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What Senior Care Costs

North Carolina's published state median costs for assisted living, nursing homes and in-home care, plus the caveat that no memory care median exists anywhere.

HomeCosts & PayingWhat Senior Care Costs

What senior care costs in the Triangle

Short answer

North Carolina's statewide 2025 CareScout Cost of Care Survey (formerly the Genworth Cost of Care Survey) median for assisted living is $6,496 per month. No metro-specific figure is published for Raleigh, Durham, or any Triangle city -- CareScout surveys at the state level only. No memory-care cost median exists anywhere; CareScout does not survey it as a category.

Care typeNC state medianBasis
Assisted living, private, one bedroom$6,496per month
Nursing home, semi-private room$9,733per month
Nursing home, private room$10,798per month
Homemaker services (non-medical home care)$5,720per month, based on published hourly rate x typical 44 hrs/week

Source: 2025 CareScout Cost of Care Survey (formerly the Genworth Cost of Care Survey) (Rates collected from providers July-November 2025; results published March 2, 2026). North Carolina's 2025 assisted living median ($6,496/month) runs slightly above the U.S. national median ($6,200/month), while its nursing home private-room median ($10,798/month) is essentially identical to the national figure ($10,798/month, i.e. $355/day), per the CareScout 2025 Cost of Care Survey.

Why we do not publish a Raleigh-specific number. CareScout publishes state medians only -- there is no published Raleigh-metro-specific cost figure. Local pricing in Wake/Durham/Orange counties likely runs at or above the state median given the Triangle's cost of living, but do not invent a specific metro number. There is no published memory-care cost median anywhere -- CareScout does not survey it as a category. Never invent one.

The $5,720/month homemaker-services figure is derived from CareScout's published hourly non-medical home care rate multiplied by a typical 44 hrs/week -- actual cost depends heavily on hours needed; a few hours a week costs far less than full-time live-in care.

Questions families ask

What is the NC Long-Term Care Ombudsman Program and who runs it?

The NC Long-Term Care Ombudsman Program advocates for residents of nursing homes, adult care homes, and family care homes, investigating and resolving complaints and protecting resident rights. It is run by the NC Division of Aging and Adult Services (part of NCDHHS) at the state level, with 16 regional Offices of the Long-Term Care Ombudsman housed within regional Area Agencies on Aging across the state.

Which regional Ombudsman office covers Wake County, and how do I reach them?

Wake County is covered by the Central Pines Regional Council (formerly Triangle J Council of Governments) regional Ombudsman office. Families can reach this office at 1-800-310-9777, or by mail at 4307 Emperor Blvd., Suite 110, Durham, NC 27703.

My mother lives in a nursing home in Franklin County -- which Ombudsman office should I contact?

Franklin County is not covered by the Central Pines Regional Council office that serves most of the Triangle. Instead, it falls under the Kerr-Tar Regional Council of Governments Ombudsman Program, reachable at 1-866-506-6223 (toll-free) or (252) 436-2050, with a mailing address of PO Box 709, Henderson, NC 27536.

Which counties does the Central Pines Regional Council Ombudsman office actually cover?

The Central Pines Regional Council (formerly Triangle J Council of Governments) Ombudsman office covers seven counties: Wake, Durham, Orange, Chatham, Johnston, Lee, and Moore. Harnett County, though geographically near the Triangle, falls under the Mid-Carolina Council of Governments region (with Cumberland and Sampson counties) instead, and Franklin County falls under the Kerr-Tar region.

What other services does the Central Pines Regional Council Area Agency on Aging provide besides the Ombudsman Program?

Beyond the Long-Term Care Ombudsman Program, Central Pines Regional Council's Area Agency on Aging offers Information and Referral services to help families find aging-related resources, private-pay Options Counseling, and a Veteran-Directed Service Program pilot for eligible veterans who want more control over their home-based care services.

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