Page 8 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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. 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.
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.
Summit Place of South Park
AL
MC
Charlotte (Barclay Downs)
120
Facility 120
NC AVG 70
Rank #26 / 328
Yes
35
Facility 35
NC AVG 34
Rank #167 / 373
--
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
B-17
53%
Facility 53%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed
Sunrise on Providence
AL
HOS
MC
Charlotte (Olde Providence North)
95
Facility 95
NC AVG 70
Rank #89 / 328
Yes
15
Facility 15
NC AVG 34
Rank #279 / 373
70.5%
Facility 70.5%
NC AVG 68.5%
Rank #100 / 186
-
90.00/200
Facility 90.00/200
NC AVG 92.7
Rank #236 / 291
C-15
67%
Facility 67%
NC AVG 64.9%
Rank #87 / 301
Studio / Companion Suite / 1 Bed
Phoenix Assisted Care
AL
MC
RC
Cary (Parkway Retirement Center)
120
Facility 120
NC AVG 70
Rank #26 / 328
No
24
Facility 24
NC AVG 34
Rank #230 / 373
52.5%
Facility 52.5%
NC AVG 68.5%
Rank #135 / 186
A+
68.75/200
Facility 68.75/200
NC AVG 92.7
Rank #278 / 291
D-23
74%
Facility 74%
NC AVG 64.9%
Rank #126 / 301
Private Rooms / Semi-Private Rooms
Avendelle at Shepherds Vineyard
AL
Apex (Shepherds Vineyard)
6
Facility 6
NC AVG 70
Rank #278 / 328
No
36
Facility 36
NC AVG 34
Rank #161 / 373
-A+
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
A4
25%
Facility 25%
NC AVG 64.9%
Rank #126 / 301
Private / Shared Rooms
Spring Arbor of Wilson
AL
MC
Wilson
72
Facility 72
NC AVG 70
Rank #151 / 328
Yes
16
Facility 16
NC AVG 34
Rank #273 / 373
20.8%
Facility 20.8%
NC AVG 68.5%
Rank #185 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A-14
64%
Facility 64%
NC AVG 64.9%
Rank #126 / 301
Studio / 1 Bed
Deerfield Ridge
AL
MC
Boone
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
7
Facility 7
NC AVG 34
Rank #325 / 373
28.1%
Facility 28.1%
NC AVG 68.5%
Rank #173 / 186
-
96.50/200
Facility 96.50/200
NC AVG 92.7
Rank #180 / 291
A10
70%
Facility 70%
NC AVG 64.9%
Rank #126 / 301
Studio / Suite
Morningside of Gastonia
AL
MC
Gastonia (Lake Wood)
105
Facility 105
NC AVG 70
Rank #51 / 328
Yes
42
Facility 42
NC AVG 34
Rank #130 / 373
--
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A13
46%
Facility 46%
NC AVG 64.9%
Rank #126 / 301
Studio / Suite / 1 Bed
Clemmons Village II- Assisted Living
AL
MC
Clemmons
66
Facility 66
NC AVG 70
Rank #171 / 328
Yes
26
Facility 26
NC AVG 34
Rank #222 / 373
-A+
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
A-9
56%
Facility 56%
NC AVG 64.9%
Rank #126 / 301
Suite
Carolina Inn at Village Green
AL
MC
Fayetteville (Terry Sanford)
100
Facility 100
NC AVG 70
Rank #61 / 328
Yes
60
Facility 60
NC AVG 34
Rank #46 / 373
--
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A-11
55%
Facility 55%
NC AVG 64.9%
Rank #126 / 301
1 Bed / 2 Bed
Cadence at Clemmons
AL
MC
Clemmons
96
Facility 96
NC AVG 70
Rank #70 / 328
No
31
Facility 31
NC AVG 34
Rank #191 / 373
--
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
B+17
47%
Facility 47%
NC AVG 64.9%
Rank #20 / 301
Studio / 1 Bed

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 Summit Place of South Park

Experience the retirement you deserve at Summit Place of South Park, an inviting senior living community in Charlotte, North Carolina, offering Assisted Living, Memory Care, and Respite Care & Short-Term Stays. Located in a warm and welcoming environment, residents can choose from a variety of floor plans, including a studio, deluxe studio, and one-bedroom apartments. With a team available 24/7, and an emergency call response system, residents can live peacefully knowing that support is available anytime.

Dedicated to delivering a stress-free and joyful living experience to its residents, the community features unique amenities like a theater with reclining seats, a beautiful sensory garden for Memory Care residents, and a trellis-covered patio where residents can relax and socialize. Residents enjoy a variety of activities, such as live entertainment, arts & crafts, walking clubs, bingo, themed lunches, cultural excursions, exercise classes, and community events. Other amenities include a beauty salon, library, gym, and free transportation, ensuring a comfortable and engaging lifestyle.

Contact Summit Place of South Park

Overview of Sunrise on Providence

Located in the Olde Providence North neighborhood of Charlotte, North Carolina, Sunrise on Providence is a senior living community offering assisted living, hospice care, and a dedicated memory care program in one location. The community is about 4.5 miles from Novant Health Matthews Medical Center, providing residents and families with convenient access to nearby hospital care when needed.

The community features Victorian-style architecture and overlooks a lake, giving it a distinctive appearance among senior living communities in the area. It has 95 beds and offers studio, companion suite, and one-bedroom residences. Residents can choose the level of privacy that best fits their preferences. The community currently operates at about 71% occupancy.

Sunrise on Providence’s assisted living and a specialized memory care program support residents as their care needs change without moving to another community. Pets are welcome in the community, allowing residents to bring a companion animal when they move in.

State inspections have most often focused on fire safety systems and equipment, along with periodic reviews of care documentation and infection control practices. Families touring Sunrise on Providence may want to ask how these areas are monitored and managed as part of the community’s daily operations.

The neighborhood has a Walk Score of 15, which is car-dependent. Most errands, shopping, dining, and medical appointments require a vehicle, so visiting family should plan to drive.

Contact Sunrise on Providence

Overview of Phoenix Assisted Care

Phoenix Assisted Care provides assisted living, memory care, and respite care in Cary, NC, with 120 beds and private and semi-private rooms. A private room offers individual accommodation, while a semi-private room suits someone who is comfortable sharing with a roommate.

Assisted living includes help with bathing, dressing, transfers, activities of daily living, and medication management. Memory care is provided in a secured setting with supervision, while respite care offers a short-term stay when a family caregiver needs to travel or recover. The range of care may suit a resident whose needs grow over time without requiring a move to another community.

Rehabilitation services are available through the community, so residents can receive therapy without arranging every session elsewhere. A library provides a dedicated place to read, and scheduled daily activities offer organized ways to participate, while the mental wellness program focuses on residents’ mental well-being. Meals are prepared on-site with diabetic-friendly options and other specialized dietary restrictions, and assistance with special dietary restrictions and diabetes diets is included in the care programs.

Contact Phoenix Assisted Care

Overview of Avendelle at Shepherds Vineyard

Avendelle at Shepherds Vineyard provides assisted living in Apex, NC, within the Shepherds Vineyard neighborhood. Assisted living includes help with daily tasks such as dressing, bathing, and medication while allowing each resident to maintain personal living space.

With six beds, the community is small enough for staff and residents to get to know one another, making it a good fit for someone who prefers a smaller setting. Housing includes private and shared rooms: a private room gives one resident personal space, while a shared room suits someone who wants a companion. The area has a Walk Score of 36, placing it in a car-dependent setting where most errands require a car or a ride. A resident who no longer drives would need transportation for errands.

Contact Avendelle at Shepherds Vineyard

Overview of Spring Arbor of Wilson

Enjoy an exceptional senior living experience with Spring Arbor of Wilson, located in Wilson, NC, offering assisted living, memory care, and short-term stay services. With its goal to meet each resident on their unique journey, the well-trained and dedicated team works hard to curate a personalized plan that best suits their needs and preferences. Additionally, the community fosters a vibrant environment for residents to feel a positive sense of independence in a homelike setting.

Meet new friends and enjoy activities that produce feelings of laughter and cheer through different life-enhancing opportunities and programs. The community also ensures that their activities touch upon the physical, cognitive, social, sensory, creative, and spiritual well-being of each resident. Spring Arbor of Wilson is ideal for seniors seeking an active and enriching retirement.

Contact Spring Arbor of Wilson

Overview of Deerfield Ridge

Experience an exceptional stay with Deerfield Ridge located in Boone, NC. This prominent senior living community offers assisted living and memory care services. Here, residents can choose from a wide array of cozy and spacious accommodations ranging from private studios to shared suites. With its expert and compassionate team, this community offers a cutting-edge memory care program named Pathways to Discovery that is thoughtfully designed for those with cognitive conditions. This community also renders an emergency response system and 24/7 personalized care services.

With its excellent amenities and 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. At Deerfield Ridge, seniors can surely achieve an empowering retirement.

Contact Deerfield Ridge

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.

Contact Morningside of Gastonia

Overview of Clemmons Village Ii- Assisted Living

Clemmons Village Ii offers assisted living and memory care in Clemmons, NC. Assisted living includes help with daily tasks, while memory care provides a secured setting with supervision for someone who may be at risk of wandering. Having both care levels in one community may suit a resident whose needs grow over time, since moving to another level of care may not require leaving the community. The community has 66 beds and offers suite accommodations.

Meals are chef-prepared around residents’ preferences and needs, and scheduled transportation is available for planned trips. Rehabilitation services, including short term rehab, support residents who need recovery-focused care. Outdoor courtyards and walking paths offer places to spend time outside, while an on-site salon provides personal care services; pets are allowed, so a resident may be able to keep a pet with them. Premier Senior Living owns the community.

Contact Clemmons Village II- Assisted Living

Overview of Carolina Inn at Village Green

Carolina Inn at Village Green is a 100-bed assisted living community at 400 Forsythe Street in Fayetteville, North Carolina. The facility occupies a three-story building and offers one-bedroom and two-bedroom units. Walk Score puts the location at 60, which means it is moderately walkable, with some nearby amenities accessible on foot.

The community provides respite care, 24-hour staffing, 24-hour security and maintenance, medication management and monitoring, and memory care support. Meals are prepared on-site. An activity calendar structures programming throughout the week, supported by two designated services: Dine with Us and a news program.

Inspection records show significant recurring themes. Staffing qualifications, food service execution, medication administration, and infection control have been consistent areas of documented concern. The facility’s history includes repeated failures in therapeutic diet adherence and food service cleanliness spanning multiple years. Earlier surveys documented building maintenance, fire safety, and door-latching code violations, with only partial remediation; some issues persisted in follow-up inspections.

Carolina Inn operates a moderately scaled assisted living community oriented toward residents with memory care needs. The inspection history suggests meaningful compliance gaps in critical operational areas; food safety and medication handling stand out, paired with building-system and safety-code issues that required repeated follow-up.

This is a facility where structural and procedural adherence has been uneven, and the historical data suggests ambiguity regarding the effectiveness of recent corrective measures.

Contact Carolina Inn at Village Green

Overview of Cadence at Clemmons

As a senior community with a holistic approach to Assisted Living and Memory Care, Cadence at Clemmons prioritizes the well-being of their residents on all fronts: physical, emotional, social, spiritual, and intellectual. Within this enriching environment, senior residents can pursue their passions and foster meaningful connections while enjoying a sense of home.

Cadence at Clemmons provides wellness programs, dining experiences, and activities encouraging senior residents to connect with new people and explore new horizons. Their Assisted Living and Memory Care services are designed to nurture the mind, body, and spirit. This intimate setting, featuring 62 rooms, is carefully designed to promote overall wellness. Cadence at Clemmons aims to create a senior living community that embraces every aspect of well-being.

Contact Cadence at Clemmons

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.