The single most-asked question, answered plainly:
SECU Caring House (2625 Pickett Rd, 919-490-5449) is for adult patients, 18 and over, in active treatment at Duke Cancer Institute — and their caregivers. It is not open to the general public and not for pediatric families: rooms hold two to three adults, and children under 18 can’t stay. First-time guests need a referral from the Duke care team — typically your social worker or care coordinator. The nightly fee is $45 (their published rate as of June 2026; Duke’s own lodging page still shows $40, so confirm when you call), with financial assistance available on stays over 14 nights, plus free parking and transportation to and from Duke. Demand is high and rooms are limited, so ask your care team to start the referral as early as possible — ideally the week treatment is scheduled.
Ronald McDonald House of Durham is the pediatric mirror image: it serves families of patients from newborn to age 18, including high-risk pregnancies, who live at least 50 miles from the treating hospital. Adult patients don’t qualify — this is the answer to the very common “Ronald McDonald House for adults” search: in Durham, the adult equivalent is Caring House. There’s no charge to stay (donors cover roughly $100/night of real cost; families may give what they can), and the referral comes from clinical or social-work staff at the hospital — you can’t self-book.
If you qualify for either, take the spot. They’re not just cheaper — both are built around treatment life: hospital shuttles, kitchens, and a community of people walking the same road. The rest of this page exists for everyone the eligibility lines exclude: adult patients who can’t get a room, families with kids over 18 or mixed-age households, people who live 30 miles away, stays the houses can’t cover, or anyone who simply needs more space and privacy than a guest room allows.