Page 37 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. 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):
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 Cypress of Charlotte
AL
HC
IL
MC
NH
SNF
Charlotte (Beverly Woods)
65
Facility 65
NC AVG 72
Rank #207 / 387
No
15
Facility 15
NC AVG 36
Rank #414 / 536
87.4% --4
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
1 Bed / 2 Bed
Kingswood Reserve
AL
IL
MC
RC
Clayton
66
Facility 66
NC AVG 72
Rank #198 / 387
No--
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
2
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Montgomery Senior Living
AL
MC
RC
Star
54
Facility 54
NC AVG 72
Rank #285 / 387
No
26
Facility 26
NC AVG 36
Rank #339 / 536
51.9% -
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
24
88%
Facility 88%
NC AVG 76.2%
Rank #274 / 333
-
The Drake
AL
MC
RC
Concord
66
Facility 66
NC AVG 72
Rank #198 / 387
No- 37.9%
75.00/200
Facility 75.00/200
NC AVG 92.2
Rank #298 / 321
9
56%
Facility 56%
NC AVG 76.2%
Rank #33 / 333
-
New Hanover House
AL
MC
Wilmington (Echo Farms)
-No
4
Facility 4
NC AVG 36
Rank #506 / 536
-----Private Rooms / Semi-Private Rooms
Oak Forest Health and Rehabilitation Center
AL
HOS
NH
PC
RC
SNF
Winston-Salem
170
Facility 170
NC AVG 72
Rank #7 / 387
No
5
Facility 5
NC AVG 36
Rank #496 / 536
91.1% -----
Cedar Hills Center for Nursing and Rehabilitation
AL
HOS
MC
NH
RC
SNF
Clemmons (Meadowbrook)
94
Facility 94
NC AVG 72
Rank #110 / 387
No
28
Facility 28
NC AVG 36
Rank #328 / 536
89.7% -----
Brookstone Terrace of Greensboro
AL
MC
Greensboro
-Yes
4
Facility 4
NC AVG 36
Rank #506 / 536
-----Studio
The Landings of Rocky Mount Mills
AL
MC
Rocky Mount
60
Facility 60
NC AVG 72
Rank #230 / 387
No
50
Facility 50
NC AVG 36
Rank #150 / 536
--
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
6
67%
Facility 67%
NC AVG 76.2%
Rank #65 / 333
-
Cedar Cove Assisted Living and Memory Care
AL
MC
Wilmington
-No
5
Facility 5
NC AVG 36
Rank #496 / 536
------

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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Overview of The Cypress of Charlotte

Live a wondrous retirement with The Cypress of Charlotte, an astounding community set in the tranquil residential area of Cypress Club Drive, Charlotte, NC, that offers independent living. The community features luxurious and specially designed cottages and villas, providing residents with a wide range of choices for accommodation. Here, residents make the most out of their golden years with the community’s vibrant and inviting environment.

With a full calendar of enriching activities and extensive amenities, residents will not run out of things to do for leisure and wellness. Indulge in delightful and healthy meals through the community’s dining venues available all day. The community is equipped with a fireside bistro, a large community hall, a fitness center, an art studio, a library, and serene outdoor verandas, making it an enticing option for those looking to live independently in their golden years.

Contact The Cypress of Charlotte

Kingswood Reserve

263 Mckenzie Ridge Dr Clayton, Nc 27527, Clayton, NC 27527
Overview of Kingswood Reserve

You can find Kingswood Reserve at 263 Mckenzie Ridge Drive in Clayton, North Carolina, which is a nice town in Johnston County just southeast of Raleigh. This community is ready to help because they have licenses for independent living, assisted living, memory care, and even short-term respite care.

The building is a good size with 66 beds inside, but you should know that the neighborhood has a Walk Score of zero. Since it is considered a place where you need a car to get around, families and residents will need to plan on driving whenever they have errands to run or doctor appointments to keep.

Real nurses and nursing assistants work here every single day, and they stay on duty for 24 hours to make sure everyone is safe. They also offer respite care for people who only need to stay for a little while, and the whole area is fenced and locked so that residents who might get confused and wander off will stay right where they belong.

The staff takes care of the daily chores like cleaning, fixing things, and driving people where they need to go. When it is time to eat, the meals are served like you are at a nice restaurant instead of a school lunchroom, and there are plenty of shared spots to enjoy, such as a library, a fun movie room, and a backyard area for anyone who wants some fresh air.

State inspectors from North Carolina come by without warning to check on these homes, and when they visited Kingswood Reserve, they looked closely at how medicine is given, how records are kept, and how safe the building is for everyone. In the end, Kingswood Reserve is a medium-sized home in Clayton that offers four types of help, and while you do need a car to live there, they provide professional care and a very safe place to stay around the clock.

Contact Kingswood Reserve

Montgomery Senior Living

327 Freeman Street Star, Nc 27356, Star, NC 27356
Overview of Montgomery Senior Living

Montgomery Senior Living is a 54-bed assisted living community in Star, North Carolina, offering assisted living, memory care, and respite care under one roof. The neighborhood is somewhat walkable, with a Walk Score of 26, meaning a few destinations sit within reach on foot while most trips call for a car. The community currently houses 28 residents, running at 52% occupancy.

Care at Montgomery Senior Living covers a range of needs. Licensed nurses and CNAs staff the community, and residents have access to rehabilitation services on site. Respite care is available for families who need short-term coverage while a primary caregiver travels or recovers. The building is wheelchair accessible throughout.

The activities calendar runs 14 or more hours each week. Residents can join Bingo games, group exercise sessions, socials, craft projects, and outings into the surrounding area. That volume of programming means someone looking for structured daily engagement will find it here without hunting for something to do.

State inspections in North Carolina have centered on infection prevention and control along with staffing and staff credentials. These are areas the state examines closely across adult care homes throughout the region.

Montgomery Senior Living fits older adults in the Star area who need daily assistance or memory support in a moderately sized setting, along with families arranging short-term respite stays.

Contact Montgomery Senior Living

The Drake

1195 Drake Mill Lane Sw Concord, Nc 28025, Concord, NC 28025
Overview of The Drake

The Drake sits at 1195 Drake Mill Lane SW in Concord, Cabarrus County, about 20 miles northeast of Charlotte. It’s a 66-bed community offering assisted living, memory care, and a secured living program. The neighborhood is car-dependent, so residents and visiting family will plan around driving rather than walking to nearby errands.

Occupancy currently runs at 25 of the 66 beds, close to 38 percent. Inside, the care model centers on 24-hour staffing and a secured environment for residents who need consistent supervision, paired with respite care for families arranging short-term coverage. Shared spaces include restaurant-style dining, a library, an entertainment room, and an outdoor common area, with housekeeping, transportation, and maintenance handled by staff.

Regulatory reviews of The Drake have centered on medication management, staffing and staff credentials, and fall and injury prevention. Those three categories are the ones state inspectors return to most often when evaluating assisted living communities across North Carolina.

Medicaid coverage is accepted here, giving families a payment pathway for longer stays. Between the secured living setup, the staffing model, and the memory care designation, The Drake is built around residents who need steady oversight and structured support rather than an independent living arrangement.

Contact The Drake

Overview of New Hanover House

New Hanover House, situated in Wilmington, NC, is a senior living community dedicated to providing assisted living and memory care services. The accommodation options they offer include semi-private units with a common entryway, separate bedrooms, individual HVAC, and a shared bathroom, offering residents both furnished and unfurnished apartments. The community prioritizes safety with an emergency call system in bathrooms and bedrooms. Comprehensive healthcare services at New Hanover House encompass respite care, assistance with daily tasks, medication management, on-site therapy services, and the presence of dedicated caregivers 24/7.

The community ensures the well-being of residents with dietitian-approved meals, promoting health and vitality. As for amenities, residents can enjoy a variety of them such as a beauty salon and spa, housekeeping services, inclusive utilities, and transportation to and from medical appointments, providing convenience for residents. New Hanover House also curates engaging activities, including group and one-on-one activities, live and virtual entertainment, group outings, fitness programs, and celebrations for special occasions, creating a dynamic and supportive environment, and fostering a vibrant living experience.

Contact New Hanover House

Overview of Oak Forest Health and Rehabilitation Center

The sister nursing center of The Oaks, Oaks Forest is where residents thrive with the support of quality services for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Specializing in short-term rehabilitation, skilled nursing care, and long-term living– the nursing home aim to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness.

As a proud member of the Liberty Healthcare and Rehabilitation Services, expect Oak Forest to provide a list of comprehensive amenities and services that help make the lives of its residents hassle-free. These include 24-hour licensed supervision, medication services, balanced meals provided, engaging activities scheduled, and specialized programs available.

Contact Oak Forest Health and Rehabilitation Center

Overview of Cedar Hills Center for Nursing and Rehabilitation

With a rich legacy of 75 years in healthcare, Cedar Hills Center for Nursing and Rehabilitation, nestled in the serene suburbs of Clemmons, North Carolina, is a distinguished 93-bed skilled nursing facility. Their commitment extends to short-term and long-term care, further bolstered by a specialized group of full-time rehabilitation specialists dedicated to meeting every senior’s unique needs. The core objective at Cedar Hills is to ensure residents feel like guests and valued members of their extended family. They aim to provide a nurturing and supportive environment where seniors have everything essential for recovery and overall well-being. Experience compassionate care, personalized service, and a supportive community at Cedar Hills Center for Nursing and Rehabilitation – where senior well-being is paramount, and you’re treated as a valued family member.

Cedar Hills recognizes the individuality of each person they serve, understanding that everyone comes with their own set of unique needs. Consequently, they take a personalized approach to each senior resident’s care and rehabilitation journey. With its comprehensive array of services and a team of professionals who genuinely care about senior well-being, Cedar Hills is committed to helping seniors reclaim their lives and embrace their best selves. Cedar Hills offers extensive care services administered by a dedicated team of skilled professionals, ensuring patients receive care with warmth and hospitality reminiscent of family and friends. Here, they pride themselves on creating an environment that feels like a home away from home.

Contact Cedar Hills Center for Nursing and Rehabilitation

Overview of Brookstone Terrace of Greensboro

Serving the community for 20 years, Brookstone Terrace of Greensboro is an assisted living and memory care community on North Elm Street, 5.3 miles from downtown Greensboro in a calm, car-dependent residential area. The home, under the leadership of Executive Director Erin Domian and President Jay Mahan, accommodates occupants in studio apartments in a two-story building and welcomes pets.

The facility specializes in memory care for residents with Alzheimer’s disease and dementia, alongside traditional assisted living for those needing help with daily activities. Short-term respite care exists for family caregivers seeking temporary support. Staff provides a full range of services: housekeeping, on-site physical therapy, and salon services. Transportation is arranged for medical appointments and local destinations. Daily life spotlights engagement and wellness. To keep residents active, the home offers organized social events, exercise programming, and recreational activities. A 24-hour concierge is on duty, and residents can access the library and dining accommodations. The facility operates on a private-pay basis and doesn’t accept Medicare or Medicaid, which families should verify aligns with their financial planning. The nearest hospital, Bethany Medical at Battleground, is around 3 miles away, making urgent care attainable when needed.

The community upholds an A+ rating from the Better Business Bureau, indicating strong business practices and complaint history.

Contact Brookstone Terrace of Greensboro

The Landings of Rocky Mount Mills

1365 River Drive Rocky Mount, Nc 27802, Rocky Mount, NC 27802
Overview of The Landings of Rocky Mount Mills

The Landings of Rocky Mount Mills provides assisted living and memory care in Rocky Mount, North Carolina. The address is 1365 River Drive. A Walk Score of 50 puts the surrounding area in moderately walkable range, so some errands work on foot while others require driving.

Sixty beds is the licensed capacity here. That places the community in the middle of the size range for North Carolina assisted living. Staffing runs 24 hours, which matters for residents who need assistance overnight rather than only during daytime hours.

The memory care side operates as a Secured Living program. This is a protected setting built for residents with dementia or Alzheimer’s disease. Having both levels of care under one roof means a resident whose needs increase may be able to stay in place instead of moving to a different building.

Common areas include a library, an entertainment room, and an outdoor space. Meals are served restaurant-style. The community handles housekeeping, maintenance, and transportation for residents.

North Carolina inspection activity at this community has centered on medication management and staffing credentials, two areas that state regulators examine closely in assisted living settings.

Medicaid is accepted here and, taken with the 60-bed capacity, around-the-clock staffing, and the secured memory care wing, the record here describes a mid-size community equipped to handle both moderate assistance needs and dementia care under one license.

Contact The Landings of Rocky Mount Mills

Overview of Cedar Cove Assisted Living and Memory Care

Cedar Cove Assisted Living and Memory Care sits in Wilmington, North Carolina, on Jasmine Cove Way in a serene, natural setting that many residents and families find peaceful and captivating. It offers assisted living and specialized memory care services under one roof, which allows couples or family groups where one person may need memory care support to cohabit on the same campus.

The home’s location requires a car for most daily errands, as the surrounding area has limited walkable shopping and services. Novant Medical Center is just under a mile away, making it convenient if occupants need medical appointments or urgent care. The facility is about 3.6 miles from downtown Wilmington, putting it between a residential neighborhood setting and proximity to the city’s resources. Daily life highlights activities made to engage occupants, including bingo, movie nights with popcorn, creative sessions, and worship services. Staff are tagged as dedicated and professional, focusing on providing care tailored to each resident’s needs. If a resident’s physician finds skilled nursing care to be necessary, they work closely with the family to arrange a smooth transition.

Families contemplating Cedar Cove Assisted Living and Memory Care may want to schedule a tour to experience the atmosphere personally and see room options and daily programming offered.

Contact Cedar Cove Assisted Living and Memory Care

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.
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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.