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Best Home Care in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Feb 2026
We analyzed 5 homes in North Carolina

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

Explore home photos
Watch this Video to see North Carolina's Top-rated Senior Communities

North Carolina is an ideal option for those seeking both affordability and vibrant living experiences with its low cost of living and abundance of recreational opportunities. Get your care needs delivered in the comfort of your home with numerous home care providers available in the state. Home care here can cost about $4,385 per month for services like housekeeping and mobility assistance. With its mild climate and easy access to natural beauty like beaches and mountains, residents are encouraged to enjoy an active lifestyle while taking in the beauty of nature.

Compare Home Care around North Carolina

Click column headers to sort
Brookdale South Charlotte
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Charlotte (Wessex Square)
82
Yes
16
74.4%
A+
101.50/200
20
80%
Private Rooms / Semi-Private Rooms
Calyx Living of Fuquay-Varina
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Fuquay-Varina
84
No
24
-
-
103.50/200
6
83.3%
Studio / 1 Bed
Woodland Terrace
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Woodland Terrace)
84
No
55
-
-
95.75/200
19
84.2%
-
The Arboretum at Woodland Terrace
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Woodland Terrace)
84
Yes
55
39.3%
-
95.75/200
19
84.2%
Studio / 1 Bed / 2 Bed
Brookdale Skeet Club
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

High Point
79
Yes
30
-
-
99.50/200
18
77.8%
Private Rooms
Brookdale Eden
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Eden
82
Yes
37
-
-
91.00/200
19
84.2%
Studio / Suite
Brookdale MacArthur Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Carolina House Of Cary)
80
Yes
12
-
-
101.50/200
24
79.2%
Studio / Suite / 1 Bed
Spring Arbor of Cary
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Cary
80
Yes
35
-
-
95.50/200
10
50%
Studio / Cottage/ Alcove
Sunrise on Providence
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Charlotte (Olde Providence North)
95
Yes
15
70.5%
-
90.00/200
23
82.6%
Studio / Companion Suite / 1 Bed
Sunrise of Cary
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Cary
85
Yes
34
40.0%
A-
103.50/200
18
66.7%
Studio / Suite / 1 Bed
TerraBella Newton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Newton
96
No
20
-
-
105.50/200
16
50%
-
Brookdale Robinwood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gastonia
89
Yes
4
-
A+
91.50/200
17
76.5%
Private Rooms / Semi-Private Rooms
Brookdale Reidsville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Reidsville
76
Yes
32
100.0%
-
104.50/200
17
64.7%
Studio / Suite
Brookdale Dickinson Avenue
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Greenville
76
Yes
38
67.1%
A+
96.50/200
15
86.7%
Studio / Suite / 1 Bed
Harmony at Greensboro
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Greensboro (British Woods)
92
No
37
43.5%
A+
101.50/200
17
100%
-
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View all Nearby Homes

Rich Square Villa

310 North Main Street Rich Square, NC 27869, Rich Square, NC 27869
Rich Square Villa is a senior living facility located in Rich Square, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing personalized care and a supportive environment for residents.
Overview of Rich Square Villa
Rich Square Villa is a senior living facility located in Rich Square, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing personalized care and a supportive environment for residents.
Contact Rich Square Villa

Graceful Living Assisted Living

624 Jones Ferry Road Carrboro, NC 27510, Carrboro, NC 27510
Graceful Living Assisted Living is located in Carrboro, North Carolina. It provides exceptional senior care services, ensuring safety, comfort, and a fulfilling lifestyle for residents. The facility offers personalized care plans, medication reminders, housekeeping, and various engaging activities.
Overview of Graceful Living Assisted Living
Graceful Living Assisted Living is located in Carrboro, North Carolina. It provides exceptional senior care services, ensuring safety, comfort, and a fulfilling lifestyle for residents. The facility offers personalized care plans, medication reminders, housekeeping, and various engaging activities.
Contact Graceful Living Assisted Living

Waterbrooke of Elizabeth City

143 Rosedale Drive Elizabeth City, NC 27909, Elizabeth City, NC 27909
Waterbrooke of Elizabeth City is a licensed assisted living community located next to the Sentara Albemarle Hospital. It offers Assisted Living and Memory Care services. The community aims to provide a sense of belonging and a home-like environment for its residents.
Overview of Waterbrooke of Elizabeth City
Waterbrooke of Elizabeth City is a licensed assisted living community located next to the Sentara Albemarle Hospital. It offers Assisted Living and Memory Care services. The community aims to provide a sense of belonging and a home-like environment for its residents.
Contact Waterbrooke of Elizabeth City

Haywood House

145 N Main St. Canton, NC 28716, Canton, NC 28716
Haywood House is a senior living community in Newton, MA, offering income-restricted apartment rentals for seniors aged 62 and older. The property features 55 one-bedroom units in a modern 4-story building with various amenities. Residents can enjoy a fitness center, community center, and library.
Overview of Haywood House
Haywood House is a senior living community in Newton, MA, offering income-restricted apartment rentals for seniors aged 62 and older. The property features 55 one-bedroom units in a modern 4-story building with various amenities. Residents can enjoy a fitness center, community center, and library.
Contact Haywood House

The Gardens of Pamlico

22 Magnolia Way Grantsboro, NC 28529, Grantsboro, NC 28529
The Gardens of Pamlico is a senior living facility located in Grantsboro, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community features amenities designed to enhance the quality of life for residents.
Overview of The Gardens of Pamlico
The Gardens of Pamlico is a senior living facility located in Grantsboro, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community features amenities designed to enhance the quality of life for residents.
Contact The Gardens of Pamlico

Mint Hill Senior Living

10830 Lawyers Glen Drive Charlotte, NC 28227, Charlotte, NC 28227
Mint Hill Senior Living is a senior living facility located in Mint Hill, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community is designed to enhance the quality of life for residents with a focus on safety and engagement.
Overview of Mint Hill Senior Living
Mint Hill Senior Living is a senior living facility located in Mint Hill, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community is designed to enhance the quality of life for residents with a focus on safety and engagement.
Contact Mint Hill Senior Living

The Landings of Albemarle

603 South Church Street Hertford, NC 27944, Hertford, NC 27944
The Landings of Albemarle is a senior living facility located in Hertford, North Carolina. It offers a supportive lifestyle for seniors through Assisted Living, Independent Living, and Respite Care. The community focuses on maintaining independence while providing personalized care and a vibrant social environment.
Overview of The Landings of Albemarle
The Landings of Albemarle is a senior living facility located in Hertford, North Carolina. It offers a supportive lifestyle for seniors through Assisted Living, Independent Living, and Respite Care. The community focuses on maintaining independence while providing personalized care and a vibrant social environment.
Contact The Landings of Albemarle

Kingswood Reserve

263 McKenzie Ridge Dr Clayton, NC 27527, Clayton, NC 27527
Kingswood Reserve is a senior living facility located in Clayton, North Carolina. It offers a range of services including assisted living, memory care, and independent living, all designed to provide a safe and supportive environment for seniors. The community focuses on personalized care and engagement to enhance the quality of life for its residents.
Overview of Kingswood Reserve
Kingswood Reserve is a senior living facility located in Clayton, North Carolina. It offers a range of services including assisted living, memory care, and independent living, all designed to provide a safe and supportive environment for seniors. The community focuses on personalized care and engagement to enhance the quality of life for its residents.
Contact Kingswood Reserve

Piedmont Christian Home

1510 Deep River Road High Point, NC 27265, High Point, NC 27265
Piedmont Christian Home is a senior living community in High Point, NC. It offers personalized care plans, assisted living, and memory care services. The facility is committed to providing compassionate, Christ-centered care since 1965.
Overview of Piedmont Christian Home
Piedmont Christian Home is a senior living community in High Point, NC. It offers personalized care plans, assisted living, and memory care services. The facility is committed to providing compassionate, Christ-centered care since 1965.
Contact Piedmont Christian Home

The Landings of Rocky Mount Mills

1365 River Drive Rocky Mount, NC 27802, Rocky Mount, NC 27802
The Landings of Rocky Mount Mills is a senior living facility in Rocky Mount, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing personalized care and a supportive environment for residents.
Overview of The Landings of Rocky Mount Mills
The Landings of Rocky Mount Mills is a senior living facility in Rocky Mount, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing personalized care and a supportive environment for residents.
Contact The Landings of Rocky Mount Mills

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today