Adult Care Homes:
Frequently Asked Questions
What is Assisted Living?
Group housing and services program for two or more unrelated
adults that makes available at a minimum, one meal and
house-keeping services and provides personal care services
directly or through a formal written agreement with
one or more home care agencies.
What is an Adult Care Home?
A residential facility for an older or disabled adult
who is not able to live independently, but who does
not need nursing home care. The purpose of an Adult
Care Home is to provide assistance with activities of
daily living.
What is the difference between a Family
Care Home and an Adult Care Home?
Family Care Homes provide care for up to six people
in a family-like setting. Adult Care Homes provide care
for seven or more people. Both have around-the-clock
or live-in staff who prepare meals, supervise medications
and provide help with dressing and other needs.
What is the difference between an
Adult Care Home and a Nursing Home?
Nursing Homes provide care to persons who are chronically
ill or recuperating from an illness or injury and need
regular nursing care and other medical services but
not hospitalization.
How do I know if I need an Adult Care
Home or a Nursing Home?
Your physician will determine your level of care based
on your personal care and medical needs and complete
the FL2.
What is an FL2?
A medical form completed by your physician describing
your diagnoses, medications, and care needed. This form
is required prior to admission.
Who lives in these facilities?
Residents can be elderly adults, developmentally disabled
adults, mentally ill adults or any combination of these.
How do I contact these Adult Care
Homes?
Call the local Department of Social Services to obtain
a current list of homes in your county.
What does it cost? How does one pay
for this care?
Rates will vary by facility depending upon accommodations,
services provided, resident’s income and eligibility
fir assistance. See each facility for rates. Those unable
to pay privately, may apply for special assistance at
the local Department of Social Services.
Are these facilities licensed and
by whom?
The license is issued by the State of North Carolina
through the North Carolina Division of Facility Services
and monitored by The County Department of Social Services
for compliance with licensing standards under the supervision
of the North Carolina Division of Facility Services
Does Medicare pay for Adult Care Home
care?
Medicare does not cover residential care in an Adult
Care Home or Assisted Living facility.
Who should I call regarding a complaint
about an Adult Care Home?
Call the Department of Social Services in the county
in which the home is located.
Is there a rating system for Adult
Care Homes?
None at this time.
Does someone supervise medication
administration?
Yes, a Medication Technician who has been certified
to administer medication.
Are residents free to come and go
from the facility?
Yes, unless their physician has determined that they
would be at risk and need 24 hour supervision.
May I take my pet?
Most facilities will not allow pets; however, some facilities
feel that having pets is beneficial to the residents.
Is transportation furnished by the
facility?
The Administrator must provide transportation to necessary
resources and activities, including transportation to
the nearest appropriate health facilities, social services
agencies, shopping, recreational facilities, and religious
activities of the resident's choice. The Administrator
is also responsible for providing or arranging transportation
for any mental health day treatment programs if the
physician makes it a part of the resident's treatment
plan.
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