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.
What to do next
This DHSR complaint line is the correct channel specifically for concerns about a licensed facility's regulatory compliance -- things like inadequate staffing, unsafe conditions, sanitation problems, or care practices that may violate state licensing rules under Chapter 131D and 10A NCAC 13F -- as opposed to a concern about a specific individual's suspected abuse or neglect, which should also be separately reported to county Adult Protective Services. The same complaint intake number also handles complaints about home health agencies, since no separate dedicated home-health-only hotline exists in North Carolina. Because the line operates only during specific weekday hours (not 24/7), families with an urgent safety concern outside those hours, or any situation involving immediate danger, should call 911 rather than waiting to reach DHSR. After a complaint is filed, DHSR may conduct an inspection, and complaints about abuse or neglect specifically may be forwarded to the local county DSS for an APS investigation as well.
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