Adult Care Homes in North Carolina
North Carolina Adult Care Homes Directory
111 licensed adult care homes across 64 cities.
North Carolina licenses Adult Care Homes through the DHHS Division of Health Service Regulation. Homes range from 7 to 30 beds and are rated on a star system (0 to 4 stars). Family Care Homes serving 2 to 6 residents are licensed separately by county DSS offices.
See what care costs here, or learn how adult care homes work.
Filter cities in North Carolina
Browse by county
14 counties- Alamance County 10 homes
- Beaufort County 3 homes
- Buncombe County 11 homes
- Catawba County 3 homes
- Cleveland County 4 homes
- Forsyth County 6 homes
- Guilford County 3 homes
- Haywood County 6 homes
- Henderson County 4 homes
- Johnston County 10 homes
- Orange County 3 homes
- Robeson County 5 homes
- Rowan County 3 homes
- Stokes County 3 homes
Cities in North Carolina
64 cities- Albemarle 1 home · avg 30 beds
- Angier 2 homes · avg 12 beds
- Arden 1 home · avg 24 beds
- Asheville 5 homes · avg 12 beds
- Benson 2 homes · avg 12 beds
- Burlington 7 homes · avg 12 beds
- Candler 3 homes · avg 23.7 beds
- Chapel Hill 2 homes · avg 12 beds
- Charlotte 1 home · avg 20 beds
- China Grove 1 home · avg 28 beds
- Clyde 4 homes · avg 16.5 beds
- Columbus 1 home · avg 12 beds
- Conover 3 homes · avg 26.3 beds
- Durham 2 homes · avg 19.5 beds
- Elon 1 home · avg 12 beds
- Fayetteville 1 home · avg 23 beds
- Fletcher 2 homes · avg 15 beds
- Forest City 1 home · avg 25 beds
- Fremont 2 homes · avg 12 beds
- Graham 2 homes · avg 12 beds
- Greensboro 2 homes · avg 23 beds
- Greenville 1 home · avg 12 beds
- Hampstead 1 home · avg 19 beds
- Hendersonville 4 homes · avg 22.5 beds
- Hertford 1 home · avg 24 beds
- Highlands 1 home · avg 26 beds
- Hillsborough 1 home · avg 17 beds
- Hope Mills 1 home · avg 29 beds
- Kannapolis 2 homes · avg 27.5 beds
- Kernersville 5 homes · avg 12 beds
- King 2 homes · avg 11.5 beds
- Kings Mountain 1 home · avg 20 beds
- Kinston 1 home · avg 24 beds
- Lawndale 3 homes · avg 15.3 beds
- Lumberton 1 home · avg 30 beds
- Macon 1 home · avg 10 beds
- Monroe 2 homes · avg 12 beds
- Mooresville 1 home · avg 21 beds
- Morganton 1 home · avg 24 beds
- Mt. Airy 1 home · avg 28 beds
- Nebo 1 home · avg 25 beds
- New Bern 1 home · avg 25 beds
- Pantego 1 home · avg 30 beds
- Pembroke 3 homes · avg 12 beds
- Pleasant Garden 1 home · avg 30 beds
- Princeton 1 home · avg 12 beds
- Rutherfordton 1 home · avg 20 beds
- Salisbury 1 home · avg 29 beds
- Selma 3 homes · avg 12 beds
- Shiloh 1 home · avg 24 beds
- Smithfield 4 homes · avg 14 beds
- St. Pauls 1 home · avg 11 beds
- Star 1 home · avg 12 beds
- Stoneville 1 home · avg 18 beds
- Taylorsville 1 home · avg 30 beds
- Union Mills 1 home · avg 29 beds
- Vale 1 home · avg 12 beds
- Washington 2 homes · avg 14.5 beds
- Waynesville 2 homes · avg 21 beds
- Westfield 1 home · avg 26 beds
- Windsor 1 home · avg 25 beds
- Winston-salem 1 home · avg 29 beds
- Woodland 1 home · avg 24 beds
- Yanceyville 2 homes · avg 12 beds
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North Carolina care costs at a glance
Median monthly figures for North Carolina. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.
| Type of care | Median per month |
|---|---|
| Assisted living Monthly median, one resident | $6,496 |
| In-home care Non-medical caregiver, 44 hours a week | $5,720 |
| Nursing home Semi-private room | $9,733 |
Home care median is CareScout's non-medical caregiver rate at 44 hours per week.
Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.
Full cost breakdown for North Carolina adult care homes →Talk through your shortlist with an advisor
A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.
Connect with a senior living advisor at no cost to you →AgeSong may receive a fee if you connect with a partner service.
What small care homes are called in North Carolina
- Licensing term
- adult care home (ACH)
- Related license type
- family care home
- Size and capacity
- Family care homes serve 2 to 6 residents; adult care homes serve 7 or more.
- Licensed and inspected by
- North Carolina DHHS, Division of Health Service Regulation
Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay in North Carolina?
North Carolina pays for adult care home services through Medicaid personal care services and State-County Special Assistance rather than a waiver.
How Medicaid covers residential care →Common questions about adult care homes in North Carolina
- How many adult care homes are there in North Carolina?
- Our North Carolina directory lists 111 licensed adult care homes across 64 cities. The largest concentrations are in Buncombe County, Alamance County, Johnston County.
- What is an adult care home in North Carolina?
- "Adult Care Home" is the North Carolina licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Family care homes serve 2 to 6 residents; adult care homes serve 7 or more. North Carolina also licenses homes under the term "family care home".
- How much does assisted living cost in North Carolina?
- The median assisted living rate in North Carolina is $6,496 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
- Who licenses adult care homes in North Carolina?
- North Carolina DHHS, Division of Health Service Regulation licenses and inspects every adult care home in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
- Does Medicaid pay for adult care homes in North Carolina?
- North Carolina pays for adult care home services through Medicaid personal care services and State-County Special Assistance rather than a waiver. Eligibility rules vary, so confirm current terms with the state before you count on coverage.