North Carolina Assisted Living for Couples

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Assisted living in North Carolina for couples

In the state of North Carolina, there are over 500 assisted living facilities. These senior living communities are located in the following cities: Raleigh, Goldsboro, Jacksonville, Rocky Mount, Burlington, Winston, and Wilmington. All ALFs in the state are licensed and regulated by the Division of Health Services Regulation, which belongs to the Department of Health and Human Services.

Assisted living facilities are classified into two categories, depending on the services they provide: assisted care homes (ACHs) and multi-unit assisted housing with services (MAHSs). Upon moving in, each resident goes through an examination to assess his/her needs. Based on the results of this assessment, an individual service plan is created. Service plans are updated every couple of months or after major health events.

As a general rule, ALFs do not accept residents whose needs exceed the available scope of care. The same goes for those who are mentally unstable, require restraints, or round-the-clock supervision. If a resident might be a danger to himself or others, the admittance will be refused. Additional grounds for refusal include: ventilator assistance, 24/7 skilled nursing care, a diagnosis of an infectious condition.

Living on your own at senior age might prove out to be difficult, so it is only normal you would consider other retirement solutions. Assisted living facilities welcome senior adults who are looking to spend their retirement years in peace, with a starting of 55 or 62. Prospective residents can be single or married, and they must be able to cover the required monthly fees. Additional conditions might apply, with each ALF being free to decide what eligibility should entail.

Financing and costs of assisted living in North Carolina

The average monthly cost of assisted living in North Carolina is around $3,600. By comparison, the national median is of $4,000. Compared to neighboring states, such as Virginia and Tennessee, North Carolina has more affordable rates. On the other hand, the costs of assisted living in South Carolina, West Virginia, and Georgia are lower. Georgia has more attractive fees, with an average of $3,100 per month.

Within the state, the cost of assisted living varies considerably. The most expensive ALFs are located in Wilmington, with an average of $5,300. Raleigh also has higher fees, reaching a value of $4,500. More appealing rates can be found in Goldsboro, Rocky Mount, and Burlington, with averages ranging between $2,700 and $2,800. Assisted living is more affordable than nursing home care and memory care, but more expensive than in-home care and independent living.

Services provided to married couples by assisted living facilities in North Carolina

ALF services are available for all residents, whether married or single. The list of general services might include the following: housekeeping, general maintenance, 24/7 security, scheduled transportation, Internet and telephone access, emergency response system, errand running, shopping, meal planning and preparation, laundry and linen service, etc.

Residents receive minimal assistance with the activity of daily living, such as eating, grooming, dressing, toileting, and oral hygiene. They might also benefit from mobility assistance, but only to a limited extent. As a general rule, ALFs encourage their residents to be as independent as possible. The staff can provide supervision and medication management, depending on the resident's level of ability, registered nurses can supervise self-administration or handle the administration themselves.

Nowadays, many assisted living facilities have integrated memory care units, in order to cater to the complex needs of dementia residents. These benefit from the general range of services, but also from added assistance with ADLs, depending on the severity of their condition. Registered nurses will also monitor these residents to prevent injuries or self-harm. Additional services offered might include: diabetes care, wound care, tracheostomy services.

Amenities for couples moving to an assisted living in North Carolina

ALFs offer private living units to its residents, including for married couples. Each unit can be occupied by maximum two residents. All units must have a minimum square footage and accessibility features, including an emergency response system. It is mandatory for both living units and auxiliary spaces to have functional smoke and fire detection systems. Some ALFs allow residents to live together with their pets, but you should check the policy on such matters before committing to anything.

In terms of amenities, residents of assisted living facilities in North Carolina have access to a wide range of choices. Commonly-offered amenities include: fine-dining restaurant and cafes, learning center, art studio, woodworking shop, swimming pool, fitness center, weekly religious service, off-site trips, social clubs, library, computer room, gardening area, etc. Dementia residents might benefit from memory gardens and guided walks, as well as various therapies and courses at the learning center. Each facility might provide additional amenities to its residents.

Don't see your city/town/village/county on the list? Please use our search bar at the top of the page to locate 617 assisted living options for couples from 249 cities, towns and villages in North Carolina. Simply enter your city name, zip code or county.

What are some positives and negatives associated with moving to assisted living in North Carolina for couples?

North Carolina ALFs offer senior adults the possibility to live their retirement without feeling burdened or isolated. Here are some pros and cons to help you decide on your next step.

Pros of moving to assisted living for couples in North Carolina

  • Part of a community of like-minded seniors, with similar interests and hobbies
  • Opportunity to live together with your spouse, for as long as it is possible (depending on your health and level of independence)
  • Assistance with the activities of daily living, with focus on independence
  • Emergency response system available in all living units (useful in case of falls or other major health events)

Cons of moving to assisted living for couples in North Carolina

  • Moving into an assisted living facility requires a major adjustment
  • Should you or your spouse require higher levels of care, you might have to leave the community
  • ALFs provide minimal assistance with ADLs, as they want to encourage residents to be as independent as possible (might not meet your expectations)
  • Not all assisted living facilities provide specialized care and most of them do not accept senior adults who require 24/7 skilled nursing care

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617 assisted living facilities for couples in North Carolina

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