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 2026 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 2026 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 2026 Independent Living Winners
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 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 Senior ApartmentsSenior apartments offer accessible 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
Senior Living Awards
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Best Home Care Agencies in Salisbury, NC for 2026

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Affordable Family Care Services, Inc. - Greensboro, NC, Carepoint - Charlotte and Gentle Shepherd 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 235 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 $30 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 235 home care providers
Last Updated: 10/11/26
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3 reviews
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What we like the most about their services was the Ease of starting care
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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I can’t say enough how grateful my family is for Cornerstone! From the first time I talked to Jared on the phone I felt seen. They have been helpful in every step of the process including getting a reluctant...
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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12 reviews
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We had the pleasure of having home health aide and personal care attendant services provided over a period of 3 weeks prior to my dad transitioning to hospice care by [ Name Removed] . team at Love 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.
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The management at Synergy Home Care are very helpful with identifying client needs and someone is available 24 hrs a day. I have sent messages to them late at night expecting a reply in the morning, but...
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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Definitely! [name removed] and each one of his caregivers went above and beyond to help us care for my father. And I know that in the short time they knew him, they developed a real connection with him, 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.
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Love Cornerstone Caregiving! My mother is so happy on the days she has someone to come sit and help her. She is always asking “when are they coming back?” Fantastic staff!! I would highly recommend...
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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[name removed] and her team have been a life saver to me and my husband. They have given me a peace knowing he's in good hands while I'm out of the house or out of town. My husband has said he looks forward...
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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[Name Removed] from Seniors Helping Seniors has been a great caregiver and companion for my wife [Name Removed]. She is extremely punctual, does a great job with housekeeping and has bonded so well with...
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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I would use them again! . Excellence and integrity in our time of concern for our loved one meant more than a lot of little things, plus they were reasonable. ??They were caring, responsive, and always cared...
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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6 reviews
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My mother was diagnosed with terminal cancer with bone metastasis and wished to pass at home with hospice. I started with a bigger named company. They did not seem to grasp the concept of comfort measure...
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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6 reviews
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Our care giver is very caring and patient with my husband. I was hoping for a male care giver. But my husband is fine with a female.
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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4 reviews
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The agency admin was responsive , caring , able to flex at the last minute. The caregivers they hired were attentive, kind , skilled and courteous. They were able to provide me consistent group of...
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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[name removed] has been a wonderful morning helper. She is friendly, helpful, outgoing and cheerful. A professional, she has practical advice to make life easier. Griswold Home Care assigned the right person...
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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We entered an unexpected time of life with my dad. We were connected with Cornerstone Caregiving. They quickly responded and came to our rescue and they have been nothing but good for us. They are super kind...
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
25 reviews
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Underlined, emphasized the need for communication between the different organizations like options or Hospice providing care.
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.
Options for Senior America provides trusted non-medical home care in Alamance, Guilford, and Forsyth counties. Our caregivers assist with personal care, companionship, meal preparation, light housekeeping, laundry, safety checks, and medication reminders—helping seniors remain safe and...
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All of the staff was very nice and helpful to connect me with the right folks to take care of my mother. They were always available for a call.
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
9 reviews
9 reviews
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They came to me at the hotel for the initial interview. I was looking for a "live-in" (rather than caregiver shifts) for the ~ 3 weeks stay in the arbnb following my procedure. They have a caregiver who...
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
3 reviews
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Very caring staff. They connect in a positive way with their patients. My dad has been very pleased and so have we. I would highly recommend Home Instead. I would give dad's caregiver a 5. She is wonderful...
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
3 reviews
3 reviews
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Caregivers are really cooperative and will do anything to help; services are whatever you contract for; owners are involved and handle all administration, but struggled with splitting the bill between the VA...
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
4 reviews
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My daily care giver Was amazing. [name removed] was attentive kind very supportive. She followed through on everything I asked. She was flexible on time. I greatly appreciate the organization for working...
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
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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.
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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.
See details
1 review
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Pure Comfort Homecare provides exceptional care for my grandmother. The staff are attentive, caring, supportive and compassionate the agency offers personalized care plans that cater to her needs. They kept...
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
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My Grandma was always a person that took care of herself and her home. It saddens me to know that she's not able to do those things for herself anymore. I have never seen my Grandma room out of control like...
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
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This company has been taking care of my grandma's home care for over 7 years now. They are caring respectful and go above and beyond for my Grandmother. Always makes sure she is satisfied and token care of....
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 $30 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 $2,553 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 $5,615 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
$30/hr
Average overnight rate
$34/hr
Average weekend rate
$34/hr

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

44 hours of home care/wk
$5,615/mo
$7,071/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$30$120$2,598$31,200
North Carolina$30$120$2,598$31,200
National$32$128$2,771$33,280
Salisbury, NC
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
North Carolina
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
National
Hourly cost:$32
Daily cost:$128
Monthly cost:$2,771
Annual cost:$33,280
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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More questions?

Ask an A Place for Mom local advisor at no cost.

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.