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Other Senior care options in North Carolina:

Best Assisted Living in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 539 homes in North Carolina

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

Explore home photos

Video Tour: Top-rated Assisted Living facilities in North Carolina.

Watch this Video to see North Carolina's Top-rated Senior Communities

Compare Assisted Living around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Click column headers to sort
Brookdale South Charlotte
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charlotte (Wessex Square)
82Yes 16 74.4% A+101.50/2002080%Private Rooms / Semi-Private Rooms
Calyx Living of Fuquay-Varina
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Fuquay-Varina (East Academy Street)
84No 24 --103.50/200683.3%Studio / 1 Bed
Woodland Terrace
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Woodland Terrace)
84No 55 --95.75/2001984.2%-
Brookdale Skeet Club
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

High Point (Deep River)
79Yes 30 --99.50/2001877.8%Private Rooms
Brookdale Eden
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Eden (Central Area)
82Yes 37 --91.00/2001984.2%Studio / Suite
Brookdale MacArthur Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Carolina House Of Cary)
80Yes 12 --101.50/2002479.2%Studio / Suite / 1 Bed
Spring Arbor of Cary
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Cary (Kildaire Farm Road)
80Yes 35 --95.50/2001050%Studio / Cottage/ Alcove
Sunrise on Providence
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Charlotte (Olde Providence North)
95Yes 15 70.5% -90.00/2002382.6%Studio / Companion Suite / 1 Bed
Sunrise of Cary
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (West Chatham Street)
85Yes 34 40.0% A-103.50/2001866.7%Studio / Suite / 1 Bed
TerraBella Newton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Newton
96No 20 --105.50/2001650%-
Brookdale Robinwood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gastonia
89Yes 4 -A+91.50/2001776.5%Private Rooms / Semi-Private Rooms
Brookdale Reidsville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Reidsville
76Yes 32 100.0% -104.50/2001764.7%Studio / Suite
Brookdale Dickinson Avenue
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Greenville
76Yes 38 67.1% A+96.50/2001586.7%Studio / Suite / 1 Bed
Harmony at Greensboro
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Greensboro (British Woods)
92No 37 43.5% A+101.50/20017100%-
Terrabella Asheboro
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Asheboro (Laurel Wood Hills)
96Yes 0 -A+97.00/2002387%Studio / 1 Bed
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Overview of Morningside of Gastonia

Morningside of Gastonia is an elegant senior living community located in a vibrant neighborhood in Gastonia, NC, offering a range of care, including assisted living, memory care, and short-term stays. The community offers a wide range of living options, including studios and one-bedroom apartments with services tailored to residents’ unique needs and preferences. The community also offers Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program for residents dealing with memory loss.

The community’s ideal location provides easy access to shopping, restaurants, entertainment, and plenty of things to do, ensuring residents a vibrant living experience. With beautifully designed apartments and services, the community aims to enhance the quality of life of its residents. Amenities include restaurant-style dining, a spacious activity center, and engaging social events, along with a full-service barber and beauty salon, making it a perfect place to call home.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / Suite / 1 Bed

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Building Type: 2-story

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Dining Services

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Beauty Services

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Transportation Services

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Exercise Programs

Contact Morningside of Gastonia

Overview of Navion of Rocky Mount

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

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

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 210 / 288 / 324 / 360 / 372 / 474 sq. ft

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Housing Options: Suite

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Fitness and Recreation

Contact Navion of Rocky Mount

TerraBella Shelby

1550 Charles Rd, Shelby, NC 28152
Overview of Terrabella Shelby

Terrabella Shelby is a quality senior living community burrowed in the quiet city of Shelby, NC, offering assisted living and memory care. The community features spacious apartments with a kitchenette, emergency call system, and natural light, ensuring a comfortable and safe living environment. With their person-centered memory care programs, residents living with Alzheimer’s and dementia are encouraged to nurture their current skills, engage in purposeful activities, and live an enriched life.

Committed to elevating its residents’ standard of living, Terrabella Shelby offers five exclusive senior lifestyle programs. From chef-prepared meals and a full schedule of activities to an all-encompassing approach to health and wellness, residents find everything they need right here. To make an even greater difference in how residents live each day, the community also offers various amenities, including a professional beauty salon and barber shop on-site, a lifetime veterans savings program, visiting physicians, local outings & excursions, and housekeeping services, making residents’ lives more at ease and carefree.

What does this home offer?

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Minimum Age: 55

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Building Type: Single story building

Contact TerraBella Shelby

Overview of Phoenix Assisted Care

Phoenix Assisted Care, located in Cary, NC, is a senior living community offering assisted living, memory care, and independent living services and amenities. Their memory care program is specifically designed for caring for their residents living with Alzheimer’s and other forms of dementia. Designed to provide a home away from home, this senior living community offers medical support, from assistance with daily living activities, medication management and coordination with other healthcare providers as needed.

Additionally, residents are provided meals that are prepared to cater to their preferences and dietary needs. They also offer transportation services for outside appointments, as well as housekeeping and salon services.

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Contact Phoenix Assisted Care

Overview of The Addison of Fayetteville

The Addison of Fayetteville provides a quintessential community for assisted living. Residents are guaranteed to enjoy their stay because of the astonishing, beautifully decorated interiors of the building– adding to the charm the community holds. The assisted living home heeds a warm and welcoming environment. As a proud member of the Senior Lifestyle community, The Addison strives to fulfill the needs of its residents, including their general health and activity level.

The Addison of Fayetteville comprises all-inclusive services, including 24/7 support and assistance, dining areas, weekly physician and nurse practitioner visits, wellness programs, social outings, nutritious meal plans, fall prevention, and extensive safety features.

What does this home offer?

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Housing Options: Suite / 1 Bed

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Building Type: Single-story

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Fitness and Recreation

Contact The Addison of Fayetteville

Overview of The Charlotte Assisted Living & Memory Care

The Charlotte Assisted Living & Memory Care is a distinguished community that has been dedicated to providing an affordable assisted living lifestyle for seniors for over three decades. With a remarkable track record as an award-winning facility, families can place their trust in the exceptional care offered here. Whether residents require independent living, assisted living, or specialized memory care, The Charlotte delivers personalized and person-centered care. Embracing the unique needs of each individual, this community offers a range of floor plans that cater to diverse preferences and requirements.

Residents can relish in affordable assisted living options, ensuring that exceptional care and services are accessible to all. Dining experiences are nothing short of exceptional, with a restaurant-style approach that ensures meals are not only delicious but also a delightful social experience. Additionally, the community boasts a dedicated social director who organizes a wide array of activities, fostering a vibrant and engaging social life for all residents. The community understands the importance of assisted living costs and strives to make exceptional senior living accessible to a diverse range of individuals and families.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 392 / 527 / 587 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Contact The Charlotte Assisted Living & Memory Care

Overview of The Addison of Lincolnton

Overlooking Lincolnton, NC, The Addison of Lincolnton is a premier senior living community that offers Assisted Living, Memory Care, and Short Term Care services. The community is dedicated to providing attentive care in a warm and inviting environment, making it an ideal home for local seniors. Residents can enjoy a variety of activities, from socializing with friends and participating in planned social activities to relaxing in their private apartments. The beautiful surroundings and vibrant community atmosphere create a welcoming space for seniors to thrive.

The Addison of Lincolnton offers an array of amenities designed to enhance the residents’ quality of life. With features like a beauty and barber shop, main and private dining rooms, and a pet-friendly, smoke-free environment, residents have everything they need for comfortable living. Outdoor enthusiasts can enjoy the walking path, outdoor patio area, and courtyard. The dedicated culinary team ensures that all meals are delicious and nutritious, served in a restaurant-style dining room where residents can connect with their neighbors and loved ones.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Suite / 1 Bed

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Building Type: Single-story

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Contact The Addison of Lincolnton

Overview of Brookdale Lawndale Park

Situated in Greensboro, North Carolina, Brookdale Lawndale Park caters to seniors seeking a vibrant assisted living and memory care community, allowing residents to access the level of care they need as their circumstances evolve. Residents can choose from cozy, pet-friendly apartments and enjoy a full calendar of activities designed to stimulate the mind, body, and social spirit. Recognized as Best in Memory Care by U.S. News and World Report, the community guarantees exceptional care and assistance to its residents requiring specialized support.

Whether it’s a B-Fit exercise class, a crafting session, or a social gathering, there are opportunities for everyone to explore new interests and connect with others. For memory care residents, specially designed programs with six daily activities ensure continued engagement and a sense of purpose. Mealtimes are another highlight, offering restaurant-style service and a chance to socialize in the elegant dining room. Memory care residents further benefit from a dining experience tailored to their needs, with features that create a sense of comfort and belonging.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 199 / 213 / 265 / 283 / 453 sq. ft

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Housing Options: Studio / Suite

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Building Type: Single-story

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Contact Brookdale Lawndale Park

Overview of Brookdale Hickory Northeast

Committed to enhancing seniors independence while offering personalized care as needed, Brookdale Hickory Northeast is a remarkable senior living community in Hickory, North Carolina, offering personalized assisted living care in a cozy setting. Conveniently located near shopping, banks, and healthcare facilities, our community ensures residents receive attentive service and enjoy a worry-free lifestyle. A dedicated team is available around the clock for emergencies, providing peace of mind to residents and their families.

From assistance with daily tasks like dressing and medication management to organizing engaging activities such as fitness classes, bingo, and shopping trips, the community fosters an active and fulfilling lifestyle. Residents relish delicious, chef-prepared meals in our elegant dining room, where their preferences shape the weekly menus, ensuring every dining experience is enjoyable and satisfying. With amenities like an emergency alert system, pet-friendly environment, and convenient transportation services, residents live a comfortable and convenient life.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / Suite

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Building Type: Single-story

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Contact Brookdale Hickory Northeast

Overview of Home Place of Burlington

Set in the dazzling neighborhood of Burlington, NC, Home Place of Burlington, is a welcoming senior living community, offering independent living, assisted living, and memory care. The community offers a range of warm and spacious apartments with modern amenities like private bathrooms and kitchenettes. With on-site maintenance, weekly housekeeping, and linen services, residents can let go of chores and find more time to relax and enjoy.

With a range of amenities, Home Place of Burlington focuses on resident comfort and enjoyment. Seniors can indulge in restaurant-style dining, visit the beauty salon, or unwind in the game room. Regular activities like cooking classes, gardening, and live entertainment foster a sense of community, making every day a new adventure. Moreover, scheduled transportation ensures easy access to cultural excursions and local events.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / 2 Bed

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Building Type: 2-story

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Contact Home Place of Burlington

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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
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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
  • 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.

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 22 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.