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 Salem, NC

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Assisted living costs in Salem average about $4,163 per month. To find the best assisted living options for your needs and budget, browse through 122 communities in Salem. Our detailed directory has 1043 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 Hickory, Morganton and Lenoir.

Salem Assisted Living Facilities | 1043 Reviews

Showing 103 communities
Last Updated: 12/11/25
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Photo of Highlands Senior Living Forest City
8.5
Review score
2 reviews
8.5
Review score
2 reviews
5 star
100%
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I wanted to take a moment to let you know how much I appreciate the care that is given to my MawMaw at this facility. I love the family atmosphere that is in this place! My MawMaw had to have more care than...
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 Wilham Ridge Assisted Living
8.5
Review score
2 reviews
8.5
Review score
2 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
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0%
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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.
8.0
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3 reviews
8.0
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3 reviews
5 star
67%
4 star
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1 star
33%
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My mother goes there for respite stays when my husband and I need a break. She has stayed a month at a time before. They're always very accommodating, even if I need to make arrangements at the last minute....
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.
Catawba Valley Living at Rock Barn is Catawba County's newest Assisted Living Community opening in 2006.  We are located seven miles from Hickory off of interstate 40.  Our property is adjacent to  Rock Barn Golf and Spa, home of the Greater Hickory Classic, part of...
Photo of Rosecrest
8.0
Review score
4 reviews
8.0
Review score
4 reviews
5 star
25%
4 star
0%
3 star
50%
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They provided excellent care to my grandmother for over 5 years. Grateful to all the staff. They accommodated food requests and even care suggestions to bring her recliner out to the hallway so we could be...
Provides: Assisted Living, Memory Care, Independent 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.
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.
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.
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 McAlpine Adult 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.
Photo of Cedarbrook Residential Center
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.
Photo of Houston House, 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 Haven-N-Hills Living Center
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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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 Grandview Villa 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.
5 star
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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.
Where Main Street meets the mountains, the Lake James Lodge assisted living community in Marion, NC is not only beautiful, but offers residents a plethora of activities to keep busy with. Lake James Lodge is located in the heart of Marion with a breathtaking view of the nearby mountains. Marion...
Photo of Brockford Inn Assisted Living
1010 Photos available
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.
Brockford Inn has been providing elder care to our local community for over 40 years. Our staff has an equal amount of experience working with the geriatric population suffering from dementia, mental challenges, and being homeless. We are a family owned company, located in Granite Falls, NC. Our...
Photo of Cambridge House
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.
Cambridge House is a senior living community located in Hildebran, NC that combines the comforts of home with a safe, supportive environment. At Cambridge House we offer you more than assisted living services. The special difference is our dedication to improving each resident's quality of life...
Photo of Rose Hill Retirement Community
1.0
Review score
2 reviews
1.0
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2 reviews
5 star
50%
4 star
0%
3 star
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When our mother needed more care than was possible at home, we turned to Rose Hill. I'm not saying she was enthusiastic about the move at first. What I can say is that the care they gave our mother at Rose...
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, 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.
For over a decade, Kingston Residence of Hickory has provided older, active adults with the opportunity to remain independent in the privacy of their own spacious apartments, to enjoy the benefits of retirement living to the fullest, and to get the assistance many need in those later years....
Photo of Walden House
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.
Walden House is a senior living community located in Hickory, NC that combines the comforts of home with a safe, supportive environment. At Walden House we offer you more than assisted living services. The special difference is our dedication to improving each resident's quality of life and...
Photo of Openview Retirement Home
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.
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 Austin Adult 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.
Photo of Southern Manor 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 Piedmont Village at Newton
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.
Piedmont Village at Newton is an assisted living community located in Newton, NC. The city of Newton is located in Catawba County and is home to about 13,000 people. Newton is a small town where residents can enjoy going out for relaxing walks, going to run errands, or relaxing in the comfort of...
5 star
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3 star
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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 Restwell 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 Salem, NC

The average cost of senior living in Salem is $4,163 per month. Cheaper nearby regions include Valdese, NC with an average of $3,433 per month.

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

Salem, NC
$4,163/mo
$4,197/mo

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

Salem, NC
$4,163/mo
U.S. national average
$4,780/mo

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

Assisted Living
$4,163/mo
$5,229/mo

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

Semi-Private
$4,601/mo
Studio
$5,412/mo
1 Bedroom
$5,260/mo
2 Bedroom
$5,498/mo
Detached Cottage/Bungalow
$2,756/mo

Senior living costs in Salem 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: Salem, NC
Column state: North Carolina
Column national: U.S.
Community typeSalem, NCNorth CarolinaU.S.
Assisted Living$4,163/mo$4,436/mo$4,780/mo
Memory Care$5,229/mo$5,287/mo$5,537/mo
Independent Living$3,617/mo$3,696/mo$4,187/mo
Assisted Living
Salem, NC:$4,163/mo
North Carolina:$4,436/mo
U.S.:$4,780/mo
Memory Care
Salem, NC:$5,229/mo
North Carolina:$5,287/mo
U.S.:$5,537/mo
Independent Living
Salem, NC:$3,617/mo
North Carolina:$3,696/mo
U.S.:$4,187/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 Salem, NC, over time

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

Salem, NCNC stateNational

Assisted living cost trends in Salem, NC

The table below shows how monthly assisted living costs in Salem 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
Salem, NC$4,993/mo$4,684/mo+6.6%
North Carolina$5,571/mo$5,136/mo+8.5%
National$5,375/mo$5,129/mo+4.8%
Salem, NC
2024 average cost:$4,993/mo
2023 average cost:$4,684/mo
Percent change:+6.6%
North Carolina
2024 average cost:$5,571/mo
2023 average cost:$5,136/mo
Percent change:+8.5%
National
2024 average cost:$5,375/mo
2023 average cost:$5,129/mo
Percent change:+4.8%
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 Salem, 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 Salem.

What families are saying about assisted living in Salem

Recent reviews for assisted living in Salem

Brookdale Lenoir

4.5
From the moment my mother moved in, the staff has gone above and beyond to make her feel comfortable and ease her anxiety from moving from her home after my father died. I am so grateful. Thank you so much!

Marjorie McCune Memorial Center in Black Mountain, NC

4.0
My brother did not have a good experience in his stay at this community. They had him in one room when he moved in and then they changed his room the next day. When I inquired as to why they said they try to have them with a roommate they are compatible with. When they moved him into the new ...
Read more

Rose Glen Manor in North Wilkesboro, NC

5.0
As the family member of the patient attacked, referencing the December 2016 review after an assault. ... My father was knocked out, sent via ambulance to the ER. He was hit so hard you could seen the imprint of his glasses on his face for weeks, along with the knot on his forehead...then she ...
Read more

Salem review score based on 320 family reviews

8.1
Review score103 facilities320 reviewsWrite a review
This proprietary review score is based on 320 reviews of 103 Salem assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Salem 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

Salem review score compared against nearby cities

8.1
Salem, NC103 facilities
8.1
Morganton, NC115 facilities
8.0
Glen Alpine, NC127 facilities

Review subcategories for Salem 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 320 reviews of 103 Salem assisted living communities. This chart helps you compare Salem 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.
Salem, NC averageNational average
Cleanliness
4.0
4.1
Friendliness
4.0
4.2
Care services
3.8
3.8
Staff
4.0
4.0
Meals & dining
3.6
3.7
Activities
3.5
3.7
Value for cost*
3.7
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Salem assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Salem assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Salem, 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 Salem 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 Salem that offer these care services compared to the percentage of partners that offer them nationally.
Salem, NCNational
Full medication management
Full medication management
46.6%
52.5%
Doctor on call
Doctor on call
40.8%
33.8%
24-Hour awake staff
24-Hour awake staff
98.1%
96.1%
Diabetic care
Diabetic care
99%
97.6%
*Visiting health care professionals
*Visiting health care professionals
53.4%
56.7%
Home care agency on-site
Home care agency on-site
28.2%
30%
Non-ambulatory care
Non-ambulatory care
99%
96.7%
Respite or short term stays
Respite or short term stays
49.5%
47.6%
Hospice available on-site
Hospice available on-site
51.5%
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 Salem 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 Salem Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Salem, NCNational
Dementia behaviors care
Dementia behaviors care
37.9%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
18.4%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
33%
41.1%
Memory care only community
Memory care only community
3.9%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Salem 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 Salem partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Salem, NCNational
Nutritionist / dietician
Nutritionist / dietician
21.4%
27.2%
Low / no sodium
Low / no sodium
36.9%
40.9%
No sugar
No sugar
31.1%
37.5%
Vegetarian
Vegetarian
30.1%
36.2%
Pureed meals
Pureed meals
20.4%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Salem 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 Salem communities that offer dining options to their discerning residents compared to our partners nationally.
Salem, NCNational
Professional chef
Professional chef
10.7%
31.5%
Restaurant style dining
Restaurant style dining
34%
42.3%
Room service
Room service
27.2%
36.7%
Anytime dining
Anytime dining
4.9%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Salem 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 Salem offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Salem, NCNational
Activity director
Activity director
41.7%
46.4%
Pet-focused programs
Pet-focused programs
30.1%
31%
Community service programs
Community service programs
26.2%
30.4%
Devotional activities on-site
Devotional activities on-site
47.6%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
41.7%
49.3%
Outings / off-site activities
Outings / off-site activities
47.6%
52.3%
Piano or organ
Piano or organ
39.8%
41.3%
Arts and crafts center
Arts and crafts center
29.1%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
29.1%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
36.9%
46.8%
Live performances
Live performances
38.8%
46.9%
Dances
Dances
27.2%
30.5%
Fitness center
Fitness center
9.7%
24.6%
Fitness classes
Fitness classes
39.8%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Salem

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