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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

Scotland House

27669 Highway 125 Scotland Neck, NC 27874, Scotland Neck, NC 27874
Scotland House is a senior living facility located in Scotland Neck, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
Overview of Scotland House
Scotland House is a senior living facility located in Scotland Neck, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
Contact Scotland House

The Landings of Lake Gaston

206 North Mosby Ave Littleton, NC 27850, Littleton, NC 27850
The Landings of Lake Gaston is a senior living facility located in Littleton, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while promoting independence and connection.
Overview of The Landings of Lake Gaston
The Landings of Lake Gaston is a senior living facility located in Littleton, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while promoting independence and connection.
Contact The Landings of Lake Gaston

Trinity Elms

3750 Harper Road Clemmons, NC 27012, Clemmons, NC 27012
Trinity Elms is a vibrant Continuum of Care Retirement Community (CCRC) located in Clemmons, North Carolina. It offers a warm and welcoming environment designed to support residents at every stage of life, providing compassionate care and enriching experiences. The community is part of Lutheran Services Carolinas, which serves the aging population.
Overview of Trinity Elms
Trinity Elms is a vibrant Continuum of Care Retirement Community (CCRC) located in Clemmons, North Carolina. It offers a warm and welcoming environment designed to support residents at every stage of life, providing compassionate care and enriching experiences. The community is part of Lutheran Services Carolinas, which serves the aging population.
Contact Trinity Elms

The Bradford Village of Kernersville – West

602 Piney Grove Road Kernersville, NC 27284, Kernersville, NC 27284
Bradford Village Assisted Living is located in Kernersville, NC. It offers a safe, comfortable, and secure environment for residents. The facility provides various services including companionship, meal planning, and assistance with daily activities.
Overview of The Bradford Village of Kernersville – West
Bradford Village Assisted Living is located in Kernersville, NC. It offers a safe, comfortable, and secure environment for residents. The facility provides various services including companionship, meal planning, and assistance with daily activities.
Contact The Bradford Village of Kernersville – West

Wellington House

850 Majestic Court Gastonia, NC 28054, Gastonia, NC 28054
Wellington House is a senior living facility located in Gastonia, North Carolina. It specializes in memory care for individuals with Alzheimer’s and dementia, providing a safe and secure environment with 24/7 trained staff. The facility offers personalized care plans, structured routines, and engaging activities to promote cognitive health and quality of life.
Overview of Wellington House
Wellington House is a senior living facility located in Gastonia, North Carolina. It specializes in memory care for individuals with Alzheimer’s and dementia, providing a safe and secure environment with 24/7 trained staff. The facility offers personalized care plans, structured routines, and engaging activities to promote cognitive health and quality of life.
Contact Wellington House

Tre’ More Manor ALF

6016 Pine Town Road Oxford, NC 27565, Oxford, NC 27565
Tre'More Manor is an assisted living community located in Oxford, North Carolina. It offers luxurious accommodations and a focus on care, community, and family. The facility provides various services including chef-prepared meals, daily activities, and assistance with daily living tasks.
Overview of Tre’ More Manor Alf
Tre'More Manor is an assisted living community located in Oxford, North Carolina. It offers luxurious accommodations and a focus on care, community, and family. The facility provides various services including chef-prepared meals, daily activities, and assistance with daily living tasks.
Contact Tre’ More Manor ALF

Country Time Inn

602 Brevard Road Kings Mountain, NC 28086, Kings Mountain, NC 28086
Country Time Inn is a senior living facility located in Kings Mountain, 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 Country Time Inn
Country Time Inn is a senior living facility located in Kings Mountain, 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 Country Time Inn

Somerset Court of Cherryville

401 West Academy Street Cherryville, NC 28021, Cherryville, NC 28021
Somerset Court of Cherryville is a senior living facility located in Cherryville, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community is dedicated to enhancing the quality of life for its residents through compassionate care and engaging activities.
Overview of Somerset Court of Cherryville
Somerset Court of Cherryville is a senior living facility located in Cherryville, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community is dedicated to enhancing the quality of life for its residents through compassionate care and engaging activities.
Contact Somerset Court of Cherryville

Southfork

1345 Jonestown Road Winston-Salem, NC 27103, Winston-Salem, NC 27103
Southfork is a senior living facility located in Winston-Salem, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while ensuring residents receive personalized care.
Overview of Southfork
Southfork is a senior living facility located in Winston-Salem, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life while ensuring residents receive personalized care.
Contact Southfork

Terrace Ridge Assisted Living

1251 E Hudson Blvd Gastonia, NC 28054, Gastonia, NC 28054
Terrace Ridge Assisted Living is located in Gastonia, NC. It provides affordable assisted living services with a focus on quality resident care. The community is designed to enhance the quality of life for residents and their families.
Overview of Terrace Ridge Assisted Living
Terrace Ridge Assisted Living is located in Gastonia, NC. It provides affordable assisted living services with a focus on quality resident care. The community is designed to enhance the quality of life for residents and their families.
Contact Terrace Ridge Assisted Living

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