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 Wilmington, NC

2026 monthly care rates for Wilmington (New Hanover County), local Census affordability metrics, and 11 CMS-certified care facilities.

Assisted Living🏠
$5,820/mo
$69,840/yr
-6% vs U.S. avg
Memory Care🧠
$7,100/mo
$85,200/yr
-6% vs U.S. avg
In-Home Care🤝
$32.84/hr
$6,260/mo (44h/wk)
-6% vs U.S. avg
Nursing Home (Semi)🏥
$8,990/mo
Private: $10,130/mo
-6% 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$5,820/mo
Memory Care$7,100/mo
Home Care$32.84/hr
Nursing Semi$8,990/mo
Nursing Priv$10,130/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/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: $329k
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 Wilmington, NC

40.9 hrs/wk Break-even threshold

At Wilmington, NC's average caregiver rate of $32.84/hr, hiring in-home care equals the $5,820/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
$2,846/mo

Saves $2,974/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$6,261 vs. $5,820/mo

Full-time home care costs $441/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$11,384/mo

Assisted Living saves $5,564/mo; Memory Care averages $7,100/mo.

Wilmington vs. North Carolina & U.S. Averages

Monthly Assisted Living cost comparison adjusted for New Hanover County economic indicators.

Wilmington, NC$5,820/mo
North Carolina State Average$5,250/mo
U.S. National Median$6,200/mo

New Hanover County Economic Context (U.S. Census)

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

Median Household Income $72,892/yr ($6,074/mo)
Median Home Value $353,700
Median Gross Rent $1,343/mo
North Carolina Medicaid Limit (2026) $2,901/mo

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

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

Cypress Pointe Rehabilitation Center
2006 South 16Th Street, Wilmington, NC 28401 • 9107636271
90 Certified Beds For profit - Individual CCN: 345002
5/5 CMS Rating
Bradley Creek Health Center
740 Diamond Shoals Road, Wilmington, NC 28403 • 9107697550
30 Certified Beds For profit - Corporation CCN: 345571
5/5 CMS Rating
Trinity Grove
631 Junction Creek Drive, Wilmington, NC 28412 • 9104423000
100 Certified Beds Non profit - Church related CCN: 345554
3/5 CMS Rating
Northchase Nursing And Rehabilitation Center
3015 Enterprise Drive, Wilmington, NC 28405 • 9107913451
140 Certified Beds For profit - Limited Liability company CCN: 345119
2/5 CMS Rating
August Healthcare At Wilmington
820 Wellington Avenue, Wilmington, NC 28401 • 9103430425
120 Certified Beds For profit - Corporation CCN: 345236
2/5 CMS Rating
Liberty Commons Rehabilitation Center
121 Racine Drive, Wilmington, NC 28403 • 9104524070
82 Certified Beds For profit - Corporation CCN: 345468
2/5 CMS Rating
Azalea Health & Rehab Center
3800 Independence Boulevard, Wilmington, NC 28412 • 9103923110
80 Certified Beds For profit - Corporation CCN: 345557
2/5 CMS Rating
Davis Health And Wellness Center At Cambridge Vill
83 Cavalier Drive Ste 200, Wilmington, NC 28405 • 9106798300
20 Certified Beds Non profit - Corporation CCN: 345568
2/5 CMS Rating
Davis Health Care Center
1011 Porters Neck Road, Wilmington, NC 28411 • 9106867195
115 Certified Beds Non profit - Corporation CCN: 345160
1/5 CMS Rating
Peak Resources-Wilmington, Inc
2305 Silver Stream Lane, Wilmington, NC 28401 • 9103623621
110 Certified Beds For profit - Corporation CCN: 345537
1/5 CMS Rating
Autumn Care Of Myrtle Grove
5725 Carolina Beach Road, Wilmington, NC 28412 • 9107921455
90 Certified Beds For profit - Corporation CCN: 345507
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Wilmington

The estimated median cost of assisted living in Wilmington, NC is $5,820 per month ($69,840 per year), adjusted for New Hanover County housing and income data.
A semi-private room in a skilled nursing facility in Wilmington averages $8,990 per month, while a private room averages $10,130 per month.
In-home caregiver services in Wilmington, NC average $32.84 per hour, or roughly $6,260 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