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Best Assisted Living in Smithfield, NC

Reviewed by Dr. Jordan Weiss
Updated Jan 2026

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

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

Watch this Video to see Smithfield's Top-rated Senior Communities
Avg. Monthly cost: $4,500
National average: $5,600
Monthly cost range: $4,000–$6,600
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6
Overview of Brookdale Smithfield

Enjoy a life of independence while still receiving the care you need at Brookdale Smithfield, an excellent senior living community based in Smithfield, NC, offering assisted living and memory care. The community offers pet-friendly apartments featuring large windows with plenty of natural light, along with a compassionate team available 24/7 to provide assistance in emergencies. To ensure residents dealing with cognitive challenges receive the proper care and support they need, the community provides a gentle daily structure of six planned programs, complemented with consistent care assignments.

Residents at Brookdale Smithfield find fun and entertainment with a jam-packed calendar of activities, such as joining a walking club, fun exercise classes, or stimulating brain games, aroma therapy, and daily music programs for memory care residents. A culinary team ensures residents get the nourishment they need with tasty and nutritious meals, tailored to residents’ dietary needs and preferences. Amenities include a library, a game room, community kitchen, and beautiful walking paths and courtyard, where they can enjoy nature alone or with friends.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / Suite

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Building Type: Single-story

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Fitness and Recreation

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Frequently Asked Questions about Assisted Living in Smithfield, NC

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 1 assisted living facilities in Smithfield, NC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Smithfield, NC?

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 Smithfield, NC, 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 Smithfield, NC?

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.