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Best Assisted Living in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 539 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

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

Watch this Video to see North Carolina's Top-rated Senior Communities
Other Senior care options:

Compare Assisted Living around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Click column headers to sort
Calyx Living of Durham
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).

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.

Durham
84No- 39.3% 6-
The Gardens of Rose Hill
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).

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.

Rose Hill
45No--20-
Morning Star Special Care Unit
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).

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.

Fayetteville
44No- 75.0% 38-
DaySpring of Wallace
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).

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.

Wallace
80No- 58.8% 26-
Brookstone Retirement Center
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).

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.

Lexington
115No- 24.3% 20-
Somerset Court of Mocksville
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).

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.

Mocksville
60No- 88.3% 24-
The Gardens of Trent
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).

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.

New Bern
60No- 86.7% 38-
Hope Mills Retirement Center
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).

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.

Hope Mills
64No--9-
Homestead Hills Assisted Living
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).

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.

Winston-Salem
66No- 30.3% 19-
Waltonwood Lake Boone
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).

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.

Raleigh
68No- 60.3% 12-
The Landings of Swansboro
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).

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.

Swansboro
80No- 32.5% 7-
The East Tower at Cardinal North Hills
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).

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.

Raleigh
49No- 73.5% 4-
Dunmore Senior Living of Zebulon
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).

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.

Zebulon
60No- 71.7% 15-
Lawndale Manor
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).

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.

Garner
62No--21-
Goldsboro Assisted Living & Alzheimer’s Care
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).

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.

Goldsboro
56No- 91.1% 25-
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Overview of The Sharon at Southpark

Make your dream retirement come true with The Sharon at Southpark, a compassionate community in Charlotte, NC, offering a continuum of care. Residents here have access to independent living, assisted living, and skilled nursing care provided by a team of kind and compassionate care experts. Their relaxing community is peacefully set amidst a 28-acre campus with easy access to shops, recreational amenities, and entertainment options in the area.

In addition to convenient services like housekeeping, laundry, and maintenance, the community provides access to a wide selection of hotel-like amenities, including gathering venues, recreational spaces, and wellness & fitness areas. Multiple dining areas and diverse menus are also available to ensure residents’ cravings and nutritional needs are met. Whatever your interests and passions are, The Sharon at Southpark provides the opportunities and spaces you need to enjoy them while receiving compassionate care and assistance.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 1000 - 2200 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Dining Services

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Beauty Services

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Transportation Services

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Health Programs

Contact The Sharon at SouthPark

Wesley Pines

1000 Wesley Pines Rd, Lumberton, NC 28358
Overview of Wesley Pines

With its rich history of providing exceptional senior care since 1977, Wesley Pines Retirement Community in the beautiful setting of Wesley Pines Road, Lumberton, NC features independent living, assisted living, skilled nursing, and rehabilitation. Set on 49 acres of serene grounds, the community has a variety of cottages and villas with two-bedroom floor plans for seniors to live comfortably and safely. As a life plan community, Wesley Pines Retirement Community doubles its efforts to meet seniors’ ever-changing needs and aspirations.

Handling the maintenance and other household responsibilities, the community provides a full slate of enjoyable activities and fun programs for residents to remain happy and well-connected. Here, healthy and delightful dining options are served for a satisfactory mealtime. Wesley Pines Retirement Community offers top-tier services and incredible amenities, ensuring seniors optimize their freedom.

What does this home offer?

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Housing Options: 1 Bed / Cottage / Villa

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Building Type: Single-story

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Fitness and Recreation

Overview of Friends Homes

Located in Guilford County, Greensboro, NC, Friends Homes is an inviting senior living community that offers a safe haven far from the hustle and bustle of city life. The community features an array of living options, including independent living, assisted living, skilled nursing care, and memory care, ensuring a smooth transition should residents’ needs change. Residents can choose from a variety of thoughtfully designed floor plans for enjoying life without having to worry about everyday maintenance and upkeep, guaranteeing a worry-free lifestyle.

Dedicated to creating an enriching and vibrant environment, the community conducts a wide array of activities and offers plenty of relaxing spaces for peaceful personal times and vibrant interactions with friends and fellow residents. The community’s ideal location also provides easy access to a variety of shops, grocery stores, and restaurants whenever residents want to go out and explore. Residents also enjoy access to a wellness center with a state-of-the-art fitness center, indoor heated pool, and a sports court to foster fitness and well-being.

What does this home offer?

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Room Sizes: 334-1352 / 1419-1659 / 1492-1872 / 910-1919 sq. ft

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Housing Options: Villa Apartments / Townhomes / Apartments / Cottages

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Friends Homes

Overview of Brookstone Terrace

When checking around for the best nursing homes near you, two things are among the top things to look out for: a professional staff available on-call, and comfortable living arrangements. Brookstone Terrace offers these, and much more, catering to the needs of each resident with compassion and the utmost care.

Their dedicated team is available to assist 24/7, focused on providing an environment you feel at home in. With nursing home facilities such as Brookstone Terrace, daily tasks that once took up the bulk of your time are now in the hands of people that care for your well-being, allowing you to rest, relax, and enjoy a peaceful retirement.

Contact Brookstone Terrace

Overview of Cary Family Care

Cary Family Care Assisted Living, located in Cary, NC, is a senior care home providing dementia assisted living. Their care program is specifically designed for residents in various stages of dementia, providing them a warm and caring environment that aims to attend to their specific needs. This includes 24/7 supervision, regular evaluation by a registered nurse, as well as medical related transportation.

Additionally, they provide their residents with meals that are prepared and planned according to their dietary needs and preferences. They also assist with the residents daily activities such as bathing, grooming, skin-care and personal hygiene.

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Staff to Resident Ratio: 1:3 (1 staff-3 residents)

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Building Type: Single story

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Contact Cary Family Care

Overview of New Hanover House

New Hanover House, situated in Wilmington, NC, is a senior living community dedicated to providing assisted living and memory care services. The accommodation options they offer include semi-private units with a common entryway, separate bedrooms, individual HVAC, and a shared bathroom, offering residents both furnished and unfurnished apartments. The community prioritizes safety with an emergency call system in bathrooms and bedrooms. Comprehensive healthcare services at New Hanover House encompass respite care, assistance with daily tasks, medication management, on-site therapy services, and the presence of dedicated caregivers 24/7.

The community ensures the well-being of residents with dietitian-approved meals, promoting health and vitality. As for amenities, residents can enjoy a variety of them such as a beauty salon and spa, housekeeping services, inclusive utilities, and transportation to and from medical appointments, providing convenience for residents. New Hanover House also curates engaging activities, including group and one-on-one activities, live and virtual entertainment, group outings, fitness programs, and celebrations for special occasions, creating a dynamic and supportive environment, and fostering a vibrant living experience.

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Fitness and Recreation

Contact New Hanover House

Overview of Trinity Elms Assisted Living

Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.

Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.

What does this home offer?

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Room Sizes: 686 - 1,001 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: Two-story

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Contact Trinity Elms Assisted Living

Miss Bell’s at Fuquay

709 Minerva Dale Dr, Fuquay-Varina, NC 27526
Overview of Miss Bell’s at Fuquay

Spend a worry-free retirement at Miss Bell’s at Fuquay, an idyllic retreat in Fuquay-Varina, NC, offering assisted living and memory care. Residents can ease their worries with specialized care provided by a dedicated and well-trained team, especially with one caregiver assigned to every three residents. With beautifully designed and spacious accommodations, residents are guaranteed the utmost comfort and safety.

To improve residents’ cognition and living experiences, a jam-packed calendar of engaging programs and exciting events is conducted. Mealtimes are also something to look forward to, with delicious and healthy dining options that cater to their dietary needs and preferences. Promoting a nurturing and welcoming environment, the community creates the ideal setting where residents can thrive in their golden years.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Staff to Resident Ratio: 1 Staff : 3 Residents

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Building Type: Single-story

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Dining Services

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Social and Recreational Activities

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Exercise Programs

Overview of Holly Springs Senior Living

Holly Springs Senior Living is an outstanding senior care community in Holly Springs, NC, that offers a wide range of care options, including memory care, assisted living, hospice care, and respite care. Dedicated to older adults’ peace of mind, the community strives to promote a home-like environment with its well-thought-out living spaces. Home-cooked meals, recreational activities, and a fire safety system are provided to enrich residents’ living experiences. With personalized care plans, the community strives to meet residents’ healthcare needs.

Fun social events, light exercises, and engaging programs provide residents with more opportunities to interact with their peers and try out new things. A family-style dining area, naturally lit communal spaces, and a spacious outdoor area also accompany residents during their stay. With serene parks and the UNC Rex Hospital nearby, residents have convenient access to their leisure and healthcare needs. As one of North Carolina’s finest senior living communities, this care home provides the highest quality of care for older adults to thrive in retirement.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Personal Care Assistance

Contact Holly Springs Senior Living

Overview of Our Promise Care Homes at Falls Church

Nestled in the neighborhood of Raleigh, NC, Our Promise Care Homes at Falls Church is an oasis for those in need of assisted living. Helping residents maintain their independence and well-being, the community offers round-the-clock assistance with daily living activities. With its customized care plans and intimate setting, residents here enjoy focused care that’s tailored to their needs.

Dedicated to creating a vibrant environment, the community offers an array of inspiring and stimulating activities regularly. Meals here are nutritious and healthy to satisfy both residents’ nutritional needs and cravings. With its welcoming atmosphere and kind care team, the community makes a great place for enjoying your golden years to the fullest.

What does this home offer?

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Total Residents: 6 Residents

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Housing Options: Private Rooms

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Building Type: Single-story

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Contact Our Promise Care Homes at Falls Church

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

Assisted Living Magazine ranks assisted living communities using a rigorous, data-driven scoring model built specifically for assisted living.
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 portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.

An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including: walkability and local accessibility, estimated property value, and pricing information.

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.

The result is a fair, clear, and data-driven ranking system for families researching senior living options.

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.

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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
  • 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.