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What In-Home Care Costs

North Carolina's median non-medical home care runs roughly $5,720/month for a 44-hour week, and the point where assisted living becomes cheaper.

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Short answer

North Carolina's 2025 CareScout survey puts non-medical home care at roughly $5,720/month for a typical 44-hour week -- close to, but generally under, the state's $6,496/month assisted living median. The math tips toward assisted living once care needs push past roughly 40-50 hours a week.

The crossover point

Home care is billed hourly; assisted living is a flat monthly rate. As weekly hours climb, home care's cost climbs with it, while a community's rate stays fixed regardless of how much hands-on help a resident actually needs that week.

CommunityCare typeAddressCounty
Brookdale North RaleighIndependent Living1200 Carlos Drive
Raleigh, OH 27609
Wake
Amedisys Home Health Care - RaleighHome Health & Home Care3921 Sunset Ridge Rd, Suite 102
Raleigh, OH 27607
Wake
Get your own numbers. CareScout's figure is a statewide average, not a Triangle-specific quote. Ask any home care agency for their current hourly rate and any minimum shift length before comparing.
What senior care costs. NC's statewide median is $6,496/month for assisted living, per the 2025 CareScout Cost of Care Survey (formerly the Genworth Cost of Care Survey). No metro-specific or memory-care figure is published. Read the full explanation →

Questions families ask

How do I report suspected elder abuse or neglect in Wake County?

Contact Wake County Human Services Adult Protective Services at 919-212-7264 (fax 919-212-7354) to report suspected abuse, neglect, or exploitation of an older or disabled adult. If the person is in immediate danger, call 911 first.

Is there one statewide Adult Protective Services hotline for North Carolina, or does it vary by county?

North Carolina does not have a single centralized statewide APS hotline -- Adult Protective Services is administered by each county's Department of Social Services under state oversight from NCDHHS's Division of Social Services. This means Wake, Durham, Orange, Johnston, Chatham, Franklin, and Harnett counties each have their own separate DSS Adult Services intake line, and reports should go to the specific county where the adult resides.

What is the phone number for Adult Protective Services in Durham County?

Because NC Adult Protective Services is administered separately by each county's Department of Social Services, families should contact Durham County DSS directly for its specific Adult Services intake number rather than relying on Wake County's number, which only covers Wake County residents. If the situation involves immediate danger, call 911.

What's the difference between calling Adult Protective Services and calling the state facility complaint line?

Adult Protective Services (county DSS) investigates suspected abuse, neglect, or exploitation of a specific vulnerable adult, wherever they live -- including in their own home, a family member's home, or a facility. The DHSR facility complaint line (1-800-624-3004 or 919-855-4500) is specifically for complaints about conditions, care quality, or regulatory violations inside a licensed adult care home, family care home, or nursing home, and can trigger a state inspection of the facility itself.

What number do I call to report problems with conditions inside a licensed nursing home or adult care home in North Carolina?

Call NC DHSR's Complaint Intake Unit at 1-800-624-3004 (in-state) or 919-855-4500 to report complaints about conditions, safety, or regulatory violations inside a licensed adult care home, family care home, or nursing home. The complaint line operates 9:00 a.m.-12:00 p.m. and 1:00 p.m.-4:00 p.m. on weekdays, excluding holidays.

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