Page 4 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 404 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.
404 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. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
Brookdale Elizabeth City
AL
MC
Elizabeth City
76
Facility 76
NC AVG 70
Rank #141 / 328
Yes
30
Facility 30
NC AVG 34
Rank #199 / 373
28.9%
Facility 28.9%
NC AVG 68.5%
Rank #169 / 186
A+
99.00/200
Facility 99.00/200
NC AVG 92.7
Rank #149 / 291
9
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Brookdale Dickinson Avenue
AL
MC
Greenville
76
Facility 76
NC AVG 70
Rank #141 / 328
Yes
38
Facility 38
NC AVG 34
Rank #147 / 373
67.1%
Facility 67.1%
NC AVG 68.5%
Rank #104 / 186
A+
84.50/200
Facility 84.50/200
NC AVG 92.7
Rank #259 / 291
7
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / Suite / 1 Bed
Parkview Retirement Center, Inc.
AL
IL
Sanford (Brookwood)
116
Facility 116
NC AVG 70
Rank #39 / 328
No
18
Facility 18
NC AVG 34
Rank #265 / 373
58.6%
Facility 58.6%
NC AVG 68.5%
Rank #123 / 186
A+
95.50/200
Facility 95.50/200
NC AVG 92.7
Rank #193 / 291
5
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
1 Bed / 2 Bed / 3 Bed / Private / Semi-Private Rooms
Charter Senior Living of Charlotte
AL
MC
RC
Charlotte (Wendover - Sedgewood)
104
Facility 104
NC AVG 70
Rank #53 / 328
Yes
22
Facility 22
NC AVG 34
Rank #239 / 373
68.3%
Facility 68.3%
NC AVG 68.5%
Rank #101 / 186
A+
90.75/200
Facility 90.75/200
NC AVG 92.7
Rank #234 / 291
14
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 1 Bed
Our Promise Care Homes at Wake Drive
AL
RESC
Wake Forest (Home Garden)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
40
Facility 40
NC AVG 34
Rank #140 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
2
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Private Rooms
Harmony at Greensboro
AL
IL
Greensboro (British Woods)
92
Facility 92
NC AVG 70
Rank #94 / 328
Yes
37
Facility 37
NC AVG 34
Rank #154 / 373
43.5%
Facility 43.5%
NC AVG 68.5%
Rank #142 / 186
A+
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
8
88%
Facility 88%
NC AVG 91.8%
Rank #52 / 301
-
Kerner Ridge
AL
MC
Kernersville
66
Facility 66
NC AVG 70
Rank #171 / 328
No
28
Facility 28
NC AVG 34
Rank #212 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
100.50/200
Facility 100.50/200
NC AVG 92.7
Rank #119 / 291
8
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio
Divine Family Care Homes
AL
HC
Franklinton
6
Facility 6
NC AVG 70
Rank #278 / 328
No
6
Facility 6
NC AVG 34
Rank #333 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
A+
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
7
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Private / Semi-Private Rooms
Brookdale Reynolda Road
AL
Winston-Salem
72
Facility 72
NC AVG 70
Rank #151 / 328
Yes
42
Facility 42
NC AVG 34
Rank #130 / 373
66.7%
Facility 66.7%
NC AVG 68.5%
Rank #106 / 186
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
10
90%
Facility 90%
NC AVG 91.8%
Rank #78 / 301
Studio / 2 Bed
Brookdale Asheville Overlook
AL
Asheville
79
Facility 79
NC AVG 70
Rank #133 / 328
Yes
48
Facility 48
NC AVG 34
Rank #106 / 373
57.0%
Facility 57.0%
NC AVG 68.5%
Rank #126 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
7
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Private Room / Shared Room

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 404 on this page. See how we rank facilities

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Overview of Parkview Retirement Center

We are Sanford’s only retirement community to offer several types of senior living. Located on thirty-three acres of beautiful land across from Kiwanis Park in Sanford.

At Parkview we are dedicated to providing you with the finest services and features available at an affordable rate and no entrance fee or buy in. Our complex offersIndependent Living Apartments, Secure Wing, and Assisted Living. We are still Locally Owned and Operated. We have set the standard for quality care at affordable prices for over 37 years.

We offer Large Private Rooms and Semi-Private Rooms throughout our Main Assisted Living Facility. These rooms are equipped with either a private bathroom or a shared bathroom. Our main facility also offers Round the clock care with a Nurse on duty 24 hours a day, Assistance with all personal care as needed, Call Bell System in every room, Full Generator Service for Power Failure, Full Sprinkler/Fire System throughout, Spaces for Outdoor and Indoor Gatherings, Vibrant Social Activities, Lots of Outside Community Programs Visit the main building monthly, there are beauty salon services offered on site for those residing in our main building, along with daily room housekeeping and laundry. We are proud to offer delicious Home-cooked meals to our residents.

Our Independent Living Apartments are located outside the main facility on the grounds and offer one bedroom/one bathroom, two bedroom/two bathroom, and/or three Bedroom/two Bathroom Units with spacious closets. All of the Apartment Units are Handicap Accessible with Safety Bath or Showers to help maintain your independence. There is an emergency call bell/pull station located in every unit. There is a social/activity group just for the Apartments. Meals are delivered daily to the individual apartments, and our staff provides one hour a week housekeeping for each unit.

Visit with us today and discover what your new home will feel like!! Be a part of our Parkview Family.

Contact Parkview Retirement Center, Inc.

Overview of Charter Senior Living of Charlotte

With consistent accolades in praise of top-tier memory care services, Charter Senior Living of Charlotte offers personalized support for those with Alzheimer’s and dementia, carefully crafting the Flourish℠ care program to effectively suit every need of the individual, in a way that only Charter can. Spearheaded by an expert team, Flourish℠ cares with compassion, empowers a purposeful living, and bolsters the dignity of those facing these trying conditions.

Facilities are also gold standard, with memory care private homes designed specifically to make Alzheimer’s and dementia residents feel safe and at peace, with both everyday and recreational needs covered. Stepping outside onto the lush landscape of Charter, family members and residents themselves can explore with confidence thanks to 24/7 security focused on their well-being.

Contact Charter Senior Living of Charlotte

Overview of Brookdale Dickinson Avenue

Tucked away in the quiet neighborhood of Greenville, NC, Brookdale Dickinson Avenue is an exceptional senior living community that offers assisted living and memory care, ensuring a seamless transition when residents need further care. Offering a variety of floor plans with large windows that let in abundant natural light, residents have plenty of options to find the comfortable residence that matches their tastes and needs. Residents receive the proper care and support with a team available 24/7 for emergencies and care associates trained to provide care to residents dealing with cognitive challenges.

Committed to giving residents a holistic senior living experience, Brookdale Dickinson Avenue conducts engaging activities and programs, complemented with various services like housekeeping, transportation and personal care. Residents can have coffee chats with friends at the refreshing porch or garden or create new recipes with other residents at the community kitchen. With a culinary team serving three nutritious restaurant-style meals and several snacks daily, residents are guaranteed to receive the nourishment they need to do the things they love or explore new hobbies.

Contact Brookdale Dickinson Avenue

Overview of Kerner Ridge

Offering assisted living and memory care in one setting, Kerner Ridge serves seniors in Kernersville, North Carolina. The community is part of the Navion Senior Solutions network. It is about 1. 5 miles from the city center. Novant Health Kernersville Medical Center is roughly 3. 5 miles away, giving residents fairly close access to hospital care.

Kerner Ridge is a single-story community that has been operating for 26 years. It provides studio housing across 66 beds. The community is now fully occupied, which points to steady local demand.

The surrounding area has a Walk Score of 28. This means the neighborhood is somewhat walkable. Some nearby errands may be reached on foot, while most outings will need a drive.

Daily life includes access to a recreational room and transportation services. Residents also benefit from in-house maintenance support. Wellness activities and social programming support residents’ engagement. Seasonal menus are served daily.

North Carolina inspections have most often focused on medication records and medication administration practices. An earlier facility survey also noted maintenance and fire-safety-system items. Families who tour may want to ask how these areas are handled today.

Because Kerner Ridge offers assisted living and memory care under one roof, it may fit changing care needs. Families may find it practical when they want one setting that can adjust over time.

Contact Kerner Ridge

Overview of Harmony at Greensboro

Operating for eight years, Harmony at Greensboro is a 92-bed residential community on Whitehurst Road in Greensboro, North Carolina. With occupancy at 43 percent, the home has availability for prospective occupants.

The location sits in a somewhat walkable area, with a Walk Score of 37. This means some nearby services can be reached on foot, though most errands require transportation.
The community is conveniently set for access to Greensboro’s surrounding neighborhoods and services.

It’s encouraged that those considering Harmony at Greensboro visit in person to see the community firsthand, tour available accommodations, and learn more regarding daily programming and services.

Contact Harmony at Greensboro

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

Divine Family Care Homes

45 Cannady Way, Franklinton, NC 27525
Overview of Divine Family Care Homes

Live blissfully at Divine Family Care Homes, an idyllic retreat in Youngsville, NC, offering assisted living. Residents can keep their peace of mind with a compassionate and well-trained team, providing exceptional care for their daily living activities 24/7. Featuring purposely built and secure accommodations, the community guarantees the utmost comfort and safety.

Residents have fun and live actively with a carefully thought-out calendar of engaging activities and enriching programs. Mealtimes promote social interactions and satisfy dietary needs with delightful and well-balanced dining options. The community is ideal for those needing assistance to live comfortably in retirement, especially with its top-notch services and well-maintained amenities.

Contact Divine Family Care Homes

Overview of Brookdale Reynolda Road

Brookdale Reynolda Road, located in Winston-Salem, North Carolina, offers luxury assisted living for those seeking an engaging and fulfilling lifestyle. Residents here can choose from a range of comfortable apartments, including studios and two-bedroom companion suites, all with large windows to let in abundant natural light. The community features an ever-changing activity calendar, private apartments that respect personal space, and delicious home-cooked meals served in a restaurant-style setting.

Balancing care with independence, Brookdale Reynolda Road supports residents with daily needs such as dressing and bathing, allowing them to focus on enjoying life. With ample time to participate in fitness classes, cooking demonstrations, and other engaging activities, residents experience a vacation-like atmosphere. The community ensures peace of mind with 24/7 availability of staff to respond to any emergencies.

Contact Brookdale Reynolda Road

Overview of Brookdale Asheville Overlook

Located in Asheville, NC, Brookdale Asheville Overlook offers a vibrant senior living community offering assisted living. Residents here can enjoy spacious, pet-friendly apartments filled with natural light and a sense of tranquility, away from the city’s hustle. Surrounded by North Carolina’s famous forests and the Great Smoky Mountains, residents enjoy a scenic and relaxing mountain view that provides a healing and peaceful environment, along with 24-hour emergency support from a dedicated team.

At Brookdale Trillium Crossing, seniors can start their day with a coffee on the porch and choose from a variety of activities designed to enhance their well-being. Whether it’s joining a fitness class, or participating in relaxing outdoor recreations like biking, hiking, and fishing, there’s something for everyone. The community’s dining program offers nutritious, chef-prepared meals in a restaurant-style setting, tailored to residents’ preferences and dietary needs. Recognized as Best Assisted Living by U.S. News and World Report, the community guarantees a welcoming environment supported by high-quality care.

Contact Brookdale Asheville Overlook

Overview of Brookdale Elizabeth City

Located in the beautiful city of Elizabeth City, NC, Brookdale Elizabeth City is a welcoming senior living community, offering assisted living and memory care. The community provides personalized assistance with daily activities such as bathing, dressing, housekeeping, and meals. Residents can enjoy various activities, including crafting classes in the arts and crafts studio, buddy walks, and engaging games like bingo and trivia. With multiple pet-friendly floor plans and basic utilities included, seniors can enjoy a worry-free lifestyle.

Brookdale Elizabeth City is dedicated to enhancing the quality of life for its residents through comprehensive care and engaging programs. The community’s mission is to provide a supportive and enriching environment where seniors can thrive. Amenities include the B-Fit fitness classes, brain games, and a variety of social activities. Memory care residents benefit from the Daily Path program, which offers structured activities to preserve their abilities. Dining experiences are top-notch, with nutritious, home-cooked meals served in an elegant dining room, ensuring residents’ health and well-being.

Contact Brookdale Elizabeth City

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 404 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.