Nursing home costs in North Carolina

What Medicare pays for in North Carolina

Medicare rules are federal, so they work the same in North Carolina as everywhere else: a skilled nursing stay after a qualifying inpatient hospital stay, for a limited number of days, only while skilled care is needed. It does not pay for long-term custodial care anywhere in the United States.

NC Medicaid and long-term care

400 of the 419 nursing homes in North Carolina — 95% — are certified to accept Medicaid. That certification matters long before anyone needs it: if a resident spends down their savings in a home that does not take Medicaid, they may have to move at the worst possible moment.

Income limits, asset limits and spousal protections are set by North Carolina within federal rules, and they change. Confirm the current figures with the state Medicaid agency or an elder law attorney licensed in North Carolina before making any financial decision.

Private-pay rates

We do not publish an estimated daily rate for North Carolina. The federal files behind this site do not contain private-pay pricing, and a guessed figure would be worse than none. Call three homes from the list below and ask for the semi-private daily rate, what it includes, and what is billed on top.