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Assisted living in Greensboro, High Point and the Triad

North Carolina's assisted living is the licensed adult care home or family care home, from six-bed houses to large campuses.

Quick answer

Assisted living around Greensboro is a DHSR-licensed adult care home (seven or more residents) or family care home (two to six) that provides a room, meals, supervision and help with bathing, dressing, medications and other daily activities.

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What is assisted living in Greensboro, NC?

Assisted living around Greensboro is a DHSR-licensed adult care home (seven or more residents) or family care home (two to six) that provides a room, meals, supervision and help with bathing, dressing, medications and other daily activities.

DHSR's October 2026 listings show 35 adult care homes (2,625 beds) and 29 family care homes (171 beds) in Guilford, Randolph and Rockingham counties; 22 of the adult care homes are in Guilford County, while Rockingham County holds 18 of the family care homes. They range from small houses in Reidsville, Eden and south Greensboro to large purpose-built campuses in north-west Greensboro and High Point.

Who does well in a Triad adult care home?

Adults who need help with some daily activities or medications, who are unsafe or isolated living alone, and whose medical needs do not require continuous licensed nursing.

Home health and hospice can come into an adult care home, so many residents stay through illness and the end of life. Residents with dementia who begin to wander usually need a special care unit.

What does assisted living cost around Greensboro?

CareScout's 2025 North Carolina median is $74,400 a year, about $6,200 a month; no Greensboro figure is published, and prices vary with the room and level of care.

For low-income residents, Special Assistance pays up to the 2026 Basic Rate of $1,397 a month in homes that accept it, and the Medicaid that comes with it can pay for personal care services.

How should a Greensboro family choose an adult care home?

Start with location near the person who will visit most, then check each candidate's DHSR star rating, inspection documents and penalties in our directory, and tour at least three homes at different times of day.

On each tour ask for the residency agreement, the rate sheet, the third-shift staffing, the most recent statement of deficiencies and what happens when needs grow or money runs low.

How are adult care homes rated in North Carolina?

DHSR rates every adult care home and family care home from zero to four stars based on its inspections, and posts the inspection documents and any recent penalties alongside the rating.

Of the 63 rated homes in the three counties, 27 hold four stars, 31 three, 3 two, 0 one and 2 none. That makes North Carolina one of the few states where families can compare assisted living homes on a state rating before visiting.

How do adult care homes in the three counties differ by county?

Guilford County holds most of the large adult care homes and nearly all special care units, while Rockingham County relies heavily on six-bed family care homes and Randolph County has a handful of mid-sized homes centered on Asheboro and Archdale.

That pattern shapes the search: a Reidsville or Eden family may find a family care home close by but drive to Greensboro or Mayodan for a special care unit, while a High Point family can usually compare several large homes within a few miles.

Where is assisted living licensed across the three counties?

This is how DHSR's listings spread assisted living across Guilford, Randolph and Rockingham counties.

CountyLicensesLicensed beds
Guilford County311703
Randolph County8579
Rockingham County25514

Side by side

Assisted living in North Carolina isAssisted living in North Carolina is not
OversightDHSR-licensed adult care or family care home, rated 0-4 starsRated by CMS
ResidentsAdults who need help with daily care but not daily skilled nursingPeople needing continuous nursing
PaymentPrivate funds, VA pension, LTC insurance, Special AssistancePaid by Medicare

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