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 Salisbury, North Carolina

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Purple Heart Health Care Inc, Creative Home Care Solutions, Inc and Impressions Home Care are the top home care agencies in Salisbury, North Carolina, providing trusted and compassionate services that help seniors remain safe and independent at home. With 39 home care agencies in the area, families can find personalized support to meet their loved one’s needs. The average cost of home care in Salisbury is $29 per hour, giving families flexible care options across different budget levels.

In addition to professional caregiving, Salisbury offers a network of community-based resources, including senior centers, transportation programs, and wellness services that help local seniors age in place with confidence.

Home Care Agencies near Salisbury, NC

Showing 25 home care providers
Last Updated: 12/7/25
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Photo of Purple Heart Health Care Inc
11 Photo available
2 reviews
I dealt with [name removed] at Purple Heart. She came to my house to meet with me and visit my husband. She was extremely pleasant, accommodating, listened intently to my concerns, and was very...
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 Creative Home Care Solutions, Inc
11 Photo available
1 review
We live out of state but our experience with Creative Home Care was wonderful. They always kept up great communication, and were there with our loved one when we couldn't be. If we ever need their services...
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 Impressions Home Care
11 Photo available
1 review
When my Grandmother became ill, I didn’t know what to do. It’s only her & I here in Charlotte & I was working full time, plus had two children. One day I was at the salon & my stylist told me to contact...
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 Tender Hearted Home Care
22 Photos available
24 reviews
They get caring people well trained and they take care of my wife and do a good job. They get to know her and encourage and joke with her. They know how to use a Hoyer lift and they do a good job getting her...
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.
TENDERHEARTED HOME CARE is a non-medical, in-home care agency providing home care solutions ranging from companion/sitter to extensive physical assistance. TENDERHEARTED HOME CARE can offer respite to family caregivers, extend and enhance safely living at home, or bring one-on-one personal care...
Photo of Grandma Joan's Live-In Care Consulting and Recruiting
66 Photos available
57 reviews
I was in a real pinch to find the right care giver and "home manager" for my parents. Mom suffers from dementia and suddenly Dad, her main caregiver, had a stroke. Almost overnight, we needed immediate...
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.
About our Consulting and Recruiting ServicesGrandma Joan is an award-winning consulting and recruiter service that has been helping discerning families recruit, screen, and hire premium live-in caregivers since 2010.We act as the family’s private 3rd party recruiters, finding and screening the...
Photo of Home Again Senior Living Communities of Thomasville, NC
11 Photo available
2 reviews
Exceptional Service!
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
1 review
Absolutely the best ever! Has a very homey atmosphere! Very clean, great staff. My brother loved it here.
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.
Photo of Helping Hands Patient Services, LLC
22 Photos 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.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
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 Caring Group of America, LLC
33 Photos 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.
Caring Group of America is a North Carolina based health and home care service company. We provide a range of in-home services, including IV therapy, nursing, pediatric care, personal hygiene, medication assistance, sitter/companionship and exercise assistance. These services are provided by a...
Photo of ProVision Home Care 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.
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
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
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.
Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek. Our trained, bonded and insured caregivers provide in-home supportive care lasting from a...
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.
"Mom and Dad don't get around like they used to..." Sound familiar? Your parents have always provided patience, reassurance, and protection through all of life's ups and downs. Now it's your turn to be there for them. Maybe you are caring for a grandparent or an uncle or aunt, plus working and...
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

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

In Salisbury, home care costs an average of $29 per hour, according to A Place for Mom’s proprietary data.[01] Salisbury’s average hourly rate is lower than the national average rate of $32. This rate difference is reflective of the city’s cost of living, which is about 10% lower than the national average.[02]

Home care’s pay-by-the-hour model allows families to scale services as needed — from a few hours a week up to 24/7 care. Families often hire part-time home care for around 20 hours per week. Based on the average hourly rate in Salisbury, part-time home care costs $2,511 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 Salisbury costs about $5,525 per month.

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

Average home care costs in Salisbury, NC

Average hourly rate
$29/hr

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

44 hours of home care/wk
$5,525/mo
$5,507/mo

Home care costs in Salisbury 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
Salisbury, NC$29$116$2,511$30,160
North Carolina$30$120$2,598$31,200
National$30$120$2,598$31,200
Salisbury, NC
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
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 Salisbury.

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How to pay for home care in Salisbury

Families in Salisbury often combine private funds with state or federal programs to pay for in-home care.

Private pay options

Families in Salisbury may rely on:

  • Personal savings and income. Retirement accounts, Social Security, and pensions are commonly used to pay for home care.
  • Long-term care insurance. Depending on the policy, families may be reimbursed for in-home care costs.
  • Life insurance. Certain policies allow families to access benefits early to help pay for care.
  • Home equity. Reverse mortgages or home equity loans can provide additional funds for care.

Medicare

Medicare covers short-term, medically necessary home health services prescribed by a doctor and provided by a Medicare-certified agency. Covered services may include:[03]

  • Skilled nursing care
  • Physical, occupational, and speech therapy
  • Certain medical supplies and equipment

Medicare won’t cover nonmedical home care services, such as personal care or homemaking, unless they’re combined with skilled nursing care.

Medicare resources in Salisbury

Senior residents of Salisbury can contact the Medicare and Seniors’ Health Insurance Information Program (SHIIP) at 855-408-1212 for free, unbiased guidance about Medicare benefits. Additionally, the following local SHIIP resource is available to residents of Rowan County:

For general Medicare help, visit Medicare.gov.

Medicaid

Medicaid can help cover home care services for eligible seniors in Salisbury. 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 Salisbury, NC

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

For in-person help with Medicaid, seniors in Rowan County can contact the following county office:

VA benefits

Veterans in Salisbury may qualify for VA programs to help pay for home care, such as:

  • 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.[08] 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 in person 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.[09]
  • 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.[10]

Resources for veterans in Salisbury

Veterans in Salisbury and Rowan County can contact the following resources for assistance with VA benefits:

Resources in Salisbury that help seniors age in place

Salisbury seniors can turn to several local programs and organizations for support:

  • Rufty Holmes Senior Center
    In addition to the SHIP services mentioned above, this senior center provides programs in health, recreation, lifelong learning, caregiver support, and more.
    1120 S. Martin Luther King, Jr., Ave.
    Salisbury, NC 28144
    Phone: 704-216-7714
    Email: frontdesk@ruftyholmes.org
  • Meals on Wheels Rowan
    Meals on Wheels delivers meals and provides daily wellness checks to homebound seniors in Rowan County.
    720 Grove St.
    Salisbury, NC 28144
    Phone: 704-633-0352
    Email: info@mowrowan.org
  • Legal Aid of North Carolina Senior Law Project
    This organization provides free civil legal assistance for North Carolinians ages 60+ and operates a toll-free legal helpline.
    Greensboro Office (Serving Rowan County)
    122 N. Elm St., Suite 700
    Greensboro, NC 27401-2842
    Phone: 800-951-2257
    Senior Legal Helpline: 877-579-7562

Home care laws and regulations in North Carolina

The North Carolina Division of Health Service Regulation (DHSR) regulates both home care agencies 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 Salisbury

Choosing a home care agency in Salisbury involves comparing services, staff qualifications, and agency reputation.

Request detailed pricing information

Ask agencies for a written breakdown of hourly rates, minimum service hours, and any extra fees.

Ask about caregiver training and expertise

Confirm caregivers are trained in supporting seniors with mobility challenges, dementia, or chronic illness. Ask whether they receive ongoing education.

Check licensing and inspection history

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

Read home care reviews

Reading reviews can help families learn more about caregiver reliability, agency responsiveness, and overall service quality.

References

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

  2. Economic Research Institute. (2025, August 8). Cost of living data in Salisbury, North Carolina, United States.

  3. U.S. Centers for Medicare & Medicaid Services. (2024). Home health services. Medicare.gov.

  4. North Carolina Department of Health and Human Services. (2025, April). NC Medicaid 1915(i) services.

  5. North Carolina Department of Health and Human Services. (2025, April 16). 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.

Economic Research Institute. (2025, August 8). Cost of living data in Salisbury, North Carolina, United States.

3.

U.S. Centers for Medicare & Medicaid Services. (2024). Home health services. Medicare.gov.

4.

North Carolina Department of Health and Human Services. (2025, April). NC Medicaid 1915(i) services.

5.

North Carolina Department of Health and Human Services. (2025, April 16). 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.