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Compare Assisted Living around North Carolina
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
Click column headers to sort
| Brookdale South Charlotte |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Charlotte (Wessex Square) | 82
Facility
82
NC AVG
76
Rank
#156 / 390 | Yes |
16
Facility
16
NC AVG
33
Rank
#407 / 572 |
74.4%
Facility
74.4%
NC AVG
69.9%
Rank
#122 / 246 | A+ | 101.50/200
Facility
101.50/200
NC AVG
92.2
Rank
#103 / 322 | 20 | 80%
Facility
80%
NC AVG
76.2%
Rank
#169 / 335 | Private Rooms / Semi-Private Rooms | |
| Brookdale Robinwood |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Gastonia | 89
Facility
89
NC AVG
76
Rank
#136 / 390 | Yes |
4
Facility
4
NC AVG
33
Rank
#506 / 572 | - | A+ | 91.50/200
Facility
91.50/200
NC AVG
92.2
Rank
#253 / 322 | 17 | 76.5%
Facility
76.5%
NC AVG
76.2%
Rank
#137 / 335 | Private Rooms / Semi-Private Rooms | |
| Sunrise of Cary |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Cary (West Chatham Street) | 85
Facility
85
NC AVG
76
Rank
#146 / 390 | Yes |
34
Facility
34
NC AVG
33
Rank
#271 / 572 |
40.0%
Facility
40.0%
NC AVG
69.9%
Rank
#208 / 246 | A- | 103.50/200
Facility
103.50/200
NC AVG
92.2
Rank
#31 / 322 | 18 | 66.7%
Facility
66.7%
NC AVG
76.2%
Rank
#69 / 335 | Studio / Suite / 1 Bed | |
| Brookdale Dickinson Avenue |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greenville | 76
Facility
76
NC AVG
76
Rank
#181 / 390 | Yes |
38
Facility
38
NC AVG
33
Rank
#235 / 572 |
67.1%
Facility
67.1%
NC AVG
69.9%
Rank
#150 / 246 | A+ | 84.50/200
Facility
84.50/200
NC AVG
92.2
Rank
#285 / 322 | 16 | 87.5%
Facility
87.5%
NC AVG
76.2%
Rank
#274 / 335 | Studio / Suite / 1 Bed | |
| Terrabella Asheboro |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Asheboro (Laurel Wood Hills) | 96
Facility
96
NC AVG
76
Rank
#103 / 390 | Yes |
0
Facility
0
NC AVG
33
Rank
#548 / 572 | - | A+ | 96.50/200
Facility
96.50/200
NC AVG
92.2
Rank
#196 / 322 | 26 | 80.8%
Facility
80.8%
NC AVG
76.2%
Rank
#181 / 335 | Studio / 1 Bed | |
| Chatham Ridge |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill | 91
Facility
91
NC AVG
76
Rank
#129 / 390 | Yes |
33
Facility
33
NC AVG
33
Rank
#280 / 572 | - | A+ | 98.50/200
Facility
98.50/200
NC AVG
92.2
Rank
#168 / 322 | 23 | 87%
Facility
87%
NC AVG
76.2%
Rank
#268 / 335 | Studio / Suite | |
| Brookdale Union Park |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Monroe (Lakeview Estates) | 87
Facility
87
NC AVG
76
Rank
#141 / 390 | Yes |
10
Facility
10
NC AVG
33
Rank
#457 / 572 | - | A+ | 105.50/200
Facility
105.50/200
NC AVG
92.2
Rank
#5 / 322 | 21 | 85.7%
Facility
85.7%
NC AVG
76.2%
Rank
#257 / 335 | Studio / Companion Rooms | |
| Brookdale Union |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Gastonia | 78
Facility
78
NC AVG
76
Rank
#176 / 390 | Yes |
35
Facility
35
NC AVG
33
Rank
#260 / 572 |
100.0%
Facility
100.0%
NC AVG
69.9%
Rank
#1 / 246 | A+ | 98.50/200
Facility
98.50/200
NC AVG
92.2
Rank
#168 / 322 | 28 | 75%
Facility
75%
NC AVG
76.2%
Rank
#120 / 335 | Studio | |
| Brookdale Elizabeth City |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Elizabeth City | 76
Facility
76
NC AVG
76
Rank
#181 / 390 | Yes |
30
Facility
30
NC AVG
33
Rank
#308 / 572 |
28.9%
Facility
28.9%
NC AVG
69.9%
Rank
#229 / 246 | A+ | 99.00/200
Facility
99.00/200
NC AVG
92.2
Rank
#161 / 322 | 20 | 90%
Facility
90%
NC AVG
76.2%
Rank
#298 / 335 | Studio / 1 Bed / 2 Bed | |
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
76
Rank
#180 / 390 | Yes |
12
Facility
12
NC AVG
33
Rank
#440 / 572 |
71.5%
Facility
71.5%
NC AVG
69.9%
Rank
#135 / 246 | A+ | 98.75/200
Facility
98.75/200
NC AVG
92.2
Rank
#167 / 322 | 15 | 80%
Facility
80%
NC AVG
76.2%
Rank
#169 / 335 | Studio / 1 Bed / 2 Bed | |
| Sunrise of Raleigh |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Raleigh (Northwest Raleigh) | 100
Facility
100
NC AVG
76
Rank
#92 / 390 | Yes |
49
Facility
49
NC AVG
33
Rank
#161 / 572 | - | A- | 77.50/200
Facility
77.50/200
NC AVG
92.2
Rank
#297 / 322 | 24 | 79.2%
Facility
79.2%
NC AVG
76.2%
Rank
#161 / 335 | Studio / 2 Bed | |
| Brookdale Wake Forest |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Wake Forest | 70
Facility
70
NC AVG
76
Rank
#197 / 390 | Yes |
54
Facility
54
NC AVG
33
Rank
#124 / 572 |
52.9%
Facility
52.9%
NC AVG
69.9%
Rank
#190 / 246 | A+ | 94.50/200
Facility
94.50/200
NC AVG
92.2
Rank
#225 / 322 | 21 | 85.7%
Facility
85.7%
NC AVG
76.2%
Rank
#257 / 335 | Studio / 1 Bed / 2 Bed | |
| Phoenix Assisted Care |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cary (Parkway Retirement Center) | 120
Facility
120
NC AVG
76
Rank
#46 / 390 | No |
24
Facility
24
NC AVG
33
Rank
#349 / 572 |
52.5%
Facility
52.5%
NC AVG
69.9%
Rank
#191 / 246 | A+ | - | 0.00/200
Facility
0.00/200
NC AVG
92.2
Rank
#306 / 322 | 42 | 85.7%
Facility
85.7%
NC AVG
76.2%
Rank
#257 / 335 | Private Rooms / Semi-Private Rooms |
| Brookdale Durham |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Durham (Northeast Durham) | 119
Facility
119
NC AVG
76
Rank
#60 / 390 | Yes |
9
Facility
9
NC AVG
33
Rank
#462 / 572 |
62.2%
Facility
62.2%
NC AVG
69.9%
Rank
#167 / 246 | A+ | 87.00/200
Facility
87.00/200
NC AVG
92.2
Rank
#276 / 322 | 38 | 92.1%
Facility
92.1%
NC AVG
76.2%
Rank
#311 / 335 | Studio | |
| Brookdale Hickory Northeast |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hickory (16Th Street Northeast) | 88
Facility
88
NC AVG
76
Rank
#137 / 390 | Yes |
31
Facility
31
NC AVG
33
Rank
#294 / 572 | - | A+ | 98.50/200
Facility
98.50/200
NC AVG
92.2
Rank
#168 / 322 | 18 | 72.2%
Facility
72.2%
NC AVG
76.2%
Rank
#106 / 335 | Studio / Suite |
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Overview of Kingswood Reserve
Kingswood Reserve is a senior living facility located in Clayton, North Carolina. It offers a range of services including assisted living, memory care, and independent living, all designed to provide a safe and supportive environment for seniors. The community focuses on personalized care and engagement to enhance the quality of life for its residents.
Piedmont Christian Home is a 93-bed assisted living and memory care center at 1510 Deep River Road, High Point, Guilford County, North Carolina, 3.8 miles from downtown. the facility offers assisted living, memory care, and rehabilitation services with on-site therapy and nutritious dining. CMS Overall Rating is 2 out of 5 stars. Current occupancy is 61 residents from a 93-bed capacity (66 percent).
The facility does not accept Medicaid or Medicare.
The regulatory record spans nine years of severe and persistent deficiencies in medication administration, staff training, facility maintenance, fire safety, infection control, and resident supervision. Over nine years, Piedmont Christian logged 93 deficiencies, averaging 10.3 annually, 98 percent worse than North Carolina’s 5.2-deficiency benchmark. A 2015 biennial construction survey cited five deficiencies related to fire-resistance ratings, hand grips, building equipment, exit signage, and ventilation. An August 2, 2017, annual survey cited three deficiencies: failure to serve required milk, failure to administer medications as ordered, and failure to ensure Special Care Unit staffing.
An August 17, 2017, construction survey cited fourteen deficiencies spanning fire detection and sprinkler protection, exit signage, mold and odors, electrical safety, emergency lighting, fire alarm functionality, and hot water temperature. A September 26, 2019, construction survey cited fourteen deficiencies in unlabeled emergency release switches, corridor obstructions, plumbing hazards, unsafe portable oxygen, inadequate fire safety rehearsals, kitchen hood fire suppression system maintenance, electrical safety, ceiling penetrations, sprinkler system maintenance, door hardware, and ventilation. A June 24, 2020, complaint investigation and COVID-19 infection control survey substantiated deficiencies in staff and resident screening, PPE use, infection control, and staffing levels resulting in 51 resident infections, 13 staff infections, and 12 resident deaths. A December 10, 2020, follow-up survey cited three deficiencies: failure to ensure CPR-trained staff for 24 of 42 shifts, failure to ensure referral and follow-up for residents, and failure to implement fingerstick blood sugar orders.
A March 29, 2021, follow-up and annual survey cited four deficiencies: failure to refer to mental health provider for psychiatric medication management, failure to implement weight monitoring orders, failure to administer medications as ordered for six residents, and inaccurate medication administration records. A March 4, 2022, follow-up and complaint investigation cited six deficiencies: failure to ensure staff had no substantiated findings on the Health Care Personnel Registry, failure to complete criminal background checks for two staff, failure to supervise one resident resulting in 10 falls in 3 months, failure to contact providers timely, medication administration errors, and inaccurate controlled substance records. A June 1, 2022, follow-up survey cited five deficiencies: medication administration errors, failure to ensure self-administration physician orders, failure to store expired medications separately, inaccurate controlled substance records, and failure to enforce COVID-19 mask policies. A February 3, 2023, annual and follow-up survey cited six deficiencies: failure to ensure medication aide exam passage, failure to serve therapeutic diets as ordered, failure to respect resident blood sugar monitoring rights, medication administration errors, failure to maintain medication security, and failure to implement proper glucometer infection control.
A May 10, 2024, annual survey and complaint investigation cited fifteen deficiencies: failure to restrict Special Care Unit window openings, lack of handwashing sinks adjacent to medication storage, malfunctioning climate control, failure to screen for tuberculosis on admission, failure to notify providers of refused insulin doses, failure to implement physician orders, inadequate table service and therapeutic diets, insufficient meal spacing, failure to serve required milk and water, lack of shared bathroom privacy, medication administration errors, inaccurate controlled substance records, and failure to notify guardian within 24 hours. An August 14, 2024, follow-up survey cited five deficiencies: failure to restrict or alarm window openings, failure to secure hazardous cleaning agents, failure to notify providers of elevated blood sugar, failure to ensure self-administration physician orders, and inaccurate controlled substance records. An August 28, 2025, annual inspection cited six deficiencies: failure to restrict window openings, failure to ensure medication aide training and testing, failure to notify provider of compression sock non-compliance, medication administration errors including crushing delayed-release medication, failure to ensure infection control during medication passes, and failure to ensure self-administration physician orders. Occupancy has grown from 19 residents in 2017 to 61 in 2024.
No fines or license suspensions are recorded.
The facility’s 2-star CMS rating combined with a deficiency rate nearly double the state average reflects severe operational deficiencies. The June 2020 COVID-19 infection control failures resulting in 51 resident infections and 12 deaths represent a critical patient safety incident. Recurring deficiencies spanning nine years in medication administration, staff training, facility maintenance, fire safety, window security, and infection control indicate systemic failures unresolved despite multiple corrective action plans. The May 2024 fifteen-deficiency and August 2025 six-deficiency inspections confirm persistence of core failures.
Before placement, families should ask about the June 2020 COVID-19 incident, and systemic safeguards for infection control implemented since, including proper medication pass techniques.
Overview of The Landings of Rocky Mount Mills
The Landings of Rocky Mount Mills is a senior living facility in Rocky Mount, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing personalized care and a supportive environment for residents.
Brookdale Carriage Club Providence II
Overview of Brookdale Carriage Club Providence II
Brookdale Carriage Club Providence is a continuing care retirement community located in Charlotte, North Carolina. It offers independent living, assisted living, memory care, and skilled nursing services all on one campus. Residents enjoy a variety of amenities, including restaurant-style dining and a full calendar of activities.
Overview of Brekenridge Retirement Center
Brekenridge Retirement Center is an independently owned and operated retirement center in Rocky Mount, NC. It offers both Independent Living and Assisted Living, ensuring residents can stay through all phases of care. The center focuses on creating a personalized, loving, and caring home for each resident.
Overview of The Gardens of Nashville
The Gardens of Nashville is a senior living facility located in Nashville, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community is designed to enhance the quality of life for residents with a focus on safety and engagement.
Overview of Seven Lakes Assisted Living
Seven Lakes Assisted Living is a senior living facility located in West End, North Carolina. It offers personalized support for older adults through assisted living and memory care services. The community is designed to provide a safe, secure environment with 24/7 trained staff and a variety of amenities to enhance residents' quality of life.
Overview of Sanford Senior Living
Sanford Senior Living & Sanford Manor is located in the heart of the medical community and convenient to shopping and restaurants. It offers affordable family-style independent and assisted living. The community provides 24/7 awake staff, full meal and dining programs, and other service amenities.
Marion Assisted Living is an adult long term care facility in Marion, NC. It offers a full range of services including assisted living, medication monitoring, and nutritional counseling. The facility has been in continuous operation for over 25 years, providing compassionate care to its residents.
Overview of Magnolia Gardens
Magnolia Gardens is a family-owned and operated assisted living community located in Southern Pines, NC. It offers a quality lifestyle with comfort, support, and activities that enliven the spirit. The community provides personalized assistance with daily activities and features both private and semi-private rooms.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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 428 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.
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