Assisted Living in North Carolina

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A Caregiver's Guide to Assisted Living Facilities in North Carolina

What they're called

Official name: Assisted Living Residences; includes Adult Care Homes, which provide direct services, and Multi-Unit Assisted Housing Services (MAHS), with services provided by outside agencies

Common name: Assisted living facilities

To compare assisted living to board and care, skilled nursing, and other long-term residential care communities, see Residential Care Options: How to Decide.

What they offer
  • Individual or shared (up to two persons per bedroom) living units (from single rooms to multiroom apartments), often with some cooking facilities
  • At least one meal per day, usually in a common dining area
  • Supervision and health monitoring; 24-hour supervision in Adult Care Homes
  • Administration of medications by licensed staff in Adult Care Homes; assistance with self-medication in MAHS facilities
  • Personal care services, including help with one or more activities of daily living (ADLs); Adult Care Homes provide services directly; in MAHS facilities, personal care and nursing services are provided by outside licensed agencies, chosen by the resident and arranged by the facility Social and exercise activities

Note: Some facilities also offer respite care and other special services.

What they cost

Median monthly fees: $2,800 (higher for residents requiring memory care)

State of North Carolina requirements
  • Home healthcare and hospice can be provided by licensed outside agencies to residents of any assisted living facility, with a physician's order.
  • Adult Care Home must make initial assessment of new residents within72 hours of moving in, and a full assessment within 30 days and annually thereafter.
  • MAHS facility must screen new residents to determine the facility's capacity to meet the resident's needs; if necessary, an in-depth assessment by a licensed home care agency must be performed.
  • Bathroom facilities may be shared.
State of North Carolina oversight

The North Carolina Department of Health and Human Services, Division of Health Service Regulation (919-855-3765) licenses assisted living residences.

How to resolve problems or offer feedback
  • Contact the North Carolina long-term care ombudsman at 919-733-8395; this is a free service helping residents informally resolve problems with a facility.
  • To register a complaint about a facility, you can contact North Carolina's [division of Health Services Regulation (http://ncdhhs.gov/dhsr/ciu/filecomplaint.html) either online or by phone at 800-624-3004.
  • Rate and review assisted living facilities.
How to pay for assisted living in North Carolina
  • Most assisted living is paid for privately, by the resident and/or his or her family.
  • For Medicaid-eligible low-income residents, [North Carolina's in-home long-term care program(http://www.ncdhhs.gov/dma/medicaid/ltc.htm) pays for part of the monthly fees for personal care services provided in participating facilities.
  • Low-income veterans or surviving spouses of veterans may be eligible for Aid and Attendance or other payments from the Department of Veterans Affairs (VA), which can help pay for assisted living.
  • Some assisted living facilities offer sliding scale fees, making a higher level of care available to families that might not otherwise be able to afford it. Be sure to ask -- or ask a geriatric care manager in the area if he or she knows which facilities offer sliding scale fees.
Help finding and choosing a facility
  • Hire a geriatric care manager (most have extensive local knowledge about assisted=living facilities in a particular geographic area, including space availability, resident needs assessments, sliding scale fees, and resident satisfaction). To find a geriatric care manager, see Caring.com's Senior Living Directory.
  • For details about assisted living facilities in each of the 50 U.S. states plus the District of Columbia, see A Caregiver's Guide to Assisted Living Facilities.

Browse by County: North Carolina Assisted Living

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