2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Raleigh, NC

2026 monthly care rates for Raleigh (Wake County), local Census affordability metrics, and 12 CMS-certified care facilities.

Assisted Living🏠
$7,130/mo
$85,560/yr
+15% vs U.S. avg
Memory Care🧠
$8,700/mo
$104,400/yr
+15% vs U.S. avg
In-Home Care🤝
$40.27/hr
$7,680/mo (44h/wk)
+15% vs U.S. avg
Nursing Home (Semi)🏥
$11,020/mo
Private: $12,420/mo
+15% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$7,130/mo
Memory Care$8,700/mo
Home Care$40.27/hr
Nursing Semi$11,020/mo
Nursing Priv$12,420/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $393k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Raleigh, NC

40.9 hrs/wk Break-even threshold

At Raleigh, NC's average caregiver rate of $40.27/hr, hiring in-home care equals the $7,130/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$3,490/mo

Saves $3,640/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$7,678 vs. $7,130/mo

Full-time home care costs $548/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$13,959/mo

Assisted Living saves $6,829/mo; Memory Care averages $8,700/mo.

Raleigh vs. North Carolina & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Wake County economic indicators.

Raleigh, NC$7,130/mo
North Carolina State Average$5,250/mo
U.S. National Median$6,200/mo

Wake County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $101,763/yr ($8,480/mo)
Median Home Value $422,800
Median Gross Rent $1,508/mo
North Carolina Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Raleigh, NC

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607 • 9197846600
120 Certified Beds Government - Hospital district CCN: 345369
5/5 CMS Rating
The Rosewood Health Center
8710 Cypress Club Drive, Raleigh, NC 27615 • 9198709007
57 Certified Beds Non profit - Corporation CCN: 345546
5/5 CMS Rating
Hillcrest Raleigh At Crabtree Valley
3830 Blue Ridge Road, Raleigh, NC 27612 • 9197814900
134 Certified Beds For profit - Corporation CCN: 345555
4/5 CMS Rating
Capital Nursing And Rehabilitation Center
3000 Holston Lane, Raleigh, NC 27610 • 9192316045
125 Certified Beds For profit - Corporation CCN: 345202
4/5 CMS Rating
Tower Nursing And Rehabilitation Center
3609 Bond Street, Raleigh, NC 27604 • 9192318113
180 Certified Beds For profit - Limited Liability company CCN: 345513
3/5 CMS Rating
Raleigh Rehabilitation Center
616 Wade Avenue, Raleigh, NC 27605 • 9198286251
157 Certified Beds For profit - Limited Liability company CCN: 345049
3/5 CMS Rating
Pruitthealth-Raleigh
2420 Lake Wheeler Road, Raleigh, NC 27603 • 9197550226
150 Certified Beds For profit - Corporation CCN: 345538
3/5 CMS Rating
The Cardinal At North Hills
311 Garden At North Hills Street, Raleigh, NC 27609 • 9842048444
15 Certified Beds For profit - Limited Liability company CCN: 345572
3/5 CMS Rating
Perry Creek Health And Rehabilitation Center
5201 Clarks Fork Drive Nw, Raleigh, NC 27616 • 9198727033
132 Certified Beds For profit - Limited Liability company CCN: 345529
1/5 CMS Rating
Sunnybrook Rehabilitation Center
25 Sunnybrook Road, Raleigh, NC 27610 • 9192316150
95 Certified Beds For profit - Limited Liability company CCN: 345077
1/5 CMS Rating
Litchford Falls Health And Rehabilitation Center
8200 Litchford Road, Raleigh, NC 27615 • 9198787772
90 Certified Beds For profit - Limited Liability company CCN: 345499
1/5 CMS Rating
Bloomsbury At Hayes Barton Place
2750 Oberlin Rd, Raleigh, NC 27608 • 9192137579
31 Certified Beds For profit - Corporation CCN: 345581
Not Yet Rated

Frequently Asked Questions About Senior Care in Raleigh

The estimated median cost of assisted living in Raleigh, NC is $7,130 per month ($85,560 per year), adjusted for Wake County housing and income data.
A semi-private room in a skilled nursing facility in Raleigh averages $11,020 per month, while a private room averages $12,420 per month.
In-home caregiver services in Raleigh, NC average $40.27 per hour, or roughly $7,680 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in North Carolina is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby North Carolina Cities