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Best Assisted Living in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Feb 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.

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Watch this Video to see North Carolina's Top-rated Senior Communities
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North Carolina is an ideal location for seniors seeking an easy-going lifestyle with its quiet beach towns that provide the best places for relaxation, combined with beautiful mountains, fun events, nightlife, restaurants, and parks for various recreation. The state also offers a relatively lower cost of living and ranked #23 overall on the list of most affordable states, according to the U.S. News and World Report. With its mild climate, numerous assisted living communities, and easy accessibility, North Carolina undoubtedly offers an ideal place for seniors seeking a home to spend their golden years in.

Compare Assisted Living around North Carolina

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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%
-
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.

-
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%
-
Terrabella Asheboro
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.

Asheboro
96
Yes
0
-
A+
97.00/200
23
87%
Studio / 1 Bed
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View all Nearby Homes
Marion Assisted Living is an adult long term care facility in Marion, NC. It offers a full range of services including assisted living, medication monitoring, and nutritional counseling. The facility has been in continuous operation for over 25 years, providing compassionate care to its residents.
Overview of Marion Assisted Living
Marion Assisted Living is an adult long term care facility in Marion, NC. It offers a full range of services including assisted living, medication monitoring, and nutritional counseling. The facility has been in continuous operation for over 25 years, providing compassionate care to its residents.
Contact Marion Assisted Living
Magnolia Gardens is a family-owned and operated assisted living community located in Southern Pines, NC. It offers a quality lifestyle with comfort, support, and activities that enliven the spirit. The community provides personalized assistance with daily activities and features both private and semi-private rooms.
Overview of Magnolia Gardens
Magnolia Gardens is a family-owned and operated assisted living community located in Southern Pines, NC. It offers a quality lifestyle with comfort, support, and activities that enliven the spirit. The community provides personalized assistance with daily activities and features both private and semi-private rooms.
Contact Magnolia Gardens
Franklin House is a senior living facility located in Franklin, 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 Franklin House
Franklin House is a senior living facility located in Franklin, 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 Franklin House
Williamston House is a senior living facility located in Williamston, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community focuses on creating a nurturing environment where residents can thrive and enjoy life.
Overview of Williamston House
Williamston House is a senior living facility located in Williamston, North Carolina. It offers assisted living and secured living options for seniors, providing personalized support for daily activities while promoting independence. The community focuses on creating a nurturing environment where residents can thrive and enjoy life.
Contact Williamston House
Clayton House is a senior living facility located in Clayton, North Carolina. It specializes in memory care and secured living for seniors with Alzheimer's and dementia. The facility offers a safe environment with 24/7 trained staff and personalized care.
Overview of Clayton House
Clayton House is a senior living facility located in Clayton, North Carolina. It specializes in memory care and secured living for seniors with Alzheimer's and dementia. The facility offers a safe environment with 24/7 trained staff and personalized care.
Contact Clayton House
Morningstar Assisted Living is located in Sylva, North Carolina, providing quality senior care in a home-like environment. The facility offers a range of services including assisted living, respite care, and on-site medical care. Residents can enjoy a variety of activities and dining options tailored to their preferences.
Overview of Morningstar Assisted Living
Morningstar Assisted Living is located in Sylva, North Carolina, providing quality senior care in a home-like environment. The facility offers a range of services including assisted living, respite care, and on-site medical care. Residents can enjoy a variety of activities and dining options tailored to their preferences.
Contact Morningstar Assisted Living
The Landings of Smithfield is a senior living facility located in Smithfield, North Carolina. It offers assisted living, memory care, and respite care services. The community focuses on providing a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
Overview of The Landings of Smithfield
The Landings of Smithfield is a senior living facility located in Smithfield, North Carolina. It offers assisted living, memory care, and respite care services. The community focuses on providing a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
Contact The Landings of Smithfield
Open Arms Retirement Center is an affordable Assisted Living and Memory Care community in Raeford, NC. It provides a warm, welcoming environment making every resident feel at home. The community offers personalized support, engaging programs, and a true sense of home.
Overview of Open Arms Retirement Center
Open Arms Retirement Center is an affordable Assisted Living and Memory Care community in Raeford, NC. It provides a warm, welcoming environment making every resident feel at home. The community offers personalized support, engaging programs, and a true sense of home.
Contact Open Arms Retirement Center
Ahoskie House is a senior living facility located in Ahoskie, North Carolina. It specializes in memory care, providing a safe and supportive environment for individuals with Alzheimer’s and dementia. The facility offers personalized care plans, structured routines, and engaging activities to promote cognitive health and quality of life.
Overview of Ahoskie House
Ahoskie House is a senior living facility located in Ahoskie, North Carolina. It specializes in memory care, providing a safe and supportive environment for individuals with Alzheimer’s and dementia. The facility offers personalized care plans, structured routines, and engaging activities to promote cognitive health and quality of life.
Contact Ahoskie House
Four Oaks Senior Living is a senior living facility located in Four Oaks, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
Overview of Four Oaks Senior Living
Four Oaks Senior Living is a senior living facility located in Four Oaks, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
Contact Four Oaks Senior Living

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

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 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.

Contact us Today

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.