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Assisted Living in Four Oaks

Compare licensed assisted living in Four Oaks and the surrounding Johnston County area. Free guidance, no obligation.

0 verified in Four Oaks
Johnston County
Quick answer

There are 0 verified assisted living options listed in Four Oaks. North Carolina's Division of Health Service Regulation licenses and inspects this care type as an adult care home.

HomeFour OaksAssisted Living

Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments. North Carolina licenses these communities as adult care homes under Chapter 131D, one license type statewide, with no acuity tiering.

Short answer

No verified assisted living provider is currently based in Four Oaks. The closest verified options are listed below.

What to watch for with assisted living in Four Oaks

  • Ask which services are included in the base rate versus billed as a separate care level.

Full guide to assisted living →

Verified assisted living in Four Oaks

Nothing verified in Four Oaks yet. There is no verified assisted living provider based in Four Oaks itself. The closest verified options are in Smithfield and Clayton, which for most families here is a realistic drive. We only list providers we have confirmed against their own published information, so this list is shorter than the aggregator directories — and more reliable.

Closest verified providers

ProviderBased inAddressCounty
Brookdale SmithfieldSmithfield830 Berkshire Road, 27577Johnston
The Landings of SmithfieldSmithfield200 Kellie Dr, 27577Johnston
Kingswood ReserveClayton263 McKenzie Ridge Drive, 27527Johnston
Gabriel Manor Assisted Living CenterClayton84 Johnson Estate Road, 27520Johnston
Assurance Family Care HomeClayton81 Union City Court, 27520Johnston
The EnclaveClayton118 Eagle Point Lane, 27520Johnston

The Four Oaks market specifically

A rural southern Johnston County town along I-95, offering more affordable senior housing with residents traveling to Smithfield or Clayton for hospital services.

Four Oaks is a smaller southern Johnston County town where families typically travel to Smithfield or Clayton for licensed senior care options.

What the contract does that the tour does not

The residency agreement decides what happens when things change: how care levels are reassessed and repriced, how much notice is required on either side, what the deposit covers and whether it is refundable.

Ask for a blank copy to take home before you are asked to sign anything.

You can check any facility's record free. NC DHSR's Regulated Facilities search shows license status; its ACLS tool shows inspection history and penalties. Read the full explanation →

Questions families ask

Does North Carolina Medicaid have a waiver that pays for assisted living room and board?

No. North Carolina does not have a Medicaid HCBS waiver dedicated to covering assisted living or adult care home room and board. Instead, low-income adult care home residents may qualify for the State/County Special Assistance (SA) program, a state- and county-funded cash supplement (not a Medicaid waiver) that helps pay for room and board, with SA recipients also automatically becoming eligible for Medicaid to cover medical and personal care costs.

What is CAP/DA and how can it help pay for in-home care in Wake County?

The Community Alternatives Program for Disabled Adults (CAP/DA) is North Carolina's Medicaid home- and community-based services waiver for adults 18+ who need a nursing-facility level of care but want to remain at home. It covers 18 in-home and community-based services including in-home aide services, home modifications, adult day health, respite care, and consumer-directed care, but it does not pay room and board since it serves people in their own homes, not facilities.

What are the income and asset limits for nursing home Medicaid in North Carolina in 2026?

For 2026, North Carolina's aged/blind/disabled Medicaid resource limit is $2,000 for an individual and $3,000 for a couple. The nursing facility Medicaid income cap is generally derived as 300% of the SSI federal benefit rate, and nursing facility residents must apply nearly all monthly income toward their cost of care, retaining only a $70/month personal needs allowance.

What is the NC Medicaid Estate Recovery Program and will it take my parent's house after they pass away?

North Carolina's Medicaid Estate Recovery Program (MERP) allows the state to seek reimbursement from a deceased Medicaid recipient's probate estate for nursing facility, home- and community-based waiver, and related hospital/prescription costs paid on their behalf, generally for recipients who were 55 or older when they received those services. Recovery only begins after death, is generally deferred while a surviving spouse is alive, and includes protections for a minor or disabled child and for cases of undue hardship.

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