Page 4 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. 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.
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.
Our Promise Care Homes at Wake Drive
AL
RESC
Wake Forest (Home Garden)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
40
Facility 40
NC AVG 36
Rank #226 / 536
100.0% -
99.50/200
Facility 99.50/200
NC AVG 92.2
Rank #145 / 321
6
50%
Facility 50%
NC AVG 76.2%
Rank #21 / 333
Private Rooms
Cadence Mooresville by Cogir
AL
MC
Mooresville
96
Facility 96
NC AVG 72
Rank #89 / 387
Yes
15
Facility 15
NC AVG 36
Rank #414 / 536
100.0% -
94.50/200
Facility 94.50/200
NC AVG 92.2
Rank #224 / 321
23
70%
Facility 70%
NC AVG 76.2%
Rank #88 / 333
Studio / Suite
Heartfields at Cary
AL
MC
Cary
97
Facility 97
NC AVG 72
Rank #88 / 387
Yes
60
Facility 60
NC AVG 36
Rank #72 / 536
79.4% -
97.50/200
Facility 97.50/200
NC AVG 92.2
Rank #185 / 321
32
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 333
Studio / 2 Bed
Navion of Rocky Mount
AL
MC
Rocky Mount (Northgreen)
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
37
Facility 37
NC AVG 36
Rank #245 / 536
100.0% -
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
21
81%
Facility 81%
NC AVG 76.2%
Rank #189 / 333
Suite
Morningside of Raleigh
AL
MC
Raleigh (University Park)
110
Facility 110
NC AVG 72
Rank #60 / 387
Yes
44
Facility 44
NC AVG 36
Rank #200 / 536
33.6% A+
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
32
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
Studio / Suite / 1 Bed
Brighton Gardens of Winston-Salem
AL
HOS
MC
RC
Winston-Salem
115
Facility 115
NC AVG 72
Rank #53 / 387
Yes
47
Facility 47
NC AVG 36
Rank #176 / 536
100.0% A+
73.75/200
Facility 73.75/200
NC AVG 92.2
Rank #299 / 321
32
88%
Facility 88%
NC AVG 76.2%
Rank #274 / 333
Studio / 1 Bed
Clemmons Village I- Memory Care
AL
MC
Clemmons
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
26
Facility 26
NC AVG 36
Rank #339 / 536
100.0% A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 321
20
85%
Facility 85%
NC AVG 76.2%
Rank #246 / 333
Studio / 2 Bed
Capital Nursing And Rehabilitation Center
AL
HOS
NH
PC
RC
SNF
Raleigh (East Raleigh)
125
Facility 125
NC AVG 72
Rank #28 / 387
No
43
Facility 43
NC AVG 36
Rank #207 / 536
80.5% ---5
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Autumn Care of Statesville
AL
HOS
MC
NH
RC
SNF
Statesville (Eastfield Estates)
103
Facility 103
NC AVG 72
Rank #74 / 387
No
34
Facility 34
NC AVG 36
Rank #272 / 536
94.6% ---4
75%
Facility 75%
NC AVG 76.2%
Rank #121 / 333
-
Briar Creek Health Center at The Barclay at SouthPark
AL
IL
MC
NH
RC
SNF
S Charlotte (Beverly Woods)
6
Facility 6
NC AVG 72
Rank #335 / 387
No
30
Facility 30
NC AVG 36
Rank #309 / 536
76.7% -----Studio / 1 Bed

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 Our Promise Care Homes at Wake Drive

Wake Forest, North Carolina is home to Our Promise Care Homes at Wake Drive, a six-bed residential care property operating on a single level. The single-story layout eliminates any need for stairs, providing a functional design for residents with physical mobility limitations. The home features private bedrooms for each individual and operates at full capacity with all six beds occupied.

The local neighborhood carries a walkability score of 40 out of 100, indicating that while a few nearby services are accessible on foot, a car is necessary for most daily shopping and errands. On-site care features clinical oversight, with a staff doctor, licensed nurses, and certified nursing assistants delivering physical support, medication administration, and rehabilitation services.

For spiritual and social routines, the house includes an on-site chapel and hosts scheduled religious services. Historical state inspections have monitored standard residential care practices, including personal care assistance, medication tracking, fire safety equipment readiness, and general building cleanliness.

Prospective representatives can contact the administrative team to be placed on the current bedroom waiting list and review the monthly fee structure.

Contact Our Promise Care Homes at Wake Drive

Overview of Cadence Mooresville by Cogir

An idyllic senior living community residing in the tranquil neighborhood of East Waterlynn Road, Mooresville, NC, that offers assisted living and memory care. Live your best years embraced by beautiful and inviting residences including a wide array of private studio and one-bedroom apartments. A kind and compassionate team strives to deliver the highest quality of care and support that best matches seniors’ needs and interests.

Learn something new and hone your acquired skills with engaging activities and exciting programs for leisure and well-being. Eat well and feel your best with healthy and delicious meals served for seniors’ dietary needs and satisfaction. Surround yourself with beautiful garden views and a serene environment with Cadence Mooresville by Cogir for a glorious retirement.

Contact Cadence Mooresville by Cogir

Overview of Heartfields at Cary

Heartfields at Cary envisions memory care that goes beyond mere accommodation – it’s about fostering love, connection, and meaningful engagement. The community is situated in Cary, NC, and boasts elegant living and communal spaces with just the right touch of warmth. The vision is to create an environment where residents love their surroundings, the people they’re with, and the activities they engage in. Heartfields at Cary aims to be a place where families reconnect, fostering a sense of community and shared experiences.

In addition to its vibrant living spaces, Heartfields at Cary is committed to providing top-notch Memory Care through Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program. The community prioritizes familiarity, safety, and comfort, offering individualized attention with recreational and occupational therapy. Residents can enjoy restaurant-style dining, a spacious activity center, various social and recreational events, and even access a full-service barber and beauty salon. The Memory Care apartments at Heartfields at Cary are designed to be safe, secure, and comfortable, with a range of options, including studio and companion apartments.

Contact Heartfields at Cary

Overview of Navion of Rocky Mount

Located in the peaceful community of Rocky Mount, NC, the Navion of Rocky Mount is a trusted senior living community offering assisted living services. Here, residents can select from a wide range of accommodations including one-bedroom and two-bedroom. With its trained and engaging team, this community renders an emergency response team and round-the-clock personalized care services.

Committed to delivering high-quality amenities and services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and social events. Meet new companions and share meaningful memories within the beautiful spaces of this community. At the Navion of Rocky Mount, seniors can truly acquire an empowering retirement.

Contact Navion of Rocky Mount

Overview of Morningside of Raleigh

A 35-year-old assisted living and memory care community at 801 Dixie Trail in the University Park neighborhood of Raleigh, North Carolina, is Morningside of Raleigh. The single-story facility offers an array of housing options: studios, suites, and one-bedroom units, designed to serve occupants across different care needs and preferences. The 110-bed home currently operates at 34 percent occupancy.

The University Park location has a residential feel with a Walk Score of 44. In turn, residents and visiting families will find that some nearby services are walkable, but most trips require transportation. This quiet neighborhood setting fits those preferring a slower pace over a busy commercial area. Morningside of Raleigh’s dual-service model, supplying assisted living and memory care, allows it to cater to occupants at different stages of need. The one-story design excludes barriers like stairs and elevators, making daily movement here accessible for older adults with mobility worries.

For over three decades, the facility has operated in this community, establishing itself as a longstanding option for families seeking senior living in Raleigh. The current census of 37 residents mirrors available capacity for those exploring the community or transitioning into assisted living or memory care.

Contact Morningside of Raleigh

Overview of Brighton Gardens of Winston-Salem

Brighton Gardens of Winston-Salem is a senior living community situated in a prime Winston-Salem, North Carolina location, offering a personalized lifestyle where residents can enjoy time with friends and neighbors doing what brings them joy. The community provides room rates starting at $3,040 per month and is committed to championing residents’ quality of life, providing empathy, support, education, and comfort. With around-the-clock, relationship-based care, Brighton Gardens of Winston-Salem delivers a tailored experience to meet each individual’s unique needs and preferences, infusing their days with a healthy dose of fun.

The community features a beautifully decorated environment that welcomes pets with open arms and lots of love, offering a wide range of engaging activities such as balloon volleyball, water pong, music and manicures, and brain games on the porch. Residents can participate in passion-driven, resident-inspired clubs, including walking, card playing, baking, and crafting, while enjoying a diverse menu with options like high fiber, high calcium, low sodium, low fat, or vegetarian meals. Conveniently located in Winston-Salem, NC, on the corner of Reynolda and Polo roads, Brighton Gardens of Winston-Salem is near Reynolda Gardens, movie theaters, shopping, and dining, with residents frequently enjoying community outings to nearby shopping, dining, museums, Salem Lake, and Quarry Park. The community is also close to medical support at Forsyth Hospital and Wake Forest Baptist Hospital, ensuring comprehensive care for its residents.

Contact Brighton Gardens of Winston-Salem

Overview of Clemmons Village I- Memory Care

Clemmons Village I- Memory Care is a licensed assisted living community that offers everything Forsyth County seniors desire in an inviting setting on the outskirts of Winston-Salem in Clemmons, North Carolina. For seniors facing Alzheimer’s or dementia, the Revere Memory Care℠ provides specialized care with a lifestyle focus, all within a secure community that truly feels like home.

With 62 rooms, Cadence at Clemmons is undergoing a lifestyle renaissance, emphasizing wellness programming, nutritional dining, and engaging activities tailored to resident preferences. Discover the Southern charm and serenity of Cadence at Clemmons.

Contact Clemmons Village I- Memory Care

Overview of Capital Nursing and Rehabilitation Center

Capital Nursing and Rehabilitation Center is an award-winning senior living community in Holston Lane, Raleigh, NC, that is dedicated to improving seniors’ quality of life and provides a wide array of care services. These include short-term rehabilitation, skilled nursing, outpatient therapy, hospice care, palliative care, respite care, and long-term care. A team of compassionate and highly trained professionals welcomes seniors and takes care of their needs and aspirations.

Remain well-engaged and do the things you enjoy with a well-thought-of calendar of enriching activities and exciting programs. Filled with extensive amenities, Capital Nursing and Rehabilitation Center strives to provide a comfortable and safe retirement for seniors to thrive and live their lives to the fullest.

Contact Capital Nursing And Rehabilitation Center

Overview of Autumn Care of Statesville

Recognized as the leading center for short-term rehabilitation, long-term skilled nursing care, and respite care in Statesville, North Carolina, Autumn Care of Statesville boasts a long-standing legacy of providing care with compassion and empathy to seniors. With a history of care, this community is committed to every senior’s well-being.

Autumn Care of Statesville is renowned for its specialized programs and personalized care plans to achieve the best possible outcomes for each resident. This community prioritizes individualized senior care to enhance residents’ physical and emotional well-being. Whether it’s short-term services or long-term care, their team is dedicated to addressing the unique needs of every senior. Experience the dedication and personalized care that has been the hallmark of Autumn Care of Statesville for years, where your well-being is their top priority.

Contact Autumn Care of Statesville

Overview of Briar Creek Health Center at the Barclay at SouthPark

Enjoy a seamless transition between care levels in Briar Creek Health Center at the Barclay at SouthPark, a distinguished community in Charlotte, NC offering an array of care services. They provide access to assisted living, memory care, rehabilitation, and skilled nursing under one campus. The community also offers respite care to help family caregivers who need a break from caring for their loved ones, giving them their much-deserved rest and vacation.

With personalized care plans, daily living assistance, and personal care support, residents find plenty of free time to enjoy their passions and make new friends. Housekeeping services are also offered so residents can fully enjoy the community’s vibrant activities and thoughtful amenities like a salon and cozy sun room. At Briar Creek Health Center at the Barclay at SouthPark, residents are inspired and equipped to live their golden years fully.

Contact Briar Creek Health Center at The Barclay at SouthPark

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.