Living Waters

Five licensed family care homes · [Buncombe County, NC]

A house, not a facility.

Living Waters runs five licensed family care homes in [Buncombe County, North Carolina]. Up to six people live in each one. There’s a kitchen table, a porch, a street address — and someone here around the clock who knows everybody’s name.

Licensed by NC DHSR Special Assistance & Medicaid PCS accepted Visits without an appointment
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The scale of the thing

Six people. One house.

In a big facility you’re one of ninety. Here, the person who brings your coffee in the morning is the person who brought it yesterday, and last year, and knows you take it black.

Not a wing, not a hall, not a floor.

That isn’t a nicer version of care. In this work, it is the care.

A larger facility90

Ninety residents. Rotating staff. A wing, a hall, a floor.

A family care home6

Six people, one kitchen table, and the same face every morning.

One of the homes seen from the top of the drive, wooded hills behind it.

Our homes

Five houses. Up to six people in each.

Who lives here

A family care home isn’t a home for old people. It’s a home for people who need one.

Most of the people who live here were told, somewhere along the way, that there wasn’t room for them.

There’s room here.

  • Older adults who need somebody nearby, but not a nursing home
  • Adults living with serious mental illness — often people leaving a hospital with nowhere to go
  • Adults with intellectual and developmental disabilities
  • Adults living with a brain injury
  • People in their forties and fifties on disability — not everyone here is old

Why we do it differently

Two things about this place that surprise people.

Neither is marketing. Each one started as a practical answer to a real problem — and each one turned out to be good for the people who live here.

Our caregivers bring their children to work.

The first time a visitor sees a nine-year-old doing homework at the kitchen table, they usually stop and stare.

Caregiving is hard work, done mostly by women, and it doesn’t pay what it should. Child care costs what it costs. The most common reason a shift went uncovered here was never that somebody quit — it was that somebody’s child care fell through at six in the morning. So we stopped making people choose.

What we didn’t expect was what it did to the houses. There’s somebody to show a drawing to. There’s noise in the afternoon. People who hadn’t been getting out of their chair much started getting out of their chair.

Our residents don’t tolerate the children. They wait for them.

Our staff can live where they work.

[Asheville] is an expensive place to live, and caregiving does not pay like an expensive place to live. That’s not a complaint, it’s arithmetic.

So we made housing part of the deal. It’s an option, never a requirement. No commute, no gas money, no scrambling when the car won’t start.

We didn’t do it to be generous. We did it for what it buys the people who live here: the same face, every morning, for years. Knowing she doesn’t like being woken suddenly. Knowing he goes quiet before he gets upset. You can’t write that into a care plan. It only comes from time.

Keeping our people is how we take care of our residents. Everything else is downstream of that.

There is a third thing, and it’s the one we’re least comfortable talking about.

What it actually looks like

A porch, a drive, and the hills behind.

The covered front porch of one of the homes, with hanging ferns, an American flag and a red front door.
The porch, mid-morning.
The full length of the covered porch, ferns hanging from the beam.
Another of the houses, seen from the porch.
The approach to one of the homes, the drive curving up to the porch.
The drive up to the front door.
A fence line at the edge of the property, with wooded hills beyond.
The fence line at the edge of the property, and the wooded hills beyond it.

The numbers are public. Almost nobody knows them.

What North Carolina pays for a person to have a home.

In 2026, Special Assistance pays a maximum of $1,397 a month for an eligible resident’s room and board. That covers the room, the utilities, three meals and snacks, the laundry, and a house with staff awake in it around the clock.

$0per day, per person

A budget motel room costs more than that. It doesn’t come with dinner.

Small home, Special Assistance$46$1,397 / month
Assisted living, NC median$214$6,496 / month
Nursing home, semi-private$320$9,733 / month

SA rate from the NC DHHS Special Assistance Manual, January 2026. Assisted living and nursing home medians from 2025 CareScout survey data.

0 years

The Special Assistance rate did not increase once between 2008 and 2022 — not through the financial crisis, not through a decade of rising food and labor costs.

$0

What the state’s own 2024 cost analysis concluded the monthly rate should be. It is $1,397 today — a gap of nearly four hundred dollars per resident, per month.

0 homes

Licensed family care homes left in North Carolina. Every one is privately owned. The state licenses them and pays them. It does not run them.

A day here

Nothing dramatic happens most days. That’s rather the point.

Here’s what an ordinary Tuesday actually looks like. Breakfast at the table, off plates. Somebody’s show at ten. The kids home from school at quarter past three.

6:30Coffee’s on. [Name] is usually the first one up, and has been for [N] years.
7:30Breakfast at the table. Everybody eats together, off plates, at a table. No trays.
8:00Morning medications.
10:00[Somebody’s show] is on in the front room.
12:00Lunch.
3:15The kids get home from school and do homework at the kitchen table.
5:30Dinner.
Evening[TV, cards, phone calls home, somebody on the porch]
OvernightSomebody is awake. Every night, all night, in the house.

Come and see one

You can walk through the whole house.

We say that because we know what tours are like at bigger places — the scheduled visit, the nice lobby, the parts of the building you don't get shown.

There's no part of these houses you don't get shown. It's a house.

  • Walk through all of it, including the kitchen
  • Meet whoever is on shift that day
  • Ask anything you want, including what it costs
The front of one of the homes seen from the drive, with the porch running its full length.
No appointment needed

Room right now

Call us — availability changes faster than this page does.

Come and look

You can’t tell anything about a home from a website.

Call and come look. Any day, no appointment. Walk through the whole house, meet whoever’s on shift, ask us anything you want.

[phone]Ask for [name]
A person answers — including weekends
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