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 Nursing Homes in Middlesex, NC

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Middlesex is home to many senior care options, including nursing homes. The term “nursing home” is often used as a catchall for any type of senior care. But it can also refer to actual nursing homes, or skilled nursing facilities, which provide the highest level of medical and rehabilitative care outside of a hospital. Of the 20 nursing homes, assisted living, and memory care communities in Middlesex, the best fit for your loved one will depend on their budget and needs. The cost of nursing home care in Middlesex is about $4,820, but costs tend to increase as care needs increase. To learn more, browse our 74 reviews and explore the services and amenities available in your area.

 

As you consider nursing homes near you, you may also want to expand your search to areas like You may also consider nearby communities such as Smithfield, Whitley Heights and Selma.

Nursing Homes Facilities near Middlesex, NC

Showing 13 communities
Last Updated: 12/5/25
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Photo of Spring Arbor of Wilson
88 Photos available
8.6
Review score
6 reviews
8.6
Review score
6 reviews
5 star
83%
4 star
17%
3 star
0%
2 star
0%
1 star
0%
See all reviews
This facility has been a blessing for my older brother with intellectual disabilities. He is very social, and now he always has people to talk to. When he lived with me and my husband, his "light" was...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
See details
Photo of Parkwood Village and The Landing
55 Photos available
7.9
Review score
11 reviews
7.9
Review score
11 reviews
5 star
55%
4 star
27%
3 star
9%
2 star
0%
1 star
9%
See all reviews
[name removed], my MIL, did NOT want to leave her home, but after a short adjustment period she really felt loved and cared for there. It felt like extended family. They brought other residents in to meet...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Parkwood Village and The Landing is where luxury and small town charm meet. It is located in the heart of Wilson, North Carolina. From a caring, dedicated support team to a broad range of services and amenities, Parkwood Village and The Landing provide you with the lifestyle you want and a place...
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Photo of Autumn Home Care of Johnston County
11 Photo available
7.8
Review score
5 reviews
7.8
Review score
5 reviews
5 star
60%
4 star
20%
3 star
20%
2 star
0%
1 star
0%
See all reviews
Autumn Home feels like home. They care about their residents and take the time to get to know them. Residents are treated with respect.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Autumn Home Care of Johnston County is an assisted living community located in Selma, North Carolina. If you are looking for a comfortable and supportive environment to call home, then look no further than Autumn Home Care of Johnston County. Originally a railroad town, Selma has grown into an...
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Photo of TerraBella Knightdale
1717 Photos available
44 Floor plans available
7.3
Review score
27 reviews
7.3
Review score
27 reviews
5 star
26%
4 star
26%
3 star
22%
2 star
7%
1 star
19%
See all reviews
My dad’s transition to memory care was the best decision that could have been made for him. He is adjusting well and he is content. He loves the food and the caregivers. He rarely asks to go home now. We...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
See details
Photo of Zebulon House
55 Photos available
5 star
0%
4 star
50%
3 star
0%
2 star
25%
1 star
25%
See all reviews
Due to my mother's bad eyesight, she has to be in an assisted living which has been a difficult adjustment for her. She has a nice room and we are working to make it feel more like home for her. The staff...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Here at Zebulon House, each member of our community enjoys the opportunity to 'live life their way'. Our valued residents enjoy assistance when required, and freedom when desired. Residency includes a complete array of services and accommodations.
Photo of Parkwood Village and the Landing
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of 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;...
2.0
Review score
1 review
2.0
Review score
1 review
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Nursing Homes
Care types provided by this community
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 Wellington Rehab and Healthcare
5 star
0%
4 star
0%
3 star
0%
2 star
50%
1 star
50%
See all reviews
Provides: Nursing Homes
Care types provided by this community
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 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.
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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 The Gardens of Nashville
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Zollieville Rest Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of nursing homes in Middlesex, NC

The average cost of senior living in Middlesex is $4,820 per month. Cheaper nearby regions include Lucama, NC with an average of $3,985 per month.

Nursing homes costs in Middlesex, NC, vs. nearby cities

Middlesex, NC
$4,820/mo
$4,232/mo
$5,055/mo

Nursing homes costs in Middlesex, NC, vs. state and national averages

Middlesex, NC
$4,820/mo
U.S. national average
$5,037/mo

Nursing homes costs in Middlesex, NC, vs. other senior living options

$5,569/mo
Nursing Homes
$4,820/mo

Nursing homes costs in Middlesex, NC, by floor plan type

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

Senior living costs in Middlesex vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 4 rows of data across 4 columns.
Column communityType: Community type
Column destination: Middlesex, NC
Column state: North Carolina
Column national: U.S.
Community typeMiddlesex, NCNorth CarolinaU.S.
Nursing Homes$4,820/mo$4,603/mo$5,037/mo
Assisted Living$4,810/mo$4,433/mo$4,835/mo
Memory Care$5,569/mo$5,282/mo$5,614/mo
Independent Living$4,585/mo$3,700/mo$4,167/mo
Nursing Homes
Middlesex, NC:$4,820/mo
North Carolina:$4,603/mo
U.S.:$5,037/mo
Assisted Living
Middlesex, NC:$4,810/mo
North Carolina:$4,433/mo
U.S.:$4,835/mo
Memory Care
Middlesex, NC:$5,569/mo
North Carolina:$5,282/mo
U.S.:$5,614/mo
Independent Living
Middlesex, NC:$4,585/mo
North Carolina:$3,700/mo
U.S.:$4,167/mo
Table showing 5 of 4 items. Click to show less.
Table showing 5 of 4 items. Click to show less.

Nursing homes costs in Middlesex, NC, over time

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

Middlesex, NCNC stateNational

Nursing homes cost trends in Middlesex, NC

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

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Middlesex, NC$5,204/mo$5,228/mo-0.4%
North Carolina$5,323/mo$5,028/mo+5.9%
National$5,224/mo$4,900/mo+6.6%
Middlesex, NC
2024 average cost:$5,204/mo
2023 average cost:$5,228/mo
Percent change:-0.4%
North Carolina
2024 average cost:$5,323/mo
2023 average cost:$5,028/mo
Percent change:+5.9%
National
2024 average cost:$5,224/mo
2023 average cost:$4,900/mo
Percent change:+6.6%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Discover the many ways to pay for senior living

Planning ahead can better position you to make good choices for your loved one’s care in the future. But if your aging family member needs care now, there are ways to finance the cost of long-term care through a combination of approaches.

What families are saying about nursing homes in Middlesex

Recent reviews for nursing homes in Middlesex

Spring Arbor of Raleigh

5.0
My loved one was a resident at Spring Arbor of Raleigh until they had a fire recently, which unfortunately displaced most of the residents. The staff at this facility was great. My loved one really liked the place. I liked it too, from my very first visit. Everything was great about my loved ...
Read more

Hillside Nursing Center of Wake Forest

5.0
The best part of Hillside is the Resthome Assist Living. They really love the residents. The whole staff is loving: [name removed] the manager, The 2 Twanda’s are awesome nurses, [name removed] the bath aide, [name removed] at night.. Those women make Hillside worth having a parent there. The ...
Read more

Autumn Home Care of Johnston County in Selma, NC

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

Middlesex nursing homes services and amenities

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

Availability of select care services in Middlesex nursing homes

Nursing homes communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of nursing homes partners in Middlesex that offer these care services compared to the percentage of partners that offer them nationally.
Middlesex, NCNational
Full medication management
Full medication management
30.8%
2.5%
Doctor on call
Doctor on call
30.8%
9.8%
24-Hour awake staff
24-Hour awake staff
92.3%
23.5%
Diabetic care
Diabetic care
92.3%
23.9%
*Visiting health care professionals
*Visiting health care professionals
38.5%
10%
Home care agency on-site
Home care agency on-site
23.1%
0.8%
Non-ambulatory care
Non-ambulatory care
92.3%
20.3%
Respite or short term stays
Respite or short term stays
46.2%
7%
Hospice available on-site
Hospice available on-site
61.5%
17.5%
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 Middlesex nursing homes

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Middlesex Nursing Homes partners offer the selected dementia care services compared to the percentage of partners nationally.
Middlesex, NCNational
Dementia behaviors care
Dementia behaviors care
38.5%
4%
Specialized memory care training for staff
Specialized memory care training for staff
23.1%
0.2%
Secured community and/or wander guard
Secured community and/or wander guard
23.1%
5.5%
Memory care only community
Memory care only community
7.7%
1.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Middlesex nursing homes

Nursing homes communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Middlesex partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Middlesex, NCNational
Nutritionist / dietician
Nutritionist / dietician
7.7%
0.6%
Low / no sodium
Low / no sodium
30.8%
1.4%
No sugar
No sugar
30.8%
1.4%
Vegetarian
Vegetarian
30.8%
3.6%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Middlesex nursing homes

Our nursing homes communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Middlesex communities that offer dining options to their discerning residents compared to our partners nationally.
Middlesex, NCNational
Professional chef
Professional chef
7.7%
0.2%
Restaurant style dining
Restaurant style dining
23.1%
0.5%
Room service
Room service
23.1%
0.4%
Anytime dining
Anytime dining
15.4%
0.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Middlesex nursing homes

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered nursing homes communities in Middlesex offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Middlesex, NCNational
Activity director
Activity director
30.8%
0.4%
Pet-focused programs
Pet-focused programs
7.7%
0.3%
Community service programs
Community service programs
23.1%
0.3%
Devotional activities on-site
Devotional activities on-site
38.5%
6.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
30.8%
0.4%
Outings / off-site activities
Outings / off-site activities
38.5%
6.7%
Piano or organ
Piano or organ
30.8%
0.4%
Arts and crafts center
Arts and crafts center
30.8%
0.3%
Educational speakers / life long learning
Educational speakers / life long learning
23.1%
0.3%
Clubs / games / karaoke
Clubs / games / karaoke
30.8%
0.4%
Live performances
Live performances
23.1%
0.4%
Dances
Dances
30.8%
0.2%
Fitness center
Fitness center
15.4%
0.3%
Fitness classes
Fitness classes
30.8%
0.4%
0.0%20.0%40.0%60.0%80.0%100%

Frequently Asked Questions

Spring Arbor of Wilson, Parkwood Village and The Landing and Autumn Home Care of Johnston County are the top-rated nursing homes facilities near Middlesex, North Carolina. See full list of communities.
There are 20 nursing homes facilities near Middlesex, North Carolina. See the full list.
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