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Senior Living Options

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A list of licensed assisted living communities (adult care homes) and unlicensed multi-unit assisted housing with services.

North Carolina Cities:

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Assisted living in North Carolina is defined as a special combination of housing, supportive services, personalized assistance and health care designed to respond to the individual needs of those who need help with activities of daily living and instrumental activities of daily living.  Supportive services are available 24 hours per day, to meet scheduled and unscheduled needs in a way that promotes maximum dignity and independence for each resident.

Assisted living communities are for the resident that is rather independent but may need additional help with activities of daily living (ADLs) such as bathing, dressing, or eating.  If help is needed, staff will be available to assist the resident.

The resident is usually cognitively alert but can have some mild dementia.  There should be personal care aides on staff to assist in helping the residents if needed. 

Some assisted livings will have a secured unit for residents with Alzheimer's and dementia.  This is a wing that requires a combination to exit the unit so the residents can't wander out of the building.  Assistive devices are allowed.  Care is provided for residents that need assistance in ADL's (activities of daily living) which include dressing, bathing, and eating.  The resident is usually ambulatory or semi-ambulatory.

Assisted living residences can range from a purpose-built, high-rise apartment complex to a converted Victorian home to a renovated school.  They may be freestanding or housed with other options, such as independent living or nursing care.  The rooms vary in size from one room to a full apartment.

There are two different types of assisted livings.

 

 Assisted living adult care homes

*  Licensed by statutory authority in G.S. 131D-2 by the Division of Facility Services

*  Routine monitoring by local county Department of Social Services

*  NC original licensure law established in 1945 for residential care

Usually included:

*  24 hour supervision by qualified staff

*  Daytime nurse usually on staff

*  Full time Med techs to pass out PRN (as needed) and routine medications.

*  Personal care aides for ADLs

*  Three meals a day served in a common dining area

*  Housekeeping services

*  Transportation

 

Multi-unit housing with services

*  Unlicensed facilities- often referred to as Independent retirement housing

*  Services arranged by housing management

*  Might not provide 24 hour supervision by qualified staff

*  Registration required through the division of facility services

*  Disclosure statement required as part of rental contract

Usually include:

*  Three meals a day served in a common dining area

*  Housekeeping services

*  Transportation

 

A lot of assisted living communities will accept special assistance and Medicaid, but a lot of them are privately owned so make sure you ask this question if you are interested in special assistance or Medicaid.  Assistance needs to be applied for in the county that the resident lives in.

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Revised: 11/01/02.

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