In North Carolina, assisted living communities offer older adults a comfortable, hassle-free environment. As a Southern state famous for its diverse geography and culture, North Carolina offers plenty of charm and individuality. Its moderate cost of living and reasonable weather, in combination with stunning mountainous landscapes, historic coastal towns, and numerous state parks, make the state a remarkable place to call home.
They get a 5 across the board. It's an incredible place. Small enough ( thank goodness) that everyone knows everyone and the staff is outstanding. Twice weekly on site geriatric Nurse Practitioner ( as well...
The Marketing representative was very helpful in making the transition from filling out paperwork, touring the facility, to moving in. Housekeeping does great at cleaning and food is very good and severed in...
All questions are a five and where their strengths are special is with the Director [name removed] and his management staff. They have a wealth of knowledge and expertise and treat the residents and families...
Loved Sunrise. Could not have taken care of [name removed] without them. I would rate all of these a 5. They went out of their way to make [name removed] comfortable. The main thing about the staff is that...
The staff is supportive and pleasant. The residents have a lot of options for activities. The location is great for access to many things nearby. The senior director has changed twice in the last year, and...
My grandfather has been living at Brookdale Charlotte East for a little over a year and a half and we have loved the care he's receiving. Every time we visit, both the residents and staff are very friendly...
When it comes to the value for cost that's a tough one. It is expensive, and I have no reference since this is my only experience. I think for my mom, it's mostly the food that could be improved on. However,...
The overall staff work well however the Director lacks communication skills, lack organizational skills, and lack follow through skills. We have been asked many times for paperwork that was provided during...
The small, family atmosphere and closeness of staff and residents is better than I could have imagined. They are so kind and attentive to my mom and she tells us over and over how happy she is. The staff is...
All questions are a five and where their strengths are special is with the Director [name removed] and his management staff. They have a wealth of knowledge and expertise and treat the residents and families...
I moved my mom from Brookdale Winston-Salem March a year ago… She was only there for five months. The place was absolutely fine, the staff were friendly and very competent. The administration was easy to...
My loved one was previously a resident at Forest Heights Senior Living and the experience was very good. The leaders were very good and responsive, they seemed to have the best interest of the residents in...
I was only able to visit a few times before my mother passed away and could only say that she was well cared for and made comfortable each time I was there. The staff that I interfaces with were always eager...
My mom has been treated extremely well and she has been happy since her first day. They make her feel safe and comfortable, and address any needs quickly. I can't say enough about the staff, they go above...
We love Morningside of Raleigh! My Mother has been at Morning side for almost a year. I moved her here from another assisted living organization. Night and day difference! The management team is responsive....
The average cost of assisted living in North Carolina is about $5,000 per month, according to A Place for Mom’s internal data on our partner communities throughout the state. That’s about $100 less expensive than the national average.[01]
However, assisted living costs vary across communities in North Carolina. Monthly costs range between about $3,000 at the low end and $7,100 at the highest end for North Carolina assisted living communities. This is because facilities base their costs on factors such as the following:
The figures above are reflective of actual prices paid by families who were referred to an A Place for Mom partner assisted living community in North Carolina. They account for all fees paid, including amenities, services, and care. Seniors and their families often use a combination of public and private payment methods to cover these costs. Read more about various payment options below.
Average monthly costs
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US National average
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South Carolina
Virginia
West Virginia
District of Columbia
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Whether you or your family can cover assisted living using personal savings, or you opt to utilize public pay options, there are a variety of methods to pay for assisted living in North Carolina. This section outlines the various payment options families often use to cover their assisted living or long-term care costs. You can also view our guide to paying for long-term care for a high-level overview.
Some families can pay for long-term care using personal savings. However, there are a number of other private pay options. Click on the cards below to learn more about some different options.
The licensure term for assisted living in North Carolina is Assisted Living Residence. However, there are a couple of different types of Assisted Living Residences, each providing a slightly different scope of care:[05]
Adult Care Homes must be licensed through the North Carolina’s Department of Health and Human Services Division of Health Service Regulation, Adult Care Licensure Section. Multi-Unit Assisted Housing with Services facilities aren’t licensed, but they still must register with the Division of Health Service Regulation.
Although Adult Care Homes and Multi-Unit Assisted Housing with Services facilities are considered types of ALRs, each assisted living type is bound to slightly different rules and regulations. To read a full list of rules that North Carolina’s assisted living facilities are required to follow, view the North Carolina section in the National Center for Assisted Living (NCAL)’s Assisted Living State Regulatory Review.
Our free tool provides options, advice, and next steps based on your unique situation.
We developed a system to rate each state on how easy — or difficult — it is to find important assisted living records and reports, and we compiled tips to help you in your search.
States with the most transparent records allow you to look up important information about each assisted living facility online, including inspections, complaints, survey results, violations, capacity, and whether the facility accepts Medicaid.
Public access to assisted living records and reports for the state of North Carolina is exceptional. Key findings that informed this rating include:
How to look up North Carolina assisted living licenses and records
We developed a standard methodology for state data collection and evaluation, and we based our rating primarily on the objective, state-specific accessibility criteria outlined in these questions:
A Place for Mom. (2023). A Place for Mom proprietary data.
United States Census Bureau. QuickFacts North Carolina.
North Carolina Medicaid Division of Health Benefits (NCDHHS). Benefits and services.
North Carolina Medicaid Division of Health Benefits (NCDHHS). Learn about NC Medicaid Managed Care.
National Center for Assisted Living (NCAL). (2022). Assisted living state regulatory review.
Overview of assisted living in NC
Find assisted living near you
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