Alamance Health Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

48.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 70 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 89 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 180 beds and averages 174.9 residents a day — about 97% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.07 hrs/resident/day on weekends vs 3.50 on weekdays — 12% thinner on weekends. RN hours go from 0.31 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Ecited before2026-06-24 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, resident interviews, significant other interview, and staff interviews, the facility failed to ensure the provision and availability of linens to meet the hygiene and comfort needs for 9 of 9 residents representing three of four halls and interviewed regarding linen availability (Residents #4, #12, #10, #13, #14, #15, #16's significant other, #17, and #18).Findings included:a. Record review revealed Resident #4 had a Medicare 5-day Minimum Data Set assessment dated [DATE] which coded her as cognitively intact.An interview was conducted with Resident #4 on 6/22/2026 at 8:09 AM who resided in Mauve one hall. Resident #4 stated that both nurse aides and nurses told her they did not have washcloths or towels. She reported that staff attempted to bathe her daily, but due to the lack of linens, they used one end of a towel to bathe her and the other end to dry her because there were not enough towels available.b. Record review revealed Resident #12 had a significant change Minimum…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-24 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to ensure staff implemented the facility's abuse reporting and protection policy and procedures by failing to immediately report to the Administrator leading to a lack of protection after an allegation of staff to resident physical abuse involving Nurse #1 and Resident #3. This failure affected one of three residents that were reviewed for implementation of abuse policies and procedures (Resident #3).Findings included:Review of the facility's policy titled Abuse/Neglect/Misappropriation/Crime, effective 10/17/2024, under Patient Protection, stated: All employees are responsible for immediately (no later than two hours after the allegation is made if the incident involves abuse or bodily injury) reporting to the Administrator, or in their absence, the Director of Nursing, or their immediate supervisor, any and all suspected or witnessed incidents of patient abuse, neglect, theft, exploitation, and/or mistreatment of a patient as well as any…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, family interview, nurse practitioner interviews, and staff interviews, the facility failed to ensure accurate documentation of a medical diagnosis for one of three residents reviewed for the accuracy of medical record documentation (Resident #4).The findings included:Resident #4 was admitted to the facility on [DATE] with cumulative diagnoses including coronary artery disease, myocardial injury, hypertension, Type 2 diabetes mellitus, congestive heart failure, and chronic kidney disease.Record Review of the electronic medical record revealed the principal admitting diagnosis listed for Resident #4 was Parkinson's disease, entered on 5/6/2026 by Minimum Data Set (MDS) Nurse #1. This diagnosis represented an acute neurological condition not supported by the resident's documented medical history.Record review of follow-up notes dated 5/13/2026, 5/14/2026, and 5/17/2026 written by NP #1 revealed that the diagnosis of Parkinson's disease first appeared in NP #1's documentation on 5/14/2026 for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-04 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and staff interviews, the facility failed to implement their infection control policy for Enhanced Barrier Precautions (EPB) when nurse aides failed to wear a gown while providing incontinence care for Resident #59 who was on EPB. The deficient practice was observed for 3 of 9 staff observed for infection control practices (Nurse Aide #1, Nurse Aide #2, and Nurse Aide #3).The findings included:A review of the facility's policy titled Enhanced Barrier Precautions, revised on 3/26/2024. The policy stated Employees providing high-contact patient care activities will follow EBP for patients who meet the criteria. This included indwelling medical devices (e.g., central line, urinary catheter, feeding tube, tracheostomy, etc.)An observation of Resident #59's room on 4/27/2026 at 10:27 AM revealed there was yellow signage outside the room indicating Personal Protective Equipment (PPE) were to be used. The signage advised staff to clean hands before and after entering Resident #59's room, wear gloves and gowns for high contact activities such as changing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-04 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with family, facility staff, and Support Representative from the money transfer application company, the facility failed to protect the resident's right to be free from misappropriation of Resident #186's cell phone and an unauthorized transfer of funds from the resident's money transfer application (a financial platform that allows users to send, receive, and manage money directly from their smartphone) on his cell phone. This deficient practice affected 1 of 1 resident reviewed for misappropriation of property (Resident #186). The findings included:Resident #186 was admitted to the facility on [DATE]. The admission Minimum Data Set (MDS) dated [DATE] indicated Resident #186 had moderate cognitive impairment and was dependent on staff for assistance with all activities of daily living. An initial allegation report dated 9/22/25 completed by the Staff Development Coordinator (who worked as the Assistant Director of Nursing at the time of the report) indicated on 9/20/25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-04 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff and Ombudsman interviews, the facility failed to send a copy of the Notice of Transfer/Discharge to the Ombudsman for 3 of 3 residents reviewed for discharge process (Resident #117, Resident #182 and Resident # 179). The findings included: 1. Resident # 117 was admitted to the facility on [DATE]. Nursing documentation dated 11/1/25 noted Resident #117 had been sent to the hospital. Resident #117's discharge assessment-return anticipated Minimum Data Set assessment noted he was discharged to the hospital on [DATE]. Review of Resident #117's medical record revealed there was no documentation that the Regional Ombudsman had received a copy of the Notice of Transfer/Discharge. A telephone interview was conducted with the former Discharge Planner on 4/30/26 at 2:40 PM. She revealed she was the discharge planner in November of 2025 and was not aware that a copy of the Notice of Transfer/Discharge was required to be sent to the Regional Ombudsman. A telephone interview was conducted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-05-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff, Wound Nurse Practitioner (NP), and Medical Director interviews, the facility failed to keep the resident's pressure ulcer wound vacuum device off the floor. The resident had sacral pressure ulcer and osteomyelitis (infection of the bone) of the sacral bone. The deficient practice affected 1 of 6 residents reviewed for pressure ulcer (Resident #14). The findings included:The National Institute for Health (NIH) defines a wound vacuum device as a method using negative pressure wound therapy with proper wound preparation, debridement, dressing placement, and airtight sealing. A porous foam dressing is placed into the wound to which continuous or intermittent suction is applied by tubing and connected to a suction device. An air-tight transparent film dressing is applied over the wound. The device may be placed using sterile technique when clinically indicated. (February 21, 2026).The NIH clinical guidelines for the wound vacuum usage were that you would emphasize…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff and Medical Director interviews, the facility failed to have an effective system in place for communicating a therapy order for a resting left hand splint to nursing staff for 1 of 1 resident reviewed for a contracture and limited range of motion (Resident #36).Findings included:Resident #36 was admitted to the facility on [DATE]. Diagnoses included contracture of the left hand, muscle weakness and cerebral infarction (stroke).Review of an Occupational Therapy note entered by Occupational Therapist (OT) #1 and dated 12/11/25 revealed Resident #36 was referred to occupational therapy for functional decline and reassessment of compliance with splinting. The musculoskeletal assessment revealed the range of motion (ROM) and strength of both the left and right upper extremities were impaired, functional limitations were present due to contractures, the location of the contractures were the left hand and elbow, and the current orthotic device was a resting hand splint.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff and Medical Director interviews, the facility failed to keep a dependent resident positioned in the center of his bed so when the air mattress rotated for offload it did not cause the resident to fall out of his bed. The resident sustained a laceration above his right eye and was sent to the Emergency Department (ED). The deficient practice affected 1 of 9 residents reviewed for accidents (Resident #14).The findings included:Resident #14 was admitted to the facility on [DATE] with a diagnosis of quadriplegia.Resident #14's admission Minimum Data Set, dated [DATE] documented his cognition was intact. The resident was dependent for all his activities of daily living. The active diagnoses were quadriplegia and injury of the spinal cord unspecified level of the cervical spine. The resident had a stage 4 pressure ulcer that was present on admission. The care plan for Resident #14 dated 3/5/26 included areas that addressed his high risk for a fall and he was dependent for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-04 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and resident, staff, and Quality Assurance Pharmacist interviews, the facility failed to provide pharmaceutical services that assured the accurate acquiring, receiving, dispensing, and administering of medication to meet the resident's needs for 1 of 1 resident reviewed for medication administration (Resident #89). The findings included:Resident #89 was admitted to the facility on [DATE] with a diagnosis of atrophic vaginitis.Review of Resident #89's order summary revealed an order for Estrace Cream 0.1miligram(mg)/gram(gm) (a medication that restores hormone levels in vaginal tissue, insert 1gm vaginally one time of day for Atrophic vaginitis for 365 days written on 3/10/25 with an end date of 3/11/26. Estrace Cream 0.1mg/gm, insert 1 gm vaginally one time a day for atrophic vaginitis was reordered on 4/13/26.Review of Resident #89's Medication Administration Records (MAR) from May 2025 through April 2026 indicated 9 (refer to progress note) for the dates listed below: 5/26/25 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,034 in federal fines across 1 penalty.

• $8,034 — penalty dated 2024-11-20

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIFEWORKS REHAB — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

17 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC