The assisted living and skilled nursing components of a continuing-care retirement community (CCRC) are each separately licensed and searchable through DHSR's Regulated Facilities search (info.ncdhhs.gov/dhsr/facilities/search.asp) — the adult care home portion under Chapter 131D/10A NCAC 13F and any nursing facility portion under the separate nursing home licensure framework — while the independent-living housing itself is not a DHSR-licensed health care facility.
What this means in practice
Chatham County's Pittsboro area, home to well-known retirement communities like Fearrington Village and Galloway Ridge, illustrates a common point of confusion: a CCRC campus typically bundles independent living, assisted living, and often skilled nursing under one brand name, but only the licensed health care components are regulated by DHSR. The independent-living apartments or cottages are essentially housing, not a licensed facility, so DHSR's search tools won't return anything for that portion — but the on-campus assisted living wing and any nursing facility will each appear separately in the Regulated Facilities search under their own license. A family evaluating a Pittsboro-area CCRC should search for the specific licensed component (the assisted living or nursing facility name, which may differ from the community's overall brand name) rather than the campus name alone.
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