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Nearly a quarter of all North Carolina residents will be 65 or older by 2060. For many, remaining in their homes through old age is the primary goal, but it’s not always feasible. Aging experts encourage people to plan ahead to help with making tough decisions later in life. The News & Observer’s guide aims to help. Here’s how to begin that search and what to know to ensure loved ones have a safe place to live. 

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North Carolina is projected to gain nearly 1 million new people 65 years or older by 2042.

While many seniors aim to remain in their homes, that goal is not always feasible. The News & Observer interviewed aging, government, healthcare and nonprofit experts and advocates about the basics of long-term care facilities and resources to help find care.

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These are the skilled nursing, assisted living and continuing care retirement communities located in Wake, Durham, Orange, Chatham and Johnston counties. (Data is current as of June 2026.)

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