Good sanitation is important in group homes because residents are in close contact with each other, making it easier for illnesses to spread from person to person. Residents at group homes are often elderly or have health conditions that make it harder for them to fight off communicable illnesses.
Group homes are inspected once a year to ensure good sanitation. The current sanitation status of residential care facilities is available online.

NC Residential Care Facility Rules

Buying, Building, Remodeling a Residential Care Facility?

You must have a permit to operate, build or remodel a group home. Permits do not transfer from owner to owner. Save time and money – contact the Wake County Plan Review Section before you buy, build or remodel to find out what the requirements are.

Will the group home use a private well or septic system?

Private wells and septic systems must be checked to make sure they are built correctly and are the right size to serve the group home. First, check with your local zoning office. Then, contact us at 919-856-7440 to be sure your well and septic tank is adequate for the group home. Wells must meet the requirements as outlined in the NC Rules Governing Protection of Water Supplies. Septic systems must meet all of the requirements listed in the Wake County local regulations. Call Wake County Environmental Services at 919-856-7400 to ask about a well and septic evaluation.


If you have a concern about something you see, speak to the manager of the facility directly. This is the best way to deal with a problem. If you still have concerns, you may also call us at 919-856-7400 to file a complaint.

Additional Resources