CareSignal Research Library

Research that stays clear about what the data can—and cannot—say.

Browse public home-care, home-health, HCBS, workforce, payer, and Piedmont Triad evidence. Each record keeps its source, date, scope, and caveats close to the figure.

Evidence labels are part of the result.

Verified figures, estimates, occupational proxies, and data gaps are intentionally distinct—so a missing measure is never disguised as a fact.

Fast lookup

KPI Snapshot

Public benchmarks. Use your own agency data for internal performance targets.

Medicare-certified skilled home health

Medicare FFS hospital discharges resulting in home health

18.0%

Data year

2024

Medicare FFS home-health periods that are community-admitted

75.0%

Data year

2024

Medicare FFS periods after hospital or institutional PAC

25.0%

Data year

2024

Medicare-certified home-health agencies that are for-profit

83.5%

Data year

2022

Non-medical / personal home care

Projected U.S. home health and personal care aide employment growth

+17%

Projection period

2024–2034 projection

Medicaid HCBS / LTSS context

HCBS is broader than personal home care and is not a measure of all home-care or personal-care spending.

Medicaid HCBS share of Medicaid LTSS spending

63.8%

Data year

2023

Interactive public data resource

U.S. County Demographics Explorer

Explore source-linked county estimates for older-adult share and household income, with clear definitions and American Community Survey limitations.

Public demographic context only. It is not a measure of care demand, eligibility, utilization, quality, or business performance.

Open county explorer
Non-medical home-care resource

Workforce planning template for agency leaders

Structure a non-medical and personal home-care workforce review by separating public labor context, agency recruiting-funnel evidence, and the capacity rules your operation uses.

Public occupational data are all-industry context, not proof that a specific agency can cover a future schedule.

Open workforce planning template

15-minute research review

Bring one clearly scoped question.

Choose the review path that matches your service context. The two conversations use separate questions, public-source boundaries, and next-step resources.

Non-medical / personal home care

Frame a workforce question

Medicare-certified skilled home health

Frame a public-evidence question

Piedmont Triad workforce context

Occupational context, not agency headcount

The combined Winston-Salem and Greensboro–High Point workforce proxy below uses May 2023 BLS Occupational Employment and Wage Statistics (OEWS). It covers employment across all industries, not the number of home-care agency employees or exact agency job titles.

May 2023 BLS OEWS combined Piedmont Triad occupational employment proxy
OccupationContextEstimated employment
Home health and personal care aidesNon-medical / direct care8,390
Nursing assistantsNon-medical / direct care8,710
Registered nursesSkilled home health14,760
Licensed practical and licensed vocational nursesSkilled home health2,410
Medical and health services managersOperations context1,950

Skilled home health

RN and LPN/LVN occupational wage context

Use the two BLS MSA tables to review public occupation-level wage measures for registered nurses and licensed practical/licensed vocational nurses. They are not a Medicare-certified home-health agency pay schedule or a wage guarantee.

Non-medical / direct care

Home health and personal care aide wage context

Review BLS OEWS occupation-level wage measures for home health and personal care aides, alongside nursing assistants where relevant. They do not establish a universal personal-care agency rate or predict an individual employer’s pay.

Wage-method limitation: CareSignal does not present a single “average caregiver pay rate” for the Triad here because an occupational estimate is not an agency-specific rate. BLS wage measures vary by occupation, MSA, period, employer mix, credentials, shift, and benefits; follow the linked source tables for the applicable occupation and geography.

North Carolina public guidance

North Carolina Non-Medical Home Care: Licensure Path

A directional public-information flow for prospective operators planning a North Carolina non-medical home-care agency. It is structured for orientation, not as a substitute for the current DHSR process.

Open NC DHSR home-care guidance
  1. 1

    Step 1 of 7

    Choose the service model and coverage plan

    Define the non-medical services, intended counties, service area, and operating structure before preparing an application.

  2. 2

    Step 2 of 7

    Review current NC home-care rules and application requirements

    Read the applicable statutes, rules, forms, and DHSR guidance for the license type before relying on a checklist.

  3. 3

    Step 3 of 7

    Prepare operational readiness materials

    Develop required policies, administrator and staffing plans, documentation, and operational processes that match current requirements.

  4. 4

    Step 4 of 7

    Submit required materials to NC DHSR

    Use the current DHSR application instructions and forms; retain copies and track DHSR requests for additional information.

  5. 5

    Step 5 of 7

    Complete DHSR review or inspection

    Respond to review questions, inspections, or findings within the process and timeframes DHSR communicates.

  6. 6

    Step 6 of 7

    Receive authorization before operating

    Do not begin operating until DHSR has issued the required authorization for the approved scope.

  7. 7

    Step 7 of 7

    Maintain renewals and ongoing compliance

    Monitor current renewal, reporting, staffing, and operational obligations after authorization.

Official federal sources

Federal Data Tools Library

A curated reference layer for public Medicare, Medicaid, workforce, and demographic context. Each card links to the exact official dataset, report, or tool—not an agency homepage.

Public dataset discovery

Search Catalog.Data.gov

Search the federal catalog for dataset metadata relevant to home health, non-medical/personal home care, caregiver workforce, aging, Medicare, Medicaid, and HCBS/LTSS.

Catalog.Data.gov is a discovery layer. Review the linked source, methods, dates, and scope before using a listing as evidence.

The search loads up to 8 metadata records after a short pause or when you submit. Medicare-certified skilled home health, non-medical/personal home care, and broader HCBS/LTSS have different scopes and should not be treated as interchangeable.

Loading Catalog.Data.gov dataset metadata…

Where are Medicare-certified home-health providers, and how do they compare?

Use these sources for the Medicare-certified skilled home-health provider landscape—not for non-medical or private-pay agency counts.

Centers for Medicare & Medicaid Services (CMS)

CMS Provider Data Catalog — Home health services

Start here to identify the official CMS home-health datasets and their data dictionaries.

Applicable segment
Medicare-certified skilled home health
What this source supports
Finding the official CMS home-health datasets, data dictionaries, current-data notices, and quality-measure documentation.
Open official reference
Centers for Medicare & Medicaid Services (CMS)

Home Health Care Agencies

Use the direct agency dataset for Medicare-registered home-health provider lookup and published ratings fields.

Applicable segment
Medicare-certified skilled home health
What this source supports
Agency names, addresses, phone numbers, and published quality-measure ratings in the CMS file.
Open official reference

What public Medicare home-health utilization and quality context is available?

These sources describe Medicare-certified skilled home health. They do not represent all home care, private-pay demand, or agency financial performance.

Centers for Medicare & Medicaid Services (CMS)

Home Health Care — National Data

Use the direct national CMS dataset to interpret national home-health quality-measure context.

Applicable segment
Medicare-certified skilled home health
What this source supports
National comparison context and definitions for publicly reported home-health quality measures.
Open official reference

What Medicaid HCBS and LTSS context is available by state?

Medicaid HCBS/LTSS is broader than non-medical/personal home care and is not a total home-care market measure.

Centers for Medicare & Medicaid Services (CMS), Medicaid.gov

Reports and Evaluations — Long Term Services and Supports

Start with CMS’s official report index for state and national LTSS users, expenditures, methods, and rebalancing context.

Applicable segment
Medicaid HCBS / LTSS context
What this source supports
Official LTSS users, expenditures, HCBS rebalancing, service-category reports, data notes, and methods.
Open official reference
Centers for Medicare & Medicaid Services (CMS), Medicaid.gov

Trends in Users and Expenditures for Home and Community-Based Services as a Share of Total Medicaid LTSS Users and Expenditures, 2023

Use the direct 2023 report when reviewing the HCBS share of Medicaid LTSS users and expenditures.

Applicable segment
Medicaid HCBS / LTSS context
What this source supports
The HCBS share of Medicaid LTSS users and expenditures, with the report’s methods and definitions.
Open official reference
Centers for Medicare & Medicaid Services (CMS), Medicaid.gov

Home & Community-Based Services

Use the official program overview to orient Medicaid HCBS policy context before comparing state-specific material.

Applicable segment
Medicaid HCBS / LTSS context
What this source supports
Understanding the Medicaid HCBS program context and routes to official policy and state information.
Open official reference
Centers for Medicare & Medicaid Services (CMS), Medicaid.gov

Long-Term Services and Supports Quality Measures

Use CMS measure references to understand LTSS quality context and link through to measure-specific documentation.

Applicable segment
Medicaid HCBS / LTSS context
What this source supports
Official LTSS quality-measure references and measure-specific documentation.
Open official reference

What does the public record show about home-care workforce supply and wages?

Use these labor-market tools for occupational context; they do not measure one agency’s staffing, retention, or compensation plan.

U.S. Bureau of Labor Statistics

Occupational Outlook Handbook — Home Health and Personal Care Aides

Use the direct BLS occupation page for national pay, employment, projections, and state/area data links.

Applicable segment
Non-medical / personal home care
Workforce
What this source supports
National occupational pay, employment, projected growth, openings, work setting, and links to area data.
Open official reference

What population and local-market context can be compared across service areas?

Use these sources to size and compare local demographic context. They do not estimate private-pay market size, payer mix, referrals, or revenue.

U.S. Census Bureau

American Community Survey — Data Profiles

Use the ACS Data Profiles when you need a transparent, standard set of local demographic, economic, housing, and social context.

Applicable segment
Local-market context
Population / aging
What this source supports
Comparable demographic, social, economic, and housing context for a selected geography.
Open official reference
U.S. Census Bureau

Census Data Explorer

Use Census Data Explorer to select the correct table, vintage, and geography for more detailed comparisons.

Applicable segment
Local-market context
Population / aging
What this source supports
Exploring official Census tables and comparing demographic and housing context across available geographies.
Open official reference

Winston-Salem / Forsyth business data

Local context for a better business question

A focused directory for home-care and home-health planning: local market context, business and industry research, workforce conditions, small-business intelligence, economic development, and public-data discovery.

Library-provided databases

Research access through Forsyth County Public Library

Third-party research tools listed by the Library for small-business work. They are linked for authorized use only; CareSignal does not ingest, scrape, or license their content.

Data Axle Reference Solutions

Which local businesses, prospects, competitors, or market areas should inform outreach, referral mapping, or service-area research?

Library card
Publisher / owner
Data Axle; provided by Forsyth County Public Library through NC LIVE
Geography / scope
U.S. companies and local-market research; filter for Winston-Salem/Forsyth County as available in the tool.
Practical planning question
Which local businesses, prospects, competitors, or market areas should inform outreach, referral mapping, or service-area research?
Open FCPL-provided database

ProQuest Central

What documented industry, labor, policy, or local-business reporting can frame a planning question before seeking primary data?

Library card
Publisher / owner
ProQuest; provided by Forsyth County Public Library through NC LIVE
Geography / scope
Multi-industry U.S. and international publication and report coverage; local relevance depends on the selected source and search.
Practical planning question
What documented industry, labor, policy, or local-business reporting can frame a planning question before seeking primary data?
Open FCPL-provided database

Value Line Investment Survey

What public-company and industry context may help frame supplier, employer, or broader market research?

Library card
Publisher / owner
Value Line; provided by Forsyth County Public Library
Geography / scope
Public-company, industry, market, and economic coverage; not a local agency dataset.
Practical planning question
What public-company and industry context may help frame supplier, employer, or broader market research?
Open FCPL-provided database

Public-government data tools

Population, workforce, and place context

Open public sources for checking a service-area assumption, labor condition, or development pattern. Read the selected dataset’s definitions, vintage, and geography before comparing results.

Census Data Explorer — Forsyth County profile

What do population age, household, income, housing, and demographic indicators suggest about the local context for a proposed service area?

Open web
Publisher / owner
U.S. Census Bureau
Geography / scope
Forsyth County, North Carolina; Census tables also support place, tract, ZIP Code Tabulation Area, and other available geographies.
Practical planning question
What do population age, household, income, housing, and demographic indicators suggest about the local context for a proposed service area?
Open official Census profile

NC Commerce Labor Market Data & Tools

What are the current local labor conditions, occupation patterns, industry employment, and unemployment context for staffing planning?

Open web
Publisher / owner
North Carolina Department of Commerce, Labor & Economic Analysis Division
Geography / scope
North Carolina with county, regional, industry, occupation, and labor-market views as available in the selected tool.
Practical planning question
What are the current local labor conditions, occupation patterns, industry employment, and unemployment context for staffing planning?
Open NC Commerce tool directory

Maps & GIS Data

Where are neighborhoods, development patterns, planning areas, and map layers relevant to a service-area or site-planning question?

Open web
Publisher / owner
City of Winston-Salem
Geography / scope
Winston-Salem and linked City-County GIS coverage in Forsyth County.
Practical planning question
Where are neighborhoods, development patterns, planning areas, and map layers relevant to a service-area or site-planning question?
Open City maps and data

Forsyth County Economic Development GIS services

What published county economic-development layers help orient a location, infrastructure, or business-environment question?

Open web
Publisher / owner
Forsyth County, North Carolina
Geography / scope
Forsyth County economic-development map services, including industrial parks and related planning layers.
Practical planning question
What published county economic-development layers help orient a location, infrastructure, or business-environment question?
Open County GIS services

Local economic-development resources

Business-location and growth context

Local planning and economic-development resources for regional workforce, employer, site, and support context—not a substitute for regulated care, reimbursement, or agency-performance analysis.

Local Data

What workforce, education, employer, and community indicators should be considered when evaluating local business conditions?

Open web
Publisher / owner
Greater Winston-Salem, Inc.
Geography / scope
Winston-Salem/Forsyth County and the surrounding regional economy.
Practical planning question
What workforce, education, employer, and community indicators should be considered when evaluating local business conditions?
Open Greater Winston-Salem data page

Economic Recruitment & Retention

Which local contacts, incentives, sites, and business-support pathways may be relevant to expansion, relocation, or retention planning?

Open web
Publisher / owner
Forsyth County Community & Economic Development
Geography / scope
Forsyth County, North Carolina.
Practical planning question
Which local contacts, incentives, sites, and business-support pathways may be relevant to expansion, relocation, or retention planning?
Open County economic-development resource

Access labels reflect the linked publisher or provider documentation verified on October 4, 2026. Restricted databases are linked only to their authorized access pages; no third-party database content is copied into this library.

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Build a focused research brief.

Choose a market, population, service segment, workforce role, and metric category. The result set and interpretation update from available library evidence only.

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Start with the question, not the exact phrase.

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