ACH - Frequently Asked Questions

What is Assisted Living?
Group housing and services program for two or more unrelated adults that makes available at a minimum, one meal and house-keeping services and provides personal care services directly or through a formal written agreement with one or more home care agencies.
What is an Adult Care Home?
A residential facility for an older or disabled adult who is not able to live independently, but who does not need nursing home care. The purpose of an Adult Care Home is to provide assistance with activities of daily living.
What is the difference between a Family Care Home and an Adult Care Home?
Family Care Homes provide care for up to six people in a family-like setting. Adult Care Homes provide care for seven or more people. Both have around-the-clock or live-in staff who prepare meals, supervise medications and provide help with dressing and other needs.
What is the difference between an Adult Care Home and a Nursing Home?
Nursing Homes provide care to persons who are chronically ill or recuperating from an illness or injury and need regular nursing care and other medical services but not hospitalization.
How do I know if I need an Adult Care Home or a Nursing Home?
Your physician will determine your level of care based on your personal care and medical needs and complete the FL2.
What is an FL2?
A medical form completed by your physician describing your diagnoses, medications, and care needed. This form is required prior to admission.
Who lives in these facilities?
Residents can be elderly adults, developmentally disabled adults, mentally ill adults or any combination of these.
How do I contact these Adult Care Homes?
Call the local Social Work Services to obtain a current list of homes in your county.
What does it cost? How does one pay for this care?
Rates will vary by facility depending upon accommodations, services provided, resident’s income and eligibility fir assistance. See each facility for rates. Those unable to pay privately, may apply for special assistance at the local Social Work Services.
Are these facilities licensed and by whom?
The license is issued by the State of North Carolina through the North Carolina Division of Facility Services and monitored by The County Social Work Services for compliance with licensing standards under the supervision of the North Carolina Division of Facility Services
Does Medicare pay for Adult Care Home care
Medicare does not cover residential care in an Adult Care Home or Assisted Living facility.
Who should I call regarding a complaint about an Adult Care Home?
Call the Social Work Services in the county in which the home is located.
Is there a rating system for Adult Care Homes?
None at this time.
Does someone supervise medication administration?
Yes, a Medication Technician who has been certified to administer medication.
Are residents free to come and go from the facility?
Yes, unless their physician has determined that they would be at risk and need 24 hour supervision.
May I take my pet?
Most facilities will not allow pets; however, some facilities feel that having pets is beneficial to the residents.
Is transportation furnished by the facility?
The Administrator must provide transportation to necessary resources and activities, including transportation to the nearest appropriate health facilities, Social Work Services agencies, shopping, recreational facilities, and religious activities of the resident's choice. The Administrator is also responsible for providing or arranging transportation for any mental health day treatment programs if the physician makes it a part of the resident's treatment plan.