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Choosing Between Two Communities

The questions that break a tie once the tours all start blurring together.

HomeComparisonsChoosing Between Two Communities
Short answer

When two communities both seem workable, compare the all-in cost at your parent's actual care level, the three-year rate increase history, overnight staffing (not daytime), both facilities' state inspection records, and whether either holds a Medicaid waiver provider agreement your family might eventually need.

This decision comes up often enough that we cover it in full, with a step-by-step comparison process, on its own page in our situations section rather than repeating it here.

See the full comparison walkthrough →

What to ask on a tour. Ask to see the state inspection report, the memory-care disclosure/certification if marketed, the all-in cost at your parent's care level, the three-year rate increase history, and the overnight staffing ratio. Read the full explanation →

Questions families ask

Is the Long-Term Care Ombudsman Program the same as filing a complaint with the state about a facility's license?

No, these are two different processes. The Ombudsman Program is a resident-advocacy service that works directly with residents to resolve individual concerns and does not have regulatory enforcement authority, while a facility licensing or safety complaint goes to NC DHSR's Complaint Intake Unit at 1-800-624-3004 (or 919-855-4500), which can investigate and take regulatory action against a facility's license.

Does the Ombudsman Program help residents in independent living or only licensed nursing homes and adult care homes?

The Ombudsman Program's statutory advocacy role covers residents of nursing homes, adult care homes, and family care homes -- the licensed long-term care settings regulated under NC Chapter 131D and federal nursing home law. Independent living communities, which are unlicensed housing arrangements without the same level of regulated personal care, generally fall outside the program's core advocacy scope.

Who oversees the Ombudsman Program at the state level in North Carolina?

The Office of the State Long-Term Care Ombudsman is run by the NC Division of Aging and Adult Services within NCDHHS, which oversees the statewide program and its 16 regional Offices of the Long-Term Care Ombudsman housed within regional Area Agencies on Aging, including the Central Pines Regional Council office serving most of the Triangle.

What is Central Pines Regional Council and why does it show up when I search for Triangle senior services?

Central Pines Regional Council is the current name for what was formerly known as Triangle J Council of Governments -- the regional planning organization that operates both the Area Agency on Aging and the regional Long-Term Care Ombudsman office for Wake, Durham, Orange, Chatham, Johnston, Lee, and Moore counties. Older references to 'Triangle J' or 'TJCOG' refer to this same organization under its previous name.

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