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 2026 Assisted Living Winners
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10 Best Assisted Living Facilities in Smithfield, NC

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Assisted living costs in Smithfield average about $4,770 per month. To find the best assisted living options for your needs and budget, browse through 141 communities in Smithfield. Our detailed directory has 1873 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, Fuquay-Varina and Goldsboro.

Smithfield Assisted Living Facilities | 1873 Reviews

Showing 106 communities
Last Updated: 3/2/26
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Photo of Care One Memory Unit of Kinston
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 Hope Mills Retirement 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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5 star
0%
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Provides: Assisted Living, 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.
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.
Photo of Cardinal Care of Hope Mills
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 Graceful Living Assisted Living
3.0
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2 reviews
3.0
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2 reviews
5 star
50%
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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.
Crescent Green Assisted Living Community is nestled in the historic city of Carrboro N.C. Our focus is to offer personalized assistance and supportive services while providing compassionate care in a professionally operated facility.  At Crescent Green we take assisted living...
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5 star
60%
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0%
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20%
2 star
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This is a great community and everything is working out very well for my mother in law. She has adjusted well to the community and seems to really like it. The community looks great and everything is nice...
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.
Victorian Senior Care provides services for senior adults at The Village of Kinston located at 1935 Idlewild Drive in Kinston. The Village offers quality assisted living and memory care in attractive surroundings close to home. Our assisted living care provides services to fit the lifestyles of...
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Cost of assisted living in Smithfield, NC

The average cost of senior living in Smithfield is $4,770 per month. Cheaper nearby regions include Newton Grove, NC with an average of $3,541 per month.

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

Smithfield, NC
$4,770/mo
$4,794/mo

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

Smithfield, NC
$4,770/mo
U.S. national average
$4,837/mo

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

Assisted Living
$4,770/mo
$5,808/mo

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

Semi-Private
$4,192/mo
Studio
$5,547/mo
1 Bedroom
$7,019/mo
2 Bedroom
$6,953/mo

Senior living costs in Smithfield 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: Smithfield, NC
Column state: North Carolina
Column national: U.S.
Community typeSmithfield, NCNorth CarolinaU.S.
Assisted Living$4,770/mo$4,454/mo$4,837/mo
Memory Care$5,808/mo$5,319/mo$5,607/mo
Independent Living$4,444/mo$3,699/mo$4,259/mo
Assisted Living
Smithfield, NC:$4,770/mo
North Carolina:$4,454/mo
U.S.:$4,837/mo
Memory Care
Smithfield, NC:$5,808/mo
North Carolina:$5,319/mo
U.S.:$5,607/mo
Independent Living
Smithfield, NC:$4,444/mo
North Carolina:$3,699/mo
U.S.:$4,259/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 Smithfield, NC, over time

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

Smithfield, NCNC stateNational

Assisted living cost trends in Smithfield, NC

The table below shows how monthly assisted living costs in Smithfield 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
Smithfield, NC$6,126/mo$5,697/mo+7.5%
North Carolina$5,571/mo$5,136/mo+8.5%
National$5,374/mo$5,126/mo+4.8%
Smithfield, NC
2024 average cost:$6,126/mo
2023 average cost:$5,697/mo
Percent change:+7.5%
North Carolina
2024 average cost:$5,571/mo
2023 average cost:$5,136/mo
Percent change:+8.5%
National
2024 average cost:$5,374/mo
2023 average cost:$5,126/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 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

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.

Waltonwood - Cary

5.0
My parents moved in at a crucial time and my mother required back surgery one week after the move. The staff helped us get them in and the support services like home care and physical therapy were arranged quickly. Everything they need other than some medical specialists is right there in their ...
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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.

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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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AI generated from the text of family reviews

Smithfield review score based on 441 family reviews

8.3
Review score106 facilities441 reviewsWrite a review
This proprietary review score is based on 441 reviews of 106 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

8.3
Smithfield, NC106 facilities
8.4
Selma, NC135 facilities
8.3
Wilson's Mills, NC131 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 441 reviews of 106 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
3.6
3.9
Friendliness
3.7
4.0
Care services
3.4
3.6
Staff
3.5
3.9
Meals & dining
3.2
3.5
Activities
3.2
3.5
Value for cost*
3.3
3.6
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
54.7%
52.6%
Doctor on call
Doctor on call
45.3%
33.9%
24-Hour awake staff
24-Hour awake staff
98.1%
96%
Diabetic care
Diabetic care
98.1%
97.6%
*Visiting health care professionals
*Visiting health care professionals
56.6%
56.8%
Home care agency on-site
Home care agency on-site
20.8%
30.1%
Non-ambulatory care
Non-ambulatory care
98.1%
96.7%
Respite or short term stays
Respite or short term stays
49.1%
47.6%
Hospice available on-site
Hospice available on-site
54.7%
52.5%
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%
51.5%
Specialized memory care training for staff
Specialized memory care training for staff
31.1%
32.7%
Secured community and/or wander guard
Secured community and/or wander guard
37.7%
41.2%
Memory care only community
Memory care only community
15.1%
13.7%
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
24.5%
27.4%
Low / no sodium
Low / no sodium
40.6%
41.2%
No sugar
No sugar
36.8%
37.7%
Vegetarian
Vegetarian
34%
36.4%
Pureed meals
Pureed meals
26.4%
17.9%
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
22.6%
31.7%
Restaurant style dining
Restaurant style dining
42.5%
42.5%
Room service
Room service
39.6%
37%
Anytime dining
Anytime dining
9.4%
18.2%
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
48.1%
46.6%
Pet-focused programs
Pet-focused programs
31.1%
31.2%
Community service programs
Community service programs
29.2%
30.6%
Devotional activities on-site
Devotional activities on-site
56.6%
49.6%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
46.2%
49.6%
Outings / off-site activities
Outings / off-site activities
55.7%
52.5%
Piano or organ
Piano or organ
41.5%
41.6%
Arts and crafts center
Arts and crafts center
36.8%
35.6%
Educational speakers / life long learning
Educational speakers / life long learning
35.8%
38.3%
Clubs / games / karaoke
Clubs / games / karaoke
42.5%
47%
Live performances
Live performances
43.4%
47.2%
Dances
Dances
32.1%
30.8%
Fitness center
Fitness center
16%
24.7%
Fitness classes
Fitness classes
41.5%
46.2%
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 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 Smithfield protect seniors.
Learn about North Carolina assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Spring Arbor of Kinston, 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 141 assisted living facilities near Smithfield, North Carolina. See the full list.
The best assisted living facility near you in Smithfield, North Carolina is Spring Arbor of Apex. This assisted living community received the highest ranking based on verified family reviews.
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