Page 31 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.
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.
Cleveland House
AL
Shelby
72
Facility 72
NC AVG 72
Rank #176 / 387
No
73
Facility 73
NC AVG 36
Rank #21 / 536
--
82.50/200
Facility 82.50/200
NC AVG 92.2
Rank #290 / 321
29
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
-
Haywood Lodge and Retirement Center
AL
MC
RC
Waynesville
72
Facility 72
NC AVG 72
Rank #176 / 387
No
73
Facility 73
NC AVG 36
Rank #21 / 536
--
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
22
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
-
Marion Assisted Living
AL
Marion
54
Facility 54
NC AVG 72
Rank #285 / 387
Yes
66
Facility 66
NC AVG 36
Rank #39 / 536
--
84.25/200
Facility 84.25/200
NC AVG 92.2
Rank #286 / 321
20
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
-
Harmony at Hope Mills
AL
Fayetteville (Jack Britt)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes---
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
9
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
Studio / 1 Bed / 2 Bed
White Oak Manor Charlotte
AL
IL
MC
NH
SNF
Charlotte (Cotswold)
180
Facility 180
NC AVG 72
Rank #4 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
78.4% A+--5
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Hayes Barton Place
AL
IL
MC
NH
SNF
Raleigh (Five Points)
-Yes
59
Facility 59
NC AVG 36
Rank #77 / 536
------Studio / 1 Bed / 2 Bed
Springmoor Life Care Retirement Community
AL
IL
MC
NH
SNF
Raleigh (North Raleigh)
-Yes
29
Facility 29
NC AVG 36
Rank #322 / 536
-A+----Alcove / 1 Bed / 2 Bed
Clemmons Village Assisted Living & Memory Care
AL
MC
Clemmons
-Yes
21
Facility 21
NC AVG 36
Rank #371 / 536
-A+----Studio / 2 Bed
The Drake
AL
MC
RC
Concord
66
Facility 66
NC AVG 72
Rank #198 / 387
No- 37.9% -
75.00/200
Facility 75.00/200
NC AVG 92.2
Rank #298 / 321
9
56%
Facility 56%
NC AVG 76.2%
Rank #33 / 333
-
Harmony House Memory Care
AL
MC
Statesville
40
Facility 40
NC AVG 72
Rank #310 / 387
No- 92.5% -
82.75/200
Facility 82.75/200
NC AVG 92.2
Rank #289 / 321
45
78%
Facility 78%
NC AVG 76.2%
Rank #158 / 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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Cleveland House

950 Hardin Drive Shelby, Nc 28150, Shelby, NC 28150
Overview of Cleveland House

At 950 Hardin Drive in Shelby, Cleveland House sits in Cleveland County on a stretch of North Carolina that residents can actually navigate without a car. The Walk Score runs 73, solidly in “very walkable” range, so a short walk covers most daily errands. The community itself holds 72 beds and operates as an assisted living home with staff on site around the clock.

Daily support runs through the building in a few concrete ways. Secured living and 24/7 dedicated caregivers cover supervision needs, while assistance with daily tasks handles the routine work of getting through a day. Therapy, pharmacy, and provider services all operate on site, cutting down on the number of outside appointments a resident or family has to manage.

The common spaces lean toward keeping people occupied and fed well. Restaurant-style dining anchors the food side, and residents have a library, an entertainment room, and an outdoor common area to move between. Housekeeping, maintenance, and transportation services round out daily life.

Cleveland House accepts Medicaid, which matters for families planning around long-term costs rather than paying entirely out of pocket. Regulatory review of the community has spanned several areas over the years, among them medication management, infection prevention and control, fire-safety systems, care planning and documentation, resident rights, housekeeping standards, and fall prevention. Taken as a whole, Cleveland House functions as a walkable, staffed residential option for older adults who need daily hands-on support and want medical services close at hand rather than spread across separate trips.

Contact Cleveland House

Haywood Lodge and Retirement Center

251 Shelton Street Waynesville, Nc 28786, Waynesville, NC 28786
Overview of Haywood Lodge and Retirement Center

Haywood Lodge and Retirement Center has been a family-owned home in Waynesville, North Carolina, since 1963. They offer help with daily living, memory support, and short stays, and they were even voted the best in the area back in 2022.

With seventy-two beds, this community is a medium-sized option for North Carolina families. Because it has a high “walk score,” residents who can move around easily find it simple to run errands or grab essentials nearby.

For health and wellness, the staff provides nursing and rehab services right on-site. This means residents don’t need to travel elsewhere for physical therapy, X-rays, or lab tests, keeping their medical care convenient. They also offer short-term stays so family caregivers can take a well-deserved break while knowing their loved ones are safe.

Residents enjoy three healthy, dietitian-approved meals every day, plus snacks. When they need to go out for appointments, the center provides transportation, but they also have a barbershop and beauty salon inside the building for personal care.

State officials regularly check in on adult care homes like this one to ensure everything is running safely. While these inspections often focus on details like medication, staff training, fire safety, and general building upkeep, the record shows a steady, reliable community. After sixty years of service, Haywood Lodge remains a solid, walkable choice in Waynesville.

Contact Haywood Lodge and Retirement Center

Marion Assisted Living

5235 Nc 226 South Marion, Nc 28752, Marion, NC 28752
Overview of Marion Assisted Living

Marion Assisted Living operates as an adult care home in Marion, North Carolina, along NC 226 South in the McDowell County foothills. The setting earns a Walk Score of 66, which puts it in moderately walkable territory. Some errands can be handled on foot from here. Most visiting families will still arrive by car.

Fifty-four beds put this community in the middle of the range for North Carolina adult care homes. That size tends to mean residents get shared common areas and group programming without the scale of a large institution. The operation has run continuously under this name for more than 25 years.

Daily personal care assistance forms the core of what happens here. Staff help residents with bathing, dressing, grooming, and similar routine tasks. Medication monitoring is part of the service set, so prescriptions and administration are tracked for residents who need that oversight. Nutritional and dietary counseling is available as well, along with regularly scheduled activities and social events.

The community accepts Medicaid, which shapes the financial picture for families who cannot sustain private-pay rates indefinitely. North Carolina’s Division of Health Service Regulation conducts unannounced surveys of adult care homes across the state. Inspection themes at this community have centered on medication management and on staffing and staff credentials.

Pets are allowed here, and the community lists local travel and shopping availability for residents who want time in town. For a family weighing an adult care home in western North Carolina with Medicaid acceptance and a moderately walkable setting, Marion Assisted Living presents a mid-sized option with a long operating history and an inspection record concentrated in medication and staffing themes.

Contact Marion Assisted Living

Overview of Harmony at Hope Mills

As its name suggests, Harmony at Hope Mills ensures a serene and harmonious community environment. The name also suggests that senior living is supposed to be calming and balanced– a freeing lifestyle with the necessary support. The elegant home is an independent living, assisted living, and memory care community with personal care services. Community residents receive a strong sense of freedom in addition to specialized assistance. Harmony at Hope Mills is a home that allows residents to tailor their lifestyle to suit their needs.

The luxury retirement home offers an elevated lifestyle because of its detail-oriented approach to care and complete attention to the needs of its residents, allowing residents to practice a stress-free and well-balanced lifestyle. Their amenities and services include laundry services, transportation services, healthy and delicious chef-prepared meals, memory retention activities, and fitness programs. Its memory care services aid seniors programs that are focused on mental stimulation.

Contact Harmony at Hope Mills

Overview of White Oak Manor Charlotte

White Oak of Charlotte is a renowned skilled nursing center located in Charlotte, North Carolina. With 180 beds, the center offers comprehensive long-term nursing care and short-term rehabilitation services. Its prime location allows easy access to two major hospital systems in the area, ensuring convenient medical support. The dedicated team at White Oak of Charlotte comprises Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants who provide round-the-clock care to residents. 

They work collaboratively with physicians to develop personalized care plans, considering the unique needs of each individual. With a focus on resident well-being, White Oak of Charlotte aims to create an environment that fosters comfort and enriches daily experiences. In addition to skilled nursing services, the center also offers independent living apartments at Sharon Village, providing seniors with flexible living options tailored to their preferences and needs.

Contact White Oak Manor Charlotte

Overview of Hayes Barton Place

Hayes Barton Place is a luxurious life plan community in Raleigh, NC, that offers independent living, assisted living, memory care, skilled nursing, and rehabilitation. The community’s upscale amenities ensure older adults live their retirement like a vacation. With world-class services, including weekly housekeeping, concierge services, and restaurant-style dining, residents experience maintenance-free living. Dedicated to residents’ whole being, the community provides personalized care plans tailored to their ever-changing needs and preferences.

Educational programs, group exercises, and live music are among the many life enrichment programs dedicated to helping residents live actively and happily. A clubhouse with a library, a media room, and an art studio, as well as a beautiful garden and pickleball courts, are also available for residents’ recreation and wellness. Bus stops and other local amenities also surround the area, providing residents with convenient access to their needs and leisure. This life plan community has exceptional standards of care and top-notch amenities, making it one of the best options for senior living in North Carolina.

Contact Hayes Barton Place

Overview of Springmoor Life Care Retirement Community

Springmoor Life Care Retirement Community invites residents to experience a truly exceptional lifestyle in a setting that embraces the beauty of nature. With a refreshing atmosphere and thoughtful design, Springmoor offers a unique and engaging living experience for retirees. Nestled in a mild climate, Springmoor provides the perfect backdrop for a slower, more relaxed pace of life. Whether a villa, home, or apartment, one can find a variety of floor plans to suit particular preferences and needs.

Seniors can enjoy chef-prepared meals and personalized diets, as well as access to hair, nail, and massage services for added indulgence. Spiritual services are available to nourish one’s soul, and a plethora of amenities, including a library, movie theater, private chapel, greenhouse, and indoor pool, provide endless opportunities for recreation and relaxation. With around-the-clock security measures, families can have peace of mind knowing their loved ones are safe and secure. 

Contact Springmoor Life Care Retirement Community

Overview of Clemmons Village Assisted Living & Memory Care

Clemmons Village, a charming home in the heart of North Carolina, is designed for seniors seeking an elevated living experience. With professionally designed floorplans and amenities, this community is dedicated to providing seniors with an enriching lifestyle. The picturesque outdoor areas offer a tranquil setting, where pets are warmly welcome. Embracing the uniqueness of each resident, Clemmons Village ensures a vibrant community that celebrates personal interests and passions.

Step into fully furnished layouts that exude convenience and style, complemented by modern amenities like Wi-Fi and transportation services, catering to the needs of today’s seniors. The elegant dining space invites residents to savor delicious meals prepared with care. A team of dedicated professionals, including registered nurses and certified medication technicians, is always on hand to provide exceptional care, empowering seniors to enjoy a safe and secure home where they can truly thrive. Clemmons Village invites seniors to embark on a fulfilling journey, surrounded by comfort and companionship.

Contact Clemmons Village Assisted Living & Memory Care

The Drake

1195 Drake Mill Lane Sw Concord, Nc 28025, Concord, NC 28025
Overview of The Drake

The Drake sits at 1195 Drake Mill Lane SW in Concord, Cabarrus County, about 20 miles northeast of Charlotte. It’s a 66-bed community offering assisted living, memory care, and a secured living program. The neighborhood is car-dependent, so residents and visiting family will plan around driving rather than walking to nearby errands.

Occupancy currently runs at 25 of the 66 beds, close to 38 percent. Inside, the care model centers on 24-hour staffing and a secured environment for residents who need consistent supervision, paired with respite care for families arranging short-term coverage. Shared spaces include restaurant-style dining, a library, an entertainment room, and an outdoor common area, with housekeeping, transportation, and maintenance handled by staff.

Regulatory reviews of The Drake have centered on medication management, staffing and staff credentials, and fall and injury prevention. Those three categories are the ones state inspectors return to most often when evaluating assisted living communities across North Carolina.

Medicaid coverage is accepted here, giving families a payment pathway for longer stays. Between the secured living setup, the staffing model, and the memory care designation, The Drake is built around residents who need steady oversight and structured support rather than an independent living arrangement.

Contact The Drake

Harmony House Memory Care

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

Harmony House Memory Care works in Statesville, North Carolina, at 1372 Eufola Road. The place helps older people with daily chores and also cares for those who have trouble remembering things. This location is not easy to walk around, so people must use a car to get anywhere.

The building has 40 beds, and right now 37 people live there. This means about 93 percent of the rooms are full. A building with 40 beds is considered small for this type of home in North Carolina.

A doctor works there, trained nurses and helpers are always on the floor, and someone is awake to help at all times. A main nurse stays at the building, and a lead doctor watches over the health plans, while other doctors come to visit the people in their rooms instead of making them go to a different office. People living there carry special buttons to call for help.

The rooms are private and big, and every room has its own bathroom and a way to change the heat. Places to wash include a special tub and a shower that a wheelchair can roll into. Common areas include a church room, a book room, a game room, and a hair shop, and the yard has a porch and tall garden boxes so people can plant flowers without having to get on their knees. All food is made in the building, and workers do the cleaning and the washing.

State reports for Harmony House show the same problems with medicine, worker training, and writing down health plans. The home takes Medicaid money to help pay for the stay. For families thinking about staying for many years, having this kind of help to pay the bills is very important. Harmony House is a small home with nurses and private rooms that takes state help, though its reports often mention issues with medicine and paperwork.

Contact Harmony House Memory Care

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.