Page 9 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 389 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.
389 homes
Other senior care options in North Carolina:
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: 36/ 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: 72The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90

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 to lowest based on our ranking 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Brookdale Union Park
AL
Monroe (Lakeview Estates)
87
Facility 87
NC AVG 72
Rank #126 / 387
Yes
10
Facility 10
NC AVG 36
Rank #457 / 536
-A+
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
21
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
Studio / Companion Rooms
Brookdale Robinwood
AL
HC
IL
MC
NH
SNF
Gastonia
89
Facility 89
NC AVG 72
Rank #122 / 387
Yes
4
Facility 4
NC AVG 36
Rank #506 / 536
-A+
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #252 / 321
17
76%
Facility 76%
NC AVG 76.2%
Rank #136 / 333
Private Rooms / Semi-Private Rooms
The Cardinal at North Hills
AL
IL
MC
NH
SNF
Raleigh (North Hills)
15
Facility 15
NC AVG 72
Rank #334 / 387
Yes
62
Facility 62
NC AVG 36
Rank #58 / 536
63.3% ------
Peak Resources Charlotte
AL
HOS
IL
MC
NH
RC
SNF
Charlotte (Country Club Heights)
142
Facility 142
NC AVG 72
Rank #14 / 387
No
64
Facility 64
NC AVG 36
Rank #46 / 536
83.8% ---6
100%
Facility 100%
NC AVG 76.2%
Rank #319 / 333
-
Pineville Rehabilitation & Living Center
AL
HOS
NH
RC
SNF
Pineville
106
Facility 106
NC AVG 72
Rank #66 / 387
No
25
Facility 25
NC AVG 36
Rank #346 / 536
92.0% A+--6
83%
Facility 83%
NC AVG 76.2%
Rank #218 / 333
Private / Semi-Private Rooms
Guilford House
AL
MC
RC
Greensboro (Northern Shores)
60
Facility 60
NC AVG 72
Rank #230 / 387
Yes
2
Facility 2
NC AVG 36
Rank #526 / 536
45.0% A+
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
28
82%
Facility 82%
NC AVG 76.2%
Rank #202 / 333
-
Southern Magnolia Living
AL
RC
Holly Springs (Hensley)
6
Facility 6
NC AVG 72
Rank #335 / 387
Yes
15
Facility 15
NC AVG 36
Rank #414 / 536
100.0% -
105.50/200
Facility 105.50/200
NC AVG 92.2
Rank #5 / 321
4
25%
Facility 25%
NC AVG 76.2%
Rank #8 / 333
-
TerraBella Southern Pines
AL
MC
Southern Pines
94
Facility 94
NC AVG 72
Rank #110 / 387
Yes
50
Facility 50
NC AVG 36
Rank #150 / 536
73.4% A+
92.75/200
Facility 92.75/200
NC AVG 92.2
Rank #245 / 321
20
90%
Facility 90%
NC AVG 76.2%
Rank #294 / 333
-
TerraBella Salisbury
AL
MC
RC
Salisbury (Lockeland)
128
Facility 128
NC AVG 72
Rank #25 / 387
Yes
8
Facility 8
NC AVG 36
Rank #472 / 536
23.4% A+
97.00/200
Facility 97.00/200
NC AVG 92.2
Rank #189 / 321
25
84%
Facility 84%
NC AVG 76.2%
Rank #234 / 333
-
Carolina Inn at Village Green
AL
MC
Fayetteville (Terry Sanford)
100
Facility 100
NC AVG 72
Rank #77 / 387
Yes
60
Facility 60
NC AVG 36
Rank #72 / 536
--
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
18
72%
Facility 72%
NC AVG 76.2%
Rank #105 / 333
1 Bed / 2 Bed

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 389 on this page.

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Overview of Brookdale Union Park

Nestled in Monroe, North Carolina’s serene residential neighborhood, Brookdale Union Park offers a comforting assisted living community. Residents enjoy spacious accommodations and resort-style amenities, ensuring a retirement filled with comfort and tranquility. Knowing that quality care is readily available provides peace of mind to residents and their families alike. Located conveniently near Carolinas Medical Center and Lake Lee, Brookdale Union Park combines small-town charm with access to urban amenities such as local dining, shopping, and banking.

Residents can engage in a variety of activities both on-campus and off, from pursuing new hobbies to enjoying leisurely shopping and dining outings. Caregivers are available to assist with medication management, bathing, dressing, and more, empowering residents to maintain their independent lifestyles. With features like restaurant-style dining, a hair salon, and a library on-site, Brookdale Union Park ensures residents can live each day on their terms, embracing a fulfilling retirement experience.

Contact Brookdale Union Park

Overview of Brookdale Robinwood

Enjoy a hassle-free lifestyle at Brookdale Robinwood, a welcoming senior living community in Gastonia, North Carolina, offering assisted living. The community provides personalized assistance with daily tasks such as dressing and bathing, allowing residents to focus on enjoying their day. The cozy campus, designed for comfort and privacy, boasts excellent on-site amenities and a diverse social events calendar. Pet-friendly private apartments and inviting areas for socializing, dining, and entertaining enhance the living experience. At Brookdale Robinwood, residents benefit from a range of lifestyle services tailored to individual needs.

The community emphasizes health and wellness through activities like B-Fit fitness classes and Flex Your Brain exercises. With spacious private apartments featuring walk-in closets and large windows, residents enjoy a bright and welcoming atmosphere. A variety of activities, including art classes, trivia games, and yoga, foster a sense of camaraderie and engagement. Dining here is a delightful experience, with menus crafted from residents’ favorite recipes and seasonal ingredients, ensuring every meal is both healthy and enjoyable.

Contact Brookdale Robinwood

Overview of The Cardinal at North Hills

From top-notch safety protocols to a commitment to transparency and trust, The Cardinal at North Hills is dedicated to providing the best possible experience for its residents in Raleigh. With low-rise, mid-rise, and high-rise apartments available, along with one to three-bedroom options, residents can find the perfect abode that suits their needs and preferences. 

Seniors can say goodbye to household chores, as housekeeping, utilities, maintenance services, and more are all taken care of, allowing residents to focus on enjoying their days to the fullest. With round-the-clock security and licensed clinical staff available, residents can have peace of mind knowing that their safety and well-being are a top priority. With features such as no-threshold tile showers and handicap-accessible bathrooms, the community is inclusive and accommodating for all. Additionally, the apartments come fully furnished, making the transition to a new home seamless and hassle-free.

Contact The Cardinal at North Hills

Overview of Peak Resources Charlotte

Located in Charlotte, North Carolina, Peak Resources Charlotte is an assisted living and nursing home community offering both short-term rehabilitation and long-term care services. 
With 142 beds, it is a sizable facility dedicated to providing quality care to its residents. The community proudly participates in Medicare and Medicaid, ensuring that residents have access to comprehensive healthcare services.

Contact Peak Resources Charlotte

Overview of Pineville Rehabilitation & Living Center

Make the most of your golden years with Pineville Rehabilitation & Living Center, an excellent community in Pineville, NC, offering skilled nursing care, short-term rehabilitation, and long-term care. They also help caregivers get their much-deserved break by offering respite stays. Their team of compassionate caregivers and nurses is available 24/7 to oversee residents’ personalized care plans, provide them with comprehensive care, and assist them with their daily living activities.

Access to physical, occupational, and speech therapies is offered 7 days a week to make sure residents can quickly gain back their strength and mobility to continue doing the things they enjoy. Daily activities, weekly outings, and social activities are available to ensure residents never feel bored and always have something fun and purposeful to do. Gourmet meals are also served daily to energize residents and help them maintain proper nutrition. From comprehensive care services to enriching activities and thoughtful amenities, Pineville Rehabilitation & Living Center provides it all for a convenient and enriching experience.

Contact Pineville Rehabilitation & Living Center

Overview of Guilford House

Experience an ultimately relaxing stay with Guilford House located in the peaceful neighborhood of Greensboro, NC, offering assisted living, memory care, and respite care services. The community delivers the highest quality care in a comfortable, home-like setting. Dedicated professionals consistently go above and beyond to ensure the best possible experience for their residents, employing a specialized approach to all care services.

Offering above-and-beyond services, residents can enjoy delightful and healthy meals while interacting with the rest of the community, full-service housekeeping, on-site, beauty salon and barber shop, transportation services, and many more. Take part in a vibrant calendar of social activities, including movie nights and arts and crafts, while making new friends on the outdoor patio and during group outings that promote ongoing engagement and personal development. At Guilford House, seniors can truly enjoy a worthwhile living experience.

Contact Guilford House

Southern Magnolia Living

328 Moore Hill Wy, Holly Springs, NC 27540
Overview of Southern Magnolia Living

Southern Magnolia Living offers a warm and familiar atmosphere for seniors seeking a comfortable and supportive assisted living environment. Imagine a home with just six residents, all treated like family. Residents enjoy delicious home-cooked meals, daily activities, and special events like BBQs and holiday gatherings. Families are always welcome for meals and visits, fostering a strong sense of community.

Southern Magnolia Living prioritizes resident well-being with a holistic approach. Their focus is on maximizing independence and providing personalized care. A dedicated staff assists with daily activities like bathing and medication management, while a visiting doctor ensures residents receive proper medical attention. Additional services like massage therapy and pet therapy contribute to emotional well-being, and spiritual care is available upon request. Residents can stay active and engaged with a variety of activities and events. The community calendar offers daily options, while individual preferences are also taken into account. Arts and crafts, music, exercise classes, and community outings are just a few examples. Southern Magnolia Living strives to create a fulfilling and enriching experience for each resident.

Contact Southern Magnolia Living

TerraBella Southern Pines

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

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

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

Contact TerraBella Southern Pines

TerraBella Salisbury

1915 Mooresville Rd, Salisbury, NC 28147
Overview of TerraBella Salisbury

TerraBella Salisbury is a vibrant senior living community in Salisbury, North Carolina, offering assisted living and memory care. The community provides 24/7 care and a maintenance-free lifestyle to its active residents, while its award-winning SHINE Memory Care Program offers evidence-based memory care to residents living with Alzheimer’s and dementia. Featuring cozy suites and one-bedroom apartments with emergency call systems, individual climate control settings, and kitchenettes, residents are guaranteed a comfortable residence.

The community does its absolute best to ensure that residents have everything they need. From a jam-packed active social calendar and long-term health and wellness programs to concierge and housekeeping services, residents have everything they need to live a worry-free and convenient retirement. Residents also enjoy access to various amenities, including restaurant-style dining with tableside service, short-term respite care, a private courtyard & community garden, a professional beauty salon & barber shop, a jacuzzi spa, and a multifunction game room.

Contact TerraBella Salisbury

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

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 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 389 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.