Midsection of elderly woman holding hand of nurse. Caregiver is supporting senior female. They are at home during coronavirus lockdown.

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For many seniors, remaining in their homes to age in place is often the primary goal.

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But that’s not always feasible. Finding a long-term care facility that meets a person’s unique needs and is affordable is challenging and can often take a long time.

The federal government provides one-to-five star ratings for some long-term care facilities including nursing homes. Nursing homes or skilled nursing homes provide 24-hour medical care for long-term or rehabilitative stays for people recovering from surgeries, falls or severe illnesses.

That database, found at medicare.gov/care-compare, looks at health and fire safety inspections, complaint inspections, staffing levels and infection control inspections, among other things. Each facility is given a one through five-star rating and people can search based on zip code, city and state.

The annual cost for a private room in a skilled nursing facility in North Carolina was $129,575 a year or $10,798 a month, according to Genworth Cost of Care survey data.

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Here are the one-star-rated nursing homes in the Triangle that had citations for abuse as of Sept. 9, 2026:

Here are the other one-star-rated nursing homes in the Triangle area as of Sept. 9, 2026:

The following are questions or ideas to consider when visiting a long-term care facility or researching locations. Many advocates suggested to The News & Observer visitors use all their senses during the visit.

Portions of this story were previously published in The News & Observer. Inspired by a story from the Kansas City Star.

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This story was originally published September 10, 2026 at 7:00 AM.

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