Page 34 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
Reviewed by
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. 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.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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.
Spring Arbor of Wilmington
AL
MC
Wilmington (Pine Valley Estates)
-Yes
58
Facility 58
NC AVG 36
Rank #91 / 536
----Private Rooms / Semi-Private Rooms
The Templeton of Cary
AL
IL
MC
NH
SNF
Cary (Ponderosa)
-Yes
46
Facility 46
NC AVG 36
Rank #186 / 536
----1 Bed / 2 Bed
Heritage Woods Senior Living
AL
IL
Winston-Salem
-No
35
Facility 35
NC AVG 36
Rank #261 / 536
----Studio / 1 Bed / 2 Bed
Atria Cary
AL
IL
MC
Cary
-Yes
30
Facility 30
NC AVG 36
Rank #309 / 536
----1 Bed / 2 Bed
The Addison of Fuquay-Varina
AL
MC
Fuquay-Varina
-Yes
6
Facility 6
NC AVG 36
Rank #484 / 536
----Suite / 1 Bed
Mill Creek Manor
AL
IL
MC
Statesville
80
Facility 80
NC AVG 72
Rank #150 / 387
Yes
81
Facility 81
NC AVG 36
Rank #5 / 536
81.3%
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
38
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
-
The Landings of Swansboro
AL
MC
Swansboro
80
Facility 80
NC AVG 72
Rank #150 / 387
No
48
Facility 48
NC AVG 36
Rank #168 / 536
32.5%
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
12
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
-
Oak Forest Health and Rehabilitation Center
AL
HOS
NH
PC
RC
SNF
Winston-Salem
170
Facility 170
NC AVG 72
Rank #7 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
91.1% ----
At Home Loving Care
AL
IL
RC
Mooresville
-No
74
Facility 74
NC AVG 36
Rank #14 / 536
----Furnished Private and Semi-Private Bedrooms
Abbotswood at Stonehenge
AL
IL
Raleigh (North Raleigh)
-Yes
59
Facility 59
NC AVG 36
Rank #77 / 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 Spring Arbor of Wilmington

Spring Arbor of Wilmington, situated in Wilmington, NC, is a prominent senior living community providing assisted living and memory care services. The community offers spacious apartments with individual climate control, including multiple floorplan options to suit residents’ preferences. Cable is included, and spacious common areas are available for family gatherings, fostering a sense of community.

Dedicated to resident well-being, Spring Arbor of Wilmington provides personalized care with 24/7 supervision and support, assisting residents with daily living activities, and medication management. The community also offers a comprehensive list of amenities, including high-speed internet, a well-stocked library, three delicious meals per day plus snacks, an outdoor courtyard, sunroom, full-service beauty and barber salon, on-site therapy, a wellness program, spacious rocking chair front porch, fitness center, scheduled transportation, and a traditional dining room with restaurant-style dining. Residents also enjoy engaging activities, such as walking paths, volunteer programs from the School of Gerontology, pet therapy, and a self-serve coffee shop.

Contact Spring Arbor of Wilmington

Overview of The Templeton of Cary

The Templeton of Cary is a top-rated retirement community in Cary, NC, offering independent living, assisted living, memory care, rehabilitation, and skilled nursing. The community’s nurturing and home-like setting ensures older adults’ comfort and safety. Exceptional services, including weekly housekeeping, concierge, and well-balanced meals, are also provided to enrich residents’ living experiences. Focusing on residents’ holistic well-being, the community provides care plans tailored to their ever-changing needs and habits.

Arts and crafts, games, and seminars are among the many recreational programs that aim to help residents explore new hobbies and have fun. Residents can also focus on relaxation and wellness, with first-class amenities including a saltwater pool, a library, and an outdoor grassy area. WakeMed Cary Hospital, restaurants, shops, and bus stops are also available in the area, providing convenient access to healthcare and other necessities. This retirement community is a great choice for senior living in North Carolina, especially with its wide range of care dedicated to helping older adults age gracefully.

Contact The Templeton of Cary

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

Overview of Atria Cary

Bask in the sunlight in Atria Cary, a blissful senior living community located in the peaceful neighborhood of Regency Parkway, Cary, NC providing independent living. Together with trusted partners, the community offers physical, occupational, and speech therapies. Cozy and elegant floor plans including one-bedroom and two-bedroom apartments fully equipped with kitchens and other basic necessities are available for seniors’ choices and desires. The community ensures a relaxing and safe stay with a team of kind and compassionate professionals delivering top-tier care and assistance around the clock.

Atria Cary promotes an active and connected environment, providing all-around amenities and services. With its signature Engage Life program, residents experience a wide range of learning opportunities and programs to enhance their quality of life. Enjoy wonderful conversations with friends over healthy and delicious chef-prepared meals three times daily in different dining venues. The pet-friendly community provides an indoor swimming pool, a library, a movie theater, a fitness center, a physical therapy center, a salon, a game room, a putting green, and serene walking paths for seniors’ leisure and wellness.

Contact Atria Cary

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

Mill Creek Manor

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

Mill Creek Manor sits at 1902 Ora Drive in Statesville, North Carolina. The community holds licenses for assisted living, independent living, and memory care, so a resident whose needs change can often stay at the same address instead of moving somewhere new. Walkability here is strong, scoring 81 out of 100, which puts most everyday errands within reach on foot.

The community is licensed for 80 beds and currently serves 65 residents. That works out to 81 percent occupancy, so rooms are open for families who need placement in the near term. It is a larger shared setting rather than a small home, which usually means more common space and more organized group programming.

Nursing services, rehabilitation services, and respite care are all available on site. Staffing runs around the clock, and the overnight coverage is awake staff rather than sleeping or on-call. Memory care operates within the same community, which is a practical consideration for anyone whose family member has a dementia diagnosis that will progress.

Daily life covers restaurant-style meals, social events and activities scheduled every day, and housekeeping and laundry handled by staff. There is a salon and barber service on site, an outdoor courtyard, and a TV lounge with social seating. WiFi reaches the building, and pets are permitted.

Inspection themes recorded for this community include medication management, care planning and documentation, staffing and staff credentials, and fire-safety systems. Resident rights and protections and fall and injury prevention appear in the reviewed themes as well. That is a wide spread of themes across the record, covering both clinical practice and building safety.

Contact Mill Creek Manor

The Landings of Swansboro

280 Swansboro Loop Road Swansboro, Nc 28584, Swansboro, NC 28584
Overview of The Landings of Swansboro

The Landings of Swansboro sits at 280 Swansboro Loop Road in Swansboro, North Carolina. It offers assisted living and memory care in a single community. The Walk Score is 48, which places it in somewhat walkable territory. Most trips will still require a car, and visiting family should plan accordingly.

The building is licensed for 80 beds and currently houses 26 residents. Occupancy sits at 33 percent. Availability is not a constraint here, so a family that needs a bed soon will likely find one. A lower census also means each staff member is responsible for fewer residents during a shift.

Nursing services are available and staffing runs on a 24-hour schedule. Someone is present at every hour. The community also operates a Secured Living program for residents who need a protected memory care environment. Because assisted living and memory care both operate on site, a resident whose cognitive needs increase over time can often shift care levels without changing addresses.

Housekeeping, maintenance, and transportation are handled by the community. Dining is restaurant-style rather than cafeteria service. Shared spaces include a library, an entertainment room, and an outdoor common area. State oversight of North Carolina assisted living communities covers fire-safety systems among the areas examined during routine review.

The community accepts Medicaid; for families looking at a multi-year stay, that coverage pathway shapes the financial picture in a way few other single facts do. The overall record here shows an assisted living and memory care community with substantial open capacity, round-the-clock staffing, a secured memory care setting, and a Medicaid pathway that keeps it accessible to families without significant private resources.

Contact The Landings of Swansboro

Overview of Oak Forest Health and Rehabilitation Center

The sister nursing center of The Oaks, Oaks Forest is where residents thrive with the support of quality services for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Specializing in short-term rehabilitation, skilled nursing care, and long-term living– the nursing home aim to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness.

As a proud member of the Liberty Healthcare and Rehabilitation Services, expect Oak Forest to provide a list of comprehensive amenities and services that help make the lives of its residents hassle-free. These include 24-hour licensed supervision, medication services, balanced meals provided, engaging activities scheduled, and specialized programs available.

Contact Oak Forest Health and Rehabilitation Center

Overview of At Home Loving Care

Create meaningful moments at At Home Loving Care, a blissful retreat in North Carolina, offering independent living, assisted living and respite care. With a cozy and welcoming setting, residents are guaranteed the utmost comfort and safety. A compassionate and well-trained team also provides top-notch care for their daily living activities and personal needs around the clock.

Here, residents make new friends and gain meaningful experiences, accompanied by a jam-packed calendar of engaging activities and enriching programs. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. Residents have the finest retirement experience with the community’s state-of-the-art amenities and exceptional services.

Contact At Home Loving Care

Overview of Abbotswood at Stonehenge

In Abbotswood at Stonehenge, independent and assisted living come together to create a truly exceptional senior living community. Nestled on a sprawling 10-acre property in the heart of Raleigh, this community offers a serene and picturesque environment for seniors to come home to. The home offers a variety of floor plans to choose from, including low-rise, mid-rise, and high-rise abodes with one to two bedrooms. Licensed clinical staff are available round the clock, and the community offers a range of specialized services, including balance and mobility programs, chauffeur service, and more.

The community is conveniently located near daily conveniences, making it easy for residents to access shopping, dining, and recreational activities. Whether it’s a stroll in the lush surroundings or a visit to the nearby JC Raulston Arboretum and North Carolina Museum of Natural Sciences, there’s always something to do and see. From educational enrichment programs and fitness classes to therapy services and excursions, there are plenty of opportunities to stay active, engaged, and fulfilled. Housekeeping services, Wi-Fi, utilities, and expanded cable are also provided to ensure that residents have all the comforts of home. With three decades of experience in senior care, Abbotswood at Stonehenge is the best decision yet.

Contact Abbotswood at Stonehenge

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.