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Page Reviewed / Updated – August 26, 2020

The 10 Best Assisted Living Facilities in Fayetteville, NC

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The prominent military heritage and thriving local arts and culture of Fayetteville make the city an ideal place for patriotic and fun-loving retirees. The home of Fort Bragg also benefits seniors with a pleasant year-round climate, allowing them to explore cultural trails, stroll around Cape Fear Botanical Garden and enjoy golf and other outdoor recreation opportunities.

To further support the health and well-being of Fayetteville seniors, there are several Cape Fear Valley Health System state-of-the-art hospitals and outpatient centers around the city and its suburbs. Retired servicemen have access to quality health care services at Fayetteville VA Medical Center and Fort Bragg’s Womack Army Medical Center.

Our top 10 list of assisted living facilities below provides helpful options for older North Carolinians who want to settle in the Fayetteville area. Most of our selections are single-level buildings with a homelike environment. Additionally, find out more about the cost of assisted living in Fayetteville and what financial assistance programs are available.

Heritage Place

The central location of Heritage Place makes Fayettevilles city amenities easily within reach. We recommend this Somerby Senior Living community to seniors who want quick access to nearby churches, downtown shops, Cumberland County offices and Highsmith-Rainey Specialty Hospital. This independent and assisted living facility has its own theater, a salon/barbershop and landscaped grounds. There’s a large deck for outdoor exercises and al fresco dining. Activities include bingo, pet therapy, live entertainment, family events and outings. The staff is supervised by a registered nurse, and scheduled transportation is provided for medical appointments and group outings.

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  • On-site rehabilitation therapy services
  • Restaurant-style dining with fresh, seasonal homemade dishes at The Chateau

Elmcroft of Southern Pines

We recommend Elmcroft of Southern Pines for those who prefer peaceful small-town living near Fayetteville. This ranch-style Eclipse Senior Living community for assisted living and memory care has wooded surroundings, yet it’s conveniently located across Paragon Theaters Sandhills and Southern Pines Village shopping center. It has an extensive front porch, landscaped central courtyard, spa, library and multifunction recreation galleries. Its studio, one-bedroom and two-bedroom apartments are pet-friendly. Residents benefit from 24-hour staffing, on-site physical therapy services and visiting physicians. The dedicated Vitality Club activities for assisted living residents include sitting exercises, arts and crafts, gardening and ice cream socials.

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  • Respite and care coordination services available
  • Restaurant-style, farm-to-table, casual and special themed dining experiences

The Crossings at Wayside

The Crossings at Wayside is a 75-bed assisted living community managed by Saber Healthcare Group. It’s located conveniently next to Stonegate Village Shopping Center, a few blocks from Hoke Hospital and close to FirstHealth Moore Regional Hospital. We recommend this facility to seniors who prefer a modern, homelike setting in a quiet suburb. Amenities include a fitness therapy room, a restaurant-style dining area, a landscaped courtyard, a salon/barbershop and fireside lounges. Individualized care is provided based on each resident’s personal care plans, and engaging activities are offered based on the residents’ interests and hobbies.

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  • Private and companion suites with full bathrooms and emergency call response systems
  • Holistic approach to care supporting residents’ physical, emotional, social and spiritual well-being

Valley Pines Adult Care

Accommodating only up to 23 residents, Valley Pines Adult Care allows caregivers to deliver supportive services with a personal touch. This assisted living facility is one of our top recommendations for seniors who prefer a smaller home setting. It’s situated in a quiet, mature residential neighborhood near Crown Coliseum and J.P. Riddle Stadium. The front garden offers tranquil nature views and has a gazebo for relaxed sitting. Residents are accommodated in private and shared suites and given around-the-clock care. The staff members are licensed and medically trained to administer medications, and they are knowledgeable in providing awareness to the residents on their doctors’ prescriptions.

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  • One-on-one and group activities
  • Transportation for medical appointments and scheduled outings

Carolina Inn at Village Green

Part of the Village Green retirement campus, The Carolina Inn is designed with a boutique hotel ambiance. This assisted living community is one of our top picks for its upscale resort-like amenities. Residents have access to concierge, spa, personal shopping and other premium services, as well as on-site physical, occupational and speech therapy. The Carolina Inn’s four-star main dining room features changing daily menus with low-sodium, sugar-free and gluten-free options, and the Sky View Bistro offers lighter fares. Life Enrichment activities include group exercises, creative arts, gardening, cooking and pet therapy. Residents also look forward to musical performances and volunteer opportunities.

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  • Four distinctly themed floors: Sky View, Parkview, Promenade and Terrace 
  • Licensed nurses on each floor 24/7

Hope Mills Retirement Center

As a family-owned assisted living community, Hope Mills Retirement Center offers a supportive environment. This facility is one of our top choices for its warm family atmosphere and accessible suburban setting that’s close to Fayetteville Regional Airport. Its professional staff consists of certified nursing assistants, certified medication administrators and a registered nurse that reviews the facility’s services quarterly. Residents are served three dietitian-approved meals and three snacks daily. Activities include bingo, arts and crafts, music, church services and bible studies.

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  • Accommodates arrangements with home health care and rehabilitation therapy providers

Open Arms Retirement Center

We included Open Arms Retirement Center in our top 10 list for its vibrant community in a quiet suburban setting. This assisted living and memory care facility prides itself on maintaining a warm, safe and healthy environment for seniors. Residents have access to physical and psychological therapy services that support their well-being. Palliative care and hospice services are available for comfortable aging in place. Exciting activities include painting, animal therapy, live entertainment, holiday parties and outings. Family and friends are welcome to join the residents in enjoying meals that are creatively prepared with fresh ingredients. Specialized diets are accommodated, and snacks are available throughout the day.

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  • Pharmacy reviews and quarterly assessments
  • Large bathrooms and generous closets in all private and companion suites

The Addison of Fayetteville

The Addison of Fayetteville is pet-friendly, smoke-free, accessible and close to a local fire station, which is why it’s in our top 10 list of ideal senior facilities. This Senior Lifestyle assisted living and memory care community accommodates residents in private, semi-private and one-bedroom suites. It has a covered patio and landscaped gardens with walking paths for outdoor enjoyment. Other inviting common areas include a game room, salon/barbershop and multiple lounges. Residents are offered engaging activities such as arts and crafts, bingo, gardening and devotionals, and families are welcome to join them during special events and local outings. 

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  • Daily up-and-about checks
  • Restaurant-style service for breakfast, lunch and dinner and all-day availability of nutritious snacks

Red Springs Assisted Living

For seniors who prefer peaceful country living, Red Springs Assisted Living is one of our top recommendations. This Victoria Senior Care community has a small-town setting located southwest of Fayetteville, and its building design blends into its quaint rural surroundings. Its large acreage offers plenty of calming green spaces, and there’s a secured courtyard for relaxed outdoor sitting and strolling. Residents are cared for based on personalized care plans and in coordination with medical professionals. They may benefit from medication monitoring and administration, incontinence care and doctor-prescribed special diets. There are activities for recreation and social engagement, and scheduled transportation is provided for medical appointments and group outings.

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  • Access to physical, occupational and speech therapy
  • Private, semi-private and two-room suites

Harmony at Hope Mills

Featuring elegant amenities and multiple floor plan options, Harmony at Hope Mills makes our top recommendation for seniors who desire comfortable lifestyles. This pet-friendly senior community consists of spacious ground-level studio, one-bedroom and two-bedroom assisted living apartments, as well as comfortable private and companion suites for memory care. Its central courtyard has a fountain and gazebo for outdoor relaxation. Nutritious chef-prepared meals are served at the restaurant-style dining room. Other inviting common areas include a movie theater, library, bistro, activity room and fireside living spaces. There are plenty of activities to look forward to such as games, arts and crafts, happy hours, live entertainment and family parties.

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The Cost of Senior Living and Care in Fayetteville

The cost of senior living in Fayetteville is reasonable when compared with other major cities in North Carolina. While the cost of home care is on par with the state median, assisted living, adult day care and nursing home care all cost considerably less than state averages. Assisted living is nearly $600 less per month and nursing home care is $806 less. Adult day care is $325 less per month in Fayetteville than in the average North Carolinian city.

How much does Assisted Living Cost in Fayetteville?

The average cost of assisted living in Fayetteville is $3,100 per month, which is quite low when compared with some of the state’s largest cities. In Raleigh, costs are the highest at $5,750 per month, followed by Wilmington, where the average cost of assisted living is $5,355 per month. Seniors in the Greensboro area pay an average of $4,833 per month, which is also considerably higher than what seniors in Fayetteville pay. The least expensive assisted living in the state can be found in Goldsboro, where the average cost is $2,750 per month.

How much does Home Care Cost in Fayetteville?

The cost of home care in Fayetteville is about mid-range when compared to costs in other North Carolina cities. At an average of $3,527 per month, seniors in Fayetteville pay the same for their care as those in Greenville and similar costs to those living in the Greensboro area, Wilmington and Raleigh, which all have costs that are within $200 of Fayetteville’s average.

Seniors living in the Durham area pay the highest prices for home care, which average $4,147 per month, while those in Goldsboro and Rocky Mount pay the lowest in the state at $3,241 per month.

How much does Adult Day Care Cost in Fayetteville?

At an average of $867 per month, Fayetteville has the second-lowest adult day care costs in the state. The only less expensive city is Jacksonville, where the average cost is $758 per month. On the opposite end of the spectrum, Goldsboro has the most expensive adult day care at $2,080 per month. Raleigh, the state’s capital city, averages $1,192 per month, which is $325 more than what seniors in Fayetteville pay for adult day care.

How much does Nursing Home Costs in Fayetteville?

Senior citizens in Fayetteville who require nursing home care pay the lowest costs in the state. At $6,144 per month, the cost of nursing care in the city is considerably lower than in any other major city in North Carolina. In Raleigh, seniors pay an average of $7,125 per month, and nearby in Greensboro, they pay $7,893 per month, which is the highest cost in the state.

Financial Assistance Programs in Fayetteville

Medicaid Program in Fayetteville

North Carolina’s state Medicaid plan, NC Medicaid, offers low-income families and individuals access to free healthcare services. It’s specifically designed to meet the needs of senior citizens, disabled persons, pregnant women and families with children. The program covers a vast array of healthcare expenses including medical and dental services, chiropractic care, prescription medication and emergency transportation. When deemed medically necessary, the state plan also covers the cost of care in an approved nursing facility. Seniors who require care at home or in residential care facilities may qualify for additional coverage via one of the state’s waiver programs.

To qualify for NC Medicaid on the basis of age, seniors applying must be at least 65 years old and meet the following financial requirements:

  • Single applicants are allowed a maximum income of $1,041 per month and up to $2,000 in countable assets
  • Married applicants are allowed a maximum income of $1,409 per month and up to $3,000 in countable assets

NC Medicaid considers all sources of income including Social Security Income and pension when determining eligibility. However, some assets are exempt from consideration including pre-paid funeral arrangements and burial plots, a single vehicle, personal belongings and the applicant’s primary home.

Some seniors may not meet the financial requirements of the program yet still be unable to afford their own medical expenses. In these cases, seniors can work with a professional Medicaid planner to apply via the Medically Needy Pathway, which is a program that allows applicants to pay for their medical expenses and count remaining income toward eligibility.

To apply for NC Medicaid, seniors living in the Fayetteville area can complete an application online or contact the Cumberland County Department of Social Services at (910) 323-1540.

NC Medicaid is an entitlement program, which means that all eligible applicants receive benefits immediately once their application is approved and there is no limit on member enrollment.

Medicaid Waivers in Fayetteville

Personal Care Services

The Personal Care Services program is available to those who live in approved assisted living facilities or who receive care in their own home, provided they have a functional need for assistance with a minimum of two activities of daily living. The program covers the cost of personal care and other home care services such as non-medical transportation and meal delivery.

To qualify for the Personal Care Services program, applicants must undergo an assessment to determine their level of need. All applicants must be financially eligible for NC Medicaid.

To apply for this program, seniors can contact the NC Medical Clinical Section and request an assessment by calling (919) 855-4360.

The Personal Care Services program operates under the NC Medicaid state plan and is an entitlement program.

More information can be found here.

Community Alternatives Program for Disabled Adults Waiver (CAP/DA)

The CAP/DA waiver aims to help those who require a nursing level of care avoid or delay nursing home placement. It covers the cost of in-home care services including personal care, skilled nursing care, nutritional services and case management.

To be eligible for services, applicants must be 18 or older and require a nursing level of care. They must be financially eligible for NC Medicaid.

Seniors who reside in the Fayetteville area can visit ePass to apply for this program online or call the NC Medicaid Contact Center at (888) 245-0179 for help.

The CAP/DA waiver is open to a limited number of participants which means that approved participants may be placed on a waitlist before benefits are available. More information can be found here.

Other Financial Assistance Programs in Fayetteville

State-County Special Assistance (For Adult Care Home Residents)

The State-County Special Assistance program is a cash benefit that’s provided to senior citizens who receive care in adult care homes, family care homes and group homes.

To qualify for this benefit, seniors must be at least 65 years old and have a functional need for care. Additionally, their place of residence must be state-approved.

To apply, seniors who live in Fayetteville can contact the Cumberland County Department of Social Services at (910) 323-1540.

More information can be found here.

Special Assistance In-Home Program for Adults

The Special Assistance In-Home Program for Adults provides financial assistance and support services to seniors and disabled adults who receive care in their own home. The goal of this program is to provide services that help delay the need for nursing home placement.

To be eligible for this program, seniors are required to undergo a comprehensive care assessment to determine the applicant’s level of need, as well as to review their financial standing and housing options. This assessment is conducted by the Department of Social Services.

Seniors who live in the Fayetteville area can request an assessment by calling the Cumberland County Department of Social Services at (910) 323-1540.

More information can be found here.

Project CARE

Project CARE provides caregiver training and support to those who care for family members or loved ones with Alzheimer’s Disease and other forms of dementia. The program also offers counseling services and respite care. Project CARE offers its services to all unpaid caregivers who are providing services to a loved one.

This program is available to all unpaid caregivers and has no financial qualifying requirements. To learn more, caregivers can contact the Cape Fear Area Agency on Aging in Wilmington at (910) 408-6365. More information can be found here.

More Senior Living Resources in Fayetteville


Phone Number


Section 8 Housing Choice Voucher (866) 466-7328 Section 8 Housing Choice Vouchers are available to low-income families and individuals. They help those who are unable to afford rentals within the private market access the housing of their choice by subsidizing a large portion of their rent.
Operation Blessing of Fayetteville (910) 483-1119 Seniors who are in urgent need of financial assistance can contact this organization for one-time assistance with needs such as rent, mortgage and utility bill payments.
Catholic Charities of the Diocese of Raleigh (910) 424-2020 Catholic Charities offers financial assistance to those in need, regardless of faith. In times of crisis, seniors may contact the organization for urgent help with rent, utilities and household furnishings.
Cumberland Community Action Program, Inc. (910) 223-0116 Low-income households can apply to this program for weatherization assistance, which helps families and individuals to upgrade their homes to reduce energy costs.
Fayetteville Urban Ministry (910) 483-5944 The Fayetteville Urban Ministry collects donations of cash, hygiene products, food and clothing that are available to help homeless persons and low-income households throughout the city. Cash is offered to those who require immediate bill-payment assistance.
Fayetteville Salvation Army (910) 483-8119 The Salvation Army offers emergency utility bill assistance and occasionally has the funding to provide rental assistance to those facing homelessness. Additionally, the Salvation Army provides emergency shelter, food and clothing to those in need.

For additional information and planning, please read our comprehensive guide to paying for senior care in North Carolina.