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By Denise Davis, REALTOR® | Fresh Start Realty | Serving Greenville & Pitt County, North Carolina
Pitt County has six skilled nursing facilities, four licensed memory care units and one life plan community with every level of care on a single campus. Most are in Greenville, with nursing homes in Ayden and Farmville as well.
All six nursing homes provide rehabilitation therapy, so a short stay after surgery or a hospital visit can usually happen close to home.
This guide lists each option by care type, with addresses, phone numbers and links. If you are thinking about retiring in Pitt County or helping a parent find care in Greenville, start with the care level that fits today. Then call, ask questions and tour.
What Is the Difference Between Independent Living, Assisted Living, Memory Care and Skilled Nursing?
The main difference is how much daily and medical help a person needs. In North Carolina, assisted living is licensed as an adult care home, so you will see that term on state records.
|
Care level |
Best for |
What is included |
|---|---|---|
|
Independent living |
Active adults who want less upkeep |
A private apartment or cottage, plus activities and often meals. Little or no hands-on care. |
|
Assisted living (adult care home) |
People who need help with bathing, dressing or medications |
Housing, meals, 24-hour supervision and personal care. |
|
Family care home |
People who want assisted living in a small, residential setting |
The same kind of help, in a licensed home with 2 to 6 residents. |
|
Memory care (special care unit) |
People living with Alzheimer's or another dementia |
A secured setting, staff trained in dementia care and structured routines. |
|
Skilled nursing (nursing home) |
People who need nursing care around the clock |
Licensed nurses, medical monitoring and long-term care. |
|
Short-term rehab |
People recovering from surgery, a stroke, a fall or an illness |
Physical, occupational and speech therapy, usually for days or weeks, with a goal of going home. |
Pitt County Senior Living Facilities at a Glance
Cypress Glen is the only community in this list with every level of care on one campus. Everywhere else, a change in care needs usually means a move.
|
Facility |
Town |
Independent |
Assisted |
Memory care |
Skilled nursing |
Short-term rehab |
|---|---|---|---|---|---|---|
|
Cypress Glen Retirement Community |
Greenville |
Yes |
Yes |
Yes |
Yes |
Yes |
|
Autumn Summers Greenville |
Greenville |
Yes |
|
|
|
|
|
Willow Spring Apartments |
Greenville |
Yes (55+ apartments) |
|
|
|
|
|
Serenity Village |
Greenville |
Yes (55+ apartments) |
|
|
|
|
|
Brookdale Dickinson Avenue |
Greenville |
|
Yes |
Yes |
|
|
|
Spring Arbor of Greenville |
Greenville |
|
Yes |
Yes |
|
|
|
Oak Haven Assisted Living |
Greenville |
|
Yes |
Yes |
|
|
|
Navion of Greenville |
Greenville |
|
Yes |
|
|
|
|
Red Oak Assisted Living |
Greenville |
|
Yes |
|
|
|
|
Alpha Care One Assisted Living |
Greenville |
|
Yes |
|
|
|
|
East Carolina Health and Rehabilitation Center |
Greenville |
|
|
|
Yes |
Yes |
|
Greenville Health and Rehabilitation Center |
Greenville |
|
|
|
Yes |
Yes |
|
MacGregor Downs Health Center by Harborview |
Greenville |
|
|
|
Yes |
Yes |
|
Ayden Court Nursing and Rehabilitation Center |
Ayden |
|
|
|
Yes |
Yes |
|
PruittHealth-Farmville |
Farmville |
|
|
|
Yes |
Yes |
Services change, so confirm each one directly before you plan a move. Licensed family care homes are listed separately below.
Independent Living and 55+ Communities in Pitt County
Pitt County has only a few independent living communities, and most are in Greenville. Monthly prices and what they include vary widely, so ask for a written list of services.
|
Community |
Address |
Phone |
What to know |
|---|---|---|---|
|
100 Hickory St, Greenville, NC 27858 |
(252) 830-0036 |
A life plan community with apartments and cottages. Life plan communities typically charge an entrance fee plus a monthly fee. |
|
|
2244-A Brookville Dr, Greenville, NC 27834 |
(984) 217-8616 |
A 55+ independent living community. |
|
|
700 Spring Forest Rd, Greenville, NC 27834 |
(252) 321-3669 |
Households must be 55 or older. Income restrictions apply. |
|
|
104 Phillips Cir, Greenville, NC 27834 |
See listing |
55+ rental homes on a city bus route, with no steps. |
Many active retirees in Pitt County skip a senior community and buy a one-level home instead. Browse homes with first-floor primary bedrooms if that sounds like you. If you want to stay home with some help, read about in-home care in Pitt County.
Assisted Living and Memory Care in Pitt County
Four Pitt County communities held a state license for memory care, called a special care unit, as of March 2026. Together they have 72 memory care beds.
|
Community |
Address |
Phone |
Care and size |
|---|---|---|---|
|
100 Hickory St, Greenville, NC 27858 |
(252) 830-7082 |
Memory care, 12 beds. Assisted living is also on campus. |
|
|
2715 Dickinson Ave, Greenville, NC 27834 |
(252) 353-2400 |
Assisted living and memory care, 76 beds, including 24 for memory care. |
|
|
506 Mattox Rd, Greenville, NC 27834 |
(252) 752-9210 |
Assisted living and memory care, 54 beds, including 22 for memory care. |
|
|
2097 W Arlington Blvd, Greenville, NC 27834 |
(252) 355-7003 |
Assisted living and memory care, 66 beds, including 14 for memory care. Respite stays are also listed. |
|
|
2105 W Arlington Blvd, Greenville, NC 27834 |
(252) 758-9155 |
Assisted living, 60 beds. Formerly Brookdale W. Arlington Boulevard. |
|
|
2920 Williams Rd, Greenville, NC 27834 |
(252) 756-2242 |
Assisted living, 62 beds. |
|
|
2060 W 5th St, Greenville, NC 27834 |
(252) 481-2489 |
Assisted living in the building formerly listed as Care One Assisted Living of Greenville. |
Some online directories show memory care at other communities. If memory care matters, ask whether the community has a licensed special care unit.
Licensed Family Care Homes in Pitt County
The state listed five family care homes in Pitt County as of March 2026. These small homes can feel more personal, but staffing and services differ from a larger community.
|
Home |
Address |
Phone |
Beds |
|---|---|---|---|
|
Clemmie's Family Care Home II |
110 Pearl Dr, Greenville, NC 27834 |
(252) 364-8407 |
4 |
|
Servants Heart Family Care Home |
3201 Charles Blvd, Greenville, NC 27858 |
(910) 309-4190 |
5 |
|
L and C Family Care Home #2 |
4224 Washington St, Ayden, NC 28513 |
(252) 802-1184 |
6 |
|
L and C Family Care Home LLC |
6347 Fairway Dr, Grifton, NC 28530 |
(252) 802-1184 |
6 |
|
Fountain Adult Home Care #2 |
6934 NC 43N, Fountain, NC 27829 |
(252) 903-7523 |
3 |
Skilled Nursing and Short-Term Rehab in Pitt County
Pitt County's six nursing homes all provide therapy and rehabilitation, and most also offer long-term care. Several have changed names in recent years, so former names are included to help your search.
|
Facility |
Address |
Phone |
Certified beds |
Short-term rehab |
|---|---|---|---|---|
|
100 Hickory St, Greenville, NC 27858 |
(252) 830-0036 |
Small on-campus health center |
Rehabilitation is offered on campus. Ask whether it accepts patients who do not live at Cypress Glen. |
|
|
East Carolina Health and Rehabilitation Center (formerly East Carolina Rehab and Wellness) |
2575 W 5th St, Greenville, NC 27834 |
(252) 830-9100 |
130 |
|
|
Greenville Health and Rehabilitation Center (formerly Universal Health Care Greenville) |
2578 W 5th St, Greenville, NC 27834 |
(252) 758-7100 |
120 |
Yes, through its LifeWorks Rehab program |
|
MacGregor Downs Health Center by Harborview (formerly MacGregor Downs Health and Rehabilitation) |
2910 MacGregor Downs Rd, Greenville, NC 27834 |
(252) 758-4121 |
152 |
Yes |
|
128 Snow Hill Rd, Ayden, NC 28513 |
(252) 746-8223 |
82 |
Yes |
|
|
4351 S Main St, Farmville, NC 27828 |
(252) 753-5547 |
56 |
Physical, occupational and speech therapy on site. Call to confirm short-term admissions. |
A nursing home is not the only rehab choice. ECU Health Medical Center Inpatient Rehabilitation in Greenville is a hospital-based program for people who need more intensive therapy. Ask the hospital case manager which setting fits your situation, and which local facilities have a bed open.
When you call about rehab, ask how many days a week therapy is provided, who your point of contact will be and what happens if you need more time.
How Much Does Senior Care Cost in Pitt County?
Directory averages put Greenville assisted living near $4,600 a month and a private nursing home room near $6,400. Treat these published averages as a starting point, because the page gives no date and actual quotes can run much higher.
|
Care type |
Average monthly cost in Greenville |
|---|---|
|
Independent living |
$2,851 |
|
Memory care |
$4,276 |
|
Assisted living |
$4,595 |
|
Nursing home, semi-private room |
$5,332 |
|
Nursing home, private room |
$6,362 |
Ask every community for a written quote that includes care fees, medication management and planned increases.
Does Medicare Pay for Short-Term Rehab?
Yes, Original Medicare can cover up to 100 days of skilled nursing or rehab per benefit period if you meet Medicare's rules. You generally need a hospital inpatient stay of at least 3 days in a row, and observation time does not count.
- Days 1 to 20: $0 per day after the $1,736 Part A deductible in 2026
- Days 21 to 100: $217 per day in 2026
- Day 101 and after: You pay all costs
Medicare Advantage plans can have different rules and copays, so call your plan first.
Other Ways to Pay for Long-Term Care
- Medicaid: Can help eligible people pay for long-term nursing home care. Start with the Pitt County Department of Social Services.
- State-County Special Assistance: Helps low-income residents pay for adult care homes.
- Veterans benefits: Pitt County Veterans Services can explain Aid and Attendance. Call (252) 902-3090.
- Long-term care insurance: Check waiting periods and daily limits before choosing a facility.
- Home equity: Many families sell a home to fund care. See the section below on downsizing.
This is general information, not legal or financial advice. An elder law attorney can review your situation.
How to Check a Facility Before You Choose
Tour at different times of day, and look up inspection records before you sign.
- Nursing homes: Compare star ratings and inspection results on Medicare Care Compare.
- Assisted living and family care homes: North Carolina's long-term care resource guide points to state license lists and adult care home star ratings.
- Questions or concerns: The Long-Term Care Ombudsman Program is a resident advocate. The regional office serving Pitt County is at the Mid-East Commission, (252) 974-1838.
- Local support: The Pitt County Council on Aging can point you to senior services. Call (252) 752-1717.
Selling or Downsizing a Home to Pay for Care
A move into senior living often starts with a question about the house. Knowing what it is worth helps you compare your care options with real numbers.
These guides can help you plan:
- What really determines your home's value
- Should you renovate before selling?
- Understanding the Pitt County real estate market
- Selling your home in Pitt County
Moving closer to a parent in care? Compare the best places to live in Pitt County, including Winterville, or browse homes for sale.
Frequently Asked Questions About Senior Living in Pitt County
How many nursing homes are in Pitt County, NC? There are six: four in Greenville, one in Ayden and one in Farmville.
Which Pitt County communities offer memory care? Cypress Glen, Brookdale Dickinson Avenue, Oak Haven and Spring Arbor of Greenville held state special care unit licenses as of March 2026.
Where can I get short-term rehab in Greenville, NC? East Carolina Health and Rehabilitation, Greenville Health and Rehabilitation and MacGregor Downs all offer it. Cypress Glen has rehabilitation on campus, and ECU Health runs a hospital-based inpatient program.
Is there a retirement community in Pitt County with all levels of care? Yes. Cypress Glen in Greenville offers independent living, assisted living, memory care and skilled nursing on one campus of about 95 acres.
Does Medicare pay for assisted living? Medicare generally does not pay for room and board in assisted living. Its skilled nursing benefit is short-term and has specific requirements.
Talk With Someone Who Knows Pitt County
I'm Denise Davis, Broker-in-Charge of Fresh Start Realty and a registered nurse. I have lived in the Greenville area for more than 30 years. If a change in care means selling a home or buying a smaller one, I'm glad to talk through your timing and options. Contact me through Fresh Start Realty to get started.
This guide is for general information and is not an endorsement of any facility. Details can change, so please confirm services, pricing and availability directly with each provider.
Denise Davis, REALTOR®
Fresh Start Realty
Serving Greenville & Pitt County, North Carolina
📞 Phone: 252-902-9006
✉️ Email: denisedavis@pittcountyliving.com
🌐 Website: https://www.pittcountyliving.com