Page 37 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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Last updated
We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every assisted living provider in North Carolina.
403 homes
Other senior care options in North Carolina:

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-ranked to lowest-ranked based on our 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Caswell House
AL
MC
RC
Yanceyville
100
Facility 100
NC AVG 70
Rank #61 / 328
No-
46.0%
Facility 46.0%
NC AVG 68.5%
Rank #139 / 186
D--
The Commons At Brightmore
AL
CCRC
IL
MC
Wilmington (Brightmore Liberty)
-Yes
27
Facility 27
NC AVG 34
Rank #219 / 373
--Studio / Suite
The Kempton At Brightmore
AL
CCRC
IL
MC
Wilmington (Brightmore Liberty)
-Yes
22
Facility 22
NC AVG 34
Rank #239 / 373
--Studio / 1 Bed
PruittPlace – Winston Salem
AL
MC
Winston-Salem (Oak Crest)
-Yes
24
Facility 24
NC AVG 34
Rank #230 / 373
--Studio / 1 Bed
Franklin Manor
AL
MC
NH
RC
SNF
Youngsville
-No
21
Facility 21
NC AVG 34
Rank #246 / 373
--Private / Semi-Private
Carolina Meadows
AL
HC
MC
NH
SNF
Chapel Hill
-No
10
Facility 10
NC AVG 34
Rank #309 / 373
--1 Bed / 2 Bed
Glen Haven Huntersville
AL
MC
Huntersville
6
Facility 6
NC AVG 70
Rank #278 / 328
No---Private Rooms
Tower of Blessing A Refuge to Seek
AL
Chapel Hill
-No
18
Facility 18
NC AVG 34
Rank #265 / 373
--Private / Shared Rooms
Forest Heights
AL
Winston-Salem
-No
58
Facility 58
NC AVG 34
Rank #58 / 373
---
The Pavilion Health Center at Brightmore
AL
HOS
NH
PC
RC
SNF
Charlotte (Provincetowne)
108
Facility 108
NC AVG 70
Rank #49 / 328
No
20
Facility 20
NC AVG 34
Rank #251 / 373
94.9%
Facility 94.9%
NC AVG 68.5%
Rank #36 / 186
C-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NC assisted living community we track that reports that metric, not just the 403 on this page. See how we rank facilities

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Overview of The Stewart Health Center

Thrive in your golden years with The Stewart Health Center, an excellent community in Charlotte, NC, offering short-term rehabilitation, long-term care, and memory care. Their excellent care team consists of nurses, doctors, specialists, and support team members to ensure residents receive well-rounded care and support. The community features 67 private rooms & 6 shared rooms that foster privacy and safety, alongside an outstanding staff-to-resident ratio that guarantees personalized care and high-level supervision.

With the help of their dedicated recreation specialist, the community provides residents with a wide selection of fun and engaging activities to enjoy and participate in. To ensure residents are receiving proper nourishment, the community has a talented culinary team to serve residents delicious and nutritionally balanced meals. The community also has access to physical, occupational, and speech therapy, ensuring residents recovering from hospitalization can get back on their feet as quickly as possible. The Stewart Health Center provides a relaxing, healing environment with plenty of opportunities for fun and recreation.

Contact The Stewart Health Center

Caswell House

535 Us Highway 158 West Yanceyville, Nc 27379, Yanceyville, NC 27379
Overview of Caswell House

Caswell House serves residents in Yanceyville, North Carolina, by offering assisted living, memory care, and temporary respite stays. Personal care staff assist residents with routine tasks like dressing, bathing, and managing medications in private living spaces. For individuals experiencing memory loss, a secured wing prevents wandering through continuous supervision, while short-term respite care accommodates family members who need temporary relief from caregiving duties.

This 100-bed residence accepts Medicaid, creating a viable financial pathway for long-term stays. Daily life includes dietitian-approved, restaurant-style meals tailored to specific dietary requirements, along with access to a library, TV lounge, and outdoor patio areas. Local transportation services eliminate the need for residents to arrange independent transit for appointments or errands.

Prospective residents exploring regional care options can connect with Caswell House to discuss Medicaid eligibility, evaluate room layouts, or schedule a site visit.

Contact Caswell House

Overview of The Commons at Brightmore

The Commons at Brightmore, situated in Wilmington, NC, is a senior living community offering both assisted living and memory care services. The community provides two living arrangements in Paraklay Way; featuring large closets, private, and companion rooms that allow ample floor space for personal items and design touches. Companion rooms share a full bath, and if desired, the community furnishes a bed, dresser, and nightstand at no additional charge. The built-in emergency call system ensures quick assistance is always within reach. Additionally, Azalea Hall provides similar living arrangements with personalized care and the same commitment to resident well-being.

In terms of healthcare services, The Commons at Brightmore offers minimal to substantial assistance with activities of daily living, safety monitoring and oversight, and personalized care plans. The community maintains a highly-trained care staff available 24 hours a day, ensuring residents receive the support they need. Medication administration is also part of the comprehensive healthcare services provided. Residents enjoy a range of amenities, including three chef-prepared meals daily with therapeutic diets available, secured memory support activities with designated courtyards, and housekeeping and laundry services.

Starting Price $6,356/Month

Contact The Commons At Brightmore

Overview of The Kempton at Brightmore

Administered by Melissa Crouch, The Kempton at Brightmore is a senior living community in the Brightmore Liberty neighborhood of Wilmington, North Carolina. It offers assisted living, independent living, and memory care. The community is about 1 mile from the city center. The multiple levels of care in one location allow residents to transition between services as their needs change without relocating. The three-story community offers studio and one-bedroom floor plans ranging from about 360 to 525 square feet.

Residents can personalize their apartments with their own furniture and décor. For those who prefer not to bring furniture, the community provides a bed, dresser, and nightstand at no additional cost. Each residence includes individual heating and air conditioning controls and a kitchenette with a mini refrigerator. There’s also a space for a personal microwave, a private bathroom with a handheld shower and fold-down seat, and an in-room emergency call system for quick assistance.

Residents receive 24-hour supervision, medication administration and management, and assistance with light activities of daily living. The community also follows infection prevention and control practices, including contact tracing and isolation procedures when needed.

Three chef-prepared meals are served each day in the private dining room and country kitchen. Amenities on-site include a beauty salon and barber shop. Residents can also access housekeeping, laundry services, transportation, and fitness and recreation programs. The community welcomes pets. Activities here focus on social, spiritual, intellectual, and physical wellness through events such as musical performances, gourmet chef demonstrations, and card games.

The car-dependent area has a Walk Score of 22. Most errands require a vehicle, and nearby walkable options are limited. Families should plan to drive for shopping, dining, and appointments.

Contact The Kempton At Brightmore

Overview of PruittPlace – Winston Salem

PruittPlace – Winston Salem is an assisted living community in Winston-Salem, NC, offering personal care and memory care. Prioritizing older adults’ comfort and well-being, the community maintains a warm, home-like environment. 24-hour assistance, round-the-clock maintenance, restaurant-style dining, housekeeping, and laundry, as well as on-site professional nurses, are provided to improve residents’ living experiences. With personalized care plans, the community provides the best possible care tailored to residents’ unique needs and habits.

Arts and crafts, board games, and active games foster socialization and help improve residents’ cognition. For residents’ leisure and wellness, a beauty salon/ barber shop, an activity area, a theater, and an exercise room are just some of the available on-site amenities. With public transportation nearby, the community is easily accessible. This assisted living community is a great choice for senior living in North Carolina, as it has dedicated services.

Contact PruittPlace – Winston Salem

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

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

Overview of Glen Haven Huntersville

Offering personal care and memory care, Glen Haven Huntersville is an assisted living community in Huntersville, North Carolina, with an intimate 6-bed capacity. As a recently built community, it provides private bedrooms with en-suite bathrooms for older adults’ comfort. Family-style dining, medication management, and assistance with activities of daily living are also provided to improve residents’ living experience. The community also features a 3:1 caregiver ratio to ensure residents receive the utmost attention and care.

Family-style activities and wellness programs promote active living and encourage socialization. Spacious outdoor areas are also available, ensuring residents can move around. It is also set in a quiet neighborhood in Huntersville, ensuring residents have easy access to amenities. Glen Haven Senior Living is open daily from 9 A.M. to 6 P.M.

Contact Glen Haven Huntersville

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

Forest Heights

2500 Polo Ridge Court, Winston-Salem, NC 27106
Overview of Forest Heights

Forest Heights offers assisted living in Winston-Salem, NC, with help available for daily tasks such as dressing, bathing, and taking medication while residents keep their own apartments. The area is somewhat walkable, so some errands are possible on foot. A resident who no longer drives may be able to manage select nearby errands independently.

Contact Forest Heights

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.