Start Your North Carolina Assisted Living Facility
We specialize in ALF licensing, compliance & Medicaid

Comprehensive Solutions to Start an Assisted Living Facility in North Carolina

Opening an assisted living facility in North Carolina means following state-specific rules, from licensing and inspections to staffing and safety protocols. But you don’t have to do it alone. We help you every step of the way to make the process smooth and stress-free. We guide you through NC’s licensing process, help you prepare the application, and make sure your facility meets all requirements set by the Division of Health Service Regulation (DHSR). From choosing the right location and understanding local zoning laws to meeting building and fire safety codes—we cover it all.
North Carolina ALF Services We Offer
Startup & Licensing
- ALF Core Training (State Approved)
- New Facility Licensing
- CHOW (Change of Ownership)
- Pre-Licensure Mock Survey
Compliance & Mentorship
- Customized CEMP Plan
- Monthly Compliance Mentorship
- Inspection Prep & Support
- License Renewal Guidance
Medicaid & Billing
- Facility Level Medicaid Enrollment
- Resident LTC Medicaid Applications
- Monthly LTC Medicaid Billing
- Past-Due Balance Recovery
ALF Consultants Form Services Request
ALF Licensing Process

Schedule a Consultation

Submit State Application

Begin Operations & Medicaid Setup
Licensing Requirements for Assisted Living Facilities in NC
In this state, assisted living facilities must comply with specific licensing requirements to ensure the safety, health, and well-being of their residents. Facilities are required to obtain a license from the North Carolina Division of Health Service Regulation before they can operate. This licensing process includes meeting standards related to building safety, staff qualifications, resident care plans, medication management, and emergency preparedness. The facility must also adhere to state regulations on resident rights, staffing ratios, and ongoing staff training. Regular inspections are conducted to ensure compliance, and facilities must promptly address any deficiencies identified. Meeting these licensing requirements helps maintain high-quality care and protects the dignity and independence of residents living in assisted living communities across NC.
Begin Your Assisted Living Facility Journey Today
Starting or operating an Assisted Living Facility in NC involves careful planning and adherence to important state regulations. Partnering with experienced consultants ensures you navigate the licensing process smoothly, meet all safety and care standards, and maintain full compliance. With the right guidance, you can create a supportive environment that prioritizes the well-being and dignity of your residents while building a successful and trusted facility.