Page 39 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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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:

Ivy at Clemmons

6010 Meadowbrook Mall Ct, Clemmons, NC 27012
Overview of Ivy at Clemmons

Ivy at Clemmons is an assisted living community in Clemmons, NC. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps their own apartment. This setting suits someone who needs that support in a residential setting.

Pets are allowed, so a resident can bring a pet with them. The area has a somewhat walkable Walk Score of 51, meaning some errands can be done on foot. A resident who no longer drives can reach certain errands independently.

Contact Ivy at Clemmons

Overview of Mill Creek Center for Nursing & Rehabilitation

The sister home of Willow Valley Center, Mill Creek, is also the premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Mill Creek is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Mill Creek Center for Nursing & Rehabilitation

Overview of Forest at Duke

Forest at Duke offers assisted living and memory care in Durham, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication while allowing residents to maintain their own living space.

Memory care provides a secured setting with supervision for someone living with dementia who may be at risk of wandering. With both care levels available, the community may be a good fit for a resident whose needs could grow over time and who may be able to move to a different level of care without leaving the community.

There are structured ways to stay involved. Programs include classes, lectures, and workshops, giving residents opportunities for learning and participation. Meals can be chosen from four dining venues, while the indoor saline swimming pool, fitness center, art studio, auditorium, and community gardens offer places for exercise, creative activities, events, and gardening.

Transportation is available for residents who need help getting to destinations outside the community. A Walk Score of 42 places the area in a car dependent setting, so most errands require a car or a ride. Forest at Duke also has a salon and spa.

Contact Forest at Duke

Overview of Agape Multi Assisted Housing Service

Tucked in the serene Candlewood Street, Kinston, NC, is the astounding senior living community of Agape Multi Assisted Housing Service providing assisted living. A team of kind and highly skilled professionals helps seniors with daily activities such as bathing and dressing. The community goes above and beyond to deliver top-notch care and assistance for seniors to thrive and live to their potential.

The community promotes a bright and welcoming environment, ensuring residents are happy and well-cared for. Moreover, residents enjoy hassle-free dining with the community assisting in meal preparation with meals catering to dietary needs and tastes. Agape Multi Assisted Housing Service is great for seniors who require extra assistance in their daily living for a worry-free retirement.

Contact Agape Multi Assisted Housing Service

Overview of Salemtowne Retirement Community

Nestled in the picturesque landscape, Salemtowne Retirement Community stands as a tranquil haven for seniors seeking a vibrant and supportive lifestyle in their golden years. With a focus on holistic living, this community provides comfortable residential options, from spacious cottages to cozy apartments, ensuring every resident finds their ideal abode. The community’s commitment to promoting an active and fulfilling retirement is evident in its array of recreational facilities, including fitness centers, walking trails, and creative spaces. Salemtowne Retirement Community stands as more than just a place to reside; it’s a nurturing environment where seniors can embrace each day with enthusiasm and joy.
At Salemtowne Retirement Community, the essence of graceful aging is exemplified through a range of comprehensive services that cater to the evolving needs of its residents. From the assurance of healthcare access to the convenience of on-site dining options, the community places a premium on enhancing the quality of life for its senior members. Professional staff and caregivers are dedicated to providing personalized support, allowing residents to maintain their independence while knowing that assistance is readily available when required. The community’s serene surroundings and thoughtfully designed architecture create an atmosphere of serenity and relaxation, fostering a sense of belonging and security. Rooted in a tradition of respect for individuality and a commitment to well-being,

Contact Salemtowne Retirement Community

Overview of Highland House Rehabilitation & Healthcare

Highland House Rehabilitation & Healthcare, located in Fayetteville, North Carolina, is an exemplary choice for senior care. Their comprehensive services, ranging from short-term rehab to skilled nursing care, cater to a diverse array of needs, ensuring personalized and attentive support. Highland House takes pride in their people-centered approach, where residents receive individualized attention and have access to medical services designed to address their specific requirements, fostering a strong sense of community and belonging.
The facility not only focuses on clinical aspects but also prioritizes residents’ overall well-being. With a wide range of therapies – including occupational, physical, and speech therapy – Highland House aids individuals in their recovery journey, ensuring they regain independence and functional ability. In addition to top-notch medical care, residents can enjoy a vibrant social life within the community. Engaging nursing home activities and a welcoming atmosphere make Highland House a cherished home for seniors. Families searching for nursing homes around them can find comfort in knowing that Highland House offers not only excellent care but also a thriving, supportive community for their loved ones.

Contact Highland House Rehabilitation & Healthcare

Overview of Salemtowne, the Moravian Community

Salemtowne is a not-for-profit Life Plane home that has been one of the trusted communities for years. The professional caregivers ensure that residents don’t have to worry about living alone by encouraging them to engage with others and enrich their knowledge and social life. The independent living and assisted living community strives to create an atmosphere of warmth, respect, and fellowship where seniors feel like they belong in a nurturing environment.
Salemtowne’s resort-style community boasts its quintessential services that essentially make the lives of each resident stress-free so seniors can pursue and continue their interests every day. Community features center on life-enriching and engaging amenities and services such as housekeeping, laundry, social events, recreational activities, fitness classes, medication management, and transportation.

Contact Salemtowne, the Moravian Community

Overview of Well-Spring Retirement Community

Well-Spring Retirement Community in Greensboro, North Carolina isn’t built around one type of resident. The campus covers nursing home care, assisted living, independent living, memory care, and respite care, all in the same place. That matters because it means a move here doesn’t have to be a one-time decision. This way care can shift as a resident’s needs do.

Getting around the area without a car is hard fo residentents and their visitors. The Walk Score lands at 11, car-dependent, which is about as low as that scale goes. Families considering the community may want to plan on driving for most errands.

The memory care side is secured and supervised, set up for residents who need that extra layer of safety day to day. Outside of memory care, there’s rehabilitation, skilled nursing, short-term rehab, and respite stays for people who need a temporary place to recover rather than a permanent one.

A community garden, an aquatic and fitness center, a woodworking shop, and art studios all point toward a campus built for residents who want to stay active, not just supervised. There’s also a theatre on-site, and Well-Spring Solutions runs home care services tied to the community for residents who need support outside the main campus.

This is a full-continuum setup: it works for families who want one place that can handle independent living now and skilled nursing or memory care later, without starting the search over.

Contact Well-Spring Retirement Community

Overview of The Residences at the Davis Community

Offering independent living within a full continuum of care, The Residences at the Davis Community is a senior living community in Wilmington, North Carolina. The larger campus provides services ranging from independent living to skilled nursing, allowing residents to move between care levels as their needs change. The Residences includes 11 apartment-style homes and 2 cottage-style homes for residents who want private living with nearby support.

Residents can choose one-bedroom or two-bedroom residences. Each home includes a living room, modern kitchen, dining area, and a walk-in dressing room connected to a private bathroom. Home repairs and housekeeping are included, allowing residents to spend less time on household upkeep. A 24-hour security and emergency response system provides added peace of mind. Property taxes and utilities are also included in the monthly rent to make budgeting more predictable.

The community is located in the Porters Neck Road area of Wilmington, about 8.8 miles from the city center. The car-dependent area has a Walk Score of 3 out of 100. Residents and visiting family should drive for most errands and outings. That tradeoff may be worthwhile for those who prefer a quieter suburban setting over a walkable downtown neighborhood.

Families looking for an independent living option should ask how the campus-wide continuum of care works. Having independent living through skilled nursing on one campus can make it easier for residents to transition to a different level of care without relocating.

Contact The Residences at The Davis Community

Overview of Joyful Living Group Home

Joyful Living Group Home is an assisted living community in Fayetteville, NC, in the Seventy-First neighborhood. Assisted living offers help with daily tasks such as dressing, bathing, and medication management while supporting residents in maintaining as much daily independence as possible.

The home is single-story. The surrounding area has a Walk Score of 33 out of 100 and is car-dependent, so most errands require a car or ride; residents who no longer drive will generally need transportation for shopping, pharmacy trips, and other errands.

Contact Joyful Living Group Home

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.