Page 32 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. 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. 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.
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.
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.
Morning Star Special Care Unit
AL
Fayetteville
44
Facility 44
NC AVG 72
Rank #307 / 387
No--
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
40
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
-
The Viridian
AL
IL
RC
New Bern
48
Facility 48
NC AVG 72
Rank #302 / 387
No
76
Facility 76
NC AVG 36
Rank #9 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
6
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Hope Mills Retirement Center
AL
Hope Mills
64
Facility 64
NC AVG 72
Rank #213 / 387
No
4
Facility 4
NC AVG 36
Rank #506 / 536
-
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
11
64%
Facility 64%
NC AVG 76.2%
Rank #57 / 333
-
Country Time Inn
AL
MC
RC
Kings Mountain
59
Facility 59
NC AVG 72
Rank #275 / 387
No
37
Facility 37
NC AVG 36
Rank #245 / 536
-
87.50/200
Facility 87.50/200
NC AVG 92.2
Rank #273 / 321
13
69%
Facility 69%
NC AVG 76.2%
Rank #79 / 333
-
Tre’ More Manor ALF
AL
Oxford
31
Facility 31
NC AVG 72
Rank #325 / 387
No
64
Facility 64
NC AVG 36
Rank #46 / 536
-
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
26
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 333
-
Rose Care Home – Cary
AL
RESC
Cary (Churchill Downs)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
62
Facility 62
NC AVG 36
Rank #58 / 536
-
98.50/200
Facility 98.50/200
NC AVG 92.2
Rank #168 / 321
11
91%
Facility 91%
NC AVG 76.2%
Rank #300 / 333
-
The Gardens of Rose Hill
AL
RC
Rose Hill
45
Facility 45
NC AVG 72
Rank #306 / 387
No
26
Facility 26
NC AVG 36
Rank #339 / 536
-
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
20
80%
Facility 80%
NC AVG 76.2%
Rank #177 / 333
-
Rich Square Villa
AL
MC
Rich Square
38
Facility 38
NC AVG 72
Rank #316 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
-
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
17
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
-
Heritage Greens
AL
IL
MC
Greensboro (Friendswood)
-Yes
31
Facility 31
NC AVG 36
Rank #295 / 536
A+----Studio / 1 Bed / 2 Bed
CoHomes Boutique Senior Living
AL
HOS
PC
Charlotte (Mcalpine)
-No
16
Facility 16
NC AVG 36
Rank #407 / 536
A+----Private / Semi-Private

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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Morning Star Special Care Unit

3017 Dunn Road Fayetteville, Nc 28312, Fayetteville, NC 28312
Overview of Morning Star Special Care Unit

Morning Star Special Care Unit is an assisted living home in Fayetteville, North Carolina, at 3017 Dunn Road on the city’s southeast side. The area is car-dependent. Residents and the family who visit them will want a vehicle for errands and appointments.

The home has 44 beds and runs at about three-quarters full, with 33 people living there. It stays small by design, and the resident count reflects that.

Staff are on-site at all hours. Residents can also use telehealth, which brings some medical visits to them instead of sending them out to an office.

North Carolina inspectors review homes like this one on a regular basis. Their work here has covered fire-safety systems, staffing and staff credentials, dietary and food service, and resident rights and protections.

Contact Morning Star Special Care Unit

The Viridian

3003 Waterscape Way New Bern, Nc 28562, New Bern, NC 28562
Overview of The Viridian

Located at 3003 Waterscape Way in the town of New Bern, North Carolina, The Viridian is a 48-bed community that provides assisted living, independent living, and short-term respite care for all its residents. Because the surrounding neighborhood holds a high Walk Score of 76, most people living there can finish their daily errands without needing a car, as many important places are just a short walk away.

Inside the building, the staff works all day and night to offer nursing help, rehabilitation services, and temporary stays for those who need a bridge between hospital and home. Residents enjoy eating in a room that feels just like a nice restaurant, reading in the library, or relaxing in the entertainment area, while the outdoor space provides a peaceful spot for families to gather together.

North Carolina’s state experts review these homes to make sure they are safe, often checking how staff handle medicines, manage fire safety systems, and keep important medical records. Because these checks cover the standard areas for all such homes, they show that the community is truly built for people who need steady nursing support.

It offers the perfect mix of rehabilitation or temporary help in a convenient location where residents rarely have to worry about driving anywhere.

Contact The Viridian

Hope Mills Retirement Center

4217 Elk Road Hope Mills, Nc 28348, Hope Mills, NC 28348
Overview of Hope Mills Retirement Center

Hope Mills Retirement Center is found at 4217 Elk Road in Hope Mills, North Carolina, which is a spot within Cumberland County. This home for sixty-four people sits in a place where most folks must use cars, since reaching shops or doctor meetings usually requires a long drive instead of a quick walk. Helpful nurses and skilled workers stay inside the building during every hour of the day and night to watch over everyone. Because they take Medicaid, many families find a way to pay for care that does not rely only on their own savings.

Official checks of Hope Mills have looked closely at how medicine is handled, how fire alarms work, and how the building stays safe from harmful things. Such regular visits ensure that the basic rules for safety are being followed correctly by the people in charge of the center.

With space for sixty-four people, Hope Mills is a smaller home than many other places that offer help in this part of the state. Having nurses ready at all times, along with a way to use state help for payment, makes this a good choice for families who need real help with daily life but want an option that costs less than paying with their own cash.

Contact Hope Mills Retirement Center

Country Time Inn

602 Brevard Road Kings Mountain, Nc 28086, Kings Mountain, NC 28086
Overview of Country Time Inn

Country Time Inn is a 59-bed nursing home at 602 Brevard Road in Kings Mountain, North Carolina. Care here runs on skilled nursing around the clock, with a Special Care Unit set up for residents who need a secured environment and closer supervision. The building sits in a somewhat walkable stretch of town (Walk Score 37). That mean that while a few errands are doable on foot, residents and visitors should expect that most errands will still need to be done by at least a short drive.

The support is steady rather than flashy, which is to sy that staffing covers all 24 hours, and respite care gives families a way to arrange short-term stays when they need one. Housekeeping, maintenance, and transportation are handled on-site, so residents are not juggling outside services for the basics. Meals come restaurant-style, and the common spaces fill in the rest: a library, an entertainment room, and an outdoor area for time outdoors.

State inspections have tended to focus on medication management more than other parts of daily care. Country Time Inn accepts Medicaid, which helps families thinking through longer-term coverage. The place suits older adults who need secured, hands-on nursing care and want to stay near home.

Contact Country Time Inn

Tre’ More Manor ALF

6016 Pine Town Road Oxford, Nc 27565, Oxford, NC 27565
Overview of Tre’ More Manor ALF

Tre’ More Manor ALF operates 31 beds on Pine Town Road in Oxford, North Carolina. The building sits in the downtown area, and the neighborhood scores 64 on Walk Score, which lands it in moderately walkable territory. Some errands can be handled on foot from there.

Three care types run under one roof here: assisted living, memory care, and rehabilitation. Staffing covers all 24 hours. The community also keeps a doctor on staff along with nursing services, and rehabilitation services are delivered on site rather than through outside referral.

Everyday support includes medication assistance, help with bathing and feeding, and daily housekeeping. An in-house physician sees residents, and psychiatric and physical therapists are part of the care picture. Scheduled transportation handles appointments and trips out. A salon and barbershop sit inside the building.

Inspection themes at this community center on medication management, infection prevention and control, fire-safety systems, and environmental and hazardous-materials safety. The North Carolina Department of Health and Human Services conducts unannounced surveys of adult care homes and looks at these categories.

Thirty-one beds puts Tre’ More Manor among the smaller assisted living communities in the state. Because memory care, rehabilitation, and on-site medical staffing all operate in the same building, a resident whose needs shift may not need to move elsewhere. The inspection themes and the care offerings both belong in the same assessment, and families should weigh them together.

Contact Tre’ More Manor ALF

Overview of Rose Care Home – Cary

Rose Care Home is a vibrant assisted living community in Cary, NC, that offers personal care plans. The community strives to accommodate older adults with its home-like environment. Recreational activities and household services are also offered, ensuring residents have a maintenance-free lifestyle. With its dedication to residents’ welfare, the community crafts care plans tailored to their unique needs.

Fun recreational activities, light exercises, and plenty of interest groups accompany older adults, promoting an active lifestyle. With spacious outdoors, naturally-lit hallways, and cozy gathering spaces, residents have more places to spend their free time. Situated in the quiet neighborhood of Cary, the community promises a stress-free retirement. This assisted living community is ideal for older adults in North Carolina, especially with its friendly setting.

Contact Rose Care Home – Cary

The Gardens of Rose Hill

571 S. Sycamore Street Rose Hill, Nc 28458, Rose Hill, NC 28458
Overview of The Gardens of Rose Hill

The Gardens of Rose Hill sits at 571 S. Sycamore Street in Rose Hill, North Carolina. It is a small community with 45 beds offering assisted living alongside a secured living option. The Walk Score lands at 26. A short errand might work on foot, but for the most part, outings will need a car or a ride.

Care here runs in two directions: some residents settle in for the long term. Others come for a shorter stretch. Rehabilitation services are available on-site for people healing from surgery, illness, or a hospital stay. Respite care covers families who need somewhere reliable to bring a loved one for a set period. Staffing holds steady around the clock, with licensed nurses and certified aides present at every hour. For residents who need a more protected setting, the secured living wing handles that.

Days have a shape to them as activities are scheduled, and care follows a plan built for each resident rather than one routine applied to everyone. Meals come restaurant-style in a shared dining room. There is a library, an entertainment room, and outdoor common areas for time spent outside. Staff take care of housekeeping, maintenance, and transportation.

Medicaid is accepted, which matters for families counting on that coverage. State inspections have focused on building systems and fire-safety upkeep, with attention as well to medication handling and recordkeeping. What you get, in the end, is a small North Carolina assisted living community with staff on-site at all hours and a Medicaid door open.

Contact The Gardens of Rose Hill

Rich Square Villa

310 North Main Street Rich Square, Nc 27869, Rich Square, NC 27869
Overview of Rich Square Villa

Rich Square Villa sits at 310 North Main Street in Rich Square, North Carolina. It offers assisted living and memory care under one roof. The community describes its approach as personalized care in a supportive setting.

The community licenses 38 beds, which is small by North Carolina standards. That scale tends to shape how staff and residents interact day to day. The surrounding area scores 24 for walkability and is classified as car-dependent, so a car is needed for most errands.

Nursing services are available and staffing runs 24 hours. Rehabilitation services are provided on site for residents recovering from illness or injury. Respite care is available for short-term stays. Memory support is structured around a Secured Living program, and the building maintains a secured perimeter.

Housekeeping, maintenance, and transportation are all handled by the community. Dining is served restaurant-style. Residents have access to a library, an entertainment room, and an outdoor common area.

The Division of Health Service Regulation within the North Carolina Department of Health and Human Services conducts unannounced surveys of adult care homes. At this community, inspection themes have involved medication management, care planning and documentation, fire-safety systems, and housekeeping and upkeep.

What the record shows is a small assisted living and memory care community with 24-hour nursing coverage, on-site rehabilitation, and a secured memory care program, set in a car-dependent part of Northampton’s Rich Square area.

Contact Rich Square Villa

Overview of Heritage Greens

Providing seniors in Guilford County, Greensboro, NC with an excellent continuum of care for over 30 years, Heritage Greens is a well-established senior living community that warrants premiere lifestyle options and services. The community offers award-winning independent living, assisted living, and memory care services that fosters successful aging in place. Residents can choose from a variety of floor plans that suit various lifestyles and come with conveniences like private patios or balconies, full kitchens and walk-in closets.

Recognized by the U.S News and World Report as a Best Assisted Living, Independent Living, and Memory Care community, Heritage Greens proves its excellence as a senior living community. Residents here are given plenty of opportunities to enhance or maintain their overall health with planned social events, programs, and activities. The community also offers a one-of-a-kind dining experience with restaurant-style dining services featuring delicious and nutritious chef-prepared meals. Here, residents are provided with the necessities they need to thrive and live well.

Contact Heritage Greens

Overview of CoHomes Boutique Senior Living

In a residential neighborhood near Ballantyne and Pineville in Charlotte, North Carolina, CoHomes Boutique Senior Living runs an assisted living home built around a deliberately small idea: a maximum of six residents in a single-story house. The home has been operating for six years, and the area is car-dependent (Walk Score 16), so getting anywhere means driving. Charlotte Sanford leads the operation as President and CEO.

The care here runs through a licensed home care agency staffing the home around the clock. That covers the daily essentials, bathing, grooming, dressing, transferring, plus incontinence care, diabetic care, blood pressure monitoring, and medication reminders. The home also takes residents with mild cognitive decline and early-stage dementia, which not every small home does, and adds companionship and safety supervision, including the stretch right after a hospital stay.

Rooms are furnished, private or semi-private, and meals are home-cooked around what residents actually like and need to eat. Practical pieces are covered too: a hospital bed available for rent, walk-in showers, transportation management for appointments. On safety, there’s an emergency response system with pendants and call buttons, security cameras in shared areas, and door sensor alarms.

CoHomes Boutique Senior Living is really built around one premise, that some seniors do better in a small house with a handful of housemates than in a large facility. For residents who want hands-on personal care and early-stage memory support in something that feels like a home rather than an institution, that small scale is the entire point.

Contact CoHomes Boutique Senior Living

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
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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.