Page 5 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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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.
403 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. 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Cadence at Wake Forest by Cogir
AL
MC
Wake Forest
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
43
Facility 43
NC AVG 34
Rank #128 / 373
27.1%
Facility 27.1%
NC AVG 68.5%
Rank #174 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
C+12
58%
Facility 58%
NC AVG 64.9%
Rank #52 / 301
Studio / 1 Bed
Brookdale Smithfield
AL
MC
Smithfield
74
Facility 74
NC AVG 70
Rank #148 / 328
Yes
45
Facility 45
NC AVG 34
Rank #117 / 373
-A+
92.50/200
Facility 92.50/200
NC AVG 92.7
Rank #223 / 291
C+17
71%
Facility 71%
NC AVG 64.9%
Rank #90 / 301
Studio / Suite
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+
91.50/200
Facility 91.50/200
NC AVG 92.7
Rank #95 / 291
C-7
86%
Facility 86%
NC AVG 64.9%
Rank #52 / 301
-
The Arboretum at Woodland Terrace
AL
IL
MC
Cary
84
Facility 84
NC AVG 70
Rank #111 / 328
Yes
55
Facility 55
NC AVG 34
Rank #71 / 373
39.3%
Facility 39.3%
NC AVG 68.5%
Rank #150 / 186
-
95.75/200
Facility 95.75/200
NC AVG 92.7
Rank #191 / 291
-9
89%
Facility 89%
NC AVG 64.9%
Rank #66 / 301
Studio / 1 Bed / 2 Bed
LiveWell @ Governors Club Cottages (2) (Chapel Hill)
AL
HC
MC
Chapel Hill (Governors Club)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
7
Facility 7
NC AVG 34
Rank #325 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
A5
60%
Facility 60%
NC AVG 64.9%
Rank #16 / 301
Private / Semi-Private Rooms
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
-
104.50/200
Facility 104.50/200
NC AVG 92.7
Rank #133 / 291
A-5
40%
Facility 40%
NC AVG 64.9%
Rank #126 / 301
Private Rooms
Cadence Senior Living at Mint Hill by Cogir
AL
MC
Mint Hill
84
Facility 84
NC AVG 70
Rank #111 / 328
Yes
36
Facility 36
NC AVG 34
Rank #161 / 373
42.9%
Facility 42.9%
NC AVG 68.5%
Rank #144 / 186
-
100.50/200
Facility 100.50/200
NC AVG 92.7
Rank #119 / 291
A-12
58%
Facility 58%
NC AVG 64.9%
Rank #49 / 301
Suite / Studio / 1 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
C+10
60%
Facility 60%
NC AVG 64.9%
Rank #126 / 301
Private Room / Shared Room
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
-
94.50/200
Facility 94.50/200
NC AVG 92.7
Rank #68 / 291
C15
67%
Facility 67%
NC AVG 64.9%
Rank #78 / 301
Studio / 2 Bed
Terrabella Little Avenue
AL
MC
Charlotte (Carmel)
62
Facility 62
NC AVG 70
Rank #193 / 328
Yes
72
Facility 72
NC AVG 34
Rank #15 / 373
98.4%
Facility 98.4%
NC AVG 68.5%
Rank #32 / 186
-
88.50/200
Facility 88.50/200
NC AVG 92.7
Rank #245 / 291
D+16
75%
Facility 75%
NC AVG 64.9%
Rank #126 / 301
Suite

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 403 on this page. See how we rank facilities

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Overview of Cadence at Wake Forest by Cogir

Breathe in the fresh air of Heritage Trade Drive, Wake Forest, NC, with the trusted senior living community of Cadence at Wake Forest that provides assisted living and memory care. Enjoy your golden years within the beautiful and spacious residences of Cadence at Wake Forest in variations of one-bedroom apartments, and private and shared studios. An experienced and highly skilled team lends necessary care and support for residents to enjoy a maintenance-free lifestyle.

The community doubles its efforts to ensure residents experience unparalleled comfort and convenience, providing them with the utmost attention for their every need. Leisure and wellness is not a problem with a combination of enjoyable and nurturing activities conducted for seniors to maintain a happy and active lifestyle. Good dining completes the finest experience with healthy restaurant-style meals catering to seniors’ dietary needs and preferences. Cadence at Wake Forest is ideal for seniors seeking a haven to spend a peaceful yet well-engaged retirement with its bright and airy campus.

Contact Cadence at Wake Forest by Cogir

Overview of Brookdale Smithfield

Enjoy a life of independence while still receiving the care you need at Brookdale Smithfield, an excellent senior living community based in Smithfield, NC, offering assisted living and memory care. The community offers pet-friendly apartments featuring large windows with plenty of natural light, along with a compassionate team available 24/7 to provide assistance in emergencies. To ensure residents dealing with cognitive challenges receive the proper care and support they need, the community provides a gentle daily structure of six planned programs, complemented with consistent care assignments.

Residents at Brookdale Smithfield find fun and entertainment with a jam-packed calendar of activities, such as joining a walking club, fun exercise classes, or stimulating brain games, aroma therapy, and daily music programs for memory care residents. A culinary team ensures residents get the nourishment they need with tasty and nutritious meals, tailored to residents’ dietary needs and preferences. Amenities include a library, a game room, community kitchen, and beautiful walking paths and courtyard, where they can enjoy nature alone or with friends.

$5,305/Month

Contact Brookdale Smithfield

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 The Arboretum at Woodland Terrace

The Arboretum at Woodland Terrace, Cary, North Carolina, is a nurturing and person-centered memory care community for individuals with Alzheimer’s or dementia. The mission is to provide a warm, caring environment prioritizing residents’ independence, dignity, and individuality. The community values a compassionate approach to care, ensuring the well-being of each resident. The dedicated professional staff enjoys spending quality time with residents, fostering an atmosphere of comfort and happiness, and providing residents and their families peace of mind for future planning.

The Arboretum at Woodland Terrace offers a range of memory care amenities designed to enhance the overall well-being of residents. Personal care services, three daily meals plus snacks, laundry services, and weekly housekeeping contribute to a comfortable lifestyle. The community provides medication management, standard cable, utilities, and telephone services. Scheduled transportation, the Art of Living Well® programs, and 24-hour nurse availability enrich residents’ experiences. Planned social and educational events, day trips, gardening programs, and the Music & Memory program create a vibrant and engaging living environment, fostering community and fulfillment. Aquatics programs are also available to support residents leading active and enjoyable lives.

Contact The Arboretum at Woodland Terrace

Overview of LiveWell @ Governors Club Cottages (2) (chapel Hill)

Surrounded by lush trees and scenic nature, LiveWell at Governors Club Cottages (2) is an idyllic senior living community in Club Drive, Chapel Hill, NC, that offers memory care. Residents receive the utmost care and attention for their special needs with a well-trained team available around the clock. With its commitment to residents’ welfare, the community promotes a quiet and safe environment.

Featuring innovative and specially designed amenities, the community encourages residents to maintain an active and well-connected lifestyle. Fostering familiarity and comfort, the community eases daily stresses. With its intimate and quaint setting, residents can rest assured of receiving the finest care and assistance to live a blissful retirement.

Contact LiveWell @ Governors Club Cottages (2) (Chapel Hill)

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 Senior Living at Mint Hill by Cogir

Located in the serene neighborhood of Margaret Wallace Road, Mint Hill, NC, Cadence Senior Living at Mint Hill by Cogir is a renowned senior living community offering assisted living and memory care. Promising unmatched relaxation and safety, the community features snug and sophisticated residences including private and companion studios and one-bedroom apartments. Thrive and optimize freedom with a reliable and highly skilled team taking care of your needs and aspirations.

Live every moment fiercely and cherish experiences along the way with engaging activities and energizing programs conducted for leisure and wellness. The community focuses on the strengths and interests of the residents to ensure they feel welcomed. Eat good and feel good with healthy and tasty meals for dietary satisfaction. Cadence Senior Living at Mint Hill by Cogir doubles its efforts to provide a safe place for seniors to enjoy their golden years fabulously with stunning and convenient amenities.

Contact Cadence Senior Living at Mint Hill by Cogir

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.

Starting Price $5,335/Month

Contact Brookdale Asheville Overlook

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.

Starting Price $4,710/Month

Contact Brookdale Reynolda Road

Terrabella Little Avenue

7745 Little Ave, Charlotte, NC 28226
Overview of Terrabella Little Avenue

A 62-bed assisted living and memory care community in Charlotte’s Carmel neighborhood on Little Avenue is Terrabella Little Avenue. With nearly full occupancy at 98 percent, the home operates with a consistent resident base. The neighborhood scores 72 on the Walk Score scale, making it really walkable. Within a short walk are most daily errands and nearby essentials.

Terrabella Little Avenue is set up as a suite-style residential setting, offering occupants assisted living and memory care services. Pets are welcome, which can provide valuable companionship for those living here and visiting family members. The location offers good neighborhood walkability without the bustle of a major commercial corridor, suiting residents who cherish a calmer residential setting.

Over the past decade, inspections have touched on supervision, administrative protocols, clinical medication practice, and facility maintenance. These are areas families may want to know more fully during a tour and consultation with Terrabella Little Avenue.

For families assessing this community in Charlotte, visiting is a crucial next step to see the suite layouts, understand daily cultures, and get a clear sense of how the team manages care and daily life.

Contact Terrabella Little Avenue

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.