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Best Assisted Living in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Feb 2026
Over 430 homes analyzed

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

Explore home photos
Watch this Video to see North Carolina's Top-rated Senior Communities
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North Carolina is an ideal location for seniors seeking an easy-going lifestyle with its quiet beach towns that provide the best places for relaxation, combined with beautiful mountains, fun events, nightlife, restaurants, and parks for various recreation. The state also offers a relatively lower cost of living and ranked #23 overall on the list of most affordable states, according to the U.S. News and World Report. With its mild climate, numerous assisted living communities, and easy accessibility, North Carolina undoubtedly offers an ideal place for seniors seeking a home to spend their golden years in.

Compare Assisted Living around North Carolina

Brookdale South Charlotte
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Charlotte (Wessex Square)
82
Yes
A+
16
Private Rooms / Semi-Private Rooms
Calyx Living of Fuquay-Varina
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

RC

Respite Care

Fuquay-Varina
84
No
-
24
Studio / 1 Bed
Woodland Terrace
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Cary (Woodland Terrace)
84
No
-
55
-
Brookdale Skeet Club
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

High Point
79
Yes
-
30
Private Rooms
Brookdale Eden
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Eden
82
Yes
-
37
Studio / Suite
Brookdale MacArthur Park
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Cary (Carolina House Of Cary)
80
Yes
-
12
Studio / Suite / 1 Bed
Spring Arbor of Cary
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Cary
80
Yes
-
35
Studio / Cottage/ Alcove
Sunrise on Providence
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Charlotte (Olde Providence North)
95
Yes
-
15
Studio / Companion Suite / 1 Bed
Sunrise of Cary
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Cary
85
Yes
A-
34
Studio / Suite / 1 Bed
TerraBella Newton
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

NC 28658
96
No
-
20
-
Brookdale Robinwood
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Gastonia
89
Yes
A+
4
Private Rooms / Semi-Private Rooms
Brookdale Reidsville
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Reidsville
76
Yes
-
32
Studio / Suite
Brookdale Dickinson Avenue
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Greenville
76
Yes
A+
38
Studio / Suite / 1 Bed
Harmony at Greensboro
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Greensboro (British Woods)
92
No
A+
37
-
Terrabella Asheboro
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Asheboro
96
Yes
A+
0
Studio / 1 Bed
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View all Nearby Homes
Tabor Commons is an 80 bed community located in Tabor City, NC. It offers assisted living services, respite care, and a variety of activities for residents. The community focuses on providing a home-like environment and quality care for seniors.
Overview of Tabor Commons
Tabor Commons is an 80 bed community located in Tabor City, NC. It offers assisted living services, respite care, and a variety of activities for residents. The community focuses on providing a home-like environment and quality care for seniors.
The Shaire Center is a Skilled Nursing, Rehab, Assisted Living and Memory Care Center located in Lenoir, North Carolina. It offers a continuum of care facilities including Independent Living Apartments, Memory Care Unit, Assisted Living, Rehabilitation Facility, and Skilled Nursing Facility. The center is situated on 27 acres with beautifully landscaped areas for residents to enjoy.
Overview of The Shaire Center
The Shaire Center is a Skilled Nursing, Rehab, Assisted Living and Memory Care Center located in Lenoir, North Carolina. It offers a continuum of care facilities including Independent Living Apartments, Memory Care Unit, Assisted Living, Rehabilitation Facility, and Skilled Nursing Facility. The center is situated on 27 acres with beautifully landscaped areas for residents to enjoy.
Marjorie Mccune Memorial Center is a senior living community located in Black Mountain, North Carolina. It offers both assisted living and independent living options, focusing on meeting the physical, emotional, and spiritual needs of residents. The community provides a home-like environment with various amenities and activities.
Overview of Marjorie Mccune Memorial Center
Marjorie Mccune Memorial Center is a senior living community located in Black Mountain, North Carolina. It offers both assisted living and independent living options, focusing on meeting the physical, emotional, and spiritual needs of residents. The community provides a home-like environment with various amenities and activities.
Cleveland House is a senior living facility located in Shelby, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community focuses on creating a nurturing environment where residents can thrive and enjoy life.
Overview of Cleveland House
Cleveland House is a senior living facility located in Shelby, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community focuses on creating a nurturing environment where residents can thrive and enjoy life.
The Viridian is a senior living facility located in New Bern, North Carolina. It offers assisted living and independent living options, providing personalized support for older adults while maintaining their independence. The community is designed to enhance the quality of life for residents with various amenities and services.
Overview of The Viridian
The Viridian is a senior living facility located in New Bern, North Carolina. It offers assisted living and independent living options, providing personalized support for older adults while maintaining their independence. The community is designed to enhance the quality of life for residents with various amenities and services.
Hickory Village is a senior living facility located in Hickory, North Carolina. It specializes in memory care and secured living for seniors with Alzheimer’s and dementia. The community offers a safe environment with 24/7 trained staff and personalized care plans.
Overview of Hickory Village
Hickory Village is a senior living facility located in Hickory, North Carolina. It specializes in memory care and secured living for seniors with Alzheimer’s and dementia. The community offers a safe environment with 24/7 trained staff and personalized care plans.
Hayesville House is a senior living facility located in Hayesville, North Carolina. It specializes in memory care and secured living for seniors, providing a safe and supportive environment. The facility offers personalized care plans and a variety of engaging activities to promote cognitive health and quality of life.
Overview of Hayesville House
Hayesville House is a senior living facility located in Hayesville, North Carolina. It specializes in memory care and secured living for seniors, providing a safe and supportive environment. The facility offers personalized care plans and a variety of engaging activities to promote cognitive health and quality of life.
Caswell House is a senior living facility located in Yanceyville, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life for seniors.
Overview of Caswell House
Caswell House is a senior living facility located in Yanceyville, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life for seniors.
Dunmore Senior Living is a senior living community in North Carolina. It offers personalized care and enriching activities in a welcoming environment for seniors. The facility is dedicated to helping seniors live their best lives.
Overview of Dunmore Senior Living of Siler City
Dunmore Senior Living is a senior living community in North Carolina. It offers personalized care and enriching activities in a welcoming environment for seniors. The facility is dedicated to helping seniors live their best lives.
Edenton House is a senior living facility located in Edenton, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community focuses on creating a nurturing environment where residents can thrive and enjoy life.
Overview of Edenton House
Edenton House is a senior living facility located in Edenton, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community focuses on creating a nurturing environment where residents can thrive and enjoy life.

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence. Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.

An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including: walkability and local accessibility, estimated property value, and pricing information.

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.

The result is a fair, clear, and data-driven ranking system for families researching senior living options.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.