Free senior care guidance for Triangle families. No cost to you, ever.
Call (984) 205-2995
Raleigh Senior Advisor

Assisted Living in Smithfield

Compare licensed assisted living in Smithfield and the surrounding Johnston County area. Free guidance, no obligation.

2 verified in Smithfield
Johnston County
Quick answer

There are 2 verified assisted living options listed in Smithfield. North Carolina's Division of Health Service Regulation licenses and inspects this care type as an adult care home.

Get matched freeCall (984) 205-2995
Home›Smithfield›Assisted Living

Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments. North Carolina licenses these communities as adult care homes under Chapter 131D, one license type statewide, with no acuity tiering.

Short answer

We list 2 verified assisted living options in Smithfield.

What to watch for with assisted living in Smithfield

  • Ask which services are included in the base rate versus billed as a separate care level.

Full guide to assisted living →

Verified assisted living in Smithfield

CommunityCare typeAddressCounty
Brookdale SmithfieldAssisted Living830 Berkshire Road
Smithfield, OH 27577		Johnston
The Landings of SmithfieldAssisted Living200 Kellie Dr
Smithfield, OH 27577		Johnston

Assisted Living elsewhere in the region

Families in Smithfield sometimes place a parent one city over, especially when a specific care level is needed.

CommunityCare typeAddressCounty
Sunrise of RaleighAssisted Living4801 Edwards Mill Road
Raleigh, OH 27612		Wake
Sunrise at North HillsAssisted Living615 Spring Forest Road
Raleigh, OH 27609		Wake
Spring Arbor of RaleighAssisted Living1810 New Hope Rd
Raleigh, OH 27610		Wake
SpringmoorIndependent Living1500 Sawmill Road
Raleigh, OH 27615		Wake
The Cardinal at North HillsIndependent Living4030 Cardinal at North Hills Street
Raleigh, OH 27609		Wake
Magnolia GlenIndependent Living5301 Creedmoor Road
Raleigh, OH 27612		Wake

The Smithfield market specifically

Johnston County's seat and home to UNC Health Johnston's main hospital campus, making it the county's primary hub for senior medical care and skilled nursing facilities.

As the Johnston County seat, Smithfield concentrates the county's skilled nursing capacity, and families elsewhere in Johnston County often travel here for that level of care.

Visit twice, at different hours

A scheduled mid-morning tour and an unannounced 7 p.m. drop-in can look like two different buildings. Evening and overnight are when staffing thins and when families are most often surprised.

Eat a meal there. Talk to a resident's family member in the parking lot rather than one the community introduces you to.

You can check any facility's record free. NC DHSR's Regulated Facilities search shows license status; its ACLS tool shows inspection history and penalties. Read the full explanation →

Questions families ask

My wife is in assisted living in Cary but her dementia has progressed — does she need to move to memory care?

If she's showing signs like wandering, exit-seeking, or needing more supervision than the general assisted living staff can safely provide, ask the facility directly whether they have a licensed Special Care Unit (SCU) on-site or whether a transfer to a memory-care-designated community is recommended. In North Carolina, a Special Care Unit is a distinct designation added to a facility's adult care home license, requiring a specific state-approved disclosure statement about staffing, programming, and physical safety features — ask to see that disclosure before deciding. If you're the community spouse and finances are a concern, know that Medicaid rules protect a minimum monthly income allowance for you even if she eventually needs Medicaid-covered nursing facility care.

How do we compare two assisted living communities in Cary and Wake Forest before deciding for my aunt?

Look up both communities' inspection history and any penalties on NC DHSR's Adult Care Home Facility Inspections, Ratings and Penalties search tool before touring, since this state-specific rating reflects actual compliance history rather than marketing claims. During tours, ask each facility directly about staff-to-resident ratios at night, whether they hold a Special Care Unit license if memory care might be needed later, and what triggers a rate increase or involuntary discharge. Compare total monthly cost including any levels-of-care add-ons, not just the advertised base rate, since Cary and Wake Forest communities can price these very differently.

My mother with dementia keeps trying to leave the house in Garner — what safety options exist besides moving her?

Wandering and exit-seeking behavior is a recognized safety risk that often signals it's time to consider additional home safety measures — door alarms, a medical alert system with GPS, and possibly a home health aide for supervised hours — before or instead of an immediate move. If safety can't be reliably managed at home, ask about adult care homes with a licensed Special Care Unit, which are specifically required to have secured entrances and dementia-trained staff under North Carolina's SCU disclosure rules. In an active emergency where she has left the home and is missing, call 911 immediately rather than waiting.

I work in Raleigh but my mother lives alone in Durham — how often should I realistically be checking on her, and what can technology cover in between?

There's no single right answer, but many Triangle families in a similar commute situation (roughly 25-30 minutes between Raleigh and Durham depending on traffic on I-40 or the Durham Freeway) settle on weekly in-person visits supplemented by daily phone check-ins, plus a medical alert pendant or fall-detection device for the gaps in between. If her needs are increasing, consider a part-time home care aide for a few hours several days a week to catch issues you can't see remotely. The Central Pines/Triangle J Area Agency on Aging (1-800-310-9777) can connect you with vetted local home care resources serving Durham County specifically.

Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in Smithfield that actually fit your situation and budget. It is free, and there is no obligation.

Find care options
Find senior care — free