State Licensing for Senior Communities and Care Services in North Carolina

Search for North Carolina Housing and Care

North Carolina Department of Health & Human Services
Division of Health Services Regulation
701 Barbour Dr
Raleigh, NC 27603
(919) 855-3750

Types of Housing/Care Search Definitions
Adult Care Homes/Homes for the Aged Adult Care Homes/ Homes for the Aged Adult Care Homes are residences for senior/elderly and disabled adults who may require 24-hour supervision and assistance with personal care needs. People in Adult Care Homes typically need a place to live, some help with personal care (such as dressing, grooming and keeping up with medications), and some limited supervision. Medical care may be provided on occasion but is not routinely needed. Medication may be given by designated, trained staff. These homes vary in size from family care homes of two to six residents to adult care homes of more than 100 residents. These homes were previously called “Domiciliary Homes”. Some people refer to them as “Rest Homes”. The smaller homes, with 2-6 residents, are still referred to as Family Care Homes. In addition, there are Group Homes for Developmentally Disabled Adults, which are licensed to house 2-9 developmentally disabled adult residents. Adult Care Homes are different from Nursing Homes in the level of care and qualifications of staff. They are licensed by the state Division of Facility Services (Group Care Section) under State regulations and are monitored by Adult Home Specialists within county departments of social services.
Adult Day Care Adult Day Care Adult day care provides an organized program of services during the day in a community group setting for the purpose of supporting the personal independence of older adults and promoting their social, physical, and emotional well-being. Programs must offer a variety of activities designed to meet the individual needs and interests of the participants, including referral to and assistance in using other community resources. Also included in the service, when supported by funding from the Division of Aging and Adult Services, are medical examinations required for individual participants for admission to day care services and thereafter when not otherwise available without cost. Food and services to provide a nutritional meal and snacks, as appropriate are also expected. Transportation to and from the program may be provided or arranged when needed and not otherwise available.
Affordable Senior Housing Affordable Senior Housing HUD 202 Program that offers rental assistance for seniors who meet the requirements of the federal program.
Continuing Care Retirement Communities Continuing Care Retirement Communities Continuing care retirement communities (CCRCs) offer an attractive living alternative for retirement age individuals and couples. Also known as continuing care facilities and life-care communities, these communities differ from other retirement options by providing housing and health-related services either for life or for a period in excess of one year. Continuing Care is defined by North Carolina General Statutes as, the furnishing to an individual other than an individual by blood, marriage, or adoption to the person furnishing the care, of lodging together with nursing services, medical services, or other health related services pursuant to an agreement effective for the life of the individual or for a period in excess of one year. Generally, prospective residents must be capable of independent living when they enter the community.
Family Care Homes Family Care Homes Family Care Homes are defined the same as Adult Care Homes with 2-6 residents. (Please refer to Adult Care Homes).
Home Health Facilities Home Care Home Health is skilled health care prescribed by a physician that is provided in the home of a senior adult in need of medical care. Allowable services include: skilled nursing; physical, occupational, and/or speech therapy; medical social services; and nutrition care.
Hospice Hospice
Modern Hospice is relief of physical pain and other disturbing symptoms through the sophisticated use of state-of-the-art pharmacological and other pain and symptom-control techniques. Modern Hospice care also provides active support for the families of the patient. Support of family members during their anticipatory grief and regular, organized bereavement care after the death of the patient are also provided. Hospice services are available in the home as well as in inpatient settings when such are needed for either symptom stabilization or pain control for the patient or respite for the family.
Nursing Facility Nursing Nursing Facilities provide nursing or convalescent care for three or more persons unrelated to the licensee. A Nursing Home provides long term care of chronic conditions or short term convalescent or rehabilitative care of remedial ailments, for which medical and nursing care are indicated. Most of the residents are elderly adults who need long term care. Some residents are admitted for short stays of convalescent or rehabilitative care following hospitalization. All Nursing Homes must be licensed in accordance with North Carolina State law by the North Carolina Division of Facility Services Licensure Section


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