permanent placement. That flexibility is worth noting when you are planning around a surgery, a trip, or simple exhaustion.

Meals are served restaurant-style. There is a library, an entertainment room, and an outdoor common area for time outside. Housekeeping, maintenance, and transportation are handled by staff, which removes a whole category of small logistics from a resident’s week. State inspection themes at Zebulon House center on medication management, fire-safety systems, and care planning and documentation.

Medicaid is accepted here. For North Carolina families sorting through what a long stay will actually cost, that single fact often narrows the list faster than anything else on a brochure.

Contact Zebulon House

Overview of Sunrise at North Hills

Sunrise at North Hills is a full-service senior living community located in a convenient Raleigh, North Carolina location, helping residents enjoy excursions to popular local destinations as well as a variety of amenities and curated programs. The community offers room rates starting at $3,891 per month and welcomes residents into a loving, compassionate environment, working closely with each individual to develop a tailored plan that helps sustain their independence and autonomy. Sunrise at North Hills measures success by residents’ happiness, health, and safety, providing access to a comprehensive schedule of on-site activities designed to keep their mind, body, and spirit engaged, while also organizing frequent outings to popular local destinations, including shopping centers, restaurants, and movie theaters.

The community boasts a variety of amenities, such as a TV lounge with a fireplace, a physical therapy room, and putting green, as well as a range of floor plans, including studios, one-bedroom, two-room, and companion suites, allowing residents to express their style. Sunrise at North Hills offers engaging activities that exercise the mind with Cranium Crunches, the body with weight lifting, and the spirit with meditation, while the team of experts is frequently consulted by journalists for insights on senior care, assisted living, and memory care. Located in Raleigh, NC, on Spring Forest Road between Falls of Neuse Road and Six Forks Road, the community provides easy access to Raleigh’s more than 40 historic attractions and museums, diverse performing arts and music scene, and medical support at nearby hospitals, including WakeMed Raleigh Hospital, Duke Raleigh Hospital, and Rex Hospital.

Contact Sunrise at North Hills

Overview of LiveWell @ Governors Club Cottages (2) (chapel Hill)

Surrounded by lush trees and scenic nature, LiveWell at Governors Club Cottages (2) is an idyllic senior living community in Club Drive, Chapel Hill, NC, that offers memory care. Residents receive the utmost care and attention for their special needs with a well-trained team available around the clock. With its commitment to residents’ welfare, the community promotes a quiet and safe environment.

Featuring innovative and specially designed amenities, the community encourages residents to maintain an active and well-connected lifestyle. Fostering familiarity and comfort, the community eases daily stresses. With its intimate and quaint setting, residents can rest assured of receiving the finest care and assistance to live a blissful retirement.

Contact LiveWell @ Governors Club Cottages (2) (Chapel Hill)

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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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
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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 404 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.