About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in Gastonia, North Carolina

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Right at Home - Belmont, NC, Grandma Joan's Live-In Care Consulting and Recruiting and Affordable Family Care Services, Inc - Charlotte, NC are the top home care agencies in Gastonia, North Carolina, helping seniors remain safe and comfortable at home. With 60 home care agencies in the area, families can compare services to find the right match. The average cost of home care in Gastonia is $31 per hour.

Located in the Charlotte metropolitan area, Gastonia provides seniors with access to strong health systems, community programs, and local resources that support aging in place.

Home Care Agencies near Gastonia, NC

Showing 37 home care providers
Last Updated: 12/8/25
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of SYNERGY Home Care - Gastonia, NC
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Welcome to SYNERGY HomeCare, the nation’s leading provider of home care services.We provide care for everyone, helping people thrive at home.Companion care - Friendly and supportive conversation, planning and encouraging social activities, light exercise (if applicable), and active...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Open Hands Nursing Agency LLC
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Total Care Nursing Agency
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
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Photo of Touched By Angels Home Health
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details

How much does home care cost in Gastonia, North Carolina?

According to A Place for Mom’s proprietary data, the average cost of home care in Gastonia is $31 per hour.[01] Gastonia’s average hourly rate is lower than the national average rate of $32. This difference is reflective of the city’s cost of living, which is about 9% lower than the national average.[02]

Home care’s hourly pricing model provides flexibility needed to scale up or down, depending on a senior’s needs. Families often hire part-time home care for around 20 hours per week. Based on the average hourly rate in Gastonia, part-time home care costs $2,685 per month. A full-time home care schedule of about 44 hours per week may be a better fit for seniors who need more assistance, companionship, and supervision. Full-time home care in Gastonia costs about $5,906 per month.

For seniors who need more than part-time care, families may want to consider assisted living, memory care, or a nursing home. These senior living options may be more cost-effective than full-time or round-the-clock home care.

Average home care costs in Gastonia, NC

Average hourly rate
$31/hr

Home care costs vs. senior living costs in Gastonia, NC

44 hours of home care/wk
$5,906/mo
$5,070/mo

Home care costs in Gastonia vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Gastonia, NC$31$124$2,685$32,240
North Carolina$30$120$2,598$31,200
National$30$120$2,598$31,200
Gastonia, NC
Hourly cost:$31
Daily cost:$124
Monthly cost:$2,685
Annual cost:$32,240
North Carolina
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Gastonia.

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How to pay for home care in Gastonia

In Gastonia, the most common ways families pay for home care include personal savings and publicly funded benefit programs.

Private pay options

  • Retirement income and savings.  Social Security, pensions, and personal savings are common sources of funding for home care.
  • Long-term care insurance. Some long-term care policies reimburse for in-home care.
  • Life insurance. Converting, borrowing against, or selling a life insurance policy can help fund long-term care services.
  • Home equity. A home equity loan or reverse mortgage can unlock equity that’s built up over the years.

Medicare

Medicare covers short-term home health services that are prescribed by a physician and delivered by a Medicare-certified agency. Services may include:[03]

  • Skilled nursing
  • Physical, occupational, or speech therapy
  • Limited medical supplies and equipment

Medicare won’t cover homemaker or home care services if they’re the only type of support needed.

Medicare resources in Gastonia

Seniors in Gastonia can contact the Medicare and Seniors’ Health Insurance Information Program (SHIIP) at 855-408-1212 for free, unbiased advice. The following local SHIIP resource is available to residents of Gaston County:

  • HealthNet Gaston
    613 E. Franklin Blvd.
    Gastonia, NC  28052
    Phone: 704-874-1953

For general Medicare questions, visit Medicare.gov.

Medicaid

Medicaid can help cover home care services for eligible seniors in Gastonia. North Carolina’s Medicaid program offers several options to support in-home care, including:[04]

  • Personal Care Services (PCS). This program helps with activities of daily living (ADLs) such as bathing, dressing, eating, toileting, and mobility. To qualify, individuals must have a medical condition, disability, or cognitive impairment and demonstrate a need for help with at least two ADLs. An independent assessment determines eligibility and the number of service hours approved.​[05]
  • Home Health Services. Medicaid covers medically necessary services prescribed by a physician, including skilled nursing care, physical therapy, occupational therapy, speech-language pathology, and home health aide services. These services are provided in the individual’s residence and are intended for those who are homebound or have limited mobility.​[06]
  • Community Alternatives Program for Disabled Adults (CAP/DA). This Home- and Community-Based Services (HCBS) waiver program offers a range of services to help individuals who require a nursing facility level of care to remain in their homes. Offerings may include personal care assistance, home modifications, meal delivery, and case management. Enrollment in CAP/DA is limited and there may be a waiting list.[07]

Medicaid resources in Gastonia, NC

North Carolina residents can apply for Medicaid online via ePASS or by calling the NC Medicaid Contact Center at 888-245-0179.

To apply in person or get help with Medicaid questions, seniors in Gastonia and Gaston County can contact this local resource:

VA benefits

VA benefit programs provided by the U.S. Department of Veterans can be used to offset the cost of home care for eligible veterans.

  • Aid and Attendance (A&A). The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities.[06] These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed, or submitted at the nearest regional benefits office in Winston-Salem.
  • Homemaker and Home Health Aide Care. This VA program offers trained professionals to help veterans with daily personal care needs such as bathing, dressing, and meal preparation, allowing them to remain at home. Services are ordered by a VA health care provider and arranged through the local VA medical center. To apply, contact a VA social worker in North Carolina for next steps.[07]
  • Veteran Directed Care (VDC). The VDC program gives eligible veterans control to manage their own care services, including the ability to hire personal care aides and tailor services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.[08]

Resources for veterans in Gastonia

Eligible veterans and their surviving spouses can contact the following local and regional organizations for help with veterans benefits:

Resources in Gastonia that help seniors age in place

Seniors and their families in Gastonia can find programs and supports through the following resources:

  • Centralina Area Agency on Aging (AAA)
    The AAA supporting Gaston County seniors offers educational classes and workshops, transportation, and help paying for medications.
    10735 David Taylor Drive, Suite 250
    Charlotte, NC 28262
    Phone: 800-508-5777
    Email: aging@centralina.org
  • Gastonia Adult Recreation Center
    The Adult Recreation Center in Gastonia provides fitness, recreation, and social programs for older adults.
    519 W. Franklin Blvd.
    Gastonia, NC 28052
    Phone: 704-866-6848

Home care laws and regulations in North Carolina

The North Carolina Division of Health Service Regulation (DHSR) regulates home care providers in the state.

Licensing and accreditation

To legally operate, home care agencies in North Carolina must obtain a license from the DHSR’s Acute and Home Care Licensure and Certification Section. To obtain a license, agencies must demonstrate that they have:[11]

  • Formal policies covering client, facility, and personnel records and practices
  • Documented standard operating procedures
  • Infection control policies and practices
  • Emergency response plans
  • Staff immunization and sick leave plans
  • Mechanisms to verify staff background and criminal records
  • Mechanisms to ensure staff are appropriately trained for their jobs

Hiring practices

Home care agencies in North Carolina are required to implement strict hiring procedures to ensure client safety, including the following.[11]

  • All potential employees must undergo a criminal background check. Applicants who have lived in North Carolina for less than five years must complete both state and national background checks, including fingerprinting.
  • Agencies may not hire individuals with substantiated findings on the North Carolina Health Care Personnel Registry.
  • Staff must meet specific education and training requirements, and agencies must provide regular supervision to maintain high standards of care.

These regulations help maintain accountability and ensure that seniors in the state receive dependable, high-quality home care.

How to choose the right home care agency in Gastonia

The following steps can help you hire the best home care provider for your loved one.

Request detailed pricing information

Ask agencies to provide written cost estimates including hourly rates and service minimums.

Ask about caregiver training and expertise

Ensure caregivers have education and experience that’s relevant to your loved one’s needs, such as dementia care, mobility assistance, or managing chronic conditions.

Check licensing and inspection history

Check the North Carolina Division of Health Service Regulation list of licensed home care and home health care agencies. To understand a specific agency’s regulatory background, as for inspection reports when you talk with them.

Read home care reviews

Reviews from families can provide insight into caregiver reliability and quality.

Frequently asked questions about home care in Gastonia

Right at Home - Belmont, NC, Grandma Joan's Live-In Care Consulting and Recruiting and Affordable Family Care Services, Inc - Charlotte, NC are the top-rated Home Care facilities near Gastonia, NC. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in Gastonia is $5,906 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. Payscale. Cost of living in Gastonia, North Carolina.

  3. U.S. Centers for Medicare & Medicaid Services. Home health services. Medicare.gov.

  4. North Carolina Department of Health and Human Services. NC Medicaid 1915(i) services.

  5. North Carolina Department of Health and Human Services. (2025, September 4). Personal Care Services (PCS).

  6. North Carolina Department of Health and Human Services. (2025, April 8). Home Health Services.

  7. North Carolina Department of Health and Human Services. (2025, August 5). Community Alternatives Program for Disabled Adults.

  8. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  9. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and Home Health Aide Care.

  10. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-Directed Care.

  11. North Carolina Office of Administrative Hearings. 10A NCAC 13J: Licensing of home care agencies.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare & Medicaid Services. Home health services. Medicare.gov.

4.

North Carolina Department of Health and Human Services. NC Medicaid 1915(i) services.

5.

North Carolina Department of Health and Human Services. (2025, September 4). Personal Care Services (PCS).

6.

North Carolina Department of Health and Human Services. (2025, April 8). Home Health Services.

7.

North Carolina Department of Health and Human Services. (2025, August 5). Community Alternatives Program for Disabled Adults.

8.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

9.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and Home Health Aide Care.

10.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-Directed Care.

11.

North Carolina Office of Administrative Hearings. 10A NCAC 13J: Licensing of home care agencies.