What Are Adult/Family Care Homes?
Adult care homes are residences for aged and disabled adults who may require 24-hour supervision, medication management and/or assistance with personal care needs. These homes vary in size from family care homes of two to six residents to adult care homes of more than 100 residents.
These homes were previously called "domiciliary homes." Some people refer to them as "rest homes." The smaller homes, with 2 to 6 residents, are still referred to as family care homes. 
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There are over 1,400 adult care homes including facilities with Special Care Units, and family care homes in North Carolina. They are licensed by the state Division of Health Service Regulation under State regulations and are monitored by Adult Home Specialists within county departments of social services.
Facilities that violate licensure rules (adult care home and family care home) can be subject to sanctions, including fines.
View adult care facilities. 
What Services Are Provided? 
  •  People in adult care homes typically need a place to live
  •  Some help with personal care 
     (such as dressing, grooming and keeping up with medications)
  •  Some limited supervision
  •  Medical care may be provided on occasion but is not routinely needed 
  •  Medication may be given by designated, trained staff
Financial Assistance:
To help low-income families pay for the cost of care in adult care homes, North Carolina operates the Special Assistance Program.
Recently, adult care homes have not only undergone a change in name but also in their source of funding and expectations for staff training.
Medicaid is now a source of support for residents who qualify based on income and personal care needs. 
State Complaint Hotline: 1-800-624-3004