Buncombe County Senior Care & Facility Directory

How to use this directory

Every facility below is licensed in North Carolina, and the ratings come from public state and federal data, not from advertising. Assisted living communities and adult care homes show North Carolina DHSR star ratings. Skilled nursing facilities show Medicare star ratings. No facility pays to be listed or to rank higher.

Treat ratings as useful signals, not guarantees. A high rating does not promise the right fit, and a lower one does not always mean poor care today, so confirm the current rating and visit in person before you decide. You can read exactly where our data comes from and how often we update it on our How Our Directory Works page.

How to compare these options

Start by matching the care type to the need

The right facility is not always the closest facility or the one with the highest rating. Start with what your loved one actually needs, then use the directory to compare realistic options in Buncombe County.

• Assisted living / adult care homes: for help with meals, bathing, dressing, medications, safety checks, and daily routines.
• Memory care: for dementia-related safety concerns, wandering risk, cueing, supervision, and structured support.
• Skilled nursing or rehab: for short-term rehabilitation after a hospital stay or long-term nursing care when medical needs are heavier.
• In-home care: when the goal is to remain at home and the main need is non-medical support, personal care, or companionship.

What to compare before you call or tour

Helpful next steps

• Start here if you are unsure what kind of care your loved one needs.
• Compare care options before narrowing the facility list.
• Review payment options before touring, especially if Medicaid, NC Special Assistance, or VA benefits may matter.
• Use the assisted living tour guide to prepare better questions.