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North Carolina

State Rankings

  • Overall: 38
  • Affordability and Access: 38
  • Choice of Setting and Provider: 31
  • Quality of Life & Quality of Care: 38
  • Support for Family Caregivers: 42
  • Effective Transitions: 15

Number of indicators for which this state ranked in the:

  • Top Quartile: 3
  • 2nd Quartile: 6
  • 3rd Quartile: 9
  • Bottom Quartile: 7

Estimated Impact of Improvement

...if this state improved its performance to the level of the average of the top-five-performing states

  • 290,503 more place-based subsidized units and vouchers would be available to help low-income people with LTSS needs afford housing.
  • 128,217 more people of all ages would receive Medicaid LTSS to help them with daily activities.
  • 47,152 more home health and personal care aides would be available to provide care in the community.
  • 39,393 more low-/moderate-income adults with disabilities would have Medicaid coverage.
  • $416,500,000 more would go to home- and community-based services instead of nursing homes.
* State's performance is at or above the level of the top-five-performing states.
North Carolina Fact Sheet (592k PDF)
Dimension and Indicator Baseline Scorecard 2017 Scorecard Change in Performance Compare
Data Year State Rate Data Year State Rate All States Median Best State Rate Rank
Affordability and Access 38
Median annual nursing home private pay cost as a percentage of median household income age 65+ 2012-13 231% 2015-16 233% 233% 164% 26 Compare
Median annual home care private pay cost as a percentage of median household income age 65+ 2012-13 82% 2015-16 76% 81% 46% 15 Compare
Private long-term care insurance policies in effect per 1,000 people age 40+ 2012 47 2015 45 48 164 31 Compare
Percent of adults age 21+ with ADL disabilities at or below 250% of poverty receiving Medicaid 2011-12 50.7% 2014-15 51.4% 53.4% 78.1% 31 Compare
Medicaid LTSS beneficiaries per 100 people with ADL disabilities 2010 57 2012 50 54 111 30 Compare
ADRC/No Wrong Door Functions (composite indicator, scale 0-100%) * * 2016 30% 60% 92% 46 * Compare
Choice of Setting and Provider 31
Percent of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities 2011 41.3% 2014 44.7% 33.1% 68.5% 16 Compare
Percent of new Medicaid aged/disabled LTSS users first receiving services in the community 2009 68.7% 2012 56.8% 55.4% 83.6% 24 Compare
Number of people participant-directing services per 1,000 people with disabilities * * 2016 1.4 9.6 131.9 44 * Compare
Home health and personal care aides per 100 adults age 18+ with ADL disabilities 2010-12 16 2013-15 16 19 41 31 Compare
Assisted living and residential care units per 1,000 population age 75+ 2010 73 2014 65 52 121 11 Compare
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units 2011 4.3% 2015 4.8% 5.8% 17.7% 41 Compare
Quality of Life & Quality of Care 38
Rate of employment for adults with ADL disabilities ages 18-64 relative to rate of employment for adults without ADL disabilities ages 18-64 2011-12 20.7% 2014-15 19.9% 21.9% 43.3% 39 Compare
Percent of high-risk nursing home residents with pressure sores 2013 7.2% 2015-16 7.4% 5.5% 3.4% 46 Compare
Percent of long-stay nursing home residents who are receiving an antipsychotic medication 2013 16.4% 2015 14.4% 16.8% 8.0% 12 Compare
Support for Family Caregivers 42
Supporting working caregivers (composite indicator, scale 0-9.0) 2012-13 1.00 2014-16 0.00 1.00 6.50 32 Compare
Person- and Family-Centered Care (composite indicator, scale 0-5.5) 2012-13 0.50 2016 1.50 2.41 4.30 34 Compare
Nurse Delegation and Nurse Practitioner Scope of Practice (composite indicator, scale 0-5.0) 2013 1.50 2016 4.00 4.00 5.00 20 Compare
Transportation Policies (composite indicator, scale 0-5.0) 2010-12 1.00 2012-16 0.00 1.00 4.00 37 Compare
Effective Transitions 15
Percent of nursing home residents with low care needs 2012 7.1% 2014 6.8% 11.2% 4.1% 6 Compare
Percent of home health patients with a hospital admission 2012 25.5% 2015 24.1% 24.4% 18.3% 22 Compare
Percent of long-stay nursing home residents hospitalized within a six-month period 2012 18.2% 2014 16.4% 15.7% 5.0% 28 Compare
Percent of nursing home residents with moderate to severe dementia with one or more potentially burdensome transitions at end of life 2011 25.6% 2013 24.3% 23.8% 9.1% 28 Compare
Percent of new nursing home stays lasting 100 days or more 2009 22.3% 2012 18.4% 18.3% 8.9% 27 Compare
Percent of people with 90+ day nursing home stays successfully transitioning back to the community 2009 8.6% 2012 8.5% 7.4% 14.9% 17 Compare

Export Indicators

* Comparable data not available for baseline and/or current year. Rank cannot be calculated without current data. Change in performance cannot be calculated without both baseline and current data.
ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center; HCBS = Home- and Community-Based Services; LTSS = Long-Term Services and Supports.

Long-Term Services & Supports State Scorecard

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