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What senior care costs, and how families pay for it

Published figures where they exist, honest gaps where they do not.

Quick answer

North Carolina's statewide CareScout median is roughly $6,496/month for assisted living and roughly $9,733/month for a semi-private nursing home room.

HomeWhat senior care costs, and how families pay for it

Senior care pricing is harder to pin down than it should be. CareScout publishes state medians but no Triangle-specific figures, memory care is not surveyed at all, and North Carolina splits Medicaid long-term-care supports across CAP/DA and State/County Special Assistance -- two differently-structured programs most families have never heard of. Each guide below takes one piece of that and says what is actually known.

Short answer

North Carolina's 2025 CareScout median is roughly $6,496/month for assisted living and roughly $9,733/month for a semi-private nursing home room, statewide. No Triangle-specific median is published by any primary source, and no median exists for memory care anywhere.

Cost and payment guides

Questions families ask

How much does assisted living cost in the Raleigh area in 2025?

There is no Raleigh-metro-specific figure published for assisted living costs. The most current benchmark is North Carolina's 2025 statewide CareScout Cost of Care Survey median of $6,496 per month for assisted living, which reflects a statewide blend of urban and rural markets rather than a Triangle-specific number. Families should treat this as a starting reference point and confirm actual rates directly with individual communities in Wake, Durham, Orange, Chatham, Johnston, Franklin, or Harnett counties.

What is the median cost of a nursing home in North Carolina, and does it differ for a private room?

According to the 2025 CareScout Cost of Care Survey, North Carolina's statewide median nursing home cost is $9,733 per month for a semi-private room and $10,798 per month for a private room. These are statewide medians, not Raleigh-metro-specific figures, so actual costs at individual Wake or Durham County nursing facilities may run higher or lower.

How much does in-home caregiving cost per month in the Raleigh area?

The 2025 CareScout Cost of Care Survey puts North Carolina's statewide median for homemaker/non-medical home care services at approximately $5,720 per month, based on an hourly rate applied to a standard number of care hours. As with other CareScout figures, this is a statewide median only -- there is no published Raleigh-metro-specific home care cost figure, so actual hourly rates from Triangle-area home care agencies should be confirmed directly.

Is there a published average cost for memory care in North Carolina?

No. There is no published statewide or Raleigh-metro memory care cost median from CareScout or any other primary source -- CareScout's Cost of Care Survey covers assisted living, nursing home (semi-private and private), and home care, but does not break out a separate memory care figure. Families should not rely on any specific memory care dollar figure found online without verifying its source, and should instead request current, written memory-care rate quotes directly from individual communities.

What is VA Aid & Attendance and how much can a wartime veteran in Raleigh receive?

VA Aid & Attendance is an add-on allowance that raises a qualifying wartime veteran's VA pension rather than a separate benefit. For a veteran with no dependents, the 2025-2026 Maximum Annual Pension Rate (MAPR) with Aid & Attendance is $29,093 per year, or about $2,424 per month, effective December 1, 2025 through November 30, 2026. This is a federal benefit set nationally and does not vary based on living in Raleigh or anywhere else in North Carolina.

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