Assisted Living in North Carolina
Transparent pricing, Medicaid program info, and licensed facility data for North Carolina. No email required, no sales calls.
Median Monthly Cost
$4,200
2024 estimate · North Carolina
Annual Estimate
$50,400
At median monthly rate
Get Your Estimate
Adjust for care level, room type, and add-ons
Cost Range in North Carolina
Budget
~$3,600/mo
Shared rooms, basic services
Median
~$4,200/mo
Private room, standard care
Premium
~$5,900/mo
Luxury amenities, extra services
Medicaid Waiver Program
North Carolina
North Carolina Community Alternatives Program (CAP/DA)
This state HCBS waiver may cover personal care services for income-eligible residents in assisted living settings. Eligibility requirements and waitlists vary.
Visit official Medicaid pageLicensing Authority
~1,100 licensed facilities
NC Division of Health Service Regulation
Assisted living facilities in North Carolina are licensed and inspected by this state agency. Use their official search to verify a facility's license status before touring.
Search licensed facilitiesTop Cities for Assisted Living in North Carolina
Browse facilities by city, or use the cost calculator to compare options.
All 273 Cities in North Carolina
- Charlotte (54)
- Reidsville (32)
- Durham (31)
- Greensboro (31)
- Asheville (30)
- Burlington (29)
- Raleigh (26)
- Fayetteville (21)
- Morganton (21)
- Hendersonville (19)
- Winston Salem (17)
- Pembroke (16)
- Forest City (15)
- Concord (14)
- New Bern (14)
- Rocky Mount (14)
- Albemarle (13)
- Gastonia (13)
- Wilmington (13)
- Eden (12)
- Monroe (12)
- Alexander (11)
- Raeford (11)
- Benson (10)
- Candler (10)
- Goldsboro (10)
- Greenville (10)
- Shelby (10)
- Sanford (9)
- Smithfield (9)
- Wilson (9)
- Kinston (8)
- Roxboro (8)
- Clemmons (7)
- Garner (7)
- High Point (7)
- Jacksonville (7)
- Kernersville (7)
- Louisburg (7)
- Marion (7)
- Yadkinville (7)
- Black Mountain (6)
- Clinton (6)
- Hope Mills (6)
- Kannapolis (6)
- Leicester (6)
- Mooresville (6)
- Nebo (6)
- Cary (5)
- Hamlet (5)
- Hickory (5)
- Lawndale (5)
- Lenoir (5)
- Pikeville (5)
- Salisbury (5)
- Todd (5)
- Andrews (4)
- Arden (4)
- Brevard (4)
- Cedar Grove (4)
- Chapel Hill (4)
- Clarkton (4)
- Conover (4)
- Edenton (4)
- Elizabeth City (4)
- Elon (4)
- Gibsonville (4)
- Kings Mountain (4)
- Knightdale (4)
- Lexington (4)
- Lillington (4)
- Lumberton (4)
- Mebane (4)
- Murfreesboro (4)
- Roanoke Rapids (4)
- Southern Pines (4)
- Stoneville (4)
- West Jefferson (4)
- Aberdeen (3)
- Asheboro (3)
- Carrboro (3)
- Clayton (3)
- Clyde (3)
- Dunn (3)
- Elkin (3)
- Fremont (3)
- Graham (3)
- Henderson (3)
- Hertford (3)
- Mint Hill (3)
- Mocksville (3)
- Mooresboro (3)
- Nashville (3)
- Oxford (3)
- Pink Hill (3)
- Red Springs (3)
- Rockingham (3)
- Rutherfordton (3)
- Selma (3)
- Snow Hill (3)
- Star (3)
- Statesville (3)
- Taylorsville (3)
- Wake Forest (3)
- Washington (3)
- Waxhaw (3)
- Waynesville (3)
- Whiteville (3)
- Yanceyville (3)
- Zebulon (3)
- Ahoskie (2)
- Angier (2)
- Apex (2)
- Beaufort (2)
- Bladenboro (2)
- Boone (2)
- Bostic (2)
- Bryson City (2)
- Burnsville (2)
- Canton (2)
- Castle Hayne (2)
- Cherryville (2)
- Claremont (2)
- Crouse (2)
- Dobson (2)
- Ellenboro (2)
- Elm City (2)
- Enfield (2)
- Fairmont (2)
- Farmville (2)
- Flat Rock (2)
- Fuquay Varina (2)
- Granite Falls (2)
- Grantsboro (2)
- Hayesville (2)
- Highlands (2)
- Hillsborough (2)
- Kenansville (2)
- King (2)
- Lake Waccamaw (2)
- Laurinburg (2)
- Leland (2)
- Liberty (2)
- Lincolnton (2)
- Lucama (2)
- Matthews (2)
- Middlesex (2)
- Morehead City (2)
- Mount Airy (2)
- Newport (2)
- Newton (2)
- Parkton (2)
- Pinehurst (2)
- Robbins (2)
- Roper (2)
- Rose Hill (2)
- Saint Pauls (2)
- Shallotte (2)
- Spencer (2)
- Spindale (2)
- Sylva (2)
- Tarboro (2)
- Union Mills (2)
- Wadesboro (2)
- Warrenton (2)
- Warsaw (2)
- Weldon (2)
- Windsor (2)
- Advance (1)
- Aledo (1)
- Aulander (1)
- Ayden (1)
- Baltimore (1)
- Bethel (1)
- Brooklyn Center (1)
- Candor (1)
- Carthage (1)
- Chadbourn (1)
- Charleston (1)
- Cherokee (1)
- China Grove (1)
- Columbus (1)
- Connellys Springs (1)
- Crestview (1)
- Cullowhee (1)
- Dallas (1)
- Denver (1)
- Ellerbe (1)
- Eureka (1)
- Fairview (1)
- Fletcher (1)
- Franklin (1)
- Garland (1)
- Gaston (1)
- Gatesville (1)
- Goldston (1)
- Grifton (1)
- Grover (1)
- Hallsboro (1)
- Harmony (1)
- Harrells (1)
- Holy Ridge (1)
- Hudson (1)
- Huntersville (1)
- Hurdle Mills (1)
- Indian Trail (1)
- Ivanhoe (1)
- Jacksonville Beach (1)
- Jamestown (1)
- Jefferson (1)
- Jonas Ridge (1)
- La Grange (1)
- Lady Lake (1)
- Littleton (1)
- Lynchburg (1)
- Mars Hill (1)
- Marshville (1)
- Mc Leansville (1)
- Merry Hill (1)
- Metter (1)
- Morrisville (1)
- Mount Gilead (1)
- Mount Holly (1)
- Mount Olive (1)
- Mount Pleasant (1)
- Mt Pleasant (1)
- Murphy (1)
- Nags Head (1)
- Nampa (1)
- New Hill (1)
- New London (1)
- Norlina (1)
- North Wilkesboro (1)
- Norwood (1)
- Pinetown (1)
- Pittsboro (1)
- Pleasant Garden (1)
- Randleman (1)
- Richmond (1)
- Riverview (1)
- Robersonville (1)
- Rock Hill (1)
- Rockford (1)
- Rockwell (1)
- Rolesville (1)
- Roseboro (1)
- Saint Peters (1)
- Seven Springs (1)
- Siler City (1)
- South Fulton (1)
- Southport (1)
- Spruce Pine (1)
- St. Pauls (1)
- Stantonsburg (1)
- Stokesdale (1)
- Summerfield (1)
- Swan Quarter (1)
- Thomasville (1)
- Trenton (1)
- Troy (1)
- Tryon (1)
- Vanceboro (1)
- Vero Beach (1)
- Wallace (1)
- Walnut Cove (1)
- Wellington (1)
- Westfield (1)
- Wilkesboro (1)
- Willard (1)
- Williamston (1)
- Wilson Mills (1)
- Winterville (1)
- Youngsville (1)
Frequently Asked Questions
How much does assisted living cost in North Carolina?
The median cost of assisted living in North Carolina is approximately $4,200/month in 2024. Budget options start around $3,600/month while premium communities can reach $5,900/month or more depending on amenities and care level.
Does Medicaid cover assisted living in North Carolina?
Medicaid does not cover room and board. However, North Carolina offers the North Carolina Community Alternatives Program (CAP/DA) — an HCBS waiver that may cover personal care services for eligible low-income residents. Visit the state Medicaid page for eligibility details.
How do I verify a facility is licensed in North Carolina?
Facilities are licensed by the NC Division of Health Service Regulation. You can search the official registry to confirm a facility's license status, inspection history, and any violations before touring.
What is included in the monthly cost?
The base monthly rate typically includes room and board, meals, housekeeping, and basic personal care assistance. Additional services such as memory care, medication management, or two-person transfers are usually billed separately and can add $200–$1,500/month.
Disclaimer: Cost estimates are based on 2024 state median data from Genworth Financial and the AARP Public Policy Institute. Facility counts are approximate. Medicaid program details are provided for informational purposes — contact your state Medicaid office to confirm current eligibility and availability. Always contact facilities directly to verify current pricing and license status.