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
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
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 Smithfield, NC

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Assisted living costs in Smithfield average about $4,652 per month. To find the best assisted living options for your needs and budget, browse through 143 communities in Smithfield. Our detailed directory has 1690 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 Garner, Wendell and Goldsboro.

Smithfield Assisted Living Facilities | 1690 Reviews

Showing 109 communities
Last Updated: 4/29/25
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Photo of Somerset Court of Rocky Mount
22 Photos available
5 star
75%
4 star
0%
3 star
0%
2 star
0%
1 star
25%
See all reviews
The staff is friendly. When we request something of them they respond quickly. They are attentive and patient with cranky old residents. The administrator is open to suggestions. The food is better...
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.
Whether for you or a loved one, Somerset Court of Rocky Mount offers a caring atmosphere, an active community, and a comfortable, secure lifestyle for our residents. Here at Somerset Court of Rocky Mount, each member of our community enjoys the opportunity to 'live life their way'. Our valued...
Photo of Heritage of Rocky Mount
11 Photo available
5 star
40%
4 star
0%
3 star
0%
2 star
40%
1 star
20%
See all reviews
The community is open to feedback and we are able to talk and make decisions together. They are great at communicating and they keep me updated. I would recommend this community to others
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.
Heritage Care of Rocky Mount is an assisted living community located in Rocky Mount, NC. The city of Rocky Mount is located in Nash and Edgecombe Counties in the coastal plain, and is home to about 57,500 people. About 45-minutes from Raleigh, Rocky Mount is a bustling city where residents can...
Photo of The Stratford
44 Photos available
5 star
33%
4 star
22%
3 star
11%
2 star
0%
1 star
34%
See all reviews
My mother is very happy and has settled in at the Stratford Memory Care Unit. She is flourishing in the smaller environment. In fact, she actually thanked me for moving her to The Stratford. I feel the...
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.
The Stratford is located in the heart of Tarheel Country, yet it is nestled away on three acres of quiet surroundings. The Stratford is a gem that is hidden away from the hustle and bustle of the University and Hospital life, but close enough to be a part of it within minutes. There is a free...
Photo of Cadence at Wake Forest by Cogir
9.3
Review score
18 reviews
9.3
Review score
18 reviews
5 star
56%
4 star
22%
3 star
11%
2 star
0%
1 star
11%
See all reviews
My Mom recently moved into Cadence of Wake Forest. After months of touring communities close by, Mom decided on Cadence. When a room came available, we had a lot to do but it all worked out. Mom loves her...
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 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%
See all reviews
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 TerraBella Knightdale
44 Floor plans available
7.0
Review score
23 reviews
7.0
Review score
23 reviews
5 star
22%
4 star
30%
3 star
17%
2 star
9%
1 star
22%
See all reviews
My loved one at times complains of the food and she hears staff are unhappy with the chef. Some staff have quit bc of him, she was told. She was pleased with the activity director who may be away. I think...
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 McLamb's 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.
Photo of The Villas at Benson
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.
See details
Photo of Lee's Long Term Care Facility
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.
Lee's Long Term Care Facility has been in business for 35 years. We are a family owned business and we live on the premises and are always available if needed. We are located in Southern Wake Co. We are as some people say "out in the country." Our facility is licensed for 65 beds. We offer...
Photo of Johnson Better Care Facility
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.
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Photo of Tanglewood Assisted Living
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.
Photo of Wayne County Rest Villa
11 Photo available
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.
Photo of Wayne County Rest Villas
33 Photos available
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.
Fremont Rest Center is an assisted living community located in the beautiful and quiet town of Fremont, North Carolina. Fremont is a peaceful town with a wonderful sense of community. Although it is small, it is an active town with many different things to do and see. There is a library, several...
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
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.
Whether for you or a loved one, Somerset court of Goldsboro offers a caring atmosphere, an active community, and a comfortable, secure lifestyle for our residents. Here at Somerset court of Goldsboro, each member of our community enjoys the opportunity to 'live life their way'. Our valued...
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 Eagles Pointe
1010 Photos available
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.
Now Open in Goldsboro!A pleasant room, a hot, fresh meal, a game night with new friends - Eagles Pointe in Goldsboro, NC combines all the comforts of home with the health and personal care needed to live fully and comfortably.Our staff is dedicated to providing a safe, warm, engaging environment...
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Photo of Windsor Point
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My mother has been at Windsor Point for a few years now and I love the staff and other residents. They have always been caring and responsive their needs. Recently they have started renovating/updating...
Provides: Assisted Living, 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.
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.
Photo of Parkwood Village and the Landing
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.
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 Sutton's Retirement Center, Inc
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.
Photo of The Retreat At Cary
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
I agree with other reviewers My Mom was there for 2 years. The best 2 years of her life. She had been in a big facility and a Corporate Family Care home in town neither had the professionalism or ability...
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.
Photo of Pinecrest Gardens
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.
Photo of The Templeton of Cary
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.
Photo of Alterra Sterling House of Raleigh
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.
Alterra Sterling House is an assisted living residence that provides housing and assistance to older adults who want to retain their independence while receiving the daily support they need. The intimate setting for those with limited mobility, as well as specialized programming, help residents...

Cost of assisted living in Smithfield, NC

The average cost of senior living in Smithfield is $4,652 per month. Cheaper nearby regions include Newton Grove, NC with an average of $3,631 per month.

Average monthly cost of Assisted Living in Smithfield, NC vs. nearby cities

Smithfield, NC
$4,652/mo
$4,669/mo

Average monthly cost of Assisted Living in Smithfield, NC vs. the state and national average

Smithfield, NC
$4,652/mo
U.S. national average
$4,725/mo

Average monthly cost of Assisted Living in Smithfield vs. other types of senior living

Assisted Living
$4,652/mo
$5,604/mo

Median monthly costs of Assisted Living in Smithfield, NC by room type

Semi-Private
$5,210/mo
Studio
$6,460/mo
1 Bedroom
$6,717/mo
2 Bedroom
$6,679/mo
Detached Cottage/Bungalow
$7,695/mo

Average cost of Assisted Living in Smithfield over time

Smithfield, NCNC stateNational

Ways to pay for Assisted Living in Smithfield, 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 Smithfield.

What families are saying about assisted living in Smithfield

Recent reviews for assisted living in Smithfield

The Reserve at Mills Farm in Apex, NC

3.9
We picked this community, because we knew some people there. Also the size was good - things were very accessible. Dining and amenities all in the building. We would recommend to other families. Initial issues with staffing and dining are being addressed but not up to par. Lots of staff and ...
Read more

Carolina Reserve of Durham

5.0
I recently visited a family member that resides here and all I can say is WOW! From the upper management down to housekeeping, you can see they all truly care! I cannot be more pleased to know my family lives here! If I could give higher than 5 stars I would.

Phoenix Assisted Care in Cary, NC

4.0
My mother is doing very well at the Phoenix Assisted Care. The place is clean and well maintained. When we first moved in, she was in a shared room but has now moved into a private room. The meals they provide are very good.

Reviews mention these favorite features of communities

Compassionate and responsive staff. Reviews consistently praise the kindness and attentiveness of staff members at various communities. At HeartFields at Cary, the staff went above and beyond to make new residents and their families feel welcome. Several reviewers at Sanford Senior Living and Manor mention the promptness and a ...
Read more
Varied activities to cater to diverse interests. Activities were a highlight for many residents, with communities like Brookdale Durham and Sunrise of Cary offering a range of engaging and social activities, from music sessions and bingo to art classes and group outings. These activities helped residents stay active and connected to their ...
Read more
Cleanliness and upkeep of living spaces. Reviews often emphasized the importance of clean living spaces, with residents at TerraBella Northridge and Oak Hill Assisted Living expressing satisfaction with the overall cleanliness of their rooms and the facilities. The renovated patios and common areas mentioned at Sunrise of Raleigh ...
Read more
Communication between staff and families. Clear and consistent communication between families and staff was valued by many residents and their loved ones. At Cadence at North Raleigh by Cogir, the staff kept the family informed about their loved one's care and was quick to address any concerns. Regular meetings and updates were also m ...
Read more
Thoughtful accommodations for residents' needs. Reviews highlighted the accommodations made by staff to meet residents' unique needs. For example, at TerraBella Durham, the staff worked with a resident to lower their base rate so they could stay longer. Several other reviews mentioned the flexibility and consideration shown by staff when it ...
Read more
Supportive and inclusive community atmosphere. Reviews often mentioned the friendly and inclusive environment at various communities, such as Brighton Gardens of Raleigh, where residents felt a strong sense of belonging and made new friends. The welcoming atmosphere and emphasis on community engagement contributed to residents' overall sat ...
Read more
AI generated from the text of family reviews

Smithfield review score based on 429 family reviews

8.2
Review score109 facilities429 reviewsWrite a review
This proprietary review score is based on 429 reviews of 109 Smithfield assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Smithfield review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Smithfield review score compared against nearby cities

8.2
Smithfield, NC109 facilities
8.3
Selma, NC138 facilities
8.2
Wilson's Mills, NC133 facilities

Review subcategories for Smithfield assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 429 reviews of 109 Smithfield assisted living communities. This chart helps you compare Smithfield resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Smithfield, NC averageNational average
Cleanliness
4.3
4.5
Friendliness
4.4
4.6
Care services
4.0
4.2
Staff
4.3
4.5
Meals & dining
3.8
4.1
Activities
3.8
4.1
Value for cost*
3.9
4.1
0.01.02.03.04.05.0
*Learn more about cost details

Smithfield assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Smithfield assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Smithfield, 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 Smithfield 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 Smithfield that offer these care services compared to the percentage of partners that offer them nationally.
Smithfield, NCNational
Full medication management
Full medication management
54.1%
52.6%
Doctor on call
Doctor on call
42.2%
33.7%
24-Hour awake staff
24-Hour awake staff
99.1%
98.5%
Diabetic care
Diabetic care
99.1%
99.1%
*Visiting health care professionals
*Visiting health care professionals
56%
56.9%
Home care agency on-site
Home care agency on-site
22%
30.1%
Non-ambulatory care
Non-ambulatory care
99.1%
98.9%
Respite or short term stays
Respite or short term stays
46.8%
48%
Hospice available on-site
Hospice available on-site
56.9%
53.1%
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 Smithfield 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 Smithfield Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Smithfield, NCNational
Dementia behaviors care
Dementia behaviors care
50.5%
51.5%
Specialized memory care training for staff
Specialized memory care training for staff
30.3%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
37.6%
41.2%
Memory care only community
Memory care only community
15.6%
13.6%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Smithfield 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 Smithfield partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Smithfield, NCNational
Nutritionist / dietician
Nutritionist / dietician
22%
27.2%
Low / no sodium
Low / no sodium
40.4%
40.7%
No sugar
No sugar
36.7%
37.4%
Vegetarian
Vegetarian
33%
35.8%
Pureed meals
Pureed meals
21.1%
15.8%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Smithfield 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 Smithfield communities that offer dining options to their discerning residents compared to our partners nationally.
Smithfield, NCNational
Professional chef
Professional chef
21.1%
31.3%
Restaurant style dining
Restaurant style dining
40.4%
42.4%
Room service
Room service
37.6%
36.4%
Anytime dining
Anytime dining
10.1%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Smithfield 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 Smithfield offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Smithfield, NCNational
Activity director
Activity director
46.8%
46.4%
Pet-focused programs
Pet-focused programs
32.1%
31.2%
Community service programs
Community service programs
26.6%
30.3%
Devotional activities on-site
Devotional activities on-site
55%
49.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
45.9%
49.3%
Outings / off-site activities
Outings / off-site activities
54.1%
52.5%
Piano or organ
Piano or organ
40.4%
41.3%
Arts and crafts center
Arts and crafts center
36.7%
35.1%
Educational speakers / life long learning
Educational speakers / life long learning
33.9%
37.9%
Clubs / games / karaoke
Clubs / games / karaoke
40.4%
46.8%
Live performances
Live performances
42.2%
46.9%
Dances
Dances
30.3%
30.2%
Fitness center
Fitness center
18.3%
24.5%
Fitness classes
Fitness classes
39.4%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Smithfield

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to ensure seniors reside in a safe environment. Learning about North Carolina assisted living regulations will help you understand how assisted living communities in Smithfield protect seniors.

Learn about North Carolina Assisted Living regulations

Frequently Asked Questions

Brookdale Meadowmont, Oak Hill Assisted Living and Spring Arbor of Apex are the top-rated assisted living facilities near Smithfield, North Carolina. See full list of communities.

There are 143 assisted living facilities near Smithfield, North Carolina. See the full list.

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