Senior Care in North Carolina
Explore licensed senior care options across 366 cities in North Carolina. Compare 3,735 verified provider listings, review local cost benchmarks, and find comprehensive care planning guides.
North Carolina Senior Care Cost Report
Median assisted living: $6,496/mo. View statewide pricing comparisons, top 10 city benchmarks, and national medians.
North Carolina Senior Care Cost Benchmarks
Source: CareScout 2025 Cost of Care Survey (published March 2026)
| Care Type | North Carolina Median | Annualized Estimate |
|---|---|---|
| Assisted Living Facility | $6,496/mo | $77,952/yr |
| Memory Care (Estimated) | $8,120/mo | $97,440/yr |
| In-Home Care (Home Health Aide) | $30/hr | $68,640/yr (44 hrs/wk) |
| Homemaker Services | $0/hr | $0/yr (44 hrs/wk) |
| Nursing Home (Private Room) | $10,798/mo | $129,576/yr |
| Adult Day Health Care | $85/day | $21,250/yr (5 days/wk) |
North Carolina Medicaid & State Regulation
Understanding state regulations and financial assistance programs helps families make informed, secure long-term care placements across North Carolina.
State Licensing Agency
Senior care facilities, residential communities, and memory care homes are licensed and inspected by the North Carolina Department of Health and Human Services.
Regular inspections assess staffing ratios, medication administration, sanitation, and resident safety rights.
Medicaid HCBS Waiver
Financial assistance for home care and supportive residential living is provided through the Community Alternatives Program for Disabled Adults (CAP/DA).
Medicaid waivers fund therapeutic and personal care services, though room and board costs typically require private pay.
Cities in North Carolina
Verified provider directory inventory as of September 2026
Charlotte
362 licensed providers
Raleigh
216 licensed providers
Greensboro
152 licensed providers
Fayetteville
123 licensed providers
Winston-Salem
117 licensed providers
Durham
112 licensed providers
Wilmington
78 licensed providers
Greenville
68 licensed providers
Asheville
64 licensed providers
Gastonia
63 licensed providers
Rocky Mount
60 licensed providers
Concord
51 licensed providers
Cary
49 licensed providers
Burlington
40 licensed providers
Goldsboro
40 licensed providers
Wilson
40 licensed providers
High Point
38 licensed providers
Hickory
37 licensed providers
Hendersonville
35 licensed providers
New Bern
35 licensed providers
Lumberton
33 licensed providers
Monroe
33 licensed providers
Salisbury
30 licensed providers
Jacksonville
29 licensed providers
Shelby
29 licensed providers
Chapel Hill
27 licensed providers
Kernersville
26 licensed providers
Kinston
26 licensed providers
Smithfield
26 licensed providers
Statesville
26 licensed providers
Mooresville
25 licensed providers
Albemarle
24 licensed providers
Morganton
24 licensed providers
Huntersville
23 licensed providers
Asheboro
21 licensed providers
Boone
21 licensed providers
Henderson
21 licensed providers
Lexington
21 licensed providers
Elizabeth City
20 licensed providers
Matthews
19 licensed providers
Brevard
18 licensed providers
Garner
18 licensed providers
Oxford
18 licensed providers
Sanford
18 licensed providers
Wake Forest
18 licensed providers
Clinton
17 licensed providers
Lincolnton
17 licensed providers
Pembroke
17 licensed providers
Raeford
17 licensed providers
Whiteville
17 licensed providers
Forest City
16 licensed providers
Kannapolis
16 licensed providers
Lenoir
16 licensed providers
Laurinburg
15 licensed providers
Marion
15 licensed providers
Mount Airy
15 licensed providers
Shallotte
15 licensed providers
Thomasville
15 licensed providers
Apex
14 licensed providers
Elizabethtown
14 licensed providers
Franklinville
14 licensed providers
Southern Pines
14 licensed providers
Sylva
14 licensed providers
Tarboro
14 licensed providers
Wadesboro
14 licensed providers
Waynesville
14 licensed providers
Clayton
13 licensed providers
Lillington
13 licensed providers
Pinehurst
13 licensed providers
Snow Hill
13 licensed providers
Ahoskie
12 licensed providers
Dunn
12 licensed providers
Louisburg
12 licensed providers
Morehead City
12 licensed providers
Newton
12 licensed providers
Reidsville
12 licensed providers
Roxboro
12 licensed providers
Cornelius
11 licensed providers
Roanoke Rapids
11 licensed providers
Rockingham
11 licensed providers
Clemmons
10 licensed providers
Hillsborough
10 licensed providers
Morrisville
10 licensed providers
Nashville
10 licensed providers
North Wilkesboro
10 licensed providers
Black Mountain
9 licensed providers
Conover
9 licensed providers
Elkin
9 licensed providers
Leland
9 licensed providers
Murphy
9 licensed providers
Rutherfordton
9 licensed providers
Williamston
9 licensed providers
Yanceyville
9 licensed providers
Clyde
8 licensed providers
Edenton
8 licensed providers
Fletcher
8 licensed providers
Mocksville
8 licensed providers
Pineville
8 licensed providers
Plymouth
8 licensed providers
Siler City
8 licensed providers
Spruce Pine
8 licensed providers
Wilkesboro
8 licensed providers
Windsor
8 licensed providers
Arden
7 licensed providers
Ayden
7 licensed providers
Eden
7 licensed providers
Fuquay-Varina
7 licensed providers
Hamlet
7 licensed providers
Hampstead
7 licensed providers
Hope Mills
7 licensed providers
Kings Mountain
7 licensed providers
Knightdale
7 licensed providers
Newland
7 licensed providers
Pittsboro
7 licensed providers
Selma
7 licensed providers
Taylorsville
7 licensed providers
Wendell
7 licensed providers
Winterville
7 licensed providers
Yadkinville
7 licensed providers
Archdale
6 licensed providers
Burnsville
6 licensed providers
Denver
6 licensed providers
Graham
6 licensed providers
Hayesville
6 licensed providers
Highlands
6 licensed providers
Holly Springs
6 licensed providers
Kenansville
6 licensed providers
Kenly
6 licensed providers
King
6 licensed providers
Mebane
6 licensed providers
Nags Head
6 licensed providers
Sparta
6 licensed providers
West Jefferson
6 licensed providers
Zebulon
6 licensed providers
Advance
5 licensed providers
Benson
5 licensed providers
Bolivia
5 licensed providers
Burgaw
5 licensed providers
Candler
5 licensed providers
Columbus
5 licensed providers
Gatesville
5 licensed providers
Harrisburg
5 licensed providers
Indian Trail
5 licensed providers
Mint Hill
5 licensed providers
Nebo
5 licensed providers
Randleman
5 licensed providers
Rolesville
5 licensed providers
Wallace
5 licensed providers
West End
5 licensed providers
Youngsville
5 licensed providers
Angier
4 licensed providers
Bladenboro
4 licensed providers
Bryson City
4 licensed providers
Canton
4 licensed providers
Carrboro
4 licensed providers
Creedmoor
4 licensed providers
Dallas
4 licensed providers
Dobson
4 licensed providers
Flat Rock
4 licensed providers
Hertford
4 licensed providers
Jamestown
4 licensed providers
Madison
4 licensed providers
Mount Holly
4 licensed providers
Red Springs
4 licensed providers
Scotland Neck
4 licensed providers
Southport
4 licensed providers
Spencer
4 licensed providers
Supply
4 licensed providers
Warrenton
4 licensed providers
Waxhaw
4 licensed providers
Weldon
4 licensed providers
Aberdeen
3 licensed providers
Belmont
3 licensed providers
Boonville
3 licensed providers
Calabash
3 licensed providers
Carthage
3 licensed providers
Chadbourn
3 licensed providers
Cherryville
3 licensed providers
Chocowinity
3 licensed providers
Davidson
3 licensed providers
Elm City
3 licensed providers
Fairmont
3 licensed providers
Fairview
3 licensed providers
Farmville
3 licensed providers
Fort Bragg
3 licensed providers
Four Oaks
3 licensed providers
Fremont
3 licensed providers
Grantsboro
3 licensed providers
Lawndale
3 licensed providers
Littleton
3 licensed providers
Mars Hill
3 licensed providers
Maxton
3 licensed providers
McLeansville
3 licensed providers
Newport
3 licensed providers
Pilot Mountain
3 licensed providers
Rich Square
3 licensed providers
Spindale
3 licensed providers
Spring Lake
3 licensed providers
Swansboro
3 licensed providers
Weaverville
3 licensed providers
Andrews
2 licensed providers
Banner Elk
2 licensed providers
Bayboro
2 licensed providers
Belhaven
2 licensed providers
Bermuda Run
2 licensed providers
Beulaville
2 licensed providers
Biscoe
2 licensed providers
Bostic
2 licensed providers
Camp Lejeune
2 licensed providers
Candor
2 licensed providers
Cashiers
2 licensed providers
Castle Hayne
2 licensed providers
Cherokee
2 licensed providers
Claremont
2 licensed providers
Clarkton
2 licensed providers
Connelly Springs
2 licensed providers
Danbury
2 licensed providers
East Flat Rock
2 licensed providers
Eastover
2 licensed providers
Elon
2 licensed providers
Gaston
2 licensed providers
Gibsonville
2 licensed providers
Granite Falls
2 licensed providers
Jackson
2 licensed providers
Jefferson
2 licensed providers
Kill Devil Hills
2 licensed providers
Linville
2 licensed providers
Macon
2 licensed providers
Manteo
2 licensed providers
Mount Gilead
2 licensed providers
Mount Olive
2 licensed providers
Moyock
2 licensed providers
Norlina
2 licensed providers
Oak Ridge
2 licensed providers
Pleasant Garden
2 licensed providers
Pollocksville
2 licensed providers
Rockwell
2 licensed providers
Rose Hill
2 licensed providers
Roseboro
2 licensed providers
Saint Pauls
2 licensed providers
Saluda
2 licensed providers
Sandy Ridge
2 licensed providers
Spring Hope
2 licensed providers
St. Pauls
2 licensed providers
Star
2 licensed providers
Stokesdale
2 licensed providers
Stony Point
2 licensed providers
Tabor City
2 licensed providers
Troy
2 licensed providers
Tryon
2 licensed providers
Washington Park
2 licensed providers
Alliance
1 licensed provider
Ash
1 licensed provider
Atkinson
1 licensed provider
Aulander
1 licensed provider
Avon
1 licensed provider
Bailey
1 licensed provider
Barco
1 licensed provider
Beaufort
1 licensed provider
Bethel
1 licensed provider
Butner
1 licensed provider
Cameron
1 licensed provider
Cedar Point
1 licensed provider
Chesapeake
1 licensed provider
China Grove
1 licensed provider
Colfax
1 licensed provider
Columbia
1 licensed provider
Como
1 licensed provider
Conway
1 licensed provider
Cramerton
1 licensed provider
Crossnore
1 licensed provider
Delco
1 licensed provider
Denton
1 licensed provider
Dillsboro
1 licensed provider
Drexel
1 licensed provider
Dublin
1 licensed provider
Emerald Isle
1 licensed provider
Erwin
1 licensed provider
Evergreen
1 licensed provider
Fair Bluff
1 licensed provider
Falcon
1 licensed provider
Franklinton
1 licensed provider
Garland
1 licensed provider
Garysburg
1 licensed provider
Gates
1 licensed provider
Goldston
1 licensed provider
Green Mountain
1 licensed provider
Grifton
1 licensed provider
Grimesland
1 licensed provider
Hamilton
1 licensed provider
Harmony
1 licensed provider
Havelock
1 licensed provider
Hildebran
1 licensed provider
Jonas Ridge
1 licensed provider
Jonesville
1 licensed provider
Kitty Hawk
1 licensed provider
Lagrange
1 licensed provider
Lake Toxaway
1 licensed provider
Lake Waccamaw
1 licensed provider
Lansing
1 licensed provider
Lewiston
1 licensed provider
Liberty
1 licensed provider
Linden
1 licensed provider
Linwood
1 licensed provider
Lynn
1 licensed provider
Maggie Valley
1 licensed provider
Marshall
1 licensed provider
Marshville
1 licensed provider
Mayodan
1 licensed provider
Middlesex
1 licensed provider
Mill Spring
1 licensed provider
Mills River
1 licensed provider
Mineola
1 licensed provider
Misenheimer
1 licensed provider
Mt. Pleasant
1 licensed provider
New Hill
1 licensed provider
Newton Grove
1 licensed provider
Oak Island
1 licensed provider
Ocean Isle
1 licensed provider
Ocean Isle Beach
1 licensed provider
Olin
1 licensed provider
Pantego
1 licensed provider
Pfafftown
1 licensed provider
Pikeville
1 licensed provider
Pinetown
1 licensed provider
Pink Hill
1 licensed provider
Pleasant Hill
1 licensed provider
Princeton
1 licensed provider
Ramseur
1 licensed provider
Richfield
1 licensed provider
Richlands
1 licensed provider
Robbins
1 licensed provider
Robbinsville
1 licensed provider
Robersonville
1 licensed provider
Rock Hill
1 licensed provider
Rocky Point
1 licensed provider
Ronda
1 licensed provider
Roper
1 licensed provider
Rowland
1 licensed provider
Rutherford College
1 licensed provider
Shiloh
1 licensed provider
Silver City
1 licensed provider
Sneads Ferry
1 licensed provider
Snow Camp
1 licensed provider
South Mills
1 licensed provider
South Weldon
1 licensed provider
Stoneville
1 licensed provider
Surf City
1 licensed provider
Tobaccoville
1 licensed provider
Trenton
1 licensed provider
Troutman
1 licensed provider
Turkey
1 licensed provider
Tyner
1 licensed provider
Union Mills
1 licensed provider
Vale
1 licensed provider
Wade
1 licensed provider
Walkertown
1 licensed provider
Walnut Cove
1 licensed provider
Warsaw
1 licensed provider
Westfield
1 licensed provider
Whitsett
1 licensed provider
Willard
1 licensed provider
Wilson Mills
1 licensed provider
Winnabow
1 licensed provider
Winton
1 licensed provider
Woodland
1 licensed provider
Frequently Asked Questions
How many licensed senior care facilities operate in North Carolina?
The families.care verified directory tracks 3,735 licensed senior care providers across 366 cities in North Carolina as of September 2026. This includes assisted living communities, dedicated memory care facilities, skilled nursing homes, and licensed home health agencies.
What is the cost of senior living in North Carolina?
According to the CareScout 2025 Cost of Care Survey (published March 2026), the median cost of assisted living in North Carolina is $6,496 per month. In-home care aides average $30 per hour, and nursing homes average $129,576 annually for private rooms.
Who regulates assisted living and nursing homes in North Carolina?
Senior living facilities in North Carolina are regulated and inspected by the North Carolina Department of Health and Human Services. Inspection reports, safety audits, and violation records are public records that families should consult prior to admission.
Can North Carolina Medicaid help pay for senior care?
Yes. In North Carolina, Medicaid covers skilled nursing home care for medically and financially qualified individuals. For seniors who prefer living at home or in community residential settings, North Carolina offers Home and Community-Based Services (HCBS) waivers, such as the Community Alternatives Program for Disabled Adults (CAP/DA), which cover personal care and therapy services.
Explore Senior Care in Neighboring States
How we research and verify this information
Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.
- Cost of Care Survey (2025)Publisher: CareScout. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Skilled nursing facility coveragePublisher: Medicare.gov. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Medicaid coverage and eligibilityPublisher: Medicaid.gov. Supports: General senior-care planning information. Last checked: 2026-07-10.
- Long-term-care guidance for familiesPublisher: National Institute on Aging. Supports: General senior-care planning information. Last checked: 2026-07-10.
- VA pension rates (Aid & Attendance)Publisher: U.S. Department of Veterans Affairs. Supports: General senior-care planning information. Last checked: 2026-08-15.