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Assisted Living in North Carolina at a Glance
The North Carolina partner network spans 110 cities, led by Charlotte and Winston-Salem.
North Carolina Assisted Living Costs Compared With VA Benefits
The North Carolina median for assisted living is $6,496 a month ($77,955 a year), according to the CareScout (Genworth) 2025 Cost of Care Survey. That is 5% above the national median of $6,200. At the maximum benefit of up to $3,845 a month, a qualifying North Carolina family would have roughly $2,651 a month left to pay from income or savings.
| Setting | North Carolina median per month | U.S. median per month | Covered by up to $3,845 |
|---|---|---|---|
| Assisted living | $6,496 | $6,200 | 59% |
| In-home care (non-medical) | $5,720 | $6,673 | 67% |
| Adult day care | $1,831 | $2,058 | 100% |
| Nursing home, semi-private room | $9,733 | $9,581 | 40% |
| Nursing home, private room | $10,798 | $10,798 | 36% |
Statewide medians for North Carolina from the CareScout (Genworth) Cost of Care Survey 2025. Prices at individual communities depend on apartment size and care level.
Related Patriot Angels guides
GuideHow Much Will VA Aid & Attendance Pay Toward Assisted Living?Read guide →
GuideDo Assisted-Living Fees Count as Medical Expenses for VA Aid & Attendance?Coming soonCould Aid & Attendance Cover Most of a North Carolina Assisted Living Bill?
At the North Carolina median of $6,496 a month, up to $3,845 in Aid & Attendance would pay about 59% of the cost for a qualifying veteran or surviving spouse. Tell us about your North Carolina veteran and we will help you see what is possible.
Prefer to talk it through? Call (844) 757-3047
615,509 North Carolina Veterans and Their Families
North Carolina is home to 615,509 veterans, 279,615 of them 65 or older, according to the Census Bureau’s American Community Survey (2020–2024). Many North Carolina veterans served during Vietnam, Korea, or the Gulf War, all wartime periods for VA Pension, and their surviving spouses can qualify too.
Where North Carolina Partners Are Located
Patriot Angels works with 166 North Carolina assisted living partners. These cities have the most:
| City | Partner communities | Also offer memory care |
|---|---|---|
| Charlotte | 9 | 7 |
| Winston-Salem | 5 | 3 |
| Greensboro | 4 | 3 |
| Monroe | 4 | 2 |
| Gastonia | 4 | 1 |
| Smithfield | 3 | 1 |
| Hickory | 3 | 1 |
| Chapel Hill | 3 | 2 |
Operators with the most North Carolina partner locations: ALG (83), Brookdale (40), Discovery Senior Living (31).
Featured North Carolina Partners
How North Carolina Licenses Assisted Living
North Carolina Department of Health and Human Services, Division of Health Service Regulation (DHSR) licenses adult care homes in North Carolina. License categories in North Carolina:
- Adult Care Home (7+ residents)
- Family Care Home (2-6 residents)
- Special Care Units for Alzheimer's and related disorders
- Multiunit assisted housing with services (registered)
What it means for your family: North Carolina licenses dementia care as Special Care Units within adult care homes. Because 92 of 166 North Carolina partners run memory care too, ask early whether a community can keep your loved one as needs change.
Inspection reports for North Carolina communities are available through the DHSR licensing page.
Paying for Assisted Living in North Carolina
Medicaid Personal Care Services in adult care homes
NC Medicaid can pay for personal care services in licensed adult care homes for eligible residents.
Aid & Attendance in North Carolina
The benefit is paid to the North Carolina veteran or surviving spouse, not the community, so it can go toward any assisted living bill. It is not federally taxable.
The family home
Selling or renting a North Carolina home can fund several years of care. Time the sale with the VA claim in mind.
Long-term care insurance
Older policies often pay a daily amount for assisted living in North Carolina. Check the elimination period before move-in.
Find Assisted Living in Your North Carolina City
114 North Carolina cities have an assisted living page. Counts show partner communities.
Neighboring states: Virginia, Tennessee, Georgia, South Carolina.
Veteran Families We’ve Helped
Families in North Carolina and across the country rate Patriot Angels 4.9 on Google (465 reviews). BBB A+ accredited. See all reviews
North Carolina Assisted Living Questions, Answered
How much is assisted living in North Carolina?
The North Carolina statewide median is $6,496 a month, or $77,955 a year (CareScout 2025). Each community sets prices by apartment and level of care.
Can Aid & Attendance pay for assisted living in North Carolina?
Yes. A qualifying wartime veteran or surviving spouse can receive up to $3,845 a month and use it toward a North Carolina assisted living bill, about 59% of the state median.
Who licenses assisted living in North Carolina?
North Carolina Department of Health and Human Services, Division of Health Service Regulation.
Does North Carolina Medicaid cover assisted living?
Medicaid Personal Care Services in adult care homes: NC Medicaid can pay for personal care services in licensed adult care homes for eligible residents.
How many Patriot Angels partners are in North Carolina?
166 assisted living partners in 110 cities, and 92 of them also offer memory care.
New to Assisted Living? Start Here
The national guide explains how assisted living works anywhere. Use it for the basics, then come back for North Carolina numbers and partners.
Related Patriot Angels guides
GuideSenior Living Tour ChecklistComing soon
GuideAssisted Living vs. Independent LivingComing soon
GuideVA Benefits for Senior Living: Assisted Living and BeyondRead guide →Other Care Options in North Carolina
Independent living in North Carolina
For North Carolina veterans who don’t need daily care yet. 13 of these partners offer it too.
Memory care in North Carolina
Secure dementia care in North Carolina, offered by 92 of our partners here.
In-home care in North Carolina
Caregivers who come to the house, for North Carolina veterans staying home longer.