North Carolina Senior Living Options & Resources

Senior Living in North Carolina: What You Need to Know

North Carolina is home to 1,787,027 seniors aged 65 and older, representing 16.9% of the state's total population of 10.6 million. As one of the fastest-growing retirement destinations in the Southeast, North Carolina offers 91 senior living communities spread across 21 cities, providing a diverse range of care options from independent living to specialized memory care and skilled nursing facilities. The state's median age of 39.1 reflects its balanced population, while the growing senior demographic has driven significant investment in quality senior housing and healthcare infrastructure.

The geographic distribution of senior living communities in North Carolina centers heavily in the state's major metropolitan areas, with Charlotte leading at 18 communities, followed by Raleigh with 13, and Durham with 7. The Research Triangle area and Piedmont region together account for the majority of senior housing options, though scenic mountain communities like Asheville (4 communities) and Hendersonville (3 communities) attract retirees seeking a more tranquil setting. Smaller cities like Cary, Greensboro, Winston-Salem, Burlington, and Fayetteville round out the state's senior living landscape, each offering multiple community options.

From a cost perspective, North Carolina presents exceptional value for seniors and their families. Assisted living averages $5,192 monthly, significantly below the national average of $5,900, while nursing home care at $8,164 for a semi-private room compares favorably to the national average of $9,277. This affordability, combined with the state's moderate cost of living (median household income of $69,904), makes North Carolina an attractive option for retirees on fixed incomes. Healthcare infrastructure is robust, anchored by world-class systems including Duke Health, UNC Health, Atrium Health, and Wake Forest Baptist Health.

North Carolina's appeal extends beyond affordability. The state offers exceptional climate diversity, from coastal plains to mountain highlands, allowing seniors to choose environments that suit their preferences. State programs like North Carolina Innovations and Community Alternatives Program (CAP) waivers provide Medicaid assistance for home and community-based services, helping eligible seniors avoid institutional care. The combination of quality healthcare, affordable living costs, natural beauty, and comprehensive senior services positions North Carolina as a premier destination for aging adults seeking both independence and security.