Page 34 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. 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. 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.
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.
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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Lawndale Manor
AL
Garner
62
Facility 62
NC AVG 70
Rank #193 / 328
No--
53.25/200
Facility 53.25/200
NC AVG 92.7
Rank #278 / 291
C-16-
Clemmons Village Assisted Living & Memory Care
AL
MC
Clemmons
-Yes
21
Facility 21
NC AVG 34
Rank #246 / 373
A+----Studio / 2 Bed
Roxboro Healthcare & Rehabilitation Center
AL
HOS
NH
PC
RC
SNF
Roxboro (Madison Park)
-No
32
Facility 32
NC AVG 34
Rank #186 / 373
-----Private / Semi Private Rooms
Kingston Residence of Hickory
AL
IL
RC
Hickory
-Yes
62
Facility 62
NC AVG 34
Rank #35 / 373
-----Studio
Morning Star Special Care Unit
AL
Fayetteville
44
Facility 44
NC AVG 70
Rank #256 / 328
No--
98.50/200
Facility 98.50/200
NC AVG 92.7
Rank #155 / 291
D25-
The Addison of Fuquay-Varina
AL
MC
Fuquay-Varina
-Yes
6
Facility 6
NC AVG 34
Rank #333 / 373
A+----Suite / 1 Bed
Heritage Greens
AL
IL
MC
Greensboro (Friendswood)
-Yes
31
Facility 31
NC AVG 34
Rank #191 / 373
A+----Studio / 1 Bed / 2 Bed
Mebane Ridge
AL
MC
Mebane
-Yes
35
Facility 35
NC AVG 34
Rank #167 / 373
A+----Studio / Suite
Heritage Woods Senior Living
AL
IL
Winston-Salem
-No
35
Facility 35
NC AVG 34
Rank #167 / 373
-----Studio / 1 Bed / 2 Bed
Searstone Retirement Community
AL
CCRC
IL
MC
NH
SNF
Cary
-Yes
49
Facility 49
NC AVG 34
Rank #101 / 373
A+-----

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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Lawndale Manor

601 Lakeside Drive Garner, Nc 27529, Garner, NC 27529
Overview of Lawndale Manor

Lawndale Manor, in Garner, NC, holds an assisted living license. Bathing, medication, and dressing are each supported, and the housing field names private & Semi-Private Rooms so a room is held alone or shared.

The bed count stands at 62. Doctor on Staff is listed among the services, so physician care happens on the premises, and Diabetic Care and Non-Ambulatory Care are named programs answering specific needs.

Nutritious Meals Provided is the dining entry. Live Musical Performances, Activities & Outings, Holiday & Birthday Parties, and Devotional Activities appear on the programme list under names of their own.

Contact Lawndale Manor

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

Overview of Roxboro Healthcare & Rehabilitation Center

Located in the Madison Park neighborhood of Roxboro, North Carolina, Roxboro Healthcare and Rehabilitation Center is a senior living community offering short-term rehabilitation, skilled nursing, long-term care, outpatient therapy, hospice, palliative care, and respite care. Providing this range of services in one location allows residents to remain in the same community as their care needs change over time.

Care is guided by a dedicated clinical team that develops an individualized care plan for every resident. Its primary focus is to help residents regain the skills needed for daily living and reduce the risk of an unnecessary return to the hospital. Residents also have access to additional on-site medical services, giving them another level of support without leaving the community.

The community has served the Roxboro area for 50 years. It is housed in a single-story building, so residents with mobility challenges can easily get around. Private and semi-private rooms are available, giving residents and families flexibility based on personal preferences and budget. Nolan Brown serves as the organization’s President.

The neighborhood has a Walk Score of 32, which is somewhat walkable. A few nearby shops and services can be reached on foot, but most errands and outings require a car. To help residents stay active and connected, the community provides transportation services along with fitness and recreation programs that support daily activities on and off the property.

Contact Roxboro Healthcare & Rehabilitation Center

Overview of Aje Family Care Home

Offering personal care, memory care, and respite care, Aje Family Care Home is an assisted living community in Raleigh, North Carolina. The community focuses on older adults’ safety, health, and happiness, promoting an attentive and welcoming environment. Exceptional services include 24/7 medical monitoring, engaging activities, and three dietitian-approved meals, with a registered nurse available as well. To meet residents’ needs and preferences, the community follows a personalized approach to care.

Recreational programs and wellness activities are provided to help improve residents’ cognition and maintain an active lifestyle. Fully furnished accommodations and walking paths are also available, so residents can rest and move about. A variety of dining options, shops, and public transportation also surround the community, ensuring accessibility. This assisted living community is a good option for senior living in North Carolina, especially with its wide range of services.

Contact AJE Family Care Home

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

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 community in Fayetteville, NC. Assisted living provides help with daily tasks such as dressing, bathing and medication while allowing residents to maintain a private living space. The community has 44 beds, so staff and residents can get to know each other, and round-the-clock staffing means help is available at any hour.

Medical support is available in several forms. Morning Star Special Care Unit provides direct medical care, telehealth visits for acute and chronic conditions, mental health care and integrated medicine, so residents can receive these services without every appointment requiring an outside visit. Weight management services and smoking cessation monitoring support residents working on those health goals, while remote monitoring and appropriate referrals to outside specialists provide access to additional expertise when needed. The community may be a good fit for a resident who needs help with daily tasks and wants access to medical and behavioral health services in the same setting.

Contact Morning Star Special Care Unit

Overview of The Addison of Fuquay-Varina

Situated in Fuquay-Varina, NC, The Addison of Fuquay-Varina is an inviting senior living community that offers attentive Assisted Living, Memory Care, and Short Term Care services. Residents relax in well-appointed apartments ranging from one-bedroom apartments to private and semi-private suites. Located just 16 miles from Raleigh, the community is surrounded by lush greenery, museums, shops, and restaurants. The community provides a welcoming and friendly environment where residents can enjoy attentive care by a 24/7 care team.

At The Addison, residents benefit from a variety of amenities and programs designed to elevate their living experience. The community features a beauty and barber shop, emergency call response system, main and private dining rooms, and stimulating programming and events. Residents can also enjoy the walking path, outdoor patio area, spacious community rooms with TVs and DVDs, and pet-friendly spaces, all while having the comfort of individually controlled heating and air.

Contact The Addison of Fuquay-Varina

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 Mebane Ridge

Set in the idyllic neighborhood of Mebane, NC, the Mebane Ridge is an esteemed senior living community that offers assisted living and memory care services. Here, residents can select from a wide array of cozy and spacious accommodations ranging from private studios and shared suites. With its expert and compassionate team, this community thoughtfully designed the Pathways to Discover program intended for those with cognitive conditions like Alzheimer’s disease and dementia. Moreover, residents can access an emergency response team and round-the-clock personalized care services.

Committed to delivering above-and-beyond amenities and other services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and community events. At the Mebane Ridge, seniors are assured of a retirement worth-remembering.

Contact Mebane Ridge

Overview of Heritage Woods Senior Living

Heritage Woods Senior Living in Multnomah County, Winston-Salem, NC, is an excellent senior living community that offers independent living and assisted living services. The community makes sure residents enjoy a cozy and spotless residence with weekly housekeeping service, with fresh linens and towels, as well as daily tidy-up service. Residents enjoy round-the-clock care and assistance provided by the caring and hardworking care team of the community.

At Heritage Woods Assisted Living, residents are able to lead the lifestyle they desire with an abundance of opportunities for leisure, learning, and entertainment through a wide range of classes and activities. The community provides plenty of amenities and services for health & wellness, such as a state-of-the-art fitness center, a consultant pharmacist, balance and mobility programs, as well as personal training and wellness assessments. Residents’ nutritions and cravings are also handled with deliciously prepared meals, beverages, and snacks available anytime.

Contact Heritage Woods 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.
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.