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Long-Term Care Facility Directories

Nursing Homes are facilities that provide nursing or convalescent care for three or more persons unrelated to the licensee. A nursing home provides long-term care of chronic conditions or short-term rehabilitative care following hospitalization. 

Nursing Home Compare on Medicare.gov provides quality ratings for each of the nation’s 16,000 Medicare and/or Medicaid-certified nursing homes. Each facility is rated from a low of one star to a high of five stars based on three critical areas: health inspection results, quality measures, and staffing levels. An overall rating is also provided. Use the quality ratings together with other information about nursing homes you get by talking to your doctor or other health care provider, visiting nursing homes and talking to the staff, and contacting the Long-Term Care Ombudsman or State Survey Agency. Go To The Nursing Home Compare Page

Adult Care Homes, also known as Assisted Living Facilities, include Adult Care Homes (7 or more residents) and Family Care Homes (2-6 residents). These facilities provide care for persons age 18 and older who do not need nursing home care, but are no longer able to remain in their homes because they need help in meeting daily needs such as medication management, bathing and dressing. Assisted living homes are for people who need only occasional and incidental medical services. Room and board, personal assistance, supervision of medications, and social activities are provided. The private cost rates vary from home to home and supplemental assistance may be available to cover the cost for those with limited incomes. Information on assistance and placement may be obtained through local County Departments of Social Services Adult Services Section.

Similar to Nursing Homes, Adult Care and Family Care Homes also receive Star Ratings. Adult Care Homes are rated from a low of zero stars to a high of four stars based on their annual inspections and complaint investigations. Star ratings provide useful information in selecting a facility when used along with facility visits and talking with your local Long-Term Care Ombudsman. Go to the Adult Care Home Star Ratings.

 Nursing Home Facilities Directory in the Piedmont Triad
 All 12 Counties
 Alamance County
 Caswell County
 Davidson County
 Davie County
 Forsyth County
 Guilford County
 Montgomery County
 Randolph County
 Rockingham County
 Stokes County  
 Surry County
 Yadkin County
 Adult Care Home FACILITIES DIRECTORY IN THE PIEDMONT TRIAD
 All Counties
 Alamance County
 Caswell County
 Davidson County
 Davie County
 Forsyth County
 Guilford County
 Montgomery County
 Randolph County
 Rockingham County
 Stokes County
 Surry County
 Yadkin County
Family Care Homes FACILITIES DIRECTORY IN THE PIEDMONT TRIAD
 All Counties
 Alamance County
 Caswell County
 Davidson County
 Davie County
 Forsyth County
 Guilford County
 Montgomery County
 Randolph County
 Rockingham County

For more information about Residents' Rights in Nursing and Adult Care Homes:

 Nursing Home Resident’s Rights  

 

Are you looking for a long-term care facility for your loved one and need assistance navigating the process?  Here is a guide that our program put together to assist you:

When a Loved One Needs Care

Are you looking for information about Long-Term Care Facilities in our Region?

Long Term Care Facilities Page

 

For more information about Community Advisory Committees or to apply to be a volunteer:

Community Advisory Committee Job Description and Application

County Demographic Reports

Below are links County Demographic Reports. After clicking the link, a new window will open displaying the report. You will need to have Adobe Reader installed on your computer in order view the Reports.

COUNTY DEMOGRAPHIC REPORTS
Alamance Demographic Report
Caswell Demographic Report
Davidson Demographic Report
Davie Demographic Report
Forsyth Demographic Report
Guilford Demographic Report
Montgomery Demographic Report
Randolph Demographic Report
Rockingham Demographic Report
Stokes Demographic Report
Surry Demographic Report
Yadkin Demographic Report

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 FCSP Budget Proposals and Forms

Family Caregiver Support Program RFP 2020 Document
 FCSP Program Budget Form 2020
Exhibit 14a - Subcontractor List - FY 2020
New Agency Requirements
Sample FCSP Contract (Non-Government entity)
Sample FCSP Contract (Government entity)

 HCCBG SFY 2020 Bid / Request for Proposal Forms

Note: The state is in the process of creating and updating NEW Hccbg Budget forms.
Until the new forms are available, please use the SFY 2020 forms listed below. 

FORM INSTRUCTIONS
New Agency Requirements

If your agency has never applied for HCCBG funds, this document outlines the additional information required in your bid package in addition to the 730 series of forms.  


Items Needed:

  • A copy of the most recent audit;
  • Internal Control Questionnaire;
  • A completed Budget Bid / Request for Proposal Packag (Below)
  • Study an “Agreement For The Provision Of Service Provider‐Based Aging Services – Family  Caregiver  Support  Program”  and/or  the  DAAS‐735:   “Home  and  Community  Care  Block  Grant  for  Older  Adults  –  Agreement  for  the  Provision  of  County‐Based  Aging  Services  (DAAS‐735)";
  • Signed HCCBG Standard Assurances (DAAS 734);
  • Provide a list of current board members and indicate board chair;
  • Provide a copy of a current bank statement;
  • Provide appropriate documentation to verify the agency is an Equal Opportunity Employer;
  • Provide a copy of the Personnel Policies;
  • Provide a copy of the Mission and Vision statement.;
  • Provide a copy of current license from the Division of Health Service Regulation if intending  to provide In‐Home services.;
  • Disclose in writing any potential conflict of interest in accordance with applicable Federal  awarding agency policy (2 CFR Chapter I, Chapter II, Part 200, et al. Uniform Administrative  Requirements,  Cost  Principles,  and  Audit  Requirements  for  Federal  Awards;  Final  Rule;  specifically 200.112).
DAAS HCCBG-County Budget Instructions.docx Instructions that outline the HCCBG Funding Process
DAAS 732-A Instructions Service Cost Comutation.doc How to complete the HCCBG DOA 732a Service Computation Worksheet.
DAAS 732-A-1 Instructions Labor Distribution.docx How to complete the HCCBG DOA 732a1 Labor Distribution sheet
PTRC AAA Helpful Hint Tips to help as you prepare your documents for submission.
DAAS 735 - Agreement for the Provision of County-Based Aging Services

Sample Agreement for provision of county services

Lead Agency Only

FORM INSTRUCTIONS
DAAS 731 County Services Summary This form is completed by the Lead Agency as designated by the County.

Budget Bid / Request for Proposal Package Forms

FORM INSTRUCTIONS
PTRC AAA Provider Checklist for HCCBG Funding This checklist ensures all forms are completed for submission.
DAAS 732 Provider Services Summary - FY 2020.xls This form is a summary of the 732a Service Computation Worksheet.
DAAS 732-In-Home-Supplement FY 2020.xls This form is only required if the agency funds In-Home Aid services.
DAAS 732a-PTRC FY 2020.xls All agencies applying for HCCBG funds need to complete this form, unit and non-unit.
DAAS 732A1 Labor Distribution Schedule FY 2020  This form is the agency's personnel and salary distribution schedule and should be completed first.
DAAS 733 County Funding Plan FY 2020.doc All agencies applying for HCCBG funds need to complete this form showing how their use of funds will address outreach to the low income, rural and limited English proficiency elderly.
DAAS 734 Standard Assurances FY 2020.doc All service providers should read, understand and sign this form.
DAAS 734 Clients Rights Standard Assurances - FY 2020 This form is only required if the agency does Housing and Home Improvement, In-Home Aid, Adult Day Care and/or Adult Day Health services.
Exhibit 14a FY 2020 Exhibit 14A is required annually from all service providers who file a Subcontractor Performance Evaluation form(s) with the PTRC AAA.
PTRC AAA Form Certification of Match-FY 2020.xls This form certifies the required HCCBG 10% matching funds is provided by by the submitting agency.
HCCBG Allocation Request for Proposal - FY 2020 This form gives the Aging Planning Committees a comparison of current funding versus the requested amount for the new fiscal year.

HCCBG Special Eligibility Forms

FORM INSTRUCTIONS
Special Eligibility Documentation Form For Nutrition Services This document need to be completed and fully executed, and placed in each special eligible client file.

HCCBG and FCSP Revision Forms

HCCBG FCSP
HCCBG Budget Revision Request FCSP Budget Revision Form
Provider Checklist for HCCBG Revision Exhibit 14a - List of Subcontractors
HCCBG 732 Provider Summary  
HCCBG 732a Budget Narrative
HCCBG Labor Distribution 732a-1 - if labor changed
732 Supplement in-home aid
PTRC Certification of Local Match - per changed service

 Reimbursement Forms

  1. Senior Center Receipt Log
  2. Senior Center General Purpose Revision Form
  3. 543 / 544 HCCBG Reimbursement Form
  4. Request for Reimbursement 543-544

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Unit of Service Reports

Fiscal Year 2019 - 2020 
 Waitlist  2019 - 2020
 July 2019 - 2020
 August 2019 - 2020
 September  2019 - 2020
 October 2019 - 2020
 November  2019 - 2020
 December 2019 - 2020
 January 2019 - 2020
 February 2019 - 2020
 March 2019 - 2020
 April 2019 - 2020
 May 2019 - 2020
 June 2019 - 2020
 ARMS Reporting Monthly Deadline Schedule

 

 Fiscal Year 2018-2019
 Year End Unit of Service Report
 May Unit of Service Report
April Unit of Service Report 
 March Unit of Service Report
February Unit of Service Report 
 January Unit of Service Report
December Unit of Service Report  
November Unit of Service Report  
 October Unit of Service Report 
 September Unit of Service Report
 August Unit of Service Report
 July Unit of Service Report 
 Waitlist

 

 

FISCAL YEAR 2017-2018
Year End Unit of Serivce Report 
May Unit of Service Report
April Unit of Service Report
March Unit of Service Report
February Unit of Service Report
January Unit of Service Report
December Unit of Service Report
November Unit of Service
October Unit of Service Report
September Unit of Service Report
August Unit of Service Report
July Unit of Service Report
Waitlist

  

FISCAL YEAR 2016-2017
June YEAR END Unit of Service Report
June Preliminary Unit of Service Report
May Unit of Service Report
April Unit of Service Report
March Unit of Service Report
February Unit of Service Report
January Unit of Service Report
December Unit of Service Report
November Unit of Service Report
October Unit of Service Report
September Unit of Service Report
August Unit of Service Report
July Unit of Service Report
Waitlist Report
FISCAL YEAR 2015-2016
Update: The Unit of Service Report now groups services by Funding Source
15-16 Client Wait List Report
15-16 Year End Unit of Service Report
15-16 PRELIMINARY JUNE Unit of Service Report
15-16 May Unit of Services Report
15-16 April Unit of Service Report
15-16 March Unit of Service Report
15-16 February Unit of Service Report
15-16 January Unit of Service Report
15-16 December Unit of Service Report
15-16 November Unit of Service Report
15-16 October Unit of Service Report
15-16 September Unit of Service Report
15-16 August Unit of Service Report
15-16 July Unit of Service Report

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 Administrative Letters

If you have difficulty accessing content or have difficulty viewing a file or files on this webpage, please contact us at 336-904-0300 extention 2019.

 Category Letter No.   Administrative Letter Subject
Adult Day Care/ Adult Day Health 17-04
Revised Certified Employee Medical Statement for Adult Day Care/Adult Day Health Providers
  17-4a
Certified Employee Medical Statement

16-03
Revised HCCBG Group Respite Service Monitoring Tool
  15-11   Revised Home and Community Care Block Grant Adult Day Care / Adult Day Health Monitoring Tools and Instructions
   15-05 Guidance Regarding Adult Day Care/Adult Day Health Providers providing and/or Arranging Public Transportation as outlined in 10ANCAC 06R.0503 and 06s. 0404 
  15-03
Clarification of Home and Community Care Block Grants Adult Day Care/Adult Day Health Service Standards’ Activities of Daily Living and Special Feeding Definitions
  14-06
Revised Home and Community Care Block Grant Adult Day Care/Adult Day Health Service Standards Regarding Adult Day Health Participant Eligibility
  14-03
Revised Home and Community Care Block Grant Adult Day Care/Adult Day Health Service Standards
  12-17 Submission of Identifying and/or Confidential Information
  12-02
Appropriate Billing of Unit Rates for Adult Day Care and Adult Day Health Clients
  11-18 Required Documentation for the Revised HCCBG Adult Day Care/Adult Day Health Monitoring Tool
  11-04 Revised Adult Day Health Services Certification Procedures Manual
  11-03
Adult Day Care and Adult Day Health Services Procedures Manual (Formerly Family Services Manual, Volume V, Chapter II)
  11-02 Revised HCCBG Adult Day Care Adult Day Health Monitoring Tool
  11-01 Required Documentation of the Unbundling of Transportation and Daily Care Rate for HCCBG Reimbursement
  10-18
Adult Day Care/Adult Day Health Services Complaint Policy
  10-09
Unbundling of Transportation and Daily Care Rate for HCCBG Reimbursement and Addition of Two New ARMS Transportation Service Codes
  10-02
Providers ADS Complaint Policy
  10-01  ADS Complaint Policy

ARMS 11-06
ARMS CNDS Interface
     
 Audits 16-05  Audit Threshold HCCBG
     Changes to Single Audit

10-19
Fiscal Monitoring of Providers

Budget Instructions 15-06 SFY 15-16 County Funding Plan for the Home and Community Care Block Grant
  15-01 SFY 13-14 County Aging Services Data and SFY 15-16 County Budget Instructions
  14-01 SFY 12-13 County Aging Services Data and SFY 14-15 County Budget Instructions

13-01
SFY 11-12 County Aging Services Data and SFY 12-13 County Budget Instructions
  12-01
SFY 10-11 County Aging Services Data and SFY 12-13 County Budget Instructions
  11-05 SFY 09-10 County Aging Services Data and SFY 11-12 County Budget Instructions
  10-08 DAAS-10-08 - SFY 10-11 County Funding for the Home and Community Care Block Grant (HCCBG)
  10-06 SFY 10-11 Regional Allocations
  10-05
SFY 08-09 County Aging Services Data
Citizenship Verification
07-05
Verification of Citizenship under the Older Americans Act
     
Complaints 10-18 Adult Day Care/Adult Day Health Services Complaint Policy
  10-02 Providers ADS Complaint Policy
  10-01 ADS Complaint Policy
     
Confidential Information
12-17 Submission of Identifying and/or Confidential Information
     
Consumer Contribution Schedule
2019 
This 2019 Schedule must be used with all new clients and also with all established clients at the time of their annual reassessments who are receiving Type I Services and are above the federal poverty guideline.

Type I Services include, but at are not limited to, Adult Day Services, Group Respite, Housing and Home Improvement, In-home Aide Services, and Family Caregiver Support – Respite Care and Supplemental Services. Please consult the “Division of Aging and Adult Services Manual – Consumer Contributions Policy and Procedures” for exact details regarding Type I Services and the proper use of the Recommended Consumer Contribution Schedule. This manual may be accessed directly at http://www.ncdhhs.gov/document/consumer-contributions-policy-and-procedures
     
 FCSP
14-08 Family Caregiver Support Program, Clarification and Reporting Requirements for Code Categories I, II, and III
  12-07
Family Caregiver Support Program & Project C.A.R.E. Respite Policy Revisions
  11-11 Family Caregiver Support Program/Project C.A.R.E. Collaboration Model
  01-04 Family Caregiver Support Program
     
Funding 16-11
Updated Policies on Record Retention and Management

15-15 15 - 15 Revised Liquid Nutritional Supplements Policy, NC Senior Nutrition Program

15-06
SFY 15-16 County Funding for the Home and Community Block Grant
  15-01 SFY 13-14 County Aging Services Data and SFY 15-16 County Budget Instructions
  14-01 SFY 12-13 County Aging Services Data and SFY 14-15 County Budget Instructions
  12-14 2012-2013 General Purpose Funding
  12-09
Senior Center Long-Term Obligations Funding
  12-04 Area Agency on Aging Responsibilities in County Funding Plan Development for the Home and Community Care Block Grant (HCCBG)
  12-01
SFY 10-11 County Aging Services Data and SFY 12-13 County Budget Instructions
  11-12 2011-2012 General Purpose Funding
  11-10 Elimination of HCCBG Volunteer Program Development Funds
  11-08 Update on SFY 11-12 Funding
  11-05 SFY 09-10 County Aging Services Data and SFY 11-12 County Budget Instructions
  10-17
Senior Center General Purpose 2010-2011 Allocation
  10-13 Suspension of Funding List
  10-08 DAAS-10-08 - SFY 10-11 County Funding for the Home and Community Care Block Grant (HCCBG)
  10-06 SFY 10-11 Regional Allocations
  10-05 SFY 08-09 County Aging Services Data
  10-03 Monitoring of ARRA Nutrition Providers
     
 Group Respite
15-02
Home and Community Care Block Grant Group Respite Services Policies and Procedures
  12-13 Changes in Home and Community Care Block Grant Client Eligibility Policy Related to the Registration of Clients under Age 60
     
 HP/DP 14-05
North Carolina Title IIID Health Promotion and Disease Prevention Standards Revision
  12-05 Title III-D Health Promotion and Disease Prevention Revision
     
Housing and Home Improvement
15-04 Housing and Home Improvement Service, Clarification and Reporting Requirements
     
In-Home Aid 13-17 Revisions to the Monitoring Tool and Process of the In-Home Aid Program
  13-07 Special Assistance In-Home Approvals for Individuals with Verified Supported Housing Slots
  12-13 Changes in Home and Community Care Block Grant Client Eligibility Policy Related to the Registration of Clients under Age 60
     
Mental Health Counseling
11-09 Revised Home and Community Care Block Grant Mental Health Service Standards
     
Monitoring 15-11
Revised Home and Community Care Block Grant Adult Day Care/Adult Day Health Monitoring Tools and Instructions
  14-14  Subcontractor Monitoring
  13-17 Revisions to the Monitoring Tool and Process of the In-Home Aid Program
  13-16
Senior Center Operations Monitoring Exemption - Clarification
  13-16 Senior Center Operations Monitoring Exemption
  13-15 Subcontractor Monitoring
  13-09 Programmatic / Services Specific Risk Assessments
  13-08 Consumer Contributions and Title III Monitoring
  13-04 Verification of 501 (C) (3) Status for Private Non-Profit Providers
  12-16
Revised Home and Community Care Block Grant (HCCBG) Institutional Respite Care Monitoring Tool
  12-08 Monitoring of Services Funded by HCCBG
  11-18 Required Documentation for the Revised HCCBG Adult Day Care/Adult Day Health Monitoring Tool
  11-02 Revised HCCBG Adult Day Care Adult Day Health Monitoring Tool
  10-19 Fiscal Monitoring of Providers
  10-03 Monitoring of ARRA Nutrition Providers
     
 Nutrition 15-15
15 - 15 Revised Liquid Nutritional Supplements Policy, NC Senior Nutrition Program
     
Senior Centers 19-01 Rescinding of Administrative Letter 16-8
  16-08   Charging Fees Clarification in Senior Centers <-- RESCINDED 1-17-2019

15-10
Senior Center Long-Term Obligations Inventory, effective July 1, 2015

14-09 2014-2015 General Purpose Funding

13-18 2013-2014 General Purpose Funding
  13-16 Senior Center Directors Assuming Dual Roles - Clarification
  13-16 Senior Center Directors Assuming Dual Roles
  13-10 Senior Center Long-Term Obligations Inventory
  13-06
Senior Center Operations Monitoring Exemptions
  12-14 2012-2013 General Purpose Funding
  12-09 Senior Center Long-Term Obligations Funding
  11-12 2011-2012 General Purpose Funding
  11-07 Charging Fees in Senior Centers
  10-17 Senior Center General Purpose 2010-2011 Allocation
  10-04 Waivers of Service Operations and Certification Standards
     
Services Standards
14-10
Reinstatement of Volunteer Program Development under the Home and Community Care Block Grant
  13-08 Consumer Contributions and Title III Legal Services
  12-16
Revised Home and Community Care Block Grant (HCCBG) Institutional Respite Care Monitoring Tool
  12-13 Changes in Home and Community Care Block Grant Client Eligibility Policy Related to the Registration of Clients under Age 60
  12-07 Family Caregiver Support Program & Project C.A.R.E. Respite Policy Revisions
  12-02
Appropriate Billing of Unit Rates for Adult Day Care and Adult Day Health Clients
  11-10 Elimination of HCCBG Volunteer Program Development Funds
  11-09 Revised Home and Community Care Block Grant Mental Health Service Standards
  11-07 Charging Fees in Senior Centers
  11-03
Adult Day Care and Adult Day Health Services Procedures Manual (Formerly Family Services Manual, Volume V, Chapter II)
  11-01
Required Documentation of the Unbundling of Transportation and Daily Care Rate for HCCBG Reimbursement

10-09 Unbundling of Transportation and Daily Care Rate for HCCBG Reimbursement and Addition of Two New ARMS Transportation Service Codes
  10-04 Waivers of Service Operations and Certification Standards

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