Page 9 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. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Cadence at Clemmons by Cogir
AL
MC
Clemmons
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
35
Facility 35
NC AVG 34
Rank #167 / 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 #31 / 301
Studio / 1 Bed
Summit Place of Mooresville
AL
MC
RC
Mooresville
60
Facility 60
NC AVG 70
Rank #200 / 328
Yes
33
Facility 33
NC AVG 34
Rank #182 / 373
88.3%
Facility 88.3%
NC AVG 68.5%
Rank #55 / 186
-
91.50/200
Facility 91.50/200
NC AVG 92.7
Rank #227 / 291
C+13
85%
Facility 85%
NC AVG 64.9%
Rank #126 / 301
Suite
Chatham Ridge
AL
MC
Chapel Hill
91
Facility 91
NC AVG 70
Rank #95 / 328
Yes
33
Facility 33
NC AVG 34
Rank #182 / 373
-A-
85.75/200
Facility 85.75/200
NC AVG 92.7
Rank #155 / 291
C+15
80%
Facility 80%
NC AVG 64.9%
Rank #126 / 301
Studio / Suite
Brookdale Country Day Road
AL
Goldsboro
104
Facility 104
NC AVG 70
Rank #53 / 328
Yes
10
Facility 10
NC AVG 34
Rank #309 / 373
79.8%
Facility 79.8%
NC AVG 68.5%
Rank #76 / 186
-
76.00/200
Facility 76.00/200
NC AVG 92.7
Rank #272 / 291
C-15
80%
Facility 80%
NC AVG 64.9%
Rank #126 / 301
Studio / Alcove / 1 Bed / 2 Bed
LiveWell at Birchwood Lake Estates
AL
HC
MC
NH
Chapel Hill
6
Facility 6
NC AVG 70
Rank #278 / 328
No-
83.3%
Facility 83.3%
NC AVG 68.5%
Rank #64 / 186
A+
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
-8
88%
Facility 88%
NC AVG 64.9%
Rank #52 / 301
Private Rooms / Semi-Private Rooms
Brightmore of South Charlotte
AL
CCRC
IL
MC
NH
SNF
Charlotte (Provincetowne)
34
Facility 34
NC AVG 70
Rank #266 / 328
Yes
12
Facility 12
NC AVG 34
Rank #298 / 373
35.3%
Facility 35.3%
NC AVG 68.5%
Rank #157 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A11
36%
Facility 36%
NC AVG 64.9%
Rank #126 / 301
1 Bed / 2 Bed
The Little Flower
AL
Charlotte (Silverstone)
49
Facility 49
NC AVG 70
Rank #251 / 328
Yes
45
Facility 45
NC AVG 34
Rank #117 / 373
53.1%
Facility 53.1%
NC AVG 68.5%
Rank #133 / 186
-
104.50/200
Facility 104.50/200
NC AVG 92.7
Rank #20 / 291
A+14
36%
Facility 36%
NC AVG 64.9%
Rank #36 / 301
-
The Gardens of Roseboro
AL
RC
Roseboro
40
Facility 40
NC AVG 70
Rank #258 / 328
No
23
Facility 23
NC AVG 34
Rank #238 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
A-14
50%
Facility 50%
NC AVG 64.9%
Rank #126 / 301
-
TerraBella Southport
AL
MC
RC
Southport
96
Facility 96
NC AVG 70
Rank #70 / 328
Yes
2
Facility 2
NC AVG 34
Rank #365 / 373
59.4%
Facility 59.4%
NC AVG 68.5%
Rank #119 / 186
A
98.50/200
Facility 98.50/200
NC AVG 92.7
Rank #155 / 291
B-16
50%
Facility 50%
NC AVG 64.9%
Rank #126 / 301
-
TerraBella Cramer Mountain
AL
MC
Cramerton
128
Facility 128
NC AVG 70
Rank #16 / 328
Yes
19
Facility 19
NC AVG 34
Rank #257 / 373
39.1%
Facility 39.1%
NC AVG 68.5%
Rank #152 / 186
-
101.50/200
Facility 101.50/200
NC AVG 92.7
Rank #95 / 291
B+14
64%
Facility 64%
NC AVG 64.9%
Rank #66 / 301
-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NC assisted living community we track that reports that metric, not just the 403 on this page. See how we rank facilities

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Overview of Cadence at Clemmons by Cogir

Cadence at Clemmons by Cogir is a senior living community in Clemmons, North Carolina, providing assisted living and memory care. Featuring 96 beds in a single-story setting, the community has a variety of studio and one-bedroom apartment options.

Licensed nurses and CNAs support daily care needs, while dining is prepared on-site by a chef using fresh, seasonal ingredients. Additionally, menus are designed to accommodate varied dietary needs, with a cafe-style approach that encourages a more social, gathering-focused mealtime experience for older adults.

State inspections have generally resulted in corrective follow-ups, including prior concerns related to medication administration and staff training. This was addressed in the following inspections. Moreover, a separate review examined a fire suppression system issue that led to water damage, which was also corrected.

The surrounding area has a Walk Score of 35, indicating a slightly walkable environment where a few errands can be completed on foot, though a car is generally required.

Contact Cadence at Clemmons by Cogir

Overview of Summit Place of Mooresville

Set in the loving environment of Mooresville, NC, the Summit Place of Mooresville is a world-class senior living community that provides assisted living, memory care, and respite care services. Two types of accommodations are available ranging from suite to companion suite tailored to the primary needs of its residents. With its trained and compassionate team, the community treats its residents as their own family members. In terms of memory care services, the Signature Memory Care Neighborhood is notably created to provide a secure and caring environment for those with Alzheimer’s disease and dementia.

A wide range of amenities and services are available to further enhance the stay of its residents. It includes a full-service salon, an arts and crafts studio, a bistro, activity rooms, a main and private dining room, etc. Meet new people and build lasting friendships in this beautiful place. With its commitment to fostering an inclusive and supportive community, seniors can enjoy a wonderful retirement.

Contact Summit Place of Mooresville

Chatham Ridge

114 Polks Village Ln, Chapel Hill, NC 27516
Overview of Chatham Ridge

Located in the enticing neighborhood of Chapel Hill, NC, the Catham Ridge is an inviting senior living community that offers assisted living and memory care services. A wide range of spacious and comfortable accommodations, including private studios and shared suites are available. Having a highly skilled and empathetic team, this community offers a cutting-edge memory care program named Pathways to Discover that is thoughtfully designed for those with cognitive conditions like Alzheimer’s disease and dementia. This community also renders an emergency response system and 24/7 personalized care services.

Having above-and-beyond amenities and other services, residents can enjoy weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Experience delicious dining with delightful meals and snacks every day. Engage in diverse social activities and community events. Equipped with the right tools and people, seniors can acquire a wondrous living experience.

Contact Chatham Ridge

Overview of Brookdale Country Day Road

Find quality care and genuine relationships at Brookdale Country Day Road, a warm senior living community in Goldsboro, NC, offering assisted living. Ensuring a comfortable lifestyle, the community offers freshly prepared meals, transportation assistance, and engaging activities both on and off-site. The community emphasizes safety with 24/7 availability of care providers and advanced security measures, including an emergency alert system and keypad entries.

Brookdale Country Day Road features a variety of amenities designed to enrich daily life. Residents can participate in fitness classes, game nights, and enjoy the well-stocked library, arts and crafts studio, and beautiful courtyard and garden. Additional conveniences include postal services, a delivery service through the Personal Solutions program, and access to a therapy room, chapel, meeting rooms, and a private dining room. With a constantly changing activities calendar and numerous on-site amenities, residents have the freedom to create a fulfilling and enjoyable lifestyle every day.

Starting Price $4,850/Month

Contact Brookdale Country Day Road

Overview of LiveWell at Birchwood Lake Estates

Nestled within the vibrant landscape of Durham, North Carolina, LiveWell at Birchwood Lake Estates is an esteemed assisted living community. Standing proudly, this assisted living community presents an alternative vision of assisted living within the charming confines of Chapel Hill. Each dwelling within this community is meticulously crafted to exude warmth and hospitality, ensuring an environment that extends its embrace to friends and family alike.

Whether seniors are engaged in a stroll outdoors or savoring a delectable meal, the ethos of LiveWell encourages your presence, inviting you to share in their moments of joy and togetherness. Experience a different kind of assisted living community that redefines the essence of welcome and inclusivity at LiveWell at Birchwood Lake Estates.

Contact LiveWell at Birchwood Lake Estates

Overview of Brightmore of South Charlotte

Brightmore of South Charlotte is an exceptional retirement community that celebrates individuality and offers a full-service rental retirement home experience. Step into a vibrant atmosphere where beautifully designed independent living floor plans await, providing the perfect balance of comfort and independence. Brightmore is committed to accommodating diverse needs, offering a range of amenity options catering to residents seeking independent living, memory care units, and residential assisted living.

Indulge in distinctive dining experiences tailored to individual preferences and dietary needs. Immerse yourself in an array of amenities, including a library for literary adventures, an indoor heated pool for invigorating swims, and a beauty salon and barber for personal grooming. Brightmore also welcomes pets, ensuring that residents can cherish the companionship of their furry friends throughout their stay. With conveniences such as storage spaces, building elevators, concierge services, and 24-hour emergency response, every aspect of senior living is meticulously cared for.

Contact Brightmore of South Charlotte

Overview of The Little Flower

The Little Flower offers a bright and healthy lifestyle for its residents. As a premier assisted living community, professional caregivers practice compassion and kindness, ready to attend to any individual’s needs; they excel in creating an environment that is warm and welcoming and continues to balance a top-notch quality of service for its residents. When setting the standard for quality care and going above and beyond for its seniors, The Little Flower is an exquisite home that meets timeless care.

The lifestyle of Little Flower is designed to inspire the everyday living of its residents, found in the beautiful amenities and essential services provided– maintained spacious studio suites, well-lit common areas, outdoor lounge areas, healthy dining experience, and social activities.

Contact The Little Flower

Overview of The Gardens of Roseboro

Set in the inviting town of Roseboro, NC, The Gardens of Roseboro is a vibrant senior living community that provides assisted living and respite care services. Well-appointed and cozy accommodations tailored to the levels of care are available for its residents. This community is committed to providing a lifestyle of one-of-a-kind convenience, leisure, and beauty. Having a highly equipped and dedicated team, residents can receive the utmost care and support that they deserve.

With its above-and-beyond amenities and services, residents can enjoy on-site maintenance and management services, housekeeping, transportation services, and restaurant-style dining. Meet new companions in its multi-purpose meeting spaces, library with lounge area, and expansive grounds and walking trails. Engage in weekly social activities and other life enrichment programs. At The Gardens of Roseboro, seniors can enjoy a wonderful living experience.

Contact The Gardens of Roseboro

TerraBella Southport

1125 E Leonard St, Southport, NC 28461
Overview of TerraBella Southport

Overlooking the serene Southport, NC, TerraBella Southport is a premier senior living community offering assisted living and memory care within a relaxing living environment and easy access to shopping, dining, and medical services. With thoughtfully designed apartments equipped with personalized climate control settings, emergency call systems, and kitchenettes, residents enjoy a cozy and safe residence. Through its SHINE Memory Care Program, residents dealing with memory loss are given evidence-based memory care that allows them to navigate life despite their afflictions.

Residents’ holistic well-being is paramount to TerraBella Southport, offering extensive lifestyle programs for dining, activities, health, and wellness; residents are guaranteed the care and assistance that benefits all aspects of their wellness. Here, residents enjoy chef-prepared delicacies, a social calendar full of planned activities, and a broad range of amenities designed for fun, wellness, and entertainment. Amenities include Visiting physicians, religious services, salon services, live entertainment, local outings & excursions, and senior-specific wellness classes.

Contact TerraBella Southport

TerraBella Cramer Mountain

500 Cramer Mountain Rd, Cramerton, NC 28032
Overview of TerraBella Cramer Mountain

Terra Bella Cramer Mountain is a trusted senior living community nestled in the serene neighborhood of Cramerton, NC, providing assisted living and memory care. The community features elegant floor plans ranging from suites to one-bedroom apartments. Proving its top-notch quality, the community was recognized as one of the Top Assisted Living Communities in 2020 by Best of Gaston County.

The community features a variety of signature programs for the betterment of its residents. With a variety of activities and programs scheduled over the month such as live entertainment and local outings, residents experience fun and relaxation. Moreover, meals are prepared based on the seniors’ dietary needs and cravings. Terra Bella Cramer Mountain provides residents with amenities to enhance their well-being including a jacuzzi spa, an arts and crafts studio, a multifunction game room, a library, a covered outdoor patio, a private courtyard and community garden, and serene walking paths.

Contact TerraBella Cramer Mountain

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.