Page 30 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 389 assisted living communities in NC using NC Dept. of Health & Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
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Last updated
We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every assisted living provider in North Carolina.
389 homes
Other senior care options in North Carolina:
Avg Monthly Cost: $6,747The average monthly cost across facilities in North Carolina. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 36/ 100The average Walk Score across facilities in North Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 72The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around North Carolina

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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.
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.
Twin Lakes Memory Care
AL
ADC
MC
NH
SNF
Burlington
32
Facility 32
NC AVG 72
Rank #324 / 387
No
72
Facility 72
NC AVG 36
Rank #24 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
6
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
Waterbrooke of Elizabeth City
AL
HOS
MC
Elizabeth City
130
Facility 130
NC AVG 72
Rank #23 / 387
No
49
Facility 49
NC AVG 36
Rank #162 / 536
-
93.25/200
Facility 93.25/200
NC AVG 92.2
Rank #241 / 321
28
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
Calyx Living of Durham
AL
MC
RC
Durham
84
Facility 84
NC AVG 72
Rank #135 / 387
No- 39.3%
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
6
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
Goldsboro Assisted Living & Alzheimer’s Care
AL
MC
Goldsboro
56
Facility 56
NC AVG 72
Rank #280 / 387
No- 91.1%
95.00/200
Facility 95.00/200
NC AVG 92.2
Rank #221 / 321
25
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
TerraBella Harrisburg
AL
MC
Harrisburg
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
13
Facility 13
NC AVG 36
Rank #432 / 536
-
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
14
64%
Facility 64%
NC AVG 76.2%
Rank #57 / 333
Jonas Ridge Adult Care
AL
RC
Jonas Ridge
57
Facility 57
NC AVG 72
Rank #277 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
39
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
Grace Village Assisted Living & Memory Care
AL
MC
Granite Falls
78
Facility 78
NC AVG 72
Rank #161 / 387
No
45
Facility 45
NC AVG 36
Rank #191 / 536
-
99.00/200
Facility 99.00/200
NC AVG 92.2
Rank #161 / 321
11
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
Tabor Commons
AL
RC
Tabor City
80
Facility 80
NC AVG 72
Rank #150 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
-
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
20
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
Williamston House
AL
MC
RC
Williamston
60
Facility 60
NC AVG 72
Rank #230 / 387
No
51
Facility 51
NC AVG 36
Rank #138 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
31
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 333
The Landings of Albemarle
AL
IL
MC
RC
Hertford
50
Facility 50
NC AVG 72
Rank #292 / 387
No
32
Facility 32
NC AVG 36
Rank #289 / 536
-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
7
57%
Facility 57%
NC AVG 76.2%
Rank #35 / 333

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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Twin Lakes Memory Care

3810 Heritage Drive Burlington, Nc 27215, Burlington, NC 27215
Overview of Twin Lakes Memory Care

Families in Burlington considering Twin Lakes Memory Care should know it is just one part of a bigger location. This 32-bed home is found inside the Twin Lakes Community, which is a retirement campus on Heritage Drive offering many levels of support, including memory care, assisted living, and nursing home services. With a Walk Score of 72, the area is very easy to walk around, meaning most daily errands and needs can be met just a short walk away.

Residents have access to rehab and short-term care, and staff are available around the clock. Along with regular activities, the community provides a special wellness plan called the Thrive Wellness Program. When state inspectors visit, they typically look at standard areas like how medicine is handled, fire safety, keeping the area safe from hazards, and checking that care plans are written down correctly.

Since the community takes Medicare, it is easier for families to plan how to pay for care over time. Because this facility is part of a larger retirement community, families get a benefit that smaller, independent places cannot provide: an easy way to move to skilled nursing or other levels of care without having to move to a new campus. This setup is a good choice for families who think their needs might change over the next few years, rather than just needing memory care right now.

Contact Twin Lakes Memory Care

Waterbrooke of Elizabeth City

143 Rosedale Drive Elizabeth City, Nc 27909, Elizabeth City, NC 27909
Overview of Waterbrooke of Elizabeth City

Waterbrooke of Elizabeth City sits at 143 Rosedale Drive, right next door to Sentara Albemarle Hospital. That location matters more than most addresses do. The community holds a license for assisted living, memory care, and hospice care, which means a resident whose condition shifts does not automatically have to move somewhere new.

Licensed capacity here is 130 beds. That puts Waterbrooke toward the larger end of adult care homes in this part of North Carolina. The neighborhood scores a 49 on Walk Score, which reads as somewhat walkable. Some errands are possible on foot, but the community runs its own transportation for most trips.

In-house physician, psychiatric, and laboratory services are contracted through Albemarle Hospital, so a fair amount of routine clinical work happens without anyone leaving the building. A doctor is on staff, and staffing runs around the clock. Medication management and appointment scheduling are handled by the community. Rehabilitation services, respite care, and home care support round out what is offered.

Residents eat in a restaurant-style dining room. Housekeeping and laundry are provided, transportation is scheduled, and a wellness program organizes the activity calendar. The community collected Best of the Albemarle recognition in 2021 and 2022, plus a Daily Advance Readers’ Choice award in 2020.

State inspection themes at this community have centered on fire-safety systems, staffing and staff credentials, and environmental and hazardous-materials safety. What Waterbrooke offers is scale, a continuum that runs from assisted living through hospice, and clinical access built around a hospital sitting directly next door.

Contact Waterbrooke of Elizabeth City

Calyx Living of Durham

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

Calyx Living of Durham sits at 4214 Guess Road on the north side of Durham, North Carolina. It is an 84-bed community offering both assisted living and memory care, which matters for a family whose parent may need more support over time. Someone can settle into assisted living and move toward memory care without leaving a familiar building. Short respite stays are available too.

This is a drive-to location. The neighborhood scores a 0 on Walk Score and rates as car-dependent, so groceries, appointments, and most errands mean getting in a car. Visiting family should count on driving in.

Right now the community runs at 39 percent occupancy, with 33 of its 84 beds filled. A lower count like that often means more staff time per resident and a calmer setting while a new resident finds their footing.

Licensed nurses and certified nursing assistants handle daily care. That clinical staffing covers ordinary assisted living routines and the steadier watchfulness memory care asks for. Residents also have engagement programming and personal-care services to round out the week.

North Carolina reviews these communities on a familiar set of operational areas. For Calyx Living of Durham, the recurring themes cover medication management, fire-safety systems, and food service.

For a family after assisted living and memory care under one roof, in a quiet residential part of Durham with licensed clinical staff and room to settle in, Calyx Living of Durham fits the picture.

Contact Calyx Living of Durham

Overview of Goldsboro Assisted Living & Alzheimer’s Care

Goldsboro Assisted Living & Alzheimer’s Care offers two kinds of care at one address on Royale Avenue in Goldsboro. Older adults who need help with daily routines live here. So do residents with Alzheimer’s disease, who have a wing built for them.

The building holds 56 beds, and 51 of them are filled right now. That works out to 91 percent occupancy, a number that says local families keep choosing this place. A community this size can staff a separate memory care unit without becoming a place where nobody knows your name.

The Alzheimer’s Unit is the piece that sets this community apart from a standard adult care home. It was designed around residents whose needs and abilities run differently from the general population. Staff working that unit are trained specifically for memory loss. Everyone else gets support from licensed nurses and CNAs, with coverage running 24 hours a day.

Rehabilitation services happen on site, and for a resident coming back from a fall or a hospital stay, that removes a real logistical headache. No van rides, no rescheduling, no missed sessions because the driver was late.

Medicaid is accepted here; that single fact narrows or widens the field for a lot of North Carolina families more than any amenity list does. State inspections have looked at infection prevention and control and at fall and injury prevention. Both areas carry weight in a setting where residents may be unsteady on their feet.

One practical note about the location: the Walk Score is 0, meaning the neighborhood is car-dependent and errands require driving. Visiting family should plan around that, and residents will depend on scheduled transportation or relatives for anything off campus.

Contact Goldsboro Assisted Living & Alzheimer’s Care

TerraBella Harrisburg

6200 Roberta Rd, Harrisburg, NC 28075
Overview of TerraBella Harrisburg

Settling in the enchanting city of Harrisburg, NC, Terra Bella Harrisburg is an idyllic senior living community offering assisted living and memory care. The community ensures comfort and safety with a wide range of floor plans including suites and one-bedroom apartments. With picturesque sceneries of local attractions and breathtaking nature, residents experience a relaxing retirement.

Terra Bella Harrisburg commits to empowering seniors with top-notch care and assistance, providing them opportunities to keep learning and engaging with their surroundings. With a Silver Spoon Award under its belt, the culinary team serves exquisite meals catering to its residents’ needs and desires. The community provides charming amenities including a jacuzzi spa, an arts and crafts studio, a multifunction game room, a library, a covered sunroom, a private courtyard and community garden, and tranquil walking paths for its residents’ leisure and wellness.

Contact TerraBella Harrisburg

Jonas Ridge Adult Care

9051 Hwy 181 Jonas Ridge, Nc 28641, Jonas Ridge, NC 28641
Overview of Jonas Ridge Adult Care

You can find Jonas Ridge Adult Care at 9051 Highway 181 in Burke County, which is located right on the eastern side of the beautiful Blue Ridge Mountains. This home has 57 beds and provides helpful living support and memory care, but they also offer short stays for families who only need a little bit of help for a few days. Since the neighborhood is out in the country and spread out, you will definitely need a car to go buy things or run errands.

Every day, people living here get medical help, therapy to get stronger, and nursing care that is part of their normal schedule. A food expert plans out the menus for the three healthy meals that the staff serves every single day. Cleaning and laundry happen every week as a regular service, and everyone also gets free cable TV and internet to use in their rooms.

There are plenty of things to do because the home plans more than 14 hours of group fun each week for the residents to enjoy. Games like bingo, exercise classes, making crafts, and going on trips are all part of the busy schedule that changes all the time. Government inspectors visit Jonas Ridge to check on fire safety, how they plan care, and if they are ready for emergencies or dangerous materials.

This place is a great choice for families who want a small home in the mountains that offers both daily help and special memory care in one building.

Contact Jonas Ridge Adult Care

Grace Village Assisted Living & Memory Care

501 River Bend Drive Granite Falls, Nc 28630, Granite Falls, NC 28630
Overview of Grace Village Assisted Living & Memory Care

Grace Village Assisted Living and Memory Care is located at 501 River Bend Drive in Granite Falls, North Carolina, which is about 60 miles northeast of Asheville. This 78-bed home provides help with daily life and special care for memory loss, including a specific area for people who have trouble remembering things. Doctors can help residents get better after they are sick or hurt through a two-part healing plan, so people can get back to their normal life without having to go to a different building. The area has a walking score of 45, which means a few stores are close enough to walk to, but most chores and meetings will still need a car or a ride.

Grace Village does not allow pets to live there. Families thinking about moving here should ask about costs, how many workers are there, and how to pay, because this information was not shown on their website. The program that helps people get better seems to be the most important part of what they do, and it works together with the memory care unit for people who need more help and someone to watch over them.

Where the building is located is very important since Granite Falls is a small town, and the closest big hospital is about an hour away near Asheville. This distance is something families should think about when they plan for emergencies or when they need to see a special doctor. The neighborhood is more like a quiet country area than a busy city, and this setting affects how much people can walk around and how fast or slow life feels for the residents and their visitors.

Contact Grace Village Assisted Living & Memory Care

Tabor Commons

703 Elizabeth St. Tabor City, Nc 28463, Tabor City, NC 28463
Overview of Tabor Commons

At 703 Elizabeth Street in Tabor City, Columbus County, Tabor Commons houses 80 residents in an assisted living and respite care setting. The surrounding area is somewhat walkable, earning a Walk Score of 37; a short list of errands can be handled on foot, though most trips still require a car.

Staffing runs around the clock, and the community layers rehabilitation and nursing services on top of that base, so residents needing clinical support don’t have to leave the building for it. Respite stays are available too, offering families a short-term option when they need coverage without a permanent placement. The activity calendar is dense: more than 14 hours of programming each week spans bingo, exercise classes, social hours, crafts, and outings into the surrounding community.

Free cable and Wi-Fi come standard, housekeeping runs weekly, linens are serviced, and the building is fully handicap accessible. Medicaid is accepted, which matters for families mapping out how they’ll cover a longer stay. North Carolina’s health regulators evaluate assisted living communities on a set of standing categories, and Tabor Commons’ inspection record touches several of them: medication management, fire-safety systems, environmental and hazardous-materials safety, and dietary and food service.

Tabor Commons suits a family weighing a mid-sized assisted living community that pairs structured daily activity with on-site rehabilitation, nursing support, and Medicaid as a payment option.

Contact Tabor Commons

Williamston House

160 Santree Drive Williamston, Nc 27892, Williamston, NC 27892
Overview of Williamston House

Williamston House provides assisted living, memory care, and respite care in Williamston, North Carolina. The community holds a license for 60 beds. Its location scores 51 on the Walk Score scale, described as moderately walkable, so some errands are reachable on foot from the property. Three levels of support operate here: assisted living residents get help with daily tasks, secured living serves people living with memory loss who benefit from a monitored setting, and respite care covers short stays, useful when a family caregiver needs relief or a resident is coming off a hospital admission.

Staffing runs 24 hours a day, with caregivers assigned around the clock. The community also brings several clinical services on-site: therapy, pharmacy, and provider services all operate within the building.

Meals are served restaurant-style, while there’s a library and an entertainment room that give residents different registers of activity, quiet or social. An outdoor common area is available for time outside and for family visits. The community handles housekeeping, maintenance, and transportation.

State inspection activity at this community has centered on medication management, care planning and documentation, and fire-safety systems. Those are the categories that shape the regulatory record here.

Medicaid is accepted, which shapes the financial picture for families planning care over a longer horizon. Williamston House combines secured memory care, on-site clinical services, and Medicaid coverage in a small community setting.

Contact Williamston House

The Landings of Albemarle

603 South Church Street Hertford, Nc 27944, Hertford, NC 27944
Overview of The Landings of Albemarle

The Landings of Albemarle is located at 603 South Church Street in the town of Hertford, North Carolina. This place offers four types of help in one building: help with daily tasks, living on your own, help for people who forget things, and short stays for a break. Because they have all four types of care right there, a person whose health needs change can often stay in their same home instead of moving to a new place.

With 50 beds available, this home is about average in size compared to other care homes for adults in North Carolina. A worker is always there to help during every hour of the bright day and the dark night. Short-term stays give family members who take care of others a chance to rest when they are tired, and they can do this without planning to stay forever.

Workers take care of cleaning the rooms and fixing anything that breaks, and they also drive the people who live there to see doctors or go to the store. Being able to get a ride is very important at this location. The roads near the building are not made for people to walk on safely, so most people must use a car when they want to leave the grounds.

Food is served like it is in a nice cafe instead of being brought out on flat metal trays. People can use the shared rooms which include a library for books, a room for fun shows, and a space outside where everyone can enjoy the fresh air. This home takes government health money, which makes it different from many other places in the state that only take money from a person’s own bank. People from the state office come to check the home without telling anyone first, and their recent visits have mostly looked at the tools used to keep everyone safe from fires.

The reports show that this is a medium-sized home in Hertford with workers on duty at all times, a way to pay with government help, and four different ways to care for people in one spot.

Contact The Landings of Albemarle

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.
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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.