Greensboro Senior AdvisorWhich rules govern assisted living and nursing homes in Greensboro, NC?
State rules do: North Carolina licenses assisted living as adult care homes (10A NCAC 13F) and family care homes (10A NCAC 13G) under G.S. Chapter 131D, and licenses nursing homes separately, with federal CMS standards on top for certified homes; the Division of Health Service Regulation enforces all of them.
Last verified: November 2026Neither Greensboro, High Point nor any of the three counties licenses care settings. Local zoning and fire codes touch the building, but only a DHSR license lets it care for residents.
Does North Carolina rate assisted living?
Yes, unusually: DHSR gives every adult care home and family care home a star rating from zero to four based on its inspections, and posts the inspection documents and any penalties from the last 36 months beside it.
Of the 63 rated homes in the three counties, 27 hold four stars, 31 three, 3 two, 0 one and 2 none. See how to read a rating and an inspection report.
Where do Triad families take a problem?
Care complaints about a licensed facility go to the DHSR Complaint Intake Unit (1-800-624-3004); residents' rights problems can also go to the regional long-term care ombudsman at Piedmont Triad Regional Council Area Agency on Aging ((336) 904-0300); and abuse or neglect of an adult goes to Adult Protective Services at the county department of social services.
Guilford County's APS line is 336-641-3137, Randolph's is 336-683-8300 and Rockingham's is 336-342-1394; call 911 if someone is in immediate danger.
North Carolina Rules: every guide
The license behind every assisted living home in Greensboro and High Point
How the N.C. Division of Health Service Regulation licenses assisted living around Greensboro as adult care homes (13F) and family care homes (13G): the agency, the two license sizes, who runs a home and who checks on it.
Open the guide →How North Carolina regulates memory care, and what Greensboro families should ask
Memory care around Greensboro and High Point happens in special care units inside licensed adult care homes and nursing homes. The 13F .1300 rules, the G.S. 131D-8 disclosure, staffing questions, Special Assistance's Enhanced Rate and what to check.
Open the guide →Reading a North Carolina adult care home's star rating and inspections
How DHSR's zero-to-four star rating for adult care homes and family care homes works, where to find inspection documents and penalties, and how to read a statement of deficiencies, for Greensboro-area families.
Open the guide →Admission and discharge rules for Greensboro-area adult care homes
North Carolina adult care home admission and discharge rules for Greensboro-area families: assessments, care plans, who cannot be admitted, discharge notice and appeal rights.
Open the guide →Who is on duty, and who hands out the medications, in a Triad adult care home
North Carolina adult care home staffing (10A NCAC 13F .0605 and .0606), supervisors on third shift, medication aides and care plans, explained for Greensboro and High Point families.
Open the guide →Who to call about a problem in a Greensboro-area care home
Where Greensboro, High Point, Asheboro and Reidsville families report care problems: the DHSR Complaint Intake Unit, the Piedmont Triad regional long-term care ombudsman, and county Adult Protective Services.
Open the guide →Residents' rights and the residency agreement in a Triad adult care home
North Carolina's Declaration of Residents' Rights (G.S. 131D-21) for adult care homes and what to check in a Greensboro residency agreement: charges, notice of increases, personal funds and grievances.
Open the guide →Who licenses, inspects and rates Greensboro-area nursing homes
How North Carolina licenses nursing homes and surveys them for CMS, what Care Compare ratings mean, special care units and combination homes, and how Greensboro families use the data.
Open the guide →Side by side
| North Carolina's rules | North Carolina's rules do not | |
|---|---|---|
| Assisted living | Require a DHSR adult care home or family care home license | Use the words “assisted living license” |
| Ratings | Give adult care homes a 0-4 star DHSR rating | Let CMS rate adult care homes |
| Dementia | Approve special care units as part of a license | Issue a separate memory care license |
| Money | Pay Special Assistance to eligible residents | Have a Medicaid waiver that pays assisted living rent |
