Find assisted living star ratings in North Carolina. NC adult care homes, family care homes and assisted living villages receive a star ratings (0 to 4 stars) after their annual inspections. Search by city or county to see organizations side-by-side. Easy to use. From North Carolina Division of Health Service Regulation; updated 2022. This site helps balance the advertising assisted living facilities may use. For example, as of Aug. 31, 2022, NC rated “Alamance House” in Burlington a “Zero Star” facility – the lowest possible rating, surveyed as recently as June, 2022. On its website, however, Alamance House advertised itself as “Exceptional Senior Living”. To the state, it looks exceptional at the wrong (bottom) end of the scale. The inspection report details the impact on residents from staffing problems.