North Carolina senior care research
North Carolina Senior Care & Long-Term Care Intelligence
SeniorTrustHub organizes North Carolina Adult Care Homes and Family Care Homes, Nursing Homes, Home Care, Home Health, Hospice, Adult Day, PACE, CCRC, and CMS overlays as separate official datasets. They are not one North Carolina senior-facilities total. NC DHSR Star Rating is official state evidence a consumer may consider. No TrustHub score and no ranking.
Public page grain caveats
Separate classes, not one North Carolina senior-facilities total
ACH ≠ FCH ≠ Nursing Home. Home Care ≠ Home Health ≠ Hospice. Adult Day ≠ residential facility. PACE ≠ facility license. CCRC ≠ licensed DHSR component. State license ≠ CMS. State Star Rating ≠ TrustHub rating. Inspection ≠ complaint. Penalty ≠ conviction. Missing ≠ zero. No Trust Score. No AggregateRating. No ranking.
568
Adult Care Home licenses
DHSR listing 2026-07-30 · HAL identity · not Family Care
515
Family Care Home licenses
DHSR listing 2026-07-30 · FCL identity · not Adult Care
423
Nursing Home licenses
DHSR listing 2026-09-09 · NH identity · not CMS
192
Home Health listing rows
Separate Home Health file 2026-08-20 · not Home Care
Trace this number
- Source: https://info.ncdhhs.gov/dhsr/reports.htm
- Agency clock: 2026-07-30
- Source grain: NC-DHSR-ACH:{HAL license} from 2026-07-30 Adult Care Home listing
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: Adult Care Homes are not Family Care Homes and not Nursing Homes. This is not a combined NC senior-facilities total.
Official state rating evidence
NC DHSR Star Rating
North Carolina DHSR publishes an official Star Rating for Adult Care Homes and Family Care Homes. Source: DHSR Adult Care / Family Care listings updated 2026-07-30, plus the ACLS Inspections, Ratings and Penalties search. Facility identity is the HAL or FCL license, joined to DHSR FID where the official search publishes it. Regulatory context: the rating is a DHSR inspection-based certificate, not a TrustHub score, not a ranking, and not an AggregateRating. Issue dates are on each facility worksheet; they are not in the listing file. TrustHub does not decide what the rating means for a consumer choice and does not select a winner.
1,057
NC DHSR Star Rating listing observations
Numeric stars on the 2026-07-30 listings · N/A is missing, not zero
1,083
Exact license↔FID attachments
Official county search index · not a ranked list
Search only
Star Rating issue-date history
facility.asp worksheets · OPEN_SEARCH_ONLY
Trace this number
- Source: https://info.ncdhhs.gov/dhsr/acls/star/search.asp
- Agency clock: 2026-07-30
- Source grain: Official NC DHSR Star Rating column on ACH/FCH listings as of 2026-07-30
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: This is an NC DHSR Star Rating, not a TrustHub score. Missing/N/A is not zero. Issue dates remain on facility.asp. TrustHub does not rank facilities.
In-home and hospice classes
Home Care All is mixed. Hospice and Home Health stay separate.
The DHSR “Home Care All” download has 3,336 rows and includes Home Health licenses. It is not a Home Care agency count. Use the separate Home Health listing (192) and Hospice listing (212). Nursing Pool (631) is not Home Care.
212
Hospice listing rows
HOS licenses 2026-08-20
3,336
Home Care All mixed-file rows
Not a Home Care agency census
631
Nursing Pool licenses
NP identity · not Home Care
Federal overlay
CMS North Carolina directories stay on CCN identity
CMS Nursing Home CCN is not a DHSR NH license. 419 CMS nursing homes versus 423 DHSR license rows is not a bridge. DHSR listings do not publish Medicare IDs, so exact state↔CMS bridges in this snapshot are 0. Matching counts are not a bridge.
419
CMS Nursing Homes in North Carolina
166
CMS Home Health Agencies in North Carolina
76
CMS Hospice providers in North Carolina
Trace this number
- Source: https://www.medicare.gov/care-compare/
- Agency clock: 2026-08-27
- Source grain: CMS Nursing Home CCN with state = NC
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: CMS certification is not a DHSR nursing-home license. 419 CMS vs 423 DHSR rows is not an identity bridge.
Inspections, penalties, surveys
Penalty is not a complaint and not a conviction
ACLS penalties imposed in the previous 36 months: 489 rows / 488 distinct events / 190 licenses. Listed amount total $4,634,077.5 is not a quality score. Adult Care inspection event tables remain search-only. Nursing Home SOD index covers 446 facilities with posted SODs; that is not the 423-license census and not a complete SOD document universe. Nursing-home complaints remain search-only. Missing is not zero.
Adult Day, PACE, CCRC
Program and continuing-care classes are not facility licenses
Adult Day certified directory dated 2026-04-21: 93 centers / 5,850 certified slots. Combined ADC/ADH programs are not double-counted as two centers. PACE is 11 organizations and 14 locations (13 NPIs); organization ≠ location ≠ DHSR facility license. NCDOI licensed CCRC map lists 66 communities; handbook identity rows 68. CCRC is not the sum of DHSR campus components. Continuing Care at Home: 10 licensed programs, not added to CCRC counts. Multi-Unit Assisted Housing remains official search-only. Charlotte and Raleigh are not SeniorTrustHub intelligence routes.
No Trust Score. No AggregateRating. Missing and search-only evidence is unknown, not zero. Source clocks: ACH/FCH 2026-07-30; Home Care/Home Health/Hospice/Nursing Pool 2026-08-20; Nursing Home 2026-09-09; Adult Day 2026-04-21; PACE page 2026-02-18; CMS overlay 2026-08-27. retrievedAt is not sourceAsOf. Fingerprint a53e54853c351e287e8d91a7f131369d60a4e40a3f35a64d2e86899ed41d3181.