Page 7 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. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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.
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.
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
94.00/200
Facility 94.00/200
NC AVG 92.7
Rank #125 / 291
B+8
63%
Facility 63%
NC AVG 64.9%
Rank #31 / 301
Private Rooms / Semi-Private Rooms
Brookdale Chapel Hill
AL
MC
Chapel Hill (Falconbridge)
38
Facility 38
NC AVG 70
Rank #262 / 328
Yes
35
Facility 35
NC AVG 34
Rank #167 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
96.75/200
Facility 96.75/200
NC AVG 92.7
Rank #179 / 291
B+18
72%
Facility 72%
NC AVG 64.9%
Rank #109 / 301
Studio / Suite
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
104.50/200
Facility 104.50/200
NC AVG 92.7
Rank #219 / 291
B+5
20%
Facility 20%
NC AVG 64.9%
Rank #126 / 301
Private Rooms
Navion of Greenville
AL
MC
Greenville (Medical District)
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
45
Facility 45
NC AVG 34
Rank #117 / 373
78.3%
Facility 78.3%
NC AVG 68.5%
Rank #82 / 186
94.50/200
Facility 94.50/200
NC AVG 92.7
Rank #203 / 291
B-14
71%
Facility 71%
NC AVG 64.9%
Rank #78 / 301
Suite
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
C-24
83%
Facility 83%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
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
89.00/200
Facility 89.00/200
NC AVG 92.7
Rank #262 / 291
C15
67%
Facility 67%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed / 2 Bed
Avendelle at Lazy River
AL
HOS
RESC
Raleigh (Edgewater At Rogers Farm)
6
Facility 6
NC AVG 70
Rank #278 / 328
Yes
14
Facility 14
NC AVG 34
Rank #289 / 373
83.3%
Facility 83.3%
NC AVG 68.5%
Rank #64 / 186
93.00/200
Facility 93.00/200
NC AVG 92.7
Rank #219 / 291
D8
75%
Facility 75%
NC AVG 64.9%
Rank #126 / 301
Private / Semi-Private Rooms
Carolina Village
AL
IL
MC
NH
SNF
Hendersonville
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
82
Facility 82
NC AVG 34
Rank #2 / 373
79.8%
Facility 79.8%
NC AVG 68.5%
Rank #76 / 186
99.50/200
Facility 99.50/200
NC AVG 92.7
Rank #133 / 291
?10
100%
Facility 100%
NC AVG 64.9%
Rank #52 / 301
-
Wilkesboro Assisted Living Center
AL
MC
NH
SNF
North Wilkesboro
102
Facility 102
NC AVG 70
Rank #59 / 328
No
61
Facility 61
NC AVG 34
Rank #42 / 373
70.6%
Facility 70.6%
NC AVG 68.5%
Rank #99 / 186
104.00/200
Facility 104.00/200
NC AVG 92.7
Rank #28 / 291
A+10
0%
Facility 0%
NC AVG 64.9%
Rank #36 / 301
-
Brookdale Chapel Hill
AL
MC
Chapel Hill (Falconbridge)
38
Facility 38
NC AVG 70
Rank #158 / 328
Yes
35
Facility 35
NC AVG 34
Rank #167 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #104 / 186
96.75/200
Facility 96.75/200
NC AVG 92.7
Rank #248 / 291
B+18
72%
Facility 72%
NC AVG 64.9%
Rank #87 / 301
Private / Companion Suites

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 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 Brookdale Chapel Hill

Burrowed in the peaceful neighborhood of Chapel Hill, North Carolina neighborhood, Brookdale Chapel Hill is a supportive senior living community offering memory care. The community provides a secure and comfortable environment where residents receive personalized assistance with daily activities. With trained dementia care staff available 24/7, we ensure a supportive atmosphere tailored to individual needs. Our tailored approach includes the Clare Bridge program for mid to late stages of dementia and the Solace program for advanced stages, offering compassionate care and consistent support.

Residents at Brookdale Chapel Hill enjoy a vibrant lifestyle with a full calendar of engaging activities designed to enhance cognitive function and overall well-being. From therapeutic pet visits and courtyard strolls to games in the cozy living room, our activities aim to support each resident’s abilities and encourage meaningful experiences. Located near downtown Chapel Hill and the Research Triangle, our community offers convenient access to local attractions, allowing residents and their families to explore cultural and recreational opportunities in the area.

$6,710/Month

Contact Brookdale Chapel Hill

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 Navion of Greenville

Nestled in the welcoming place of Greenville, NC, the Navion of Greenville is a remarkable senior living community offering assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations ranging from one-bedroom to two-bedroom. With its highly skilled and hardworking team, this community offers an emergency response system and 24/7 personalized care services.

With its top-tier amenities and other services, residents can enjoy delectable meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Engage in diverse social activities and community events. Meet new companions and share meaningful memories within the beautiful spaces of this community. At the Navion of Greenville, seniors are guaranteed a memorable living experience.

Contact Navion of Greenville

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

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.

Starting Price $3,040/Month

Contact Brighton Gardens of Charlotte

Avendelle at Lazy River

2268 Lazy River Dr, Raleigh, NC 27610
Overview of Avendelle at Lazy River

Situated in the tranquil neighborhood of Raleigh, NC, Avendelle Lazy River Assisted Living is an inviting community that offers assisted services in a cozy, residential setting. It features private and semi-private rooms with hardwood floors and beautiful views that range from the yard, front yard, and patio, which will surely provide a sense of calm and relaxation for its residents. Having a highly trained and compassionate team, the community provides personalized round-the-clock care and assistance including assistance with daily activities and medicine administration and management, all guaranteeing a unique and attentive approach to the residents.

With its top-notch amenities and services, residents can enjoy tasty and healthy meals from breakfast to dinner, housekeeping services, hospice services, and many more. At Avendelle Lazy River Assisted Living, seniors can enjoy a wonderful retirement.

For families and prospective residents, Avendelle at Lazy River also hosts a monthly Q&A meetup that talks about Practical Advice, Emotional Support, and Resources for Residential Care Decisions. You can join our discussion through this link.

Contact Avendelle at Lazy River

Carolina Village

600 Carolina Village Road Hendersonville, Nc 28792, Hendersonville, NC 28792
Overview of Carolina Village

Situated in Hendersonville, NC, ​​Carolina Village provides independent living, assisted living, memory care, and skilled nursing. Aside from support with daily tasks, the community provides continuous clinical support with nursing services. 24-hour staffing is also available to ensure residents receive care as needed.

The community has 60 beds, with 79.8% occupancy. Residents also receive a total of 7 hours and 41 minutes of nursing care daily. An exercise pool and a therapy pool are also available, along with rehabilitation services that provide access to therapy on-site.

A Walk Score of 82 means the area is very walkable, with most errands possible on foot, suggesting that a resident who no longer drives may be able to reach shops, a pharmacy, or cafes independently. Medicare and private pay are also accepted.

Pets are allowed, giving residents the option to live with an animal companion. Furthermore, dining includes a traditional venue with tableside service, fast-casual dining, a bar, and a coffeehouse-style nook, with special diets accommodated. Book groups, a Spanish club, a woodworking shop, an arts and crafts studio, a library, and nature trails also offer organized activities, hands-on hobbies, reading space, and outdoor access.

Contact Carolina Village

Wilkesboro Assisted Living Center

206 Old Brickyard Road North Wilkesboro, Nc 28659, North Wilkesboro, NC 28659
Overview of Wilkesboro Assisted Living Center

Wilkesboro Assisted Living Center in North Wilkesboro, North Carolina, delivers round-the-clock skilled nursing care, assisted living support, and memory care programs within a single location. Memory care residents reside in a secured environment designed to protect individuals prone to wandering, while assisted living plans cover daily personal care routines. The continuum of care allows residents to transition into higher support tiers as health needs evolve.

A 102-bed layout comprises 14 private rooms and 88 semi-private spaces. Clinical offerings include specialized wound and skin treatments, nutritional care plans, and physical rehabilitation inside a dedicated therapy gym. Social and recreational features include a central activity room, a beauty salon and barbershop, and a outdoor courtyard for family visits. Additionally, a walk score of 61 indicates that residents can accomplish select nearby errands on foot.

Families evaluating long-term care options or memory support programs can reach out to Wilkesboro Assisted Living Center to check room availability, ask about specific therapies, or schedule a walkthrough of the area.

Contact Wilkesboro Assisted Living Center

Brookdale Chapel Hill

2220 Farmington Dr, Chapel Hill, Nc 27517, Unites States
Overview of Brookdale Chapel Hill

With a 70-bed capacity, Brookdale Chapel Hill is an assisted living community in Chapel Hill, NC, that offers personal care and respite care. The community also features private and companion suites in a two-story setting, and is currently operating at 67% occupancy. Licensed nurses and certified nursing assistants are available around the clock to assist with daily activities, medication management, and changing care needs, with monthly rates beginning at $8,510.

This pet-friendly community is in a somewhat walkable neighborhood, with a Walk Score of 35, indicating that some nearby services can be reached on foot, while most outings are more easily accessed by transportation. Moreover, healthy, seasonal meals are served daily, with a private dining room available for family celebrations and special occasions, as well as a snack shop offering additional refreshments throughout the day.

A game room, library, piano, landscaped courtyard and garden, and an on-site beauty and barber shop are among the amenities available on-site, which promote opportunities for recreation, relaxation, and social engagement.

$8,510/Month

Contact Brookdale Chapel Hill

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.