Adult Care Homes Adult care homes are residences for aged and disabled adults who may require 24 hour supervision and help with activities of daily living. There are over 1,200 adult care homes in North Carolina Adult care homes vary in size from family care homes with 2-6 residents to adult care homes with more than 100 residents Adult care homes are licensed by the state Division of Health Service Regulation (DHSR) under state regulations and are monitored by Adult Home Specialists within local Departments of Social Services. Homes must respect the rights of residents as outlined in the North Carolina General Statutes. The Long Term Care Ombudsman Program advocates on behalf of adult care home residents and provides assistance with informal grievance resolution upon request of a resident or legal representative. North Carolina operates the State-County Special Assistance Program to help low income families pay for the cost of care in adult care homes. Contact For more information contact your local Department of Social Services.