Assisted Living Communities in North Carolina: An Overview

Smiling seniors enjoying time together outdoors at an assisted living community in North Carolina.

O.K. Hogan, North Carolina realtor of Star Team Real Estate.
Author: O.K. Hogan | REALTOR®/BROKER, CCIM, SFR

Over the past decade, I’ve had the honor of helping families navigate some of life’s biggest decisions. Some are joyful – like finding the perfect waterfront home. Others are deeply personal, like helping a parent transition into assisted living. It’s these moments that remind me just how important it is to have the right information, the right support, and the right people by your side.

If you're beginning to explore assisted living options in North Carolina—whether you're in the coastal communities of Carteret County, the vibrant city of Wilmington, or anywhere in between—you’re not alone. It’s a decision that comes with plenty of questions, and I’m here to help answer them with clarity and care.

What is Assisted Living?

Assisted living communities provide housing, support services, and healthcare for older adults who need help with daily activities. Unlike nursing homes, which offer 24/7 medical care, assisted living is ideal for individuals who want to maintain independence while receiving a little extra support.

Think of it this way: your loved one can enjoy their own apartment-style living space, plus access to nutritious meals, housekeeping, social activities, transportation, and help with essentials like bathing or managing medications. For many families, it’s the peace of mind they’ve been searching for.

“To care for those who once cared for us is one of the highest honors.” – Tia Walker
Source: 1Plus1Cares

Why Demand for Assisted Living is Growing

Across the country, more than 800,000 Americans already live in assisted living communities, with the majority being women aged 85 and older. Source: American Health Care Association (AHCA)

Longer life spans increased awareness of care options, and a growing desire for independent but supported living make assisted living communities a top choice for today’s families.

What Services Do Assisted Living Communities Provide?

Caregiver assisting elderly woman with walker in a warm assisted living facility, showing support and social engagement.

Services may vary slightly by location or provider, but most North Carolina assisted living communities include:

  • Assistance with personal care (bathing, dressing, grooming)
  • Medication management and health monitoring
  • Housekeeping and laundry services
  • Nutritious meals and snacks
  • Scheduled transportation for appointments and errands
  • 24/7 emergency response systems
  • Recreational activities and social engagement

According to SeniorLiving.orgAssisted living facilities and residential care communities provide housing and assistive services for adults who need help with at least two activities of daily living.

Understanding the Costs: What You Need to Know

In North Carolina, the monthly median cost for assisted living is $6,354. In coastal cities like Wilmington monthly median cost for assisted living is $6,334. Trend slightly lower due to demand and amenities and depending on the region and level of care Source: Genworth Cost of Care Survey 

Pros & Cons of Payment Options

Payment OptionProsCons
Private PayFreedom to choose the best fitCan be expensive long-term
LTC InsuranceOffsets monthly care costsMay have usage restrictions
VA BenefitsFinancial support for veteransEligibility requirements
MedicaidHelps low-income individualsNot all communities accept Medicaid

According to Financial planner Samantha Dinh, most people afford assisted living in one of three ways:

  1. Self-insure (out-of-pocket savings)
  2. Use long-term care insurance
  3. Tap into life insurance policy riders

Source: SFGate

How to Choose the Right Assisted Living Community

Family touring assisted living facility with senior and staff member, highlighting how to choose the right assisted living community.

Start with your loved one’s lifestyle, health needs, and personal preferences.

Ask yourself:

  • Do they want to be near family, hospitals, or familiar places?
  • Would they benefit from memory care or specialized support?
  • Is coastal living—like Wilmington or Morehead City—something they’d enjoy?

Key Questions to Ask on a Tour:

  • What is the staff-to-resident ratio?
  • Are meals prepared in-house and are dietary restrictions accommodated?
  • What’s included in the base rate vs. added on?
  • How are emergencies handled?
  • Can residents bring their own furniture and décor?

New Trends Reshaping Assisted Living in 2025 and Beyond

Today’s assisted living communities are evolving rapidly—no longer just places to reside, but vibrant environments promoting independence, purpose, and whole-person well-being. From affordable models to personalized care and tech-driven experiences, the focus is on empowering older adults to thrive.

Emerging Trends in Assisted Living

TrendWhat It IsWhy It Matters
Tech IntegrationSmartwatches, motion sensors, telehealth, AI wellness monitoringImproves safety, autonomy, and healthcare access for residents
Holistic Wellness & Longevity FocusPrograms for fitness, meditation, Blue Zone-inspired nutrition, brain healthSupports physical, cognitive, and emotional health—key to aging well
Solo Ager SupportServices for seniors without close family: social programs, life planning, and peer networksAddresses the growing solo ager demographic, reducing isolation and mental health risks
Affordable & Middle-Market ModelsCozy homes, flexible pricing, co-housing, à la carte servicesMakes quality senior living more accessible to boomers and Gen X with modest retirement savings
Intergenerational CommunitiesShared spaces, public cafes, on-site learning, daycare centersFosters lifelong learning, reduces loneliness, and enhances community engagement
Memory Care InnovationSpecialized care units, brain-healthy dining, tech-based monitoringMeets rising demand as memory-related conditions increase; improves outcomes for those with cognitive decline
Personalized ExperiencesAI-driven care plans, wellness coaching, resident concierge servicesMoves away from one-size-fits-all models toward highly individualized support and lifestyle choices

These innovations reflect a seismic shift in assisted living—toward environments that foster connection, wellness, purpose, and dignity for a new generation of seniors.

“Senior living is being reimagined—not just as housing, but as a launchpad for longevity and fulfillment.”
— McKnight’s Senior Living, Ziegler, The Mather Institute

Source: McKnight’s Senior Living

A Personal Note: The Human Side of This Decision

Daughter hugs elderly father in bright coastal assisted living home, showing peace and connection.

I once helped a retired school teacher find a community for her father in coastal North Carolina. She’d been his primary caregiver for nearly two years and was completely exhausted. We toured a few options in Wilmington and Newport, and after some careful thought, she found a great fit.

One week after move-in, she called me and said,

“I finally slept through the night. And Dad? He made a friend in the dining room.”

That’s what the right community can offer—relief, joy, and peace of mind.

“Aging is not lost youth but a new stage of opportunity and strength.” – Betty Friedan
Source: BelleVie Care

Frequently Asked Questions About Assisted Living

What’s the difference between assisted living and a nursing home?

  • Assisted living provides help with daily tasks while promoting independence; nursing homes offer full-time medical care for complex health needs.

How much does assisted living cost in North Carolina?

  • On average, between $3,800 and $5,000 per month, depending on location and services.

What services are typically included in assisted living?

  • Most assisted living include personal care, meals, housekeeping, medication management, transportation, and social programming.

Conclusion

At Star Team Real Estate, we don’t just help you buy or sell a home—we walk with families through every life stage, including the important step into assisted living.

Whether you’re planning a future move, transitioning a loved one into care, or simply exploring your options, I’m here to guide you with compassion, knowledge, and local insight.

Why Do Families Trust Star Team Real Estate?

  • Deep local knowledge of North Carolina’s senior housing
  • 10+ years in real estate and lifestyle transitions
  • Certified Luxury Home Marketing Specialist
  • Personal, concierge-style support

Ready to take the next step?

Call me anytime, and we’ll talk through your goals and needs.

Just ask O.K Hogan—I’m always here to help.