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ElderCareCosts

Assisted Living in North Carolina

North Carolina has 1086 licensed assisted living providers listed on ElderCareCosts across 500 cities. The median estimated cost statewide is $6,496/mo. Pick a city below for local pricing and provider listings, or request a personalized shortlist.

1,086 licensed assisted living providers listed · 2 with CMS star ratings.

Cost of assisted living in North Carolina

Median monthly price, North Carolina

$6,496/mo

Typical range $6,201 – $7,060

North Carolina $6,496 National median $6,528

Modeled median costs for assisted living versus North Carolina and a multi-state national aggregate. Figures are estimates, not quotes.

Assisted Living cost comparison (2025)
Assisted LivingNorth CarolinaNational
25th percentile$6,201/mo$6,231/mo
Median$6,496/mo$6,528/mo
75th percentile$7,060/mo$7,095/mo

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Why is this number different on other websites? Most sites average "starting at" prices. Base rent, before care fees. We estimate the full monthly cost families actually pay. Budget from the all-in number. Our methodology →

Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

CMS rating distribution in North Carolina

CMS overall star ratings for 2 assisted living providers in North Carolina. We do not re-rank these scores.

CMS star ratings in North Carolina
CMS starsProviders
5 stars1
4 stars1
3 stars0
2 stars0
1 star0

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North Carolina licensing & regulation

North Carolina Department of Health and Human Services — DHSR Adult Care Licensure Section licenses and inspects assisted living communities in North Carolina. Before you sign anything, look up the community's license status and past complaints on the state's own site, not a marketing page.

Home care agencies are licensed separately by DHSR (hclist.xlsx), and CCRCs are licensed by the NC Department of Insurance, not DHSR.

Source: State licensing agency.GOV

Medicaid & local resources in North Carolina

Long-Term Care Ombudsman

North Carolina Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in North Carolina resolve concerns about care and rights.

Official Ombudsman locator / program page

Source: State LTC Ombudsman.GOV

Medicaid HCBS / LTSS programs

Named programs below are from official state Medicaid agency pages. We do not list eligibility dollar amounts or wait lists unless a primary source is cited in a later pass.

Source: State Medicaid program.GOV

Free national starting points. Official sites only; we do not scrape these directories.

Cities in North Carolina

Showing 500 of 776 tracked cities.

Assisted Living providers in North Carolina

Sample of licensed assisted living providers listed for North Carolina. City pages show fuller local inventories.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare communities you choose
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How we rank these

Frequently asked questions

How many assisted living providers are listed in North Carolina?

We currently list 1086 licensed assisted living providers across North Carolina.

Which cities in North Carolina have assisted living listings?

We track 500 North Carolina cities for assisted living. See the city list on this page for options near you.

Want a shortlist instead of a long list?

Tell us what your parent needs and what you can spend. We'll narrow assisted living options that fit. Free, and every number on this page stays visible either way.

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