Page 33 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. 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.
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.
The Addison of Knightdale
AL
Knightdale
-No
6
Facility 6
NC AVG 36
Rank #484 / 536
A----Suite / 1 Bed
Heritage Hills Senior Living
AL
IL
MC
RC
Hendersonville
-Yes
6
Facility 6
NC AVG 36
Rank #484 / 536
A+----1 Bed / 2 Bed / 3 Bed
Caremoor Retirement Center
AL
IL
RESC
Kannapolis
30
Facility 30
NC AVG 72
Rank #326 / 387
No
3
Facility 3
NC AVG 36
Rank #515 / 536
-
89.50/200
Facility 89.50/200
NC AVG 92.2
Rank #264 / 321
25
72%
Facility 72%
NC AVG 76.2%
Rank #105 / 333
-
The Landings of Oak Island
AL
MC
Oak Island
80
Facility 80
NC AVG 72
Rank #150 / 387
No
3
Facility 3
NC AVG 36
Rank #515 / 536
-
93.50/200
Facility 93.50/200
NC AVG 92.2
Rank #233 / 321
16
94%
Facility 94%
NC AVG 76.2%
Rank #313 / 333
-
Waltonwood Lake Boone
AL
IL
MC
Raleigh (Dairyland)
-Yes
51
Facility 51
NC AVG 36
Rank #138 / 536
-----1 Bed / 2 Bed
The Bridges on Parkview
AL
MC
RC
Henderson
86
Facility 86
NC AVG 72
Rank #128 / 387
No
47
Facility 47
NC AVG 36
Rank #176 / 536
--
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
10
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
-
Searstone Retirement Community
AL
IL
MC
NH
SNF
Cary
-Yes
49
Facility 49
NC AVG 36
Rank #162 / 536
A+-----
Kingston Residence of Hickory
AL
IL
RC
Hickory
-Yes
62
Facility 62
NC AVG 36
Rank #58 / 536
-----Studio
Solista High Point by Cogir
AL
IL
MC
High Point (Deep River)
-Yes
60
Facility 60
NC AVG 36
Rank #72 / 536
-----Studio / 1 Bed / 2 Bed
Heritage Place Senior Living
AL
IL
Fayetteville (Terry Sanford)
-No
61
Facility 61
NC AVG 36
Rank #66 / 536
-----1 Bed / 2 Bed

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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Overview of The Addison of Knightdale

The Addison of Knightdale is a charming senior living community set in Knightdale, NC, offering Assisted Living, Memory Care, and Short Term Care. Just minutes from the state capital, this charming community provides well-designed, spacious apartments tailored to meet the needs and lifestyles of the residents. With a focus on personalized care plans, The Addison of Knightdale ensures residents live well, enjoying the benefits of compassionate assistance and convenient amenities.

At The Addison of Knightdale, residents enjoy a vibrant community with a variety of programs and amenities. The community offers a beauty and barber shop, a main dining room, and a courtyard with a shaded walking path. Activities such as ice cream socials and balance classes keep residents engaged and active. With complimentary Wi-Fi, a smoke-free environment, and individually controlled heating and air, The Addison of Knightdale prioritizes comfort and well-being for all its residents.

Contact The Addison of Knightdale

Heritage Hills Senior Living

3200 Heritage Cir, Hendersonville, NC 28791
Overview of Heritage Hills Senior Living

Heritage Hills Senior Living provides a vibrant and engaging atmosphere. Located in the picturesque town of Hendersonville, North Carolina, Heritage Hills, this senior community is proud to offer specialized memory care for residents living with dementia and Alzheimer’s disease.

Heritage Hills Senior Living‘s programs also include dementia-specific programming and tailored care routines, ensuring that individuals receive the care and support they need in a compassionate and understanding environment. The independent living options at Heritage Hills include chef-prepared dining, housekeeping services, and access to a wide range of amenities, striking an ideal balance between convenience and independence. Residents of this senior community can revel in endless opportunities for fun and relaxation.

Contact Heritage Hills Senior Living

Caremoor Retirement Center

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

Caremoor Retirement Center is a 30-bed independent living, assisted living, and residential care community at 4876 Caremoor Place in Kannapolis, North Carolina. The neighborhood is car-dependent, with a Walk Score of 3, so most errands and outings call for a vehicle rather than a walk. The community sits on a broader campus that includes a licensed family care home alongside its independent living and assisted living services.

Caremoor does not accept Medicaid or Medicare, so residents and families should plan on private pay for services here. State inspections of the facility have covered a range of areas over the years, including medication management, care planning and documentation, dietary and food service, housekeeping and upkeep, fire-safety systems, and environmental and hazardous-materials safety. These are the standard categories regulators review across assisted living and residential care homes in North Carolina.

The setting suits families looking for a smaller, campus-style community that combines several levels of care in one location, from independent living through assisted living and family care home services, without accepting public insurance coverage for the cost.

Contact Caremoor Retirement Center

The Landings of Oak Island

2910 Pine Plantation Parkway Oak Island, Nc 28461, Oak Island, NC 28461
Overview of The Landings of Oak Island

Eighty beds divided between help with daily tasks and a focused Special Care Unit form The Landings of Oak Island, located on Pine Plantation Parkway in Brunswick County, North Carolina. The area requires a car for travel, so moving around means driving instead of walking for most needs. People living in memory care have access to safe living inside that Special Care Unit, a detail that keeps this place different from nearby homes that only offer regular help.

Everyday life depends on workers who are there all day and night and meals served like they are in a cafe. A room for books, a room for fun, and an outside space give people places to be besides their own rooms, while cleaning, rides, and fixing things take care of the jobs that families would usually have to do.

Government health help is taken here, which is a fact that is very important for families planning how much long-term care will cost. State checks have looked at things that are common across most homes for seniors, such as how pills are given, fire tools, and the plans for care and written records.

Thirty miles south of Wilmington, Oak Island stays close to Novant Health Brunswick Medical Center for when serious hospital care is needed. With the safe unit and the larger home setup, this is a place made for people who need memory help along with the normal kind of daily support found nearby.

Contact The Landings of Oak Island

Overview of Waltonwood Lake Boone

Settled in the serene setting of Wilson, NC, Waltonwood Lake Boone offers a full continuum of care, including independent living, assisted living, and memory care. This family-owned community ensures residents receive the right level of support to age in place, with comfortable one-bedroom and two-bedroom floor plans designed to enhance daily life.

This vibrant community prides itself on a variety of services and activities that encourage social engagement, including a garden house, lifestyle club, and travel club. With gourmet dining, wellness programs, and an inviting environment, residents enjoy a carefree, maintenance-free lifestyle. Waltonwood Lake Boone also offers opportunities for family involvement, ensuring loved ones remain a part of the journey. A perfect blend of care, comfort, and community awaits, offering an enriching and fulfilling lifestyle.

Contact Waltonwood Lake Boone

The Bridges on Parkview

105 W Parkview Dr Henderson, Nc 27536, Henderson, NC 27536
Overview of The Bridges on Parkview

The Bridges on Parkview provides assisted living in Henderson, North Carolina. Its Walk Score is 47. A short list of destinations sits within walking distance, but families should plan on driving or arranging transportation for most outings.

The building holds 86 beds and 57 residents live there now. Occupancy sits at 66 percent. About a third of the beds are open, so a family inquiring is unlikely to face a waitlist.

Nursing services and 24-hour staffing are part of the care offering. Respite stays are available when a family caregiver needs short-term relief. A program called Secured Living operates within the community.

Meals are served restaurant-style. Residents also have a library, an entertainment room, and an outdoor common area. Housekeeping, maintenance, and transportation are handled by staff.

Medicaid is accepted here. Families planning to use Medicaid should confirm bed availability under that pathway before proceeding further.

State inspection activity at this community has involved medication management, infection prevention and control, and resident rights and protections.

Contact The Bridges on Parkview

Overview of Searstone Retirement Community

Searstone Retirement Community, located in Cary, NC, is a senior living community offering a range of services from assisted living, memory support and skilled nursing services. Their professional caring staff works closely with the residents as well as their families, in creating individualized care plans, in order to determine and meet the residents’ specific care needs.

Their First class skilled nursing services provides residents with 24/7 staff availability for supervision and assistance, round the clock personalized care, medication administration and management, and access to medical care on site as well as other professional services. Additionally their amenities like concierge and transportation services, meal provision and housekeeping and linen service, as well as 24/hr security and emergency call response, enhances the residents experiences during their stay at Searstone.

Contact Searstone Retirement Community

Overview of Kingston Residence of Hickory

Kingston Residence of Hickory is one of the trusted homes in the area, offering a top-notch level of assisted living and independent living services. The results-driven environment of the community boasts an innovative and modern approach to senior care. Management and the team of professional caregivers understand the unique needs of each individual and aim to enrich a fulfilling lifestyle for its residents.

The Kingston Residence lifestyle is focused on growth and enrichment; they provide essential amenities and services, such as 24/7 care and supervision, an on-site nurse practitioner, recreational activities, enriching programs, guest rooms, respite stays, and wellness support services.

Contact Kingston Residence of Hickory

Overview of Solista High Point by Cogir

Treat yourself to the finest retirement experience with the blissful community of Solista High Point by Cogir in Skeet Club Road, High Point, NC, providing independent living. With specially designed studio, one-bedroom, and two-bedroom accommodations, residents can rest assured of enjoying a comfortable and worry-free retirement. Through its Lively Mobile Plus device, the community provides 24-hour emergency and non-emergency response to ensure residents’ safety.

Engaging events and fun-filled activities are also conducted to promote a sense of belongingness and familiarity. Here, residents have hassle-free dining with healthy and delicious restaurant-style dining that cater to their dietary needs and tastes. Amenities include a fitness center, an art room, a library, a game room, a media room, an outdoor patio, and community grounds, perfect for an active lifestyle.

Contact Solista High Point by Cogir

Overview of Heritage Place Senior Living

Discover an enjoyable community with the Heritage Place Senior Living located in the heart of Fayetteville, NC. This welcoming community offers independent living, assisted living, and respite care services. Here, residents are convenient to roam around beautiful places like Cape Fear Botanical Garden, and centuries-old cathedrals. Spacious accommodations with a wide array of floor plans are tailored to individual tastes or preferences.

With its modern amenities, residents can enjoy health and wellness programs like fitness and therapy services. Enjoy its chef-prepared dining with delightful meals and art activities like painting classes and museum visits. Meet new people and build lasting friendships through its interactive and fun life enrichment activities. At the Heritage Place Senior Living, seniors are assured of a wondrous living experience.

Contact Heritage Place 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
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.