About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
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About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Middlesex, NC

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Assisted living costs in Middlesex average about $4,810 per month. To find the best assisted living options for your needs and budget, browse through 15 communities in Middlesex. Our detailed directory has 68 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Raleigh, Garner and Wilson.

Middlesex Assisted Living Facilities | 68 Reviews

Showing 11 communities
Last Updated: 11/27/25
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Photo of Spring Arbor of Wilson
88 Photos available
8.0
Review score
5 reviews
8.0
Review score
5 reviews
5 star
80%
4 star
20%
3 star
0%
2 star
0%
1 star
0%
See all reviews
The staff are friendly. They are patient and attentive. They keep the laundry done and bed made. They have activities more so during the week. Mealtimes are very quiet. I wish the staff interacted more or...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
See details
Photo of Parkwood Village and The Landing
55 Photos available
7.9
Review score
11 reviews
7.9
Review score
11 reviews
5 star
55%
4 star
27%
3 star
9%
2 star
0%
1 star
9%
See all reviews
[name removed], my MIL, did NOT want to leave her home, but after a short adjustment period she really felt loved and cared for there. It felt like extended family. They brought other residents in to meet...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Parkwood Village and The Landing is where luxury and small town charm meet. It is located in the heart of Wilson, North Carolina. From a caring, dedicated support team to a broad range of services and amenities, Parkwood Village and The Landing provide you with the lifestyle you want and a place...
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Photo of Autumn Home Care of Johnston County
11 Photo available
7.8
Review score
5 reviews
7.8
Review score
5 reviews
5 star
60%
4 star
20%
3 star
20%
2 star
0%
1 star
0%
See all reviews
Autumn Home feels like home. They care about their residents and take the time to get to know them. Residents are treated with respect.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Autumn Home Care of Johnston County is an assisted living community located in Selma, North Carolina. If you are looking for a comfortable and supportive environment to call home, then look no further than Autumn Home Care of Johnston County. Originally a railroad town, Selma has grown into an...
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Photo of TerraBella Knightdale
1717 Photos available
44 Floor plans available
7.3
Review score
27 reviews
7.3
Review score
27 reviews
5 star
26%
4 star
26%
3 star
22%
2 star
7%
1 star
19%
See all reviews
My dad’s transition to memory care was the best decision that could have been made for him. He is adjusting well and he is content. He loves the food and the caregivers. He rarely asks to go home now. We...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
See details
Photo of Zebulon House
55 Photos available
5 star
0%
4 star
50%
3 star
0%
2 star
25%
1 star
25%
See all reviews
Due to my mother's bad eyesight, she has to be in an assisted living which has been a difficult adjustment for her. She has a nice room and we are working to make it feel more like home for her. The staff...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Here at Zebulon House, each member of our community enjoys the opportunity to 'live life their way'. Our valued residents enjoy assistance when required, and freedom when desired. Residency includes a complete array of services and accommodations.
Photo of Elm City Assisted Living
8.0
Review score
1 review
8.0
Review score
1 review
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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These ladies are top notch caregivers. My father lived there for a year with Alzheimer’s. Very loving staff. They made him comfortable and kept him safe in a way we couldn’t. Grateful for these people and...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Elm City Assisted Living is an assisted living community based in the beautifully pine-forested fields of Elm City, NC. This peaceful area is elegantly tucked between Rocky Mount and Wilson, giving our residents convenient access to both cities. However, Elm City can stand just fine on its own;...
Photo of Coventry House of Zebulon
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Parkwood Village and the Landing
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of The Gardens of Nashville
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
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Photo of Zollieville Rest Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Middlesex, NC

The average cost of senior living in Middlesex is $4,810 per month. Cheaper nearby regions include Fremont, NC with an average of $3,853 per month.

Assisted living costs in Middlesex, NC, vs. nearby cities

Middlesex, NC
$4,810/mo
$4,144/mo
$5,062/mo

Assisted living costs in Middlesex, NC, vs. state and national averages

Middlesex, NC
$4,810/mo
U.S. national average
$4,767/mo

Assisted living costs in Middlesex, NC, vs. other senior living options

Assisted Living
$4,810/mo
$5,569/mo

Assisted living costs in Middlesex, NC, by floor plan type

Semi-Private
$4,836/mo
Studio
$6,166/mo
1 Bedroom
$6,137/mo
2 Bedroom
$4,500/mo

Senior living costs in Middlesex vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Middlesex, NC
Column state: North Carolina
Column national: U.S.
Community typeMiddlesex, NCNorth CarolinaU.S.
Assisted Living$4,810/mo$4,419/mo$4,767/mo
Memory Care$5,569/mo$5,271/mo$5,518/mo
Independent Living$4,585/mo$3,700/mo$4,181/mo
Assisted Living
Middlesex, NC:$4,810/mo
North Carolina:$4,419/mo
U.S.:$4,767/mo
Memory Care
Middlesex, NC:$5,569/mo
North Carolina:$5,271/mo
U.S.:$5,518/mo
Independent Living
Middlesex, NC:$4,585/mo
North Carolina:$3,700/mo
U.S.:$4,181/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Middlesex, NC, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Middlesex and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Middlesex, NCNC stateNational

Assisted living cost trends in Middlesex, NC

The table below shows how monthly assisted living costs in Middlesex have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Middlesex, NC$4,393/mo$5,391/mo-18.5%
North Carolina$4,885/mo$4,762/mo+2.6%
National$4,793/mo$4,555/mo+5.2%
Middlesex, NC
2024 average cost:$4,393/mo
2023 average cost:$5,391/mo
Percent change:-18.5%
North Carolina
2024 average cost:$4,885/mo
2023 average cost:$4,762/mo
Percent change:+2.6%
National
2024 average cost:$4,793/mo
2023 average cost:$4,555/mo
Percent change:+5.2%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Middlesex, NC

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Middlesex.

What families are saying about assisted living in Middlesex

Recent reviews for assisted living in Middlesex

Spring Arbor of Raleigh

5.0
Spring Arbor is a fantastic place. I totally recommend it. Spring Arbor is a really nice place. It's small and it's a very close community. They take care of their residents. My wife's mother was there and my mother was there. That's how good it is.

Spring Arbor of Wilson

4.8
My loved one feels like she's at home, and she has met some great people there. The staff are very friendly and helpful, and the care has been very good.

Autumn Home Care of Johnston County in Selma, NC

4.8
Autumn House Care of Johnson County is a small, quiet, rural facility. Female only. Not a large staff but adequate for the number of residents. They communicate well with the family. We didn't need activities just a peaceful place. So if you need that, another home may suit you better.

Middlesex assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Middlesex assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Middlesex, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Middlesex assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Middlesex that offer these care services compared to the percentage of partners that offer them nationally.
Middlesex, NCNational
Full medication management
Full medication management
36.4%
52.4%
Doctor on call
Doctor on call
36.4%
33.7%
24-Hour awake staff
24-Hour awake staff
100%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
45.5%
56.7%
Home care agency on-site
Home care agency on-site
27.3%
30%
Non-ambulatory care
Non-ambulatory care
100%
96.7%
Respite or short term stays
Respite or short term stays
54.5%
47.6%
Hospice available on-site
Hospice available on-site
72.7%
52.4%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Middlesex assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Middlesex Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Middlesex, NCNational
Dementia behaviors care
Dementia behaviors care
45.5%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
27.3%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
27.3%
41%
Memory care only community
Memory care only community
9.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Middlesex assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Middlesex partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Middlesex, NCNational
Nutritionist / dietician
Nutritionist / dietician
9.1%
27.2%
Low / no sodium
Low / no sodium
36.4%
40.9%
No sugar
No sugar
36.4%
37.5%
Vegetarian
Vegetarian
36.4%
36.1%
Pureed meals
Pureed meals
27.3%
17.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Middlesex assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Middlesex communities that offer dining options to their discerning residents compared to our partners nationally.
Middlesex, NCNational
Professional chef
Professional chef
9.1%
31.4%
Restaurant style dining
Restaurant style dining
27.3%
42.3%
Room service
Room service
27.3%
36.7%
Anytime dining
Anytime dining
18.2%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Middlesex assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Middlesex offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Middlesex, NCNational
Activity director
Activity director
36.4%
46.3%
Pet-focused programs
Pet-focused programs
9.1%
31%
Community service programs
Community service programs
27.3%
30.4%
Devotional activities on-site
Devotional activities on-site
45.5%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
36.4%
49.3%
Outings / off-site activities
Outings / off-site activities
45.5%
52.3%
Piano or organ
Piano or organ
36.4%
41.3%
Arts and crafts center
Arts and crafts center
36.4%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
27.3%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
36.4%
46.7%
Live performances
Live performances
27.3%
46.9%
Dances
Dances
36.4%
30.5%
Fitness center
Fitness center
18.2%
24.5%
Fitness classes
Fitness classes
36.4%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Middlesex

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about North Carolina assisted living regulations will help you understand how assisted living communities in Middlesex protect seniors.
Learn about North Carolina assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports
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