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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

Quick answer

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.

HomeQuestionsDoes North Carolina license assisted living faciliti
Answer

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 this means in practice

Families relocating to Raleigh from states like Virginia or Georgia often ask about 'Type A' or 'Type B' facilities because that's the terminology used where they moved from, and it's a reasonable question that trips up a lot of out-of-state families touring communities in North Hills or Cameron Village. In North Carolina there's just one license type — adult care home — covering everything from a small family care home to a large multi-unit community. What varies by facility size (fewer than 10 beds versus 10 or more) is the fee schedule and civil penalty tier, not the underlying license category. Understanding this helps families evaluate a Raleigh-area facility on its actual inspection history and services rather than searching for a tier label that doesn't exist in NC.

Related questions

Questions families ask

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.

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