Page 35 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:
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

Rich Square Villa

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

Rich Square Villa offers assisted living and memory care in Rich Square, NC. In assisted living, residents receive help with daily tasks while keeping their own living space. Memory care provides a secured setting with supervision for someone who may be at risk of wandering. Respite care is available for short-term stays, which may give a family caregiver time to travel or recover.

With 38 beds, Rich Square Villa is a smaller community where residents and staff can get to know one another. Restaurant-style dining includes healthy, balanced meals prepared to meet dietary needs, so residents with special diets can receive meals shaped around those needs. Transportation services, rehabilitation services, and secured living are also available.

The library, entertainment room, and outdoor common area give residents places to read, take part in activities, or spend time outside. Rich Square Villa may be a good fit for someone living with Alzheimer’s disease or another form of dementia who needs a supervised, secured setting.

Contact Rich Square Villa

Overview of The Barclay at SouthPark

Conveniently located near Tryon Medical Partners Southpark in Charlotte, NC, The Barclay at SouthPark is an esteemed community that offers independent living. Residents can also find the care they need in the community with its comprehensive care services, including assisted living, memory support, respite care, and rehabilitation. With its snug and sophisticated accommodations, residents keep peace of mind and live their golden years to the fullest.

Enrich retirement with a full calendar of fun activities and engaging programs tailored to residents’ enjoyment and wellness. Mealtimes are also something to anticipate with delicious and healthy meals catering to dietary needs and preferences. The community is great for those who need assistance to spend their golden years with ease, with its wide range of care and beautifully designed amenities.

Contact The Barclay at SouthPark

Overview of Pennybyrn

Serving the senior community for over 76 years, Pennybyrn is a paradisal senior living community in Guilford County, High Point, NC, offering retirement living, assisted living, memory care, and rehabilitation. The community provides a team of licensed nurses, certified nursing assistants, and medical technicians available 24/7 to assist residents with various things. Residents can live comfortably with assistance with daily living activities, dining assistance, and access to physical, occupational, and speech therapy.

Wellness classes are designed to meet varying fitness levels and needs of residents, ensuring everyone is able to improve or maintain their well-being. A team of hardworking activity coordinators is available to carefully curate an array of social and educational events both on-site and off-site. Registered dietitians and chefs work together to prepare three nutritious and delicious meals and dietary planning to accommodate specific medical and health needs.

Contact Pennybyrn

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

Overview of Morningview at Irving Park

Morningview at Irving Park is a residential community in the Spicewood neighborhood of Greensboro, North Carolina. Serving residents for 28 years, the home at 3200 N Elm St features a two-story building design with studio and one-bedroom floor plans catering to different needs and wants.

The neighborhood where Morningview at Irving Park sits offers moderate walkability, with a Walk Score of 38. This means a few nearby services are walkable, though most errands and trips require a bit of transportation. For families who cherish a calmer, residential setting over a bustling commercial area, this location offers that quieter pace while still providing access to the broader Greensboro community. The facility is designed with older adults in mind, offering private and semi-private living arrangements in studio and one-bedroom configurations. The two-story layout creates a more intimate environment than bigger, sprawling facilities, which some occupants and families find more comfortable and easier to navigate.

An excellent way to get a genuine sense of the community is for those considering Morningview at Irving Park to visit in person. When touring, families can explore the floor plans, meet staff, observe the daily environment, and ask about the specific services, activities, and care options offered. This attentive approach helps families make the most informed decision for their loved ones.

Contact Morningview at Irving Park

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

Overview of Hayes Barton Place

Hayes Barton Place is a luxurious life plan community in Raleigh, NC, that offers independent living, assisted living, memory care, skilled nursing, and rehabilitation. The community’s upscale amenities ensure older adults live their retirement like a vacation. With world-class services, including weekly housekeeping, concierge services, and restaurant-style dining, residents experience maintenance-free living. Dedicated to residents’ whole being, the community provides personalized care plans tailored to their ever-changing needs and preferences.

Educational programs, group exercises, and live music are among the many life enrichment programs dedicated to helping residents live actively and happily. A clubhouse with a library, a media room, and an art studio, as well as a beautiful garden and pickleball courts, are also available for residents’ recreation and wellness. Bus stops and other local amenities also surround the area, providing residents with convenient access to their needs and leisure. This life plan community has exceptional standards of care and top-notch amenities, making it one of the best options for senior living in North Carolina.

Contact Hayes Barton Place

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

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

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.