Page 35 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
Aug 2026
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.
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.
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 East Tower at Cardinal North Hills
AL
IL
MC
NH
SNF
Raleigh
49
Facility 49
NC AVG 72
Rank #300 / 387
Yes
34
Facility 34
NC AVG 36
Rank #272 / 536
73.5%
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
4
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
The Gardens of Pamlico
AL
Grantsboro
70
Facility 70
NC AVG 72
Rank #183 / 387
Yes
29
Facility 29
NC AVG 36
Rank #322 / 536
32.9%
95.50/200
Facility 95.50/200
NC AVG 92.2
Rank #211 / 321
29
90%
Facility 90%
NC AVG 76.2%
Rank #294 / 333
-
Piedmont Christian Home
AL
MC
High Point
93
Facility 93
NC AVG 72
Rank #113 / 387
No
3
Facility 3
NC AVG 36
Rank #515 / 536
65.6%
87.00/200
Facility 87.00/200
NC AVG 92.2
Rank #275 / 321
33
88%
Facility 88%
NC AVG 76.2%
Rank #274 / 333
-
CareBridge Assisted Living and Rehabilitation
AL
MC
NH
SNF
Greensboro (White Oak)
-No
30
Facility 30
NC AVG 36
Rank #309 / 536
------
Franklin Manor
AL
MC
NH
RC
SNF
Youngsville
-No
21
Facility 21
NC AVG 36
Rank #371 / 536
-----Private / Semi-Private
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
-
Tower of Blessing A Refuge to Seek
AL
Chapel Hill
-No
18
Facility 18
NC AVG 36
Rank #394 / 536
-----Private / Shared Rooms
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
-
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
66.3% -
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
-
Morning Star Special Care Unit
AL
Fayetteville
44
Facility 44
NC AVG 72
Rank #307 / 387
No- 75.0%
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
-

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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The East Tower at Cardinal North Hills

320 St. Albans Drive Raleigh, Nc 27609, Raleigh, NC 27609
Overview of The East Tower at Cardinal North Hills

The East Tower at Cardinal North Hills is a nursing home in Raleigh, North Carolina. It occupies one building on the wider Cardinal at North Hills campus, where independent living, assisted living, memory care, and skilled nursing all operate together. For families thinking several years ahead, that structure means a change in care needs does not automatically mean a change in address.

The East Tower holds 49 beds; thirty-six of them are filled, putting occupancy at 74%. Smaller buildings like this one often strike a workable balance. Residents get more individual attention than a large facility can offer, while still drawing on a campus worth of shared space and programming.

Clinical care rests on two things: rehabilitation services and staffing available around the clock. Both point toward short-term recovery work. Someone coming out of a hospital stay or a surgery needs therapy to begin quickly, and needs someone there at three in the morning. Housekeeping is covered by the community.

The amenity list runs long; there’s an aquatic center, more than one fitness center, a spa, salons, a creative arts studio, and libraries. Meals are served across multiple dining venues, and the activity calendar mixes social, cultural, and educational programming. Outside there is a game area and a dog park. Pets are welcome, and family suites mean out-of-town relatives can stay on site rather than book a hotel.

Getting around is a different story: the Walk Score sits at 34, rated somewhat walkable. A few errands work on foot, but most will need a car.

State inspection attention here has clustered around medication management and around staffing and staff credentials. For a family weighing this option, the picture is a mid-sized building with strong campus amenities, a rehab-focused clinical model, and available capacity.

Contact The East Tower at Cardinal North Hills

The Gardens of Pamlico

22 Magnolia Way Grantsboro, Nc 28529, Grantsboro, NC 28529
Overview of The Gardens of Pamlico

The Gardens of Pamlico sits at 22 Magnolia Way in Grantsboro, North Carolina. It is an assisted living community, serving seniors who need daily support but not skilled nursing care. The surrounding area scores 29 on the Walk Score scale, which places it in somewhat walkable territory. A handful of destinations are reachable on foot from the property. Most trips will require a car or the community’s own transportation service.

The community is licensed for 70 beds and currently serves 23 residents, an occupancy rate of 33 percent. That is a substantial amount of unused capacity. For a family, the practical read is straightforward: rooms are available, and the staff-to-resident ratio in a building that empty differs from what the same building would look like at full census.

Nursing services and rehabilitation services are offered on site, with staffing in place 24 hours a day. A Secured Living program operates for residents who require a protected setting. Housekeeping, maintenance, and transportation are all handled by the community itself. Meals are served restaurant-style, and residents have a library, an entertainment room, and an outdoor common area available to them.

The North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys adult care homes without advance notice. At this community, inspection attention has concentrated on medication management, fire-safety systems, environmental and hazardous-materials safety, and housekeeping and upkeep. Those four themes represent the documented pattern in the state record, and families weighing this community should register them as such.

The Gardens of Pamlico accepts Medicaid. For families whose financing runs through that pathway, this community is a viable option in a rural county where such options are limited. The occupancy figure and the inspection themes are the two facts that should carry the most weight in a decision here.

Contact The Gardens of Pamlico

Piedmont Christian Home

1510 Deep River Road High Point, Nc 27265, High Point, NC 27265
Overview of Piedmont Christian Home

Piedmont Christian Home sits at 1510 Deep River Road in High Point, North Carolina. The community holds 93 beds and offers both assisted living and memory care, including a Special Care Unit built for residents who need a secured setting. Licensed nurses and CNAs handle daily care.

Sixty-one residents live there now. That works out to 66 percent of capacity, which means the building runs well below what it was designed to hold. For a family shopping the High Point area, that translates to availability rather than a wait.

Getting anywhere requires a car, given how the Walk Score here is 3 out of 100, which puts the address in car-dependent territory with very little within walking distance. Residents who have stopped driving will rely on staff and family for every trip off the property. Visitors should expect to drive.

On-site rehabilitation services matter for residents coming off a hospital stay or a surgery, since therapy happens in the building instead of at an outside clinic. Licensed nursing coverage extends what the community can handle when a resident’s medical needs grow past personal care. Meals fall under a program the community calls the Nutritious Dining Experience.

State inspection activity at this community has concentrated on medication management, infection prevention and control, and environmental and hazardous-materials safety. Those categories cover the operational systems that determine how care actually gets delivered day to day.

The community suits older adults in the High Point area who need real daily assistance or a secured memory care environment, and whose families can handle transportation. On-site rehabilitation paired with licensed nursing coverage points toward residents whose care needs are likely to shift over time, not toward those looking mainly for a social setting.

Contact Piedmont Christian Home

Overview of CareBridge Assisted Living and Rehabilitation

CareBridge Assisted Living and Rehabilitation is located at 2505 Fairview St in the White Oak area of Greensboro, North Carolina. This facility offers more than one type of care. The location provides nursing home services, assisted living, and memory care, allowing residents to change care levels without moving to a new facility.

Walking in the local area is not easy. With a Walk Score of 30, it is somewhat walkable, meaning you might finish a few errands nearby, but driving or using transportation is the best option for most trips.

Inside, the care options are designed for people who need significant support, not minimal help. Rehabilitation services and skilled nursing are provided along with medication management and 24-hour supervision. Staff assist with daily living tasks like dressing and bathing, plus they manage transit for appointments and events, which removes that planning stress from families.

Nutrition is treated with care here; a registered dietitian works on-site, ensuring meals are planned correctly for residents with dietary needs. Social and fun activities fill the calendar, adding structure to each day beyond just eating and medical care.

Overall, CareBridge Assisted Living is a community designed for comprehensive, active care. It serves residents who require rehabilitation, skilled nursing, or daily help better than it serves individuals seeking a more independent living environment.

Contact CareBridge Assisted Living and Rehabilitation

Overview of Franklin Manor

Situated on the harmonious Cowan Highway, Winchester, TN, Franklin Manor is an idyllic senior living community providing assisted living and respite care. Moreover, several snug and well-designed studio, one-bedroom, and two-bedroom residences await seniors as they move into the community. Let go of your worries and make the most out of your best years with top-notch care and support from a reliable and highly qualified team around the clock.

With a jam-packed calendar of exciting activities and enjoyable events, residents learn new things and gain meaningful experiences. Eat to your heart’s content and satiate your cravings with healthy and delicious meals for a delightful dining experience. Franklin Manor is great for seniors looking to enjoy the most out of their best years.

Contact Franklin Manor

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

Tower of Blessing A Refuge to Seek

632 Christopher Rd, Chapel Hill, NC 27514
Overview of Tower of Blessing a Refuge to Seek

Tower of Blessing is an exceptional community with several towers across North Carolina, offering assisted living and hospice care. With 24-hour care from a respectful and well-trained team, residents do not have to worry about their daily living activities, like dressing and grooming. Laundry services, medication management, and on-site doctors’ appointments are also provided, ensuring residents enjoy a convenient lifestyle.

Prioritizing residents’ leisure and wellness, fun activities and exciting events, including light exercises, game nights, and community outings, are conducted. Delicious, home-cooked meals are also served, striving to meet residents’ dietary needs and preferences. Residents can also travel conveniently and safely with transportation services. The community has six towers in Durham and Chapel Hill, NC, offering the ideal setting for residents to spend their golden years without worry.

Contact Tower of Blessing A Refuge to Seek

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

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

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

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.