Page 6 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
Reviewed by
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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
The Charlotte Assisted Living & Memory Care
AL
IL
MC
RC
Charlotte
119
Facility 119
NC AVG 70
Rank #35 / 328
Yes
57
Facility 57
NC AVG 34
Rank #65 / 373
42.0%
Facility 42.0%
NC AVG 68.5%
Rank #145 / 186
-
87.75/200
Facility 87.75/200
NC AVG 92.7
Rank #247 / 291
20
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Brookdale Concord Parkway
AL
MC
Concord
112
Facility 112
NC AVG 70
Rank #45 / 328
Yes
38
Facility 38
NC AVG 34
Rank #147 / 373
-A+
96.50/200
Facility 96.50/200
NC AVG 92.7
Rank #180 / 291
13
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio
TerraBella Southern Pines
AL
MC
Southern Pines
94
Facility 94
NC AVG 70
Rank #90 / 328
Yes
50
Facility 50
NC AVG 34
Rank #95 / 373
73.4%
Facility 73.4%
NC AVG 68.5%
Rank #95 / 186
A+
92.75/200
Facility 92.75/200
NC AVG 92.7
Rank #221 / 291
9
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
-
Livewell at Midenhall Way
AL
HC
MC
Cary (Wessex)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
41
Facility 41
NC AVG 34
Rank #137 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
93.00/200
Facility 93.00/200
NC AVG 92.7
Rank #219 / 291
2
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Private Rooms
Brighton Gardens of Charlotte
AL
HOS
MC
RC
Charlotte (Closeburn - Glenkirk)
125
Facility 125
NC AVG 70
Rank #19 / 328
Yes
66
Facility 66
NC AVG 34
Rank #23 / 373
33.6%
Facility 33.6%
NC AVG 68.5%
Rank #159 / 186
-
83.75/200
Facility 83.75/200
NC AVG 92.7
Rank #262 / 291
9
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Tyrrell House
AL
RC
Columbia
50
Facility 50
NC AVG 70
Rank #245 / 328
No
51
Facility 51
NC AVG 34
Rank #86 / 373
76.0%
Facility 76.0%
NC AVG 68.5%
Rank #88 / 186
-
104.50/200
Facility 104.50/200
NC AVG 92.7
Rank #20 / 291
12
92%
Facility 92%
NC AVG 91.8%
Rank #90 / 301
-
The Hermitage
AL
MC
RC
Sylva
90
Facility 90
NC AVG 70
Rank #96 / 328
No
55
Facility 55
NC AVG 34
Rank #71 / 373
71.1%
Facility 71.1%
NC AVG 68.5%
Rank #97 / 186
-
102.75/200
Facility 102.75/200
NC AVG 92.7
Rank #67 / 291
9
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 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 91.8%
Rank #66 / 301
Studio / 1 Bed / 2 Bed
Lynn’s Care Homes At Riverside LLC
AL
RESC
Raleigh (Northeast Raleigh)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
8
Facility 8
NC AVG 34
Rank #322 / 373
83.3%
Facility 83.3%
NC AVG 68.5%
Rank #64 / 186
-
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
8
88%
Facility 88%
NC AVG 91.8%
Rank #52 / 301
Semi-Private / 1 Bed Rooms
Cary Family Care
AL
RESC
Cary (Twin Lakes)
3
Facility 3
NC AVG 70
Rank #325 / 328
No
28
Facility 28
NC AVG 34
Rank #212 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
100.00/200
Facility 100.00/200
NC AVG 92.7
Rank #125 / 291
5
80%
Facility 80%
NC AVG 91.8%
Rank #31 / 301
Private Rooms / Semi-Private Rooms

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

Rows per page:
View all Nearby Homes
1...567...41

TerraBella Southern Pines

101 Brucewood Rd, Southern Pines, NC 28387
Overview of TerraBella Southern Pines

Perched along the shores of Pinehurst Lake, TerraBella Southern Pines is a charming senior living community offering a comfortable blend of a welcoming atmosphere, engaged and friendly, compassionate team, and personalized care. Serving the neighborhood of Southern Pines, NC, the community offers assisted living and memory care. Featuring spacious and luxurious suites and one- and two-bedroom apartments, TerraBella guarantees residents a cozy living space.

Offering professional care services to independent residents who could benefit from extra assistance and scientific-based memory care services to residents dealing with memory loss, TerraBella Southern Pines provides residents with the exact level of care they want and need. Residents also enjoy access to Three Meals daily with Snacks, housekeeping services, live entertainment, scheduled transportation, and a full calendar of engaging activities, ensuring plenty of leisure and wellness opportunities.

Contact TerraBella Southern Pines

Overview of Brighton Gardens of Charlotte

Brighton Gardens of Charlotte is an engaging senior living community located in the heart of South Park, Charlotte, North Carolina, helping residents enjoy each day with personalized services, social events, and fresh cuisine tailored to their tastes. The community offers room rates starting at $2,766 per month and takes a resident-centered approach, offering a broad range of care options and engaging activities. Residents influence the daily calendar of events and many of the culinary selections, while designated care managers work with each individual to craft personalized plans addressing their unique needs and preferences, fostering meaningful days with friends. The professional team of caregivers also assists family members navigating life’s milestones with residents.

Brighton Gardens of Charlotte provides a warm and engaging home environment, with residents enjoying full days filled with morning walks, daily afternoon socials, and evening movies. The pet-friendly community welcomes residents to bring their long-time companions, and offers various suite options, including studios, one-bedroom (two sizes), and two-bedroom units, ensuring privacy. Highly trained chefs regularly check in with residents, incorporating their favorites and suggestions into the menu. Conveniently located on the corner of Fairview Road and Park South Drive, the community is situated in the heart of South Park, near the Tyvola Senior Center, South Park Mall, and Park Road Park, with an abundance of nearby stores and restaurants for residents to enjoy. Brighton Gardens of Charlotte is also close to several medical centers, including Carolinas Medical Center (CMC) Main, CMC Pineville, Presbyterian Main, and CMC Mercy.

Contact Brighton Gardens of Charlotte

Overview of The Charlotte Assisted Living & Memory Care

The Charlotte Assisted Living & Memory Care is a 119-bed community offering independent living, assisted living, memory care, and respite services to older adults in Charlotte, North Carolina. The facility on Willow Ridge Road operates as a full-service senior living community on a three-story building with an array of housing options: studio, one-, and two-bedroom floor plans. The neighborhood scores 57 on the Walk Score scale, indicating moderate walkability where some daily errands can be run on foot, though occupants typically need a car for most trips.

The facility maintains a 42 percent occupancy rate, meaning rooms are currently offered across its housing inventory. This mid-occupancy level provides potential residents and families with current availability and a reasonable wait time if they proceed with applications. Medicare, Medicaid, and private pay arrangements are accepted to give families flexibility in how they approach coverage and payment options. The home houses its services across multiple care levels in the same community. With memory care and respite residents, independent and assisted living occupants share common areas and amenities. This continuum model lets residents stay in a familiar setting as their care needs change over time, instead of requiring relocations to different facilities. The design bolsters aging in place and the natural care progression, with staff providing increasing levels of support as needed. The location in Charlotte offers easy access to medical services, shopping, and local attractions. The moderately walkable neighborhood means visiting family members can navigate nearby areas on foot. Meanwhile, the offered room inventory across multiple unit types allows flexibility for different resident preferences and budgets.

State inspections have flagged themes around supervision documentation, medication administration protocols, and physical plant maintenance. It’s encouraged that families exploring the community ask staff directly about how these routine operational areas are managed daily, as operational rigor in such areas is crucial to care quality and resident safety.

Contact The Charlotte Assisted Living & Memory Care

The Hermitage

185 Brick Farm Road Sylva, Nc 28779, Sylva, NC 28779
Overview of The Hermitage

The Hermitage sits on Brick Farm Road in Sylva, North Carolina, and holds licensure for assisted living, memory care, and respite care. Its Walk Score of 55 puts the neighborhood in moderately walkable territory, which means some errands can be handled on foot with a mix of amenities within reach. This is a larger shared building rather than a small residential home, with common spaces and organized community services.

Ninety beds are licensed here, and 71% of them are filled. Openings exist for families searching on a short timeline. Building size also shapes what the community can sustain, since larger settings generally support more common area and a wider slate of organized activity.

Nursing services and 24-hour staffing mean coverage does not lapse overnight. Respite care handles short stays, which suits families bridging a caregiver’s recovery or absence. Memory care operating under the same roof as assisted living gives residents a path forward if cognitive needs shift, without a move to another address. A secured perimeter and emergency alert system round out the safety setup.

Medicaid is accepted here, and that single fact reshapes the affordability math for many families weighing long-term options.

Regulatory attention at the community has centered on infection prevention and control, fire-safety systems, environmental and hazardous-materials safety, and fall and injury prevention. The North Carolina Department of Health and Human Services conducts unannounced surveys covering these areas across adult care homes.

What the record shows is a mid-sized Sylva community with continuous staffing, a Medicaid coverage pathway, and three care types under one license.

Contact The Hermitage

Overview of Cary Family Care

Cary Family Care provides assisted living services for older adults with dementia in a residential setting on Front Ridge Drive in Cary, North Carolina. Limited to three residents, the single-story home emphasizes individualized attention and a close caregiver-to-resident relationship. The community is currently fully occupied, reflecting consistent demand for its specialized approach to memory support.

Care is tailored to individuals at varying stages of dementia and includes continuous supervision, routine assessments by a registered nurse, and coordination of transportation for medical appointments. With one staff member for every three residents, support remains highly hands-on and responsive to changing needs.

Residents receive assistance with bathing, grooming, personal hygiene, and skin care, along with meals designed to meet individual dietary preferences and requirements. Daily life also includes wellness programming, recreational opportunities, fitness activities, and transportation services.

Inspection records from North Carolina’s Division of Health Service Regulation indicate that previously identified issues involving building maintenance, documentation, and safety equipment were corrected through required action plans. No civil penalties have been reported. The surrounding neighborhood has a Walk Score of 28, making most errands and outings dependent on vehicle transportation rather than walking.

Contact Cary Family Care

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 Lynn’s Care Homes at Riverside

Peacefully set in the serene neighborhood of Apalachicola Drive, Raleigh, NC, Lynn’s Care Homes at Riverside LLC, is an esteemed community that offers assisted living. Residents here enjoy the highest quality of care and support according to their needs and preferences from a kind and well-trained team available 24/7. With an intimate and welcoming setting, residents keep peace of mind in their golden years.

Residents are encouraged to live actively and gain meaningful experiences with a jam-packed calendar of fun activities and engaging programs. Have delightful and nutritious meals catering to residents’ dietary needs and preferences. Respite care, transportation services, and medication management are also provided for residents’ comfort and convenience. Spend your golden years without worries surrounded by the community’s specially designed amenities.

Contact Lynn’s Care Homes At Riverside LLC

Overview of Livewell at Midenhall Way

Located near UNC REX Hospital in Cary, North Carolina, this assisted living and memory care community serves up to six residents in a single-story home. Its small size supports a highly personalized environment, and all available beds are currently occupied. Care ranges from assistance with daily living to end-of-life support, with staff trained in wander-management procedures for residents who may be at risk of leaving the home unsupervised.

Older adults receive help with medication administration, incontinence care, and transportation to medical appointments. Licensed nurses and certified nursing assistants are available around the clock, maintaining a staff-to-resident ratio of one caregiver for every three residents. The organization also provides in-home care services for individuals who wish to remain in a private residence.

Meals are prepared to accommodate individual dietary needs, including vegetarian, diabetic, and gluten-free preferences. Residents also have access to housekeeping, laundry, transportation, religious services, a chapel, a spa, and a live-in care program.

Inspection reports from North Carolina’s Division of Health Service Regulation have cited findings related to resident supervision practices and the timing of meal service during one review. No additional concerns involving food preparation or nutrition were identified.

Contact Livewell at Midenhall Way

Overview of Brookdale Concord Parkway

Live life to the fullest with fewer worries and more fun at Brookdale Concord Parkway, a welcoming senior living community in Concord, NC, offering assisted living and memory care. The community offers pet-friendly apartments with convenient amenities, along with a 24-hour available care team, ensuring a comfortable and secure living environment. Meanwhile, memory care residents live secure environments with support from associates trained to care for seniors living with cognitive challenges.

Committed to giving residents the comforts of home but without the extra work, Brookdale Concord Parkway offers various assistance, including help with activities of daily living and household maintenance. To ensure residents get the nourishment they need, the community also provides delicious and nutritionally-balanced meals that residents can enjoy in an elegant dining room. Residents also enjoy access to various amenities including a well-stocked library, a fitness center, a cafe, a therapy room, a pharmacy, and beautiful common areas for socializing or relaxation.

Contact Brookdale Concord Parkway

Tyrrell House

950 Us Highway 64 E Columbia, Nc 27925, Columbia, NC 27925
Overview of Tyrrell House

Tyrrell House offers assisted living and respite care in Columbia, North Carolina. Assisted living includes help with dressing, bathing, and medication while residents maintain their own living spaces; respite care provides a short term stay when a usual caregiver is traveling or recovering. With 50 beds, the home has a smaller setting where staff and residents can get to know one another.

A secured living option provides more protection for residents who need added supervision, making Tyrrell House a possible fit for someone whose care needs call for that setting or for a family seeking a short term respite stay. Restaurant style dining includes healthy, balanced meals prepared to meet dietary needs, while the library, entertainment room, and outdoor common area offer places for reading, activities, and time outside. Medicaid is accepted, giving eligible residents another way to pay for care, and a Walk Score of 51 places the area in the somewhat walkable band, so some errands can be completed on foot and a resident who no longer drives may be able to manage certain outings independently.

Contact Tyrrell House

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
Submit a correction

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
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 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.