State plate · NC
Assisted living in North Carolina
North Carolina licenses assisted living through DHHS DHSR, Adult Care Licensure Section, under the license types Adult Care Home; Family Care Home. The state's own list, as of October 24, 2026, counts 568 licensed facilities with 36,334 beds; 504 of them have 20 or more, the smallest size HUD's Section 232 program insures. HUD's active-loan file shows 38 FHA-insured assisted living loans in North Carolina with $137.7 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DHHS DHSR, Adult Care Licensure Section
- License types
- Adult Care Home; Family Care Home
- Official program page
- info.ncdhhs.gov
- Facility list
- XLSX (07/2026)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
Licensed supply, from the state's list
| Facilities on the list | 568 |
|---|---|
| Licensed beds | 36,334 |
| Facilities with 20 or more beds | 504 (89% of facilities, 98% of beds) |
| Homes with 6 or fewer beds | 0 |
| Median size | 62 beds |
Covers: Adult care homes. Source: info.ncdhhs.gov, as of October 24, 2026.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | North Carolina | US |
|---|---|---|
| Communities | 850 | 30,600 |
| Beds | 33,900 | 1,197,600 |
| Average beds per community | 40 | 39 |
| For-profit | n/a% | 81.9% |
| Chain affiliated | 68.7% | 61.4% |
| Medicaid certified | 75.3% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | 19.3% | 20.5% |
| Residents 85 and older | 35.5% | 49.9% |
| Residents with Alzheimer disease or other dementias | 44.5% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 38
- Outstanding
- $137.7 million
- Median note rate
- 4.00%
- Endorsed since FY2001
- 92
Since fiscal 2001 HUD has endorsed 92 FHA-insured assisted living loans in North Carolina for $414.9 million of original principal, 24 of them for new construction or substantial rehabilitation, and 16 since fiscal 2021. 4 of today's active loans carry a note rate of 5% or more. The active file also lists 27 board and care loans in the state.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Franklin HouseFHA 05322256 | Franklin | 42 | Dec 2022 | 6.20% | $8,113,504 | Jan 2058 |
| The HermitageFHA 05322177 | Sylva | 90 | Jan 2015 | 4.00% | $7,126,538 | Feb 2050 |
| Waltonwood at CaryFHA 05322168 | Cary | 50 | Mar 2015 | 3.07% | $6,795,884 | Apr 2050 |
| Wilkes Assisted LivingFHA 05322267 | North Wilkesboro | 58 | Jan 2025 | 5.99% | $6,519,829 | Feb 2060 |
| Trefzger Hampton ManorFHA 05322188 | Gaston | 75 | Dec 2015 | 3.66% | $6,099,773 | Jan 2041 |
| Sehrgosha-clemmons Village I & IIFHA 05322201 | Clemmons | 205 | Sep 2017 | 2.92% | $6,067,022 | Oct 2052 |
| Trefzger-wilson HouseFHA 05322165 | Wilson | 135 | Nov 2014 | 3.79% | $5,984,282 | Sep 2048 |
| Hamlet HouseFHA 05322254 | Hamlet | 60 | Dec 2022 | 6.20% | $5,846,693 | Jan 2058 |
| The Springs of CatawbaFHA 05322161 | Hickory | 66 | Apr 2015 | 3.45% | $5,717,211 | May 2050 |
| Cleveland HouseFHA 05322255 | Shelby | 40 | Dec 2022 | 6.20% | $5,408,842 | Jan 2058 |
| Somerset Court of GoldsboroFHA 05322207 | Goldsboro | 120 | Jun 2017 | 4.25% | $5,137,141 | Jul 2052 |
| Trefzger-onslow HouseFHA 05322189 | Jacksonville | 160 | Mar 2016 | 3.85% | $4,886,753 | Apr 2051 |
| Trefzger Mount Pleasant HouseFHA 05322191 | Mount Pleasant | 74 | Mar 2016 | 3.85% | $4,681,760 | Apr 2051 |
| Blakey HallFHA 05343257 | Elon | 72 | Apr 2013 | 3.29% | $4,534,161 | May 2050 |
| Somerset Court of Rocky CourtFHA 05322204 | Rocky Mount | 120 | Jun 2017 | 4.25% | $4,434,743 | Jul 2052 |
| New Bern HouseFHA 05322190 | New Bern | 108 | Mar 2016 | 3.85% | $4,370,965 | Apr 2051 |
| Liberty Commons of ColumbusFHA 05322085 | Whiteville | 147 | Mar 2012 | 2.43% | $4,339,770 | Apr 2047 |
| Grayson Creek of WlcomeFHA 05322212 | Lexington | 117 | Oct 2018 | 4.36% | $4,243,630 | Nov 2053 |
| Somerset Court of CherryvilleFHA 05322208 | Cherryville | 120 | Jun 2017 | 4.25% | $4,138,635 | Jul 2052 |
| Somerset Court of MocksvilleFHA 05322209 | Mocksville | 120 | Jun 2017 | 4.25% | $4,104,203 | Jul 2052 |
| Somerset Court of University PlaceFHA 05322206 | Winston-Salem | 120 | Jun 2017 | 4.25% | $4,049,114 | Jul 2052 |
| The Gardens of StatesvilleFHA 05322198 | Statesville | 124 | Sep 2017 | 2.92% | $3,935,076 | Oct 2052 |
| Trefzger Country Time InnFHA 05322166 | Kings Mountain | 59 | Nov 2014 | 3.79% | $3,710,228 | Sep 2048 |
| Terrace Ridge Assisted LivingFHA 05322095 | Gastonia | 54 | Mar 2013 | 3.41% | $3,596,858 | Apr 2043 |
| Yancey HouseFHA 05322114 | Burnsville | 70 | May 2014 | 4.00% | $3,380,636 | Jun 2049 |
| Meadowview Terrace of WadesboroFHA 05322205 | Wadesboro | 120 | Jun 2017 | 4.25% | $3,009,291 | Jul 2052 |
| Sehrgosha-the Little Flower Assisted LivingFHA 05322199 | Charlotte | 72 | Oct 2016 | 2.93% | $2,243,936 | Nov 2051 |
| Hampton ManorFHA 05315019 | Gaston | 43 | Feb 2022 | 4.00% | $665,250 | Mar 2040 |
| The HermitageFHA 05315032 | Sylva | 90 | Feb 2022 | 4.00% | $611,439 | Mar 2040 |
| Wilson HouseFHA 05315025 | Wilson | 68 | Feb 2022 | 4.00% | $569,251 | Mar 2040 |
| Mt. Pleasant HouseFHA 05315017 | Mt. Pleasant | 39 | Feb 2022 | 4.00% | $470,812 | Mar 2040 |
| Somerset Court of GoldsboroFHA 05315028 | Goldsboro | 60 | Feb 2022 | 4.00% | $467,236 | Mar 2040 |
| The Garden of TrentFHA 05315014 | New Bern | 60 | Feb 2022 | 4.00% | $434,721 | Mar 2040 |
| Somerset Court of Rocky MountFHA 05315029 | Rocky Mount | 60 | Feb 2022 | 4.00% | $417,488 | Mar 2040 |
| Somerset Court at University PlaceFHA 05315015 | Winston-salem | 60 | Feb 2022 | 4.00% | $415,700 | Mar 2040 |
| Somerest Court of CherryvilleFHA 05315027 | Cherryville | 60 | Feb 2022 | 4.00% | $401,312 | Mar 2040 |
| Somerset Court of MocksvilleFHA 05315030 | Mocksville | 60 | Feb 2022 | 4.00% | $396,029 | Mar 2040 |
| Country Time InnFHA 05315020 | Kings Mountain | 31 | Feb 2022 | 4.00% | $371,724 | Mar 2040 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
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