Page 36 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. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
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.
Harmony House Memory Care
AL
MC
Statesville
40
Facility 40
NC AVG 72
Rank #310 / 387
No- 92.5% -
82.75/200
Facility 82.75/200
NC AVG 92.2
Rank #289 / 321
45
78%
Facility 78%
NC AVG 76.2%
Rank #158 / 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
-
Rich Square Villa
AL
MC
Rich Square
38
Facility 38
NC AVG 72
Rank #316 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
--
96.50/200
Facility 96.50/200
NC AVG 92.2
Rank #196 / 321
17
71%
Facility 71%
NC AVG 76.2%
Rank #94 / 333
-
The Ridge at New Bern
AL
MC
New Bern
72
Facility 72
NC AVG 72
Rank #176 / 387
No
2
Facility 2
NC AVG 36
Rank #526 / 536
58.3% -
79.50/200
Facility 79.50/200
NC AVG 92.2
Rank #294 / 321
38
89%
Facility 89%
NC AVG 76.2%
Rank #282 / 333
-
The Addison of Knightdale
AL
Knightdale
-No
6
Facility 6
NC AVG 36
Rank #484 / 536
-A----Suite / 1 Bed
Carolina Meadows
AL
HC
MC
NH
SNF
Chapel Hill
-No
10
Facility 10
NC AVG 36
Rank #457 / 536
------1 Bed / 2 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
Alphawell Care Homes
AL
HC
RC
Statesville
-No
12
Facility 12
NC AVG 36
Rank #440 / 536
------Private Rooms
The Addison of Fuquay-Varina
AL
MC
Fuquay-Varina
-Yes
6
Facility 6
NC AVG 36
Rank #484 / 536
-A+----Suite / 1 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
-

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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Harmony House Memory Care

1372 Eufola Road Statesville, Nc 28677, Statesville, NC 28677
Overview of Harmony House Memory Care

Harmony House Memory Care works in Statesville, North Carolina, at 1372 Eufola Road. The place helps older people with daily chores and also cares for those who have trouble remembering things. This location is not easy to walk around, so people must use a car to get anywhere.

The building has 40 beds, and right now 37 people live there. This means about 93 percent of the rooms are full. A building with 40 beds is considered small for this type of home in North Carolina.

A doctor works there, trained nurses and helpers are always on the floor, and someone is awake to help at all times. A main nurse stays at the building, and a lead doctor watches over the health plans, while other doctors come to visit the people in their rooms instead of making them go to a different office. People living there carry special buttons to call for help.

The rooms are private and big, and every room has its own bathroom and a way to change the heat. Places to wash include a special tub and a shower that a wheelchair can roll into. Common areas include a church room, a book room, a game room, and a hair shop, and the yard has a porch and tall garden boxes so people can plant flowers without having to get on their knees. All food is made in the building, and workers do the cleaning and the washing.

State reports for Harmony House show the same problems with medicine, worker training, and writing down health plans. The home takes Medicaid money to help pay for the stay. For families thinking about staying for many years, having this kind of help to pay the bills is very important. Harmony House is a small home with nurses and private rooms that takes state help, though its reports often mention issues with medicine and paperwork.

Contact Harmony House Memory Care

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

Rich Square Villa

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

Rich Square Villa sits at 310 North Main Street in Rich Square, North Carolina. It offers assisted living and memory care under one roof. The community describes its approach as personalized care in a supportive setting.

The community licenses 38 beds, which is small by North Carolina standards. That scale tends to shape how staff and residents interact day to day. The surrounding area scores 24 for walkability and is classified as car-dependent, so a car is needed for most errands.

Nursing services are available and staffing runs 24 hours. Rehabilitation services are provided on site for residents recovering from illness or injury. Respite care is available for short-term stays. Memory support is structured around a Secured Living program, and the building maintains a secured perimeter.

Housekeeping, maintenance, and transportation are all handled by the community. Dining is served restaurant-style. Residents have access to a library, an entertainment room, and an outdoor common area.

The Division of Health Service Regulation within the North Carolina Department of Health and Human Services conducts unannounced surveys of adult care homes. At this community, inspection themes have involved medication management, care planning and documentation, fire-safety systems, and housekeeping and upkeep.

What the record shows is a small assisted living and memory care community with 24-hour nursing coverage, on-site rehabilitation, and a secured memory care program, set in a car-dependent part of Northampton’s Rich Square area.

Contact Rich Square Villa

Overview of The Ridge at New Bern

The Ridge at New Bern operates a 72-bed assisted living and memory care facility in Craven County, located roughly 6.7 miles from the center of New Bern, North Carolina. Managed under facility president Justin Wray, the single-story community reports an occupancy rate of 58 percent. The single-level floor plan eliminates stairways, providing a flat layout designed to assist residents with mobility limitations.

The immediate area surrounding the building is car-dependent, holding a walk score of 2 out of 100. This layout requires staff and family visitors to use a vehicle for any errands or transit to the property. On-site services include scheduled meals, wellness programs, and coordinated local transportation.

Routine regulatory evaluations conducted by the North Carolina Department of Health and Human Services have identified historical compliance deficiencies, resulting in past enforcement actions.

Prospective residents can call the administrative office to verify current apartment availability and baseline fees.

Contact The Ridge at New Bern

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

Carolina Meadows

100 Whippoorwill Ln, Chapel Hill, NC 27517
Overview of Carolina Meadows

Residing in the serene lands of Chapel Hill, NC, Carolina Meadows is an outstanding continuing care retirement community that offers assisted living, memory care, skilled nursing, and therapeutic services. The community features beautifully designed and elegant accommodations in various one-bedroom and two-bedroom floor plans for seniors to enjoy unmatched comfort and convenience. With a respectful and highly trained team delivering top-notch care and support, seniors optimize their independence and live as they prefer.

Learn something new and experience a meaningful retirement with a variety of nourishing classes and engaging activities. Moreover, Carolina Meadows is committed to understanding seniors’ needs and interests to provide them with better assistance. Have a delightful dining experience with delicious and healthy meals that satisfy cravings and meet dietary restrictions. Carolina Meadows is ideal for seniors wanting to enjoy every bit of their golden years without worries in its peaceful and inviting premises.

Contact Carolina Meadows

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 Alphawell Care Homes

Experience senior living to its fullest with Alphawell Care Homes, conveniently situated in Statesville, NC, offering supportive living services. Here, residents can select from well-appointed and comfortable single-story homes with private rooms. The community’s goal is to provide a home-like environment for its residents ensuring their peace of mind and relaxation. Having a highly trained and compassionate team, the community also provides the utmost care and support every resident deserves.

Offering above-and-beyond amenities and services, residents can enjoy delectable and healthy meals, housekeeping and laundry service, and a diverse set of social activities and life-enrichment programs. Explore its beautifully created common spaces and meet new companions along the way. With Alphawell Care Homes, seniors are assured of an empowering and secure living experience.

Contact Alphawell Care Homes

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

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

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.