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
Senior Living Home

10 Best Assisted Living Facilities in St James, NC

Answer a few questions to get personalized results
Who are you searching for?

Assisted living costs in St James average about $4,228 per month. To find the best assisted living options for your needs and budget, browse through 19 communities in St James. Our detailed directory has 199 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 Southport, Wilmington and Sunset Beach.

St James Assisted Living Facilities | 199 Reviews

Showing 13 communities
Last Updated: 11/22/25
Sort by
Filter by
Review Score
Distance
See communities with
Amenities
Providers
Photo of TerraBella Southport
1717 Photos available
9.2
Review score
33 reviews
9.2
Review score
33 reviews
5 star
64%
4 star
9%
3 star
15%
2 star
6%
1 star
6%
See all reviews
I loved the way the memory staff was attentive to the residents and called them by name. The rooms were kept clean with daily housekeeping. The meals were okay. What could be improved is keeping the loved...
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.
We are continuing to admit new Residents, where possible and appropriate, and look forward to continuing to serve area seniors and their families. Ask about our lifetime veterans saving program and other special offers!
Photo of Arbor Landing at Ocean Isle
1212 Photos available
9.9
Review score
51 reviews
9.9
Review score
51 reviews
5 star
80%
4 star
12%
3 star
8%
2 star
0%
1 star
0%
See all reviews
A beautiful, clean, and safe place with quality caring staff that offers multiple levels of assisted living options. I would definitely recommend.
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.
Person Centered. Service Focused. Passion Driven. Arbor Landing at Ocean Isle is an exceptional new option for Senior Living in southeastern North Carolina. Arbor Landing offers residents Retirement Living with Assisted Services. A unique alternative for seniors, the community combines just the...
See details
Photo of Spring Arbor of Wilmington
33 Photos available
9.7
Review score
46 reviews
9.7
Review score
46 reviews
5 star
57%
4 star
30%
3 star
11%
2 star
2%
1 star
0%
See all reviews
Staff which included nurses, kitchen help & especially the activities director, [name removed], genuinely cared for my mom & the other residents. Many times the office staff would step up if need be as well,...
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 Morningside of Wilmington
1111 Photos available
9.0
Review score
43 reviews
9.0
Review score
43 reviews
5 star
43%
4 star
26%
3 star
12%
2 star
12%
1 star
7%
See all reviews
My experience with A Place For Mom ha been nothing but the best. I took care of my mom for several years and was very nervous about placing her in a facility. Everyone was reassuring, helpful, informative,...
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.
Morningside of Wilmington is a beautiful, safe and friendly community offering spacious assisted living apartments and Five Star’s award-winning Bridge to Rediscovery program for people with Alzheimer’s or related dementias. All of these needs can be found in one comfortable, secure, and...
See details
Photo of New Hanover House
1717 Photos available
8.0
Review score
6 reviews
8.0
Review score
6 reviews
5 star
33%
4 star
0%
3 star
17%
2 star
17%
1 star
33%
See all reviews
New Hanover House has been a wonderful transition from Independent Living to Assisted Living. The price is the best we have found in Wilmington with no levels of care increases. It is all inclusive with 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.
Whether for you or a loved one, New Hanover House offers a caring atmosphere, an active community, and a comfortable, secure lifestyle for our residents. Here at New Hanover House, each member of our community enjoys the opportunity to 'live life their way'. Our valued residents enjoy assistance...
Photo of Shallotte Assisted Living, Inc.
5 star
50%
4 star
0%
3 star
25%
2 star
25%
1 star
0%
See all reviews
My father was well taken care of there. They went out of there way to make him feel at home and cared for. The home is older but has gone under a new remodeling. I was very pleased with the way they care...
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.
At Shallotte Assisted Living we offer Private Pay and Medicaid Programs. Also, eighty beds are provided for individuals requiring assistance, but who desire to live as independently as possible. Each resident maintains high level of freedom in a semi-private room while at the same time receiving...
Provides: Assisted Living, Nursing Homes
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.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Cedar Cove Assisted Living
5 star
0%
4 star
72%
3 star
14%
2 star
0%
1 star
14%
See all reviews
This community is beautiful with lots of different amenities. The care team has been truly a light to my loved one. They are always making sure her needs are being met and making her feel comfortable in 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.
Cedar Cove Assisted Living is located in Wilmington, New Hanover County, North Carolina. Situated in the heart of Wilmington, residents can enjoy the historic river district and the Riverwalk that makes its way around the Cape Fear River and three island beaches. Named 'The Next Big Thing' by...
Photo of Coastal Cove of Wilmington
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 Sherwood Manor Rest Home, LLC
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.
Inline cta image

Our free advisors can help

  • Compare local facilities
  • Determine care type
  • Schedule tours
  • Evaluate pricing
Photo of The Commons At Brightmore
5 star
0%
4 star
50%
3 star
50%
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.
5 star
0%
4 star
40%
3 star
20%
2 star
0%
1 star
40%
See all reviews
My mom has been at the Kempton for almost a year now. The staff have all been fantastic. Her level of care has fluctuated based on needs at the time. The activities are frequent and engaging. She has become...
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.
The Kempton at Brightmore provides a comfortable, safe and secure environment for senior adults who find living alone is no longer feasible. Our friendly staff encourages and assists each resident to live as independently as possible. Our program is designed for individuals who may need...
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 St James, NC

The average cost of senior living in St James is $4,228 per month. Cheaper nearby regions include Bolton, NC with an average of $3,858 per month.

Assisted living costs in St James, NC, vs. nearby cities

St James, NC
$4,228/mo

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

St James, NC
$4,228/mo
U.S. national average
$4,765/mo

Assisted living costs in St James, NC, vs. other senior living options

Assisted Living
$4,228/mo
$5,198/mo

Assisted living costs in St James, NC, by floor plan type

Semi-Private
$5,681/mo
Studio
$5,791/mo
1 Bedroom
$5,530/mo
2 Bedroom
$4,695/mo
Detached Cottage/Bungalow
$3,295/mo

Senior living costs in St James 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: St James, NC
Column state: North Carolina
Column national: U.S.
Community typeSt James, NCNorth CarolinaU.S.
Assisted Living$4,228/mo$4,418/mo$4,765/mo
Memory Care$5,198/mo$5,273/mo$5,516/mo
Independent Living$4,376/mo$3,700/mo$4,180/mo
Assisted Living
St James, NC:$4,228/mo
North Carolina:$4,418/mo
U.S.:$4,765/mo
Memory Care
St James, NC:$5,198/mo
North Carolina:$5,273/mo
U.S.:$5,516/mo
Independent Living
St James, NC:$4,376/mo
North Carolina:$3,700/mo
U.S.:$4,180/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 St James, NC, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in St James 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.

St James, NCNC stateNational

Assisted living cost trends in St James, NC

The table below shows how monthly assisted living costs in St James 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
St James, NC$5,540/mo$5,268/mo+5.2%
North Carolina$5,410/mo$5,059/mo+6.9%
National$5,321/mo$5,062/mo+5.1%
St James, NC
2024 average cost:$5,540/mo
2023 average cost:$5,268/mo
Percent change:+5.2%
North Carolina
2024 average cost:$5,410/mo
2023 average cost:$5,059/mo
Percent change:+6.9%
National
2024 average cost:$5,321/mo
2023 average cost:$5,062/mo
Percent change:+5.1%
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 St James, 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 St James.

What families are saying about assisted living in St James

Recent reviews for assisted living in St James

Shallotte Assisted Living, Inc.

5.0
This is an older community but has undergone many upgrades. The Administrator went out of his way to transition my uncooperative mother. She now loves it and has many friends. She also can't wait to get back to her new "home" when we take her on outings. I am completely satisfied with the ...
Read more

TerraBella Southport

5.0
We were able to get my grandmother into Terra Bella quickly. Staff is very friendly and helpful. They have taken the time to get to know my grandmother and family members. My grandmother enjoys being there and participating in all the activities. We are very pleased with Terra Bella and highly ...
Read more

The Kempton At Brightmore in Wilmington, NC

4.2
My mother lived at the Kempton for about a year and a half before she passed away unexpectedly in late [date removed]. She loved it there! They had lots of activities that she enjoyed and she made many new friends there. I always found the staff to be friendly & caring and the facility was ...
Read more

St James review score based on 67 family reviews

9.2
Review score13 facilities67 reviewsWrite a review
This proprietary review score is based on 67 reviews of 13 St James assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The St James 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

St James review score compared against nearby cities

9.2
St James, NC13 facilities
9.2
Oak Island, NC19 facilities
9.2
Caswell Beach, NC18 facilities

Review subcategories for St James 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 67 reviews of 13 St James assisted living communities. This chart helps you compare St James 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.
St James, NC averageNational average
Cleanliness
3.9
4.1
Friendliness
4.1
4.2
Care services
3.8
3.8
Staff
4.0
4.1
Meals & dining
3.5
3.7
Activities
3.6
3.7
Value for cost*
3.7
3.8
0.01.02.03.04.05.0
*Learn more about cost details

St James assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in St James assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in St James, 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 St James 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 St James that offer these care services compared to the percentage of partners that offer them nationally.
St James, NCNational
Full medication management
Full medication management
38.5%
52.4%
Doctor on call
Doctor on call
30.8%
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
46.2%
56.7%
Home care agency on-site
Home care agency on-site
23.1%
30%
Non-ambulatory care
Non-ambulatory care
100%
96.7%
Respite or short term stays
Respite or short term stays
53.8%
47.6%
Hospice available on-site
Hospice available on-site
61.5%
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 St James 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 St James Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
St James, NCNational
Dementia behaviors care
Dementia behaviors care
38.5%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
30.8%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
46.2%
41%
Memory care only community
Memory care only community
7.7%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in St James 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 St James partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
St James, NCNational
Low / no sodium
Low / no sodium
23.1%
40.9%
No sugar
No sugar
15.4%
37.5%
Vegetarian
Vegetarian
23.1%
36.1%
Pureed meals
Pureed meals
7.7%
17.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in St James 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 St James communities that offer dining options to their discerning residents compared to our partners nationally.
St James, NCNational
Restaurant style dining
Restaurant style dining
30.8%
42.3%
Room service
Room service
15.4%
36.7%
Anytime dining
Anytime dining
7.7%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in St James 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 St James offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
St James, NCNational
Activity director
Activity director
30.8%
46.3%
Pet-focused programs
Pet-focused programs
23.1%
31%
Community service programs
Community service programs
15.4%
30.4%
Devotional activities on-site
Devotional activities on-site
61.5%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
30.8%
49.3%
Outings / off-site activities
Outings / off-site activities
61.5%
52.3%
Piano or organ
Piano or organ
23.1%
41.3%
Arts and crafts center
Arts and crafts center
23.1%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
23.1%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
30.8%
46.7%
Live performances
Live performances
30.8%
46.9%
Dances
Dances
23.1%
30.5%
Fitness center
Fitness center
15.4%
24.5%
Fitness classes
Fitness classes
30.8%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in St James

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 St James protect seniors.
Learn about North Carolina assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

TerraBella Southport, Arbor Landing at Ocean Isle and Spring Arbor of Wilmington are the top-rated assisted living facilities near St James, North Carolina. See full list of communities.
There are 19 assisted living facilities near St James, North Carolina. See the full list.
Photo cta image

More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
Back to top