Page 30 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
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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.
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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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.
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.
Livewell @ Hope Valley (Durham)
AL
HC
MC
Durham (Hope Valley)
6
Facility 6
NC AVG 70
Rank #278 / 328
Yes--
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
A+4
0%
Facility 0%
NC AVG 64.9%
Rank #1 / 301
-
Aldersgate
AL
HOS
IL
MC
NH
RC
SNF
Charlotte (Windsor Park)
-No
40
Facility 40
NC AVG 34
Rank #140 / 373
----3
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 301
1 Bed / 2 Bed
Friends Homes
AL
IL
MC
NH
SNF
Greensboro (Guilford College)
69
Facility 69
NC AVG 70
Rank #165 / 328
No
35
Facility 35
NC AVG 34
Rank #167 / 373
95.1%
Facility 95.1%
NC AVG 68.5%
Rank #35 / 186
--?--Villa Apartments / Townhomes / Apartments / Cottages
Arbor Acres
AL
IL
MC
NH
SNF
Winston-Salem
6
Facility 6
NC AVG 70
Rank #278 / 328
Yes
20
Facility 20
NC AVG 34
Rank #251 / 373
78.3%
Facility 78.3%
NC AVG 68.5%
Rank #82 / 186
--?--Studio / 1 Bed
Willow Valley Center for Nursing and Rehabilitation
AL
HOS
MC
NH
RC
SNF
Winston-Salem (West Highlands)
230
Facility 230
NC AVG 70
Rank #1 / 328
No
62
Facility 62
NC AVG 34
Rank #35 / 373
94.6%
Facility 94.6%
NC AVG 68.5%
Rank #37 / 186
--C----
Brookstone of Clemmons
AL
MC
Clemmons
40No
11
Facility 11
NC AVG 34
Rank #304 / 373
-97.00/200A-1346%-
Caremoor Retirement Center
AL
IL
RESC
Kannapolis
30
Facility 30
NC AVG 70
Rank #270 / 328
No
3
Facility 3
NC AVG 34
Rank #357 / 373
-
89.50/200
Facility 89.50/200
NC AVG 92.7
Rank #239 / 291
B+15
0%
Facility 0%
NC AVG 64.9%
Rank #78 / 301
-
The Canterbury House
AL
RC
Roxboro
60
Facility 60
NC AVG 70
Rank #200 / 328
No
9
Facility 9
NC AVG 34
Rank #314 / 373
-
59.00/200
Facility 59.00/200
NC AVG 92.7
Rank #278 / 291
C+18
72%
Facility 72%
NC AVG 64.9%
Rank #126 / 301
-
Brookstone Retirement Center
AL
MC
Lexington
115
Facility 115
NC AVG 70
Rank #41 / 328
No
73
Facility 73
NC AVG 34
Rank #12 / 373
24.3%
Facility 24.3%
NC AVG 68.5%
Rank #178 / 186
102.00/200
Facility 102.00/200
NC AVG 92.7
Rank #89 / 291
C+11
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Dunmore Senior Living of Siler City
AL
IL
MC
RC
Siler City
86
Facility 86
NC AVG 70
Rank #105 / 328
No
65
Facility 65
NC AVG 34
Rank #25 / 373
22.1%
Facility 22.1%
NC AVG 68.5%
Rank #184 / 186
90.00/200
Facility 90.00/200
NC AVG 92.7
Rank #227 / 291
C13
100%
Facility 100%
NC AVG 64.9%
Rank #126 / 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

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Overview of Livewell @ Hope Valley (durham)

LiveWell at Hope Valley is a prominent senior living provider in Durham, North Carolina, dedicated to fostering happiness throughout aging. This establishment extends Assisted Living and Memory Care services to its esteemed senior residents.

Notably, LiveWell Cares is the sole elder care service provider in North Carolina to offer a comprehensive range of solutions, encompassing both Home Care and Care Home options.

Contact Livewell @ Hope Valley (Durham)

Overview of Aldersgate

Situated along Shamrock Drive, Givens Aldersgate is a life plan community in Charlotte, NC, that offers assisted living, memory care, and skilled nursing. With a 230-acre campus, this 120-bed community provides a variety of accommodations, including private suites for those living with Alzheimer’s and dementia. Daily housekeeping, personal laundry, chef-prepared meals, and personal transportation are also provided to enrich residents’ living experiences. Nursing assistance is also available 24/7, along with physician services, to ensure accessibility of care at all times.

Enrichment activities, gardening, and spiritual support promote holistic wellness and encourage residents to live actively. Physical & speech therapy, as well as medication management, are also provided for residents’ welfare. Its location is also relatively walkable, with a walkability score of 40, indicating that some services can be reached on foot. Currently, the community has 93.8% occupancy, with an average length of stay of 50 days.

Contact Aldersgate

Overview of Friends Homes

Located in Guilford County, Greensboro, NC, Friends Homes is an inviting senior living community that offers a safe haven far from the hustle and bustle of city life. The community features an array of living options, including independent living, assisted living, skilled nursing care, and memory care, ensuring a smooth transition should residents’ needs change. Residents can choose from a variety of thoughtfully designed floor plans for enjoying life without having to worry about everyday maintenance and upkeep, guaranteeing a worry-free lifestyle.

Dedicated to creating an enriching and vibrant environment, the community conducts a wide array of activities and offers plenty of relaxing spaces for peaceful personal times and vibrant interactions with friends and fellow residents. The community’s ideal location also provides easy access to a variety of shops, grocery stores, and restaurants whenever residents want to go out and explore. Residents also enjoy access to a wellness center with a state-of-the-art fitness center, indoor heated pool, and a sports court to foster fitness and well-being.

Contact Friends Homes

Overview of Arbor Acres

Situated in the heart of Winston-Salem, North Carolina, Arbor Acres is a distinguished continuing care retirement community. This tranquil haven provides a spectrum of living options, spanning independent living, assisted care, memory care, and skilled nursing, designed to cater to diverse senior needs.

Within the rare and beautiful setting of Arbor Acres, residents find a place to reside and a canvas where purpose, creativity, and motivation flourish. Life at Arbor Acres shines brilliantly, fostering an environment where friendships blossom and the art of living is embraced. All are welcome to experience the exceptional lifestyle offered at Arbor Acres, where each resident is invited to savor the richness of their journey in this vibrant and thriving community.

Contact Arbor Acres

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Willow Valley Center for Nursing and Rehabilitation

Overview of Brookstone of Clemmons

Brookstone of Clemmons is one of the trusted assisted living communities in Winston-Salem. Management strives to offer a dedicated approach to enhancing the quality of life for seniors needing quality assistance by providing options that cater to each individual’s needs. The person-centered environment helps improve residents’ quality of life by providing tailored care to each individual.
Brookstone of Clemmons ensures that its residents maintain their independence. They offer amenities and services, including a library, recreational center, and an elegant dining room, with services such as housekeeping and linen, transportation, daily activities, and programs.

Contact Brookstone of Clemmons

Caremoor Retirement Center

4876 Caremoor Place Kannapolis, Nc 28081, Kannapolis, NC 28081
Overview of Caremoor Retirement Center

Caremoor Retirement Center offers assisted living, independent living, and residential care in Kannapolis, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident lives in an apartment; Independent living provides private apartments without daily care.

The residential care offering includes the community’s Family Care Home program. With 30 beds, Caremoor is a smaller community where staff and residents get to know each other, and the combination of independent apartments, a Family Care Home, and assisted living may suit someone comparing different levels of residential support within one community.

Contact Caremoor Retirement Center

Overview of The Canterbury House

Located on Leasburg Road in Roxboro, North Carolina, The Canterbury House serves older adults in Person County. The single-story community offers assisted living and respite care across 60 beds. It supports residents who need help with bathing, dressing, medication management, and meals. The care approach also encourages as much independence as each resident can comfortably maintain.

The community is in a car-dependent area where most errands require a vehicle. Nearby walkable options are limited, so families should plan for driving when visiting or handling needs. Since assisted living homes differ in services and amenities, an in-person visit is a helpful next step.

Touring is a good way for families to see what The Canterbury House offers beyond the basics. Families get an up-close look at the rooms, dining areas, and daily activities. This can also help them get a better sense of the care philosophy and daily setting.

Fire safety and physical plant maintenance issues have been the repeated focus of state inspections. These include fire alarm documentation, equipment maintenance, and ventilation system operation. Those shortcomings have been addressed earlier.

Contact The Canterbury House

Brookstone Retirement Center

2968 Old Salisbury Road Lexington, Nc 27295, Lexington, NC 27295
Overview of Brookstone Retirement Center

In Lexington, NC, Brookstone Retirement Center is licensed on two counts, assisted living and memory care. Assisted living provides support for a resident with bathing, dressing, and medication management. Memory care means supervision and a secure setting for a resident living with dementia, and because both are licensed together, the care can change while the address doesn’t.

There are 115 beds, with staff present at every hour. Licensed nurses and a doctor on staff cover the clinical oversight, and rehabilitation services stand behind any therapy a resident needs. The Alzheimer’s Special Care Unit is the named program for residents with Alzheimer’s disease.

A salon, transportation service, and religious services are all part of what the community has. Quilting, craft classes, and group excursions are named among the activities. At a 73 Walk Score, the area is very walkable, and most errands are doable on foot.

Contact Brookstone Retirement Center

Dunmore Senior Living of Siler City

260 Village Lake Road Siler City, Nc 27344, Siler City, NC 27344
Overview of Dunmore Senior Living of Siler City

Dunmore Senior Living of Siler City provides assisted living, independent living, memory care, and respite care in Siler City, NC. Assisted living offers help with daily tasks such as dressing, bathing, and medication, while independent living provides private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

The range of care levels may be a good fit for a resident whose needs may change over time, since they can move between care levels without leaving the community or starting over socially. The community has 86 beds. With a Walk Score of 65, the area is somewhat walkable, so some errands can be done on foot.

Contact Dunmore Senior Living of Siler City

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 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.