TerraBella Hillsborough

Assisted Living in North Carolina

TerraBella Hillsborough

Assisted Living in North Carolina

Overview of Terrabella Hillsborough

Located in the historical community of Hillsborough, NC, Terra Bella Hillsborough is a one-of-a-kind senior living community offering assisted living and memory care. The community features cozy suites and elegant one-bedroom apartments for seniors to find solace in. With its exceptional care and assistance 24/7, residents keep their peace of mind and enjoy a maintenance-free lifestyle. Alongside its signature SHINE Memory Care program, the community provides various signature programs encompassing dining activities, activities, and transportation. To ensure seniors are in their best condition, the community provides fun and exciting activities. Moreover, meals that are served from breakfast to dinner are of the highest quality to cater to its residents’ dietary needs and preferences. Terra Bella Hillsborough is a pet-friendly community that provides its residents with local outings, live entertainment, and wellness classes in its wonderful amenities such as a private courtyard, a community garden, and scenic walking paths.

(919) 732-9040
Bed community size
96-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 32 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Details

StatusActive
CountyOrange
License NumberHAL-068-035

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactJennifer Palmisano, Executive Director

Contact TerraBella Hillsborough

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Division Of Health Service Rating
3/4

North Carolina average: 3 stars

Scores

DHSR Score
103.50 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98

Inspection History

In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.

20 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Results

14 resulted in violations

6 found no issues

Latest inspection

Date August 13, 2025
Follow Up

44 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

North Carolina average: 46 deficiencies

Inspection Report Summary for TerraBella Hillsborough

The most recent inspection on August 13, 2025, found deficiencies related to failure to submit required construction documents and specifications for remodeling, specifically for the fire alarm system replacement. Earlier inspections showed a recurring pattern of similar construction compliance issues, including fire safety system maintenance problems and unapproved remodeling activities. Prior annual inspections cited deficiencies mainly in resident care areas such as medication administration, staff qualifications, therapeutic diet adherence, and supervision, but these were separate from the construction-related findings. Complaint investigations included one in June 2024 that was part of the annual inspection, but no substantiated complaints were noted in the available reports. The facility’s record shows ongoing challenges with construction compliance over multiple years, while resident care deficiencies appeared more prominently in earlier inspections, indicating some improvement in care-related areas but persistent issues with construction documentation and fire safety compliance.

Financial Assistance for
Assisted Living in North Carolina

TerraBella Hillsborough is located in Hillsborough, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Energy Assistance Program (LIHEAP)

North Carolina LIHEAP

Age 60+ prioritized
General NC resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
NC

Covers oil, gas, electric; emergency aid via Crisis Intervention Program (CIP).

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency fuel ($600 max via CIP)

Senior Community Service Employment Program (SCSEP)

North Carolina SCSEP

Age 55+
General unemployed, low-income, NC resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
NC

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Places of interest near TerraBella Hillsborough

Address 1.2 miles from city center Info Estimated distance in miles from Hillsborough's city center to TerraBella Hillsborough's address, calculated via Google Maps. — 10.33 miles to nearest hospital (Duke University Hospital)

Calculate Travel Distance to TerraBella Hillsborough

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Address

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Assisted Living around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Filter by care type
Oak Hill Assisted Living Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Angier122No 9 64.8% 93.25/2002181%-
TerraBella Hillsborough
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Hillsborough96No 32 -103.50/2002070%-
Miss Bell’s at Garner
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Garner6No 4 66.7% 90.00/2001060%-
Miss Bell’s at Fuquay
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Fuquay-Varina (Avalon Springs)6No 9 66.7% 95.00/200966.7%-
Miss Bell’s at Durham
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Durham (Chelsea Meadows)-No 15 ---00%-

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