Smithfield has 10 state-licensed assisted living communities: 4 larger communities and 6 small residential homes (16 or fewer residents). The median cost of assisted living in North Carolina is $6,496 a month (CareScout 2025), against $6,200 nationally.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
Both are licensed by North Carolina as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. North Carolina words these licenses as “Adult Care Home” (7), “Family Care Home” (3).
Every assisted living community North Carolina licenses in Smithfield, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
10 shown
| Community | Size | Price |
|---|---|---|
| Brookdale Smithfieldmemory care830 Berkshire Road | Large74 residents | Get pricing |
| The Landings of Smithfieldmemory care200 Kellie Drive | Large66 residents | Get pricing |
| Meadowview Assisted Living Center250 Highway 210 West | Large60 residents | Get pricing |
| Providence Assisted Living4302 Nc 210 | Mid-size20 residents | Get pricing |
| Americares Adult Homes #1101 Annie Parker Circle | Small home12 residents | Get pricing |
| Americares Adult Homes #2103 Annie Parker Circle | Small home12 residents | Get pricing |
| Americares Adult Homes #3105 Annie Parker Circle | Small home12 residents | Get pricing |
| Pandora Family Care Home II101 W Stevens St | Small home6 residents | Get pricing |
| Pioneer Healthcare Inc. # 6500 Wilson's Mills Road | Small home6 residents | Get pricing |
| Ultimate Family Care Home817 South Second Street | Small home6 residents | Get pricing |
The median cost of assisted living in North Carolina is $6,496 a month ($77,952 a year), above the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
North Carolina publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: info.ncdhhs.gov. Ask the community for its most recent inspection report too; they have to keep it.
North Carolina licenses 10 assisted living communities in Smithfield as of September 2026: 4 larger communities and 6 small residential homes of 16 or fewer residents, with about 274 licensed spots in all.
The median cost of assisted living in North Carolina is $6,496 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet, or ask a Lilisity advisor for current prices.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. North Carolina's Medicaid agency or your local Area Agency on Aging can tell you what's available.
North Carolina publishes its licensing records at info.ncdhhs.gov. You can also ask any community for its most recent state inspection report.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
