Page 31 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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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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Graceful Living Assisted Living
AL
Carrboro
120
Facility 120
NC AVG 70
Rank #26 / 328
No
65
Facility 65
NC AVG 34
Rank #25 / 373
48.3%
Facility 48.3%
NC AVG 68.5%
Rank #137 / 186
96.50/200
Facility 96.50/200
NC AVG 92.7
Rank #180 / 291
C23
0%
Facility 0%
NC AVG 64.9%
Rank #115 / 301
-
Hillcrest Convalescent Center
AL
NH
RC
SNF
Durham
86
Facility 86
NC AVG 70
Rank #105 / 328
No
81
Facility 81
NC AVG 34
Rank #3 / 373
86.7%
Facility 86.7%
NC AVG 68.5%
Rank #60 / 186
--?---
New Hanover House
AL
MC
Wilmington (Echo Farms)
61No
4
Facility 4
NC AVG 34
Rank #349 / 373
-53.50/200C-1385%Private Rooms / Semi-Private Rooms
Dunmore Plantation
AL
MC
RC
Dobson
60
Facility 60
NC AVG 70
Rank #200 / 328
No
55
Facility 55
NC AVG 34
Rank #71 / 373
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
B+13
92%
Facility 92%
NC AVG 64.9%
Rank #49 / 301
-
Kingswood Reserve
AL
IL
MC
RC
Clayton
66
Facility 66
NC AVG 70
Rank #171 / 328
No--
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
?1
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
Piedmont Crossing
AL
HC
IL
MC
NH
RC
SNF
Thomasville
104
Facility 104
NC AVG 70
Rank #53 / 328
Yes
4
Facility 4
NC AVG 34
Rank #349 / 373
76.3%
Facility 76.3%
NC AVG 68.5%
Rank #87 / 186
--?--1 Bed / 2 Bed
Carolina Bay at Autumn Hall
AL
CCRC
IL
MC
NH
SNF
Wilmington (Windemere)
30
Facility 30
NC AVG 70
Rank #270 / 328
No
18
Facility 18
NC AVG 34
Rank #265 / 373
99.3%
Facility 99.3%
NC AVG 68.5%
Rank #31 / 186
--?--1 Bed / 2 Bed
Tranquility Estate Living
AL
HOS
PC
RESC
Troutman
6No
5
Facility 5
NC AVG 34
Rank #343 / 373
-98.25/200A-250%-
Mill Creek Manor
AL
IL
MC
Statesville
80
Facility 80
NC AVG 70
Rank #126 / 328
Yes
81
Facility 81
NC AVG 34
Rank #3 / 373
81.3%
Facility 81.3%
NC AVG 68.5%
Rank #70 / 186
72.75/200
Facility 72.75/200
NC AVG 92.7
Rank #278 / 291
D-26
0%
Facility 0%
NC AVG 64.9%
Rank #126 / 301
-
River Landing At Sandy Ridge
AL
IL
MC
NH
Colfax
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
7
Facility 7
NC AVG 34
Rank #325 / 373
90.3%
Facility 90.3%
NC AVG 68.5%
Rank #49 / 186
--?--Apartments / Cottages / Townhomes / Villas

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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Graceful Living Assisted Living

624 Jones Ferry Road Carrboro, Nc 27510, Carrboro, NC 27510
Overview of Graceful Living Assisted Living

Graceful Living Assisted Living operates a 120-bed residential community in Carrboro, North Carolina. Private apartments allow residents to maintain independence while staff deliver tailored support for grooming, personal hygiene, and medication administration. Customized care plans adjust routines to meet changing personal needs.

Medical care remains easily accessible through an on-staff physician, in-house dental care, and specialized psychiatric and psychotherapy services. Daily programming spans creative arts, music therapy, group discussions, book clubs, and off-site excursions. Shared meals take place in a communal dining venue. Situated in a neighborhood with a 65 walk score, the location enables residents to complete some daily errands on foot while keeping driving options nearby.

Interested residents looking for personal care options in the area can contact Graceful Living Assisted Living to inquire about room availability or arrange a facility walkthrough.

Contact Graceful Living Assisted Living

Overview of Hillcrest Convalescent Center

Set in Durham, North Carolina, Hillcrest Convalescent Center is a distinguished assisted living community offering various services, including Short-term Inpatient Rehabilitation, 24/7 Skilled Nursing, and Assisted Living. Hillcrest Durham is positioned just on the outskirts of the bustling downtown area, providing residents with easy access to local treasures. Rooted in seven decades of dedicated experience in senior care, it ensures that the level of care and contentment provided meets the highest standards. Their grounds exude tranquility, fostering an atmosphere of privacy and serenity.
Hillcrest Durham stands out by affording residents unparalleled privacy, personalized attention, and utmost convenience at the heart of Bull City, bolstered by round-the-clock skilled nursing care. Whether one requires a moderate level of assistance or a comprehensive care approach, Hillcrest Durham stands steadfast in delivering exceptional support. Within its spacious accommodations—featuring choices between private, semi-private, and even fully-appointed two-room suites—seniors find the ideal setting.

Contact Hillcrest Convalescent Center

Overview of New Hanover House

New Hanover House, situated in Wilmington, NC, is a senior living community dedicated to providing assisted living and memory care services. The accommodation options they offer include semi-private units with a common entryway, separate bedrooms, individual HVAC, and a shared bathroom, offering residents both furnished and unfurnished apartments. The community prioritizes safety with an emergency call system in bathrooms and bedrooms. Comprehensive healthcare services at New Hanover House encompass respite care, assistance with daily tasks, medication management, on-site therapy services, and the presence of dedicated caregivers 24/7.

The community ensures the well-being of residents with dietitian-approved meals, promoting health and vitality. As for amenities, residents can enjoy a variety of them such as a beauty salon and spa, housekeeping services, inclusive utilities, and transportation to and from medical appointments, providing convenience for residents. New Hanover House also curates engaging activities, including group and one-on-one activities, live and virtual entertainment, group outings, fitness programs, and celebrations for special occasions, creating a dynamic and supportive environment, and fostering a vibrant living experience.

Contact New Hanover House

Dunmore Plantation

515 W. Kapp Street Dobson, Nc 27017, Dobson, NC 27017
Overview of Dunmore Plantation

Dunmore Plantation provides assisted living, memory care, and respite care in Dobson, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication management, while memory care offers a secured setting with supervision for a resident at risk of wandering. Respite care offers a short stay for someone whose usual family caregiver needs to travel or recover.

The community has 60 beds. Dunmore Plantation may be a good fit for a family seeking daily support, supervised memory care, or temporary care during a caregiver’s absence. A Walk Score of 55 places the area in the somewhat walkable band, meaning some errands can be done on foot, so a resident who no longer drives may be able to handle some outings independently.

Contact Dunmore Plantation

Overview of Kingswood Reserve

Kingswood Reserve offers assisted living, independent living, memory care, and respite care in Clayton, North Carolina. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering. Independent living provides private living with community services and no daily care, while respite care provides a short stay when a usual caregiver needs to travel or recover.

Several care levels in one community can suit a resident whose needs grow over time, because a move may happen without leaving the community or starting over socially. The setting can change with them. Respite care can also support a family caregiver who needs a temporary care arrangement. Restaurant-style dining includes options for special diets as needed, so a resident with dietary requirements can receive meals prepared for those needs. Kingswood Reserve has 66 beds, and Jason Castro serves as director.

Contact Kingswood Reserve

Piedmont Crossing

100 Hedrick Dr, Thomasville, NC 27360
Overview of Piedmont Crossing

Set in 61 acres of beautifully landscaped grounds at Thomasville, NC, Piedmont Crossing is a charming senior living community that offers independent living, assisted living, and comprehensive continuing care services. A variety of beautifully designed cottages, villas, and apartments await residents, providing them a variety of options to choose their ideal residence. The community offers extensive services, including healthcare, memory care, and rehabilitation to ensure residents are provided compassionate care that meets their physical and safety needs.

With 24-hour emergency system and night security services, as well as access to continuum of care, residents can freely focus on continuing an active lifestyle, with plenty of activities and amenities to explore on-site. Explore your favorite hobbies or try something new with a wide array of activities, classes, and resident programs offered. A variety of dining options with menus developed to meet resident preferences and overseen by a registered dietician, is offered to ensure residents always have the energy to stay active and engaged.

Contact Piedmont Crossing

Overview of Carolina Bay at Autumn Hall

Carolina Bay at Autumn Hall is a luxury retirement home in Wilmington. With an emphasis on memory care living, the premier home provides a comfortable environment for assisted living, independent living, and skilled nursing residents. The upscale home offers a professional care staff that ensures that residents can create memorable moments through the elevated lifestyle and experiences provided in the community. A home that encourages, empowers, and elevates the lifestyles of its seniors for an enhanced aging experience.

Carolina Bay at Autumn Hall has designed residential living to help fulfill a sense of independence and individuality for each resident. Community accommodations offer all-inclusive services, including spacious common areas, recreational rooms, housekeeping, assisted living for Alzheimer’s and dementia, and transportation services.

Starting Price $5,951/Month

Contact Carolina Bay at Autumn Hall

Overview of Tranquility Estate Living

Tranquility Estate Living is a nurse-owned and operated assisted living community in Troutman, NC, that offers compassionate residential care. The community continuously promotes a warm and nurturing environment, ensuring older adults can find a home away from home in their later years. A 24-hour on-call nurse, medication management, and nutritious meals are just some of the high-quality services that aim to help residents maintain their independence with ease. Through personalized care plans, residents receive the utmost attention and care for their unique needs and preferences.

Meaningful conversations, fun games, and engaging activities provide residents with more opportunities for leisure and social interactions. With cozy living spaces and lively gathering areas, residents are guaranteed the utmost relaxation and safety. Shops, restaurants, and other local amenities also surround the area, ensuring accessibility and convenience. This assisted living community is a great choice for senior living in North Carolina, as it has exceptional standards of care.

Contact Tranquility Estate Living

Mill Creek Manor

1902 Ora Drive Statesville, Nc 28625, Statesville, NC 28625
Overview of Mill Creek Manor

Mill Creek Manor in Statesville, North Carolina, accommodates seniors across independent living, assisted living, memory care, and short-term respite stays. Independent living offers private quarters paired with shared community perks, while assisted living aids residents with personal routines like bathing, dressing, and managing medications. For seniors prone to wandering, the memory care program supplies continuous oversight in a secured area. Temporary respite stays allow primary home caregivers time off for personal travel or recuperation.

Director Aleshia Jenkins manages the 80-bed residence. Amenities include an outdoor courtyard, a salon and spa, pet-friendly policies, and three daily meals served restaurant-style in either the dining room or private quarters. Situated in a highly walkable location with an 81 walk score, the setting allows non-driving residents to stroll to nearby cafes, retail stores, and pharmacies for routine errands.

Prospective families considering a flexible senior community that accommodates changing care needs can reach out to Mill Creek Manor to ask about room openings or plan a personal tour.

Contact Mill Creek Manor

Overview of River Landing at Sandy Ridge

River Landing at Sandy Ridge in Guilford County, Colfax, NC is a lively senior living community that offers a comfortable oasis for continuing care. The community offers assisted living, memory care, skilled nursing, and rehabilitation, to ensure residents’ care needs are provided even as it evolves. Choose from eleven floor plans, ranging from one-bedroom to three-bedrooms, complete with walk-in closets, tile flooring, laundry closets, and modern appliances for a comfortable living space.

At River Landing at Sandy Ridge, residents enjoy a maintenance-free lifestyle with weekly housekeeping, bed linen service, and maintenance and repair services provided. Residents can freely pursue their passions, discover new interests or explore the joys of retirement. The community also offers a personalized program that focuses on residents’ whole person and provides opportunities that benefit their health and the community environment.

Contact River Landing At Sandy Ridge

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.