Nursing home and long-term care costs in North Carolina
CareScout's 2025 survey median for a semi-private nursing home room in North Carolina is $116,800 a year ($9,733 a month) — 2% above the national median of $114,975.
Median costs in North Carolina (2025)
| Setting | Annual median | Monthly |
|---|---|---|
| Nursing home — semi-private room | $116,800 | $9,733 |
| Nursing home — private room | $129,575 | $10,798 |
| Assisted living community | $77,955 | $6,496 |
| Adult day health care | $21,970 | $1,831 |
| Homemaker services (44 h/week) | $68,640 | $5,720 |
| In-home caregiver (hourly median) | $30/hour | — |
What drives cost in North Carolina
State medians reflect local wages, staffing requirements and demand. Within North Carolina, urban facilities usually cost more than rural ones, private rooms cost more than semi-private, and memory care or skilled nursing costs more than basic assisted living. The median is a starting point: ask each facility for its complete fee schedule, including medication management, therapy, laundry, transport and any entrance or community fee.
What the survey does not include
The figures are private-pay medians for the base service. Nursing home rates generally exclude medications, specialised therapies and transport; assisted living rates often exclude a la carte care charges. Long-term insurance, Medicaid and VA benefits can change what a family actually pays — see the payment guides below.
Nursing homes in North Carolina
Compare the local facilities and their CMS ratings: all certified nursing homes in North Carolina.
Frequently asked questions
How much does a nursing home cost in North Carolina?
The 2025 CareScout survey median for a semi-private room in North Carolina is $116,800 a year ($9,733 a month); a private room is $129,575. Actual prices vary by facility and contract.
How much is assisted living in North Carolina?
The median assisted living rate in North Carolina is $77,955 a year ($6,496 a month), excluding a la carte care charges.
How much does in-home care cost in North Carolina?
The median non-medical caregiver rate in North Carolina is $30 per hour; homemaker services at 44 hours a week cost $68,640 a year.
Written and maintained by the US Nursing Homes data team · last reviewed 2026-10-24 · sources and methodology.