Free senior care guidance for Triangle families. No cost to you, ever.
Call (984) 205-2995
Raleigh Senior Advisor

Guides and updates

Written for Triangle families, sourced against North Carolina's and federal data.

Quick answer

This section publishes guides on senior care in the Raleigh-Durham Triangle, covering North Carolina licensing, costs, Medicaid waivers, hospital discharge, and local resources.

HomeGuides and updates
Short answer

This section publishes 20 guides on senior care in the Raleigh-Durham Triangle, covering North Carolina licensing, what care costs, Medicaid waivers, hospital discharge navigation, and local resources. New guides publish several times a week.

August 13, 2026

What Johnston County Families Need to Know About Assisted Living in Clayton and Smithfield

Clayton and Smithfield anchor Johnston County's assisted living and memory care market, with options ranging from small family care homes to national chains, all backstopped by the UNC Health Johnston hospital system.

Read the guide →
August 10, 2026

Senior Care Options in Cary and Western Wake County

Cary and its western Wake neighbors have one of the Triangle's densest concentrations of continuing care retirement communities and assisted living options. Here's how the local market breaks down and where residents go for hospital care.

Read the guide →
August 6, 2026

Adult Protective Services in Wake County: How to Report Suspected Abuse or Neglect

How to report suspected abuse, neglect, or financial exploitation of an older or disabled adult in Wake County, why North Carolina's Adult Protective Services system is organized county by county rather than through one statewide hotline, and when to call DHSR instead.

Read the guide →
August 3, 2026

Discharged from WakeMed or Duke in 72 Hours: A Triangle Family's Rehab and Placement Checklist

A hospital case manager may call with a discharge plan before you've had time to think. Here's what actually determines whether Medicare pays for rehab, and how to use the 72 hours you have.

Read the guide →
July 30, 2026

Caring for a Parent From Out of State: A Guide for Families With Aging Parents in the Triangle

Practical logistics for adult children managing a parent's care in Raleigh, Durham, or Chapel Hill from out of state, including RDU airport access, local care management, and meal and check-in programs that fill the gaps between visits.

Read the guide →
July 27, 2026

CAP/DA vs Special Assistance: How Triangle Families Actually Pay for Long-Term Care in NC

These two programs get confused constantly, and the mix-up costs families real time. One is a Medicaid waiver for staying at home. The other pays room and board in a facility and isn't a Medicaid waiver at all.

Read the guide →
July 23, 2026

The Long-Term Care Ombudsman in Wake, Durham, and Orange Counties: What Families Should Know

How North Carolina's regional Long-Term Care Ombudsman program covers Wake, Durham, and Orange counties, what an ombudsman can and can't do for a resident, and why the resident's own consent controls what happens next.

Read the guide →
July 20, 2026

What Assisted Living Actually Costs in Raleigh and the Triangle in 2025

The only reliable published cost benchmarks for North Carolina senior care are statewide medians, not Raleigh- or Triangle-specific figures. Here's what the state numbers actually say, and how to use them responsibly.

Read the guide →
July 16, 2026

VA Aid and Attendance for Triangle Veterans: 2026 Rates and How the Benefit Actually Works

A plain-English breakdown of the current VA Aid and Attendance pension rates, the net worth limit, and how unreimbursed medical expenses like assisted living or in-home care can offset countable income for Triangle-area veterans and surviving spouses.

Read the guide →
July 13, 2026

Memory Care in the Triangle: What NC's Special Care Unit Disclosure Actually Requires

North Carolina doesn't issue a separate memory care license. It requires a disclosure statement instead. Here's what that document actually has to contain, and the questions it doesn't answer for you on a tour.

Read the guide →
July 9, 2026

Continuing Care Retirement Communities in the Triangle: Springmoor, Searstone, and Galloway Ridge Compared

A look at how three well-known Triangle Life Plan Communities fit the continuing-care model, plus a plain-English guide to how entry fees and monthly fees generally work so you know what questions to ask.

Read the guide →
July 6, 2026

How North Carolina Licenses Assisted Living: What Wake County Families Should Know

North Carolina uses one license category for every assisted living setting, from a six-bed home in Garner to a 150-bed community in North Raleigh. Here's what that single-tier system actually means when you're touring a facility.

Read the guide →
July 2, 2026

Assisted Living vs. Memory Care in North Carolina: What Actually Changes

North Carolina doesn't issue a separate memory care license — it's a disclosure added to an existing adult care home license. Here's what that means in practice, and what physically and operationally changes in a secured memory care unit.

Read the guide →
June 27, 2026

PACE and Dual-Eligible Options for Seniors in the Raleigh-Durham Area

PACE lets qualifying seniors with Medicare, Medicaid, or both stay in the community instead of moving to a nursing home. Here's how the program actually works, who qualifies, and how to confirm whether it currently serves your part of the Triangle.

Read the guide →
June 25, 2026

Growing Old in Chatham County: Fearrington, Pittsboro, and Galloway Ridge

Chatham County has one of the highest shares of seniors of any county in the Triangle, anchored by the Fearrington Village community and Galloway Ridge life plan community near Pittsboro. Here's what that means for care access.

Read the guide →
June 18, 2026

Understanding Nursing Home Medicaid Eligibility in North Carolina: Income and Asset Limits Explained

North Carolina's nursing facility Medicaid program has strict, annually adjusted income and asset limits, plus protections for a spouse still living at home. Here's how the 2026 rules work and what to confirm before you apply.

Read the guide →
June 11, 2026

In-Home Care vs. Assisted Living in the Triangle: Running the Real Numbers

North Carolina's median cost for in-home homemaker services runs lower than assisted living on paper, but the math flips once you account for actual weekly hours needed. Here's the crossover point Triangle families should calculate before choosing.

Read the guide →
June 4, 2026

Signs It's Time for Assisted Living: A Guide for Raleigh-Area Families

The warning signs that a parent in Wake, Durham, or Orange County may need more support than home allows, how to start the conversation without a blowup, and the exact NC tools to vet assisted living options once you're ready to look.

Read the guide →
May 21, 2026

How to Verify an Assisted Living Community's License in North Carolina Before You Tour

Before you set foot in a single community, North Carolina's own regulator publishes licensing status, inspection reports, and penalty history for every adult care home in the state. Here's exactly how to use those tools, and how to read a report instead of just counting citations.

Read the guide →
May 14, 2026

Wandering and Exit-Seeking: What Memory Care Safety Actually Looks Like in NC Communities

Wandering is one of the most dangerous behaviors associated with dementia, and one of the hardest for families to evaluate from a brochure. Here's what secured memory care units actually involve in North Carolina, what state disclosure rules require, and what to ask on a tour.

Read the guide →

Questions families ask

How do I check if an assisted living community in Cary is actually licensed?

Use the NC Department of Health and Human Services' Division of Health Service Regulation (DHSR) Regulated Facilities search at info.ncdhhs.gov/dhsr/facilities/search.asp, which lets you search by county (Wake) or facility name and confirms the current license status, address, and bed capacity for any licensed adult care home. Every community operating as assisted living in Cary must be licensed under N.C.G.S. Chapter 131D and 10A NCAC 13F, regardless of how it markets itself.

Does North Carolina license assisted living facilities as Type A, B, or C like some other states?

No. North Carolina uses a single licensure category called 'adult care home' under N.C.G.S. Chapter 131D and 10A NCAC 13F, adopted by the N.C. Medical Care Commission, rather than an acuity-tiered Type A/B/C system some other states use. A facility can add a Special Care Unit designation to that same license for memory care, but this is not a separate license class.

What's the difference between a 'family care home' and a regular adult care home in Durham?

A family care home is licensed to serve 2 to 6 unrelated residents in a residential-style setting, while a larger adult care home (7 or more beds) operates under the same statute and rules but with a different fee and penalty schedule based on bed count. Both are licensed by DHSR's Adult Care Licensure Section under the identical Chapter 131D / 10A NCAC 13F framework — a family care home is a subset of the adult care home category, not a separate license type.

What has to be disclosed if a memory care unit in Wake Forest calls itself a 'Special Care Unit'?

Under G.S. 131D-8 and 10A NCAC 13F .1300 (the Special Care Unit rules), a facility operating a dementia/Alzheimer's unit must file a disclosure statement with DHSR describing the unit's philosophy of care, staffing and training specific to dementia care, physical environment, admission and discharge criteria, and programming — this disclosure must also be made available to prospective residents and families. The required content and format are published on DHSR's Special Care Unit disclosure page (ncdhhs.gov, ACLS).

How do I find inspection reports and violation history for a nursing home in Durham?

Nursing homes (skilled nursing facilities) are licensed and certified by DHSR's Nursing Home Licensure and Certification Section and are also surveyed under federal Medicare/Medicaid rules, so their inspection results, deficiencies, and CMS Five-Star Quality Rating are published on Medicare's Care Compare website (medicare.gov/care-compare) alongside the underlying survey (Form 2567) reports. You can cross-reference the same facility's NC license status through DHSR's Regulated Facilities search at info.ncdhhs.gov/dhsr/facilities/search.asp.

Is the same state agency in charge of licensing both nursing homes and assisted living communities in Raleigh?

Yes, both fall under the NC Department of Health and Human Services' Division of Health Service Regulation (DHSR), but two different sections handle them: the Adult Care Licensure Section (ACLS) licenses adult care homes and family care homes (what most people call assisted living), while the Nursing Home Licensure and Certification Section (NHLCS) licenses and federally certifies nursing homes (skilled nursing facilities). They operate under different statutory and rule frameworks and use different inspection/rating tools.

Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in your area that actually fit your situation and budget. It is free, and there is no obligation.

Find care options
Find senior care — free