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North Carolina

North Carolina Fact Sheet

State Rankings

  • Overall: 38
  • Affordability and Access: 39
  • Choice of Setting and Provider: 34
  • Quality of Life & Quality of Care: 28
  • Support for Family Caregivers: 43
  • Effective Transitions: 19

Number of indicators for which this state ranked in the:

  • Top Quartile: 3
  • 2nd Quartile: 8
  • 3rd Quartile: 8
  • Bottom Quartile: 7
Dimension and Indicator Baseline Scorecard 2020 Scorecard Change in Performance Compare
Data Year State Rate Data Year State Rate US Average Best State Rate Rank
Affordability and Access 39
Median annual nursing home private pay cost as a percentage of median household income ages 65+ 2015-16 233% 2018-19 226% 245% 168% 21 Compare
Median annual home care private pay cost as a percentage of median household income ages 65+ 2015-16 76% 2018-19 77% 80% 51% 13 Compare
Private long-term care insurance policies in effect per 1,000 people ages 40+ 2015 43 2018 38 43 138 32 Compare
Percentage of adults ages 21+ with ADL disability at or below 250% of poverty receiving Medicaid or other government assistance health insurance 2014-15 51.4% 2016-18 52.4% 56.7% 79.2% 31 Compare
Estimated Medicaid LTSS users per 100 population with ADL disability 2014 34 2017 34 46 100 34 Compare
ADRC/No Wrong Door Functions (Composite Indicator, scale 0-100%) 2016 30% 2019 24% 66% 96% 50 Compare
Choice of Setting and Provider 34
Percentage of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities 2013 46.2% 2016 41.9% 45.1% 73.5% 19 Compare
Estimated percentage of Medicaid aged/disabled LTSS users receiving HCBS 2014 64.8% 2017 61.5% 64.2% 83.9% 20 Compare
Number of people self-directing services per 1,000 population with disabilities * * 2019 2.6 30.4 149.1 44 * Compare
Home health and personal care aides per 100 population ages 18+ with an ADL disability 2013-15 16 2016-18 17 22 47 35 Compare
Assisted living and residential care units per 1,000 population ages 75+ 2014 65 2016 53 49 102 21 Compare
Adult day services total licensed capacity per 10,000 population ages 65+ 2014 33 2016 31 61 171 29 Compare
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units 2015 4.8% 2017-18 4.9% 6.2% 18.6% 41 Compare
Quality of Life & Quality of Care 28
Rate of employment for adults with ADL disabilities ages 18-64 relative to rate of employment for adults without ADL disabilities ages 18-64 2013-15 19.5% 2016-18 18.8% 21.4% 38.1% 42 Compare
Percentage of high-risk nursing home residents with pressure sores * * 2018 9.8% 7.3% 4.8% 50 * Compare
Percentage of long-stay nursing home residents who inappropriately receive antipsychotic medication 2015 14.4% 2018 12.0% 14.6% 7.8% 7 Compare
HCBS quality cross-state benchmarking capability * * 2015-19 3.0 1.3 3.6 5 * Compare
Support for Family Caregivers 43
Supporting working caregivers (maximum possible score 17.0) 2014-16 0.00 2019 0.00 3.17 13.50 38 Compare
Family responsibility protected classification 2014 0.00 2019 0.00 0.29 2.00 Compare
Exceeds Federal FMLA 2016 0.00 2019 0.00 0.29 3.00 Compare
Paid Family Leave 2016 0.00 2019 0.00 0.50 3.50 Compare
Mandatory Paid Sick Days 2016 0.00 2019 0.00 0.85 3.00 Compare
Flexible Sick Days 2016 0.00 2019 0.00 0.75 3.00 Compare
Unemployment insurance for family caregivers 2016 0.00 2019 0.00 0.49 1.00 Compare
Person- and family-centered care (maximum possible score 5.5) 2016 1.50 2019 1.50 3.04 5.50 45 Compare
Spousal impoverishment protections 2015 0.50 2019 0.50 0.90 2.00 Compare
Having caregiver assessment 2016 1.00 2019 1.00 1.34 2.50 Compare
CARE Act legislation 2016 0.00 2019 0.00 0.80 1.00 Compare
Nurse delegation and scope of practice (maximum possible score 5.0) 2016 4.00 2019 4.00 3.30 5.00 23 Compare
Nursing tasks able to be delegated 2016 4.00 2019 4.00 2.69 4.00 Compare
Nurse practitioner scope of practice 2016 0.00 2019 0.00 0.61 1.00 Compare
Transportation policies (maximum possible score 1.0) 2015-16 0.00 2019 0.00 0.14 1.00 8 Compare
Volunteer driver protection 2015-16 0.00 2019 0.00 0.14 1.00 Compare
Effective Transitions 19
Percentage of nursing home residents with low care needs * * 2017 4.7% 8.9% 2.1% 4 * Compare
Percentage of home health patients with a hospital admission 2014 16.1% 2017 15.6% 15.8% 13.8% 20 Compare
Percentage of long-stay nursing home residents hospitalized within a six-month period 2014 16.4% 2016 16.1% 16.8% 4.7% 31 Compare
Percentage of nursing home residents with one or more potentially burdensome transitions at end of life 2013 28.7% 2016 27.8% 28.6% 16.2% 36 Compare
Percentage of short-stay residents who were successfully discharged to the community * * 2017-18 55.0% 53.9% 68.5% 27 * 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

Copyright © 2020 AARP, The Commonwealth Fund, and The SCAN Foundation