Alzheimers, Dementia & Memory
Care Facilities in North Carolina

Dealing with a family member who has dementia or Alzheimer's can be a tough thing for any family to go through. In the midst of dealing with these medical issues, you may also need to look for memory care homes for your loved one. This can be a difficult choice to make, especially when a loved one is not happy with leaving their home, but getting the proper care is important.

Searching for these types of facilities in North Carolina can be overwhelming at first with so many options to look at, but there are ways to narrow down your choices and find a great home for your family members that will give them the medical care and treatment they need to live a longer, happier life.

Memory Care Costs in North Carolina

Below is a summary of average memory care costs in North Carolina, including the 10 largest cities in the state.

Memory care costs in North Carolina vary by location, ranging from approximately $4,700 in Fayetteville to $5,500 in Cary. The statewide average is $5,000, which is comparable to many southeastern states.

For comparison, nearby cities in adjacent states show slight differences:

• Atlanta, GA: Average of $5,400/month
• Columbia, SC: Average of $4,800/month
• Richmond, VA: Average of $5,700/month

North Carolina's memory care costs are generally in the mid-range for the region, making it a competitive option for families seeking specialized care.

Cost of Memory Care in Most and Least Expensive Zip Codes in North Carolina

Below is a table highlighting the five most expensive and five least expensive zip codes for memory care in North Carolina, based on average monthly costs.

The most expensive zip codes are primarily located in affluent or metropolitan areas such as Cary, Ballantyne (Charlotte), and North Hills (Raleigh). In contrast, the least expensive zip codes are often found in more rural or economically modest regions, such as Fayetteville and Northeast Greensboro. The difference in costs can exceed $1,000 per month, influenced by local demand, facility amenities, and economic factors.

Comparison of Memory Care Costs to Other Types of Senior Living in North Carolina

North Carolina's memory care costs are generally higher than other senior living options due to the specialized services provided for individuals with memory-related conditions. The table below provides a comparison of average monthly costs for different types of senior living in the state.

• Memory care costs are approximately 25% higher than assisted living, reflecting the added services and security features tailored to dementia care.
• Compared to independent living, memory care costs nearly double due to its more intensive care needs.
• Nursing homes remain the most expensive option, as they provide 24-hour skilled medical care, often exceeding memory care costs by over $2,000 per month.

Memory care strikes a balance for families needing specialized support while avoiding the significantly higher costs of nursing home care.

Can You Use Medicare to Pay for Memory Care in North Carolina?

Medicare, the federal health insurance program for individuals aged 65 and older or those with certain disabilities, has specific coverage rules that apply to memory care services. If you are seeking memory care in North Carolina for a loved one with Alzheimer’s disease, dementia, or other cognitive impairments, it’s essential to understand how Medicare applies and what other options may be available.

What Medicare Covers for Memory Care in North Carolina

1. Hospital and Medical Services:

   • Medicare Part A (Hospital Insurance) may cover inpatient hospital stays, some short-term skilled nursing facility care, and hospice care, including services for patients with dementia. For example, if a person with memory impairment in North Carolina requires hospitalization or rehabilitation, Medicare may cover these services temporarily.
   • Medicare Part B (Medical Insurance) can cover outpatient medical services, such as visits to doctors or specialists (e.g., neurologists or geriatric psychiatrists), diagnostic tests, and certain therapies. This is useful for addressing underlying health concerns related to dementia.

2. Short-Term Skilled Nursing Care:
   If a patient requires short-term rehabilitation in a skilled nursing facility after a qualifying hospital stay, Medicare may cover the costs for up to 100 days. However, this is not the same as long-term memory care.

3. Home Health Care:
   Medicare may cover home health services, including part-time skilled nursing, physical therapy, and occupational therapy, if prescribed by a doctor. In North Carolina, this could help families provide some level of care for a loved one with dementia at home.

4. Limited Coverage for Prescription Medications:
   Medicare Part D (Prescription Drug Coverage) can help cover medications needed for dementia treatment, such as cholinesterase inhibitors or memantine, which are often prescribed for Alzheimer’s.

What Medicare Does Not Cover

Medicare generally does not cover long-term memory care or custodial care in North Carolina or any other state. Memory care, which includes services such as supervision, assistance with daily living activities, and specialized care for dementia patients in assisted living facilities or dedicated memory care units, falls under long-term care, which is excluded from Medicare coverage.

For instance, if your loved one in North Carolina moves to a memory care community to receive round-the-clock support, Medicare will not cover the cost of room, board, or non-medical assistance provided at such facilities.

Alternative Options for Memory Care in North Carolina

1. Medicaid:
   North Carolina Medicaid programs may provide financial assistance for memory care services, especially for individuals with limited income and resources. The state's Medicaid Special Assistance program can help cover costs associated with assisted living and memory care facilities.

2. Veterans Benefits:
   Veterans and their spouses in North Carolina may qualify for benefits like Aid and Attendance through the U.S. Department of Veterans Affairs, which can help offset memory care expenses.

3. Long-Term Care Insurance:
   Policies specifically designed for long-term care may cover memory care services in North Carolina. It’s crucial to check the policy terms for eligibility and coverage details.

4. State and Local Resources:
   North Carolina has organizations like the Alzheimer’s Association that can provide resources, guidance, and support for families navigating the complexities of memory care.

Who Are North Carolina Dementia & Alzheimer's Care Facilities For?

North Carolina's memory care facilities are residential homes that are specifically designed to cater to the unique challenges that dementia sufferers face. From the physical symptoms to the psychological effects of a degenerative brain disease, sufferers face many difficult symptoms that should be treated properly to prevent further worsening and deterioration.

These dementia care facilities provide the residential and medical care needed to treat the symptoms and effects of these diseases so that patients receive personalized care that will help them cope with their symptoms and improve their quality of life.

The medical staff that works at Alzheimer's care facilities are also given specialized training that prepares them to handle patient's outbursts during times of confusion and frustration. Patients can often get angry and lash out at those around them when they begin to feel out of control, so staff is trained on how to de-escalate the situations and calm the patients.

Memory Care Admission Requirements in North Carolina

Admission to North Carolina memory care facilities is governed by both state regulations and the policies of individual facilities. Below is an overview of the typical requirements and considerations for memory care admissions in North Carolina.

1. Assessment of Cognitive and Medical Needs

Before admission, facilities require a comprehensive assessment of the prospective resident's cognitive, medical, and functional needs. This typically includes:

• A diagnosis of a memory-related condition such as Alzheimer's or dementia, often documented by a healthcare professional.
• A detailed evaluation of the individual’s ability to perform activities of daily living (ADLs) such as dressing, bathing, and eating.
• A review of medical history, current medications, and any ongoing health concerns.

2. Physician’s Documentation

North Carolina regulations often require a physician or qualified healthcare provider to complete a medical examination and submit documentation certifying the need for memory care. This documentation should confirm that the individual can benefit from the services provided in a memory care setting.

3. Behavioral and Safety Considerations

Facilities assess whether they can meet the behavioral and safety needs of the individual. This evaluation typically includes:

• The individual’s risk of wandering or elopement.
• Behavioral tendencies, such as agitation or aggression, that may require specialized interventions.
• The level of supervision needed to ensure safety.

4. Financial and Insurance Considerations

Admission often requires an agreement regarding payment methods. Families may need to provide:

• Proof of financial capability to cover costs, which can range from private pay, Medicaid (if the facility accepts it), or long-term care insurance.
• Information on any veteran benefits or other assistance programs that may offset costs.

5. Residency Agreement and Legal Documentation

Facilities typically require:

• A signed residency agreement outlining the terms of care, fees, and policies.
• Legal documents such as a power of attorney (POA) for healthcare or finances, advance directives, and guardianship papers if applicable.

6. Pre-Admission Tour and Orientation

Most facilities encourage prospective residents and their families to visit for a tour and orientation. This allows families to understand the environment, services, and staff qualifications. It also helps the facility determine whether it is a good fit for the individual.

7. Immunization and Health Screening

To comply with public health regulations, prospective residents often need to provide proof of:

• Recent immunizations, including those for influenza and COVID-19 (if applicable).
• A tuberculosis (TB) test or other screenings as required by North Carolina health codes.

8. Facility-Specific Requirements

Each memory care facility may have additional criteria based on their capacity, staff training, and specialized services. For instance, some facilities are equipped to manage advanced stages of dementia, while others focus on early to moderate stages.

Amenities Offered in North Carolina Memory Care Facilities

Dementia care homes in North Carolina offer their residents several amenities that make a patient feel more comfortable and welcomed. Patients are given assistance with medical care, of course, but there are a few other amenities that allow residents to create a sense of community among the staff and other patients of the community. 

These amenities often include access to residential care services that give patients laundry service, meal preparation and feeding, bathing and grooming, and medication assistance. These amenities give patients the full cycle of care services that they need for daily living, like having clean clothes, and brushing their teeth, that they would otherwise not be able to do themselves.

Other amenities at memory care communities may focus on the social aspect of treatment and health by offering activities and events for residents to participate in together with the other residents. This can include game nights, group movie viewings, and special events. Some homes will even offer the chance to see local choirs and performers on the facility grounds for holiday shows and events so that family and friends can come to visit and participate.

Questions to Ask North Carolina Memory Care Facilities

When selecting a memory care facility in North Carolina for a loved one, it's essential to gather as much information as possible to ensure the facility meets their specific needs. Here are key questions to ask, organized by topic:

1. Care and Services

• What specific services are provided for residents with dementia or Alzheimer’s?
• How is the care personalized to the needs of each resident?
• What is the staff-to-resident ratio during the day and night?
• Are there licensed nurses or medical professionals on-site 24/7?
• How do you handle medical emergencies?

2. Staff Training and Qualifications

• What qualifications and certifications do staff members hold?
• Do staff members receive specialized training in dementia and Alzheimer’s care?
• How often is staff training updated or renewed?
• How does the facility manage and prevent caregiver burnout?

3. Living Environment

• How is the facility designed to support memory care residents?
• Are there safety features like secure entrances, exits, and monitoring systems?
• What is the layout of private rooms and shared spaces?
• Can residents personalize their living spaces with familiar items?

4. Activities and Engagement

• What types of activities and programs are offered to stimulate residents mentally and physically?
• Are activities tailored to different stages of dementia or Alzheimer’s?
• How does the facility encourage social interaction among residents?
• Are there opportunities for family members to participate in activities?

5. Nutrition and Dining

• How are meals planned, and are they designed with memory care residents in mind?
• Are special dietary needs or restrictions accommodated?
• What assistance is provided during meal times for residents who need help eating?
• Are snacks available throughout the day?

6. Costs and Fees

• What is the monthly cost of care, and what services are included?
• Are there additional fees for specific services or care needs?
• Is there a deposit or entrance fee? If so, is it refundable?
• What happens if a resident’s financial situation changes?

7. Medical and Health Management

• How are medications managed and administered?
• Does the facility work with specific doctors or specialists?
• How does the facility handle transitions in care as residents' needs evolve?

8. Family Communication and Involvement

• How often and in what ways does the facility communicate with families about a resident's health and well-being?
• Are families involved in care planning and decision-making?
• Can families visit at any time, or are there specific visiting hours?

9. Licensing and Accreditation

• Is the facility licensed and inspected by the State of North Carolina?
• Are there recent inspection reports or citations available for review?
• Does the facility have any professional certifications or accreditations?

10. Transition and Move-In Process

• What steps are involved in transitioning a loved one to the facility?
• How does the staff help residents and families adjust to the new environment?
• Are trial stays or short-term options available?

11. Reputation and References

• Can you provide references from current or past families of residents?
• How long has the facility been in operation?
• Are there testimonials or reviews available to read?

Final Tip:

Take a tour of the facility to observe the environment, staff interactions, and resident engagement. Bring this list with you to ensure all your questions are answered.

How Memory Care in North Carolina Differs from Assisted Living

Many people think that all residential facilities are the same, but that is not true. There are different homes for patients with different needs, and each home offers a higher level of care. Assisted living homes, for example, are made for those who are still able to retain most of their independence. These residents often live in more apartment-style facilities and are able to come and go with a simple sign-in, and sign-out sheet, to ensure that the staff knows where they are.

Nursing homes, however, are meant for those who are advanced in age and may have more physical or mental limitations that keep them from living an independent life.

North Carolina dementia care communities offer an entirely different level of care than these two types of homes. These dementia and Alzheimer's care homes give patients more individualized treatment that is designed to target the symptoms of dementia. The severity of the symptoms is different as well and can make for more intense and involved care. 

Memory Care Regulations in North Carolina

Memory care in North Carolina is regulated under the state's Adult Care Homes (ACH) licensure system, overseen by the Division of Health Service Regulation (DHSR). Facilities providing memory care services must meet specific requirements to ensure the safety and well-being of residents with Alzheimer's disease, dementia, or related conditions. Below are the key regulatory components governing memory care in North Carolina:

Licensing and Certification

Memory care units or facilities must obtain licensure as Adult Care Homes or Family Care Homes, depending on their capacity and services. Facilities providing specialized care for individuals with memory impairments must demonstrate compliance with the specific guidelines for Special Care Units (SCUs), which require additional approval from the DHSR.

Staffing Requirements

1. Staffing Levels: Facilities must maintain adequate staffing levels to meet the needs of residents at all times. Memory care units are required to have staff trained in dementia care on-site 24/7.
2. Training: Personnel must undergo state-mandated training in dementia care, including techniques for communication, behavioral management, and addressing the needs of individuals with memory impairments.
3. Administrator Requirements: Administrators of memory care facilities must hold proper licensure and participate in ongoing education related to dementia care.

Physical Environment

1. Secure Facilities: Memory care units must feature secured perimeters or locked units to prevent residents from wandering, a common behavior associated with dementia.
2. Design Requirements: The design of the facility should promote safety and ease of navigation for residents with cognitive impairments. This includes clear signage, non-slip flooring, and a layout that minimizes confusion.
3. Emergency Preparedness: Facilities must have comprehensive emergency plans tailored to residents' needs, including procedures for evacuation and handling wandering behaviors during crises.

Resident Care Plans

1. Individualized Service Plans (ISPs): Each resident must have an ISP developed upon admission. The plan should outline the individual's medical, physical, and cognitive needs and be reviewed regularly.
2. Activities Program: Memory care facilities are required to provide structured activities tailored to residents with dementia. These programs should focus on enhancing cognitive function and quality of life.

Health and Safety Standards

1. Medication Management: Facilities must comply with strict guidelines for the storage, administration, and documentation of medications.
2. Health Monitoring: Regular health assessments are required to track changes in residents' conditions, ensuring timely medical intervention when needed.
3. Dietary Needs: Facilities must provide meals and snacks that accommodate dietary restrictions and ensure proper nutrition.

Inspections and Oversight

The DHSR conducts routine inspections to ensure compliance with state regulations. These inspections cover staffing, resident care, physical environment, and safety protocols. Facilities failing to meet standards may face penalties, including fines or revocation of their license.

Resident Rights

Memory care facilities in North Carolina must uphold the rights of residents, including dignity, privacy, and the ability to participate in decisions about their care. Complaints from residents or their families must be addressed promptly, and an ombudsman program is available for additional advocacy.

Specialized Training for Special Care Units (SCUs)

For facilities operating Special Care Units, additional training for staff focuses on advanced dementia care techniques. These units must also provide detailed information to families about the specialized services offered and maintain clear records for state review.

By adhering to these comprehensive regulations, memory care facilities in North Carolina aim to provide a safe, supportive, and enriching environment for residents with memory impairments.

How to Pay for Dementia & Alzheimer's Care in North Carolina

When you know that you must put family members in Alzheimer's care homes, it can be a difficult choice to make because you never want to see a loved one in need. However, not getting them the help that they need can end up hurting them in the long run. So, it is important that you find proper facilities that provide memory care.

Dealing with the costs of this care, however, can be even tougher. With the average cost of care in North Carolina being around $5,000 a month, it can seem out of reach to be able to cover the cost of dementia care needed. Luckily, there are several ways that you can get the cost of care lowered or covered through government assistance programs.

The main way that you can get the costs of Alzheimer's care communities lowered is through Medicaid. This federally-funded healthcare program, with the proof of financial need, will allow you to get the full cost of memory facilities covered and even get some additional financial assistance for personal care services.

This will help cover the costs of laundry services, meals, and other amenities that are provided so that you won’t have to pay anything out of pocket. There are also several Medicaid Waivers that will allow you to lower the cost of care significantly without qualifying for full coverage, for those who don’t qualify for significant financial need.

Having to see a loved one or relative deal with the severe symptoms and effects of Alzheimer’s and dementia can be very hard on a family, but having the right information to make things easier on yourself can make a lot of difference. You don’t have to feel overwhelmed with having to choose the right option for your family, and with Medicaid covering costs, you won’t have to pay out of pocket.

If you would like to find out more information about where to find these North Carolina homes that offer dementia care, then feel free to use our directory to find the perfect fit today.