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Best Home Care in North Carolina

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 5 homes in North Carolina

Sources: CMS Centers for Medicare and Medicaid Services, and North Carolina Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated home care facilities in North Carolina.

Watch this Video to see North Carolina's Top-rated Senior Communities

Compare Home Care around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

Click column headers to sort
Calyx Living of Durham
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Durham
84No- 39.3% 6-
The Gardens of Rose Hill
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rose Hill
45No--20-
Morning Star Special Care Unit
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fayetteville
44No- 75.0% 38-
DaySpring of Wallace
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wallace
80No- 58.8% 26-
Brookstone Retirement Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington
115No- 24.3% 20-
Somerset Court of Mocksville
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mocksville
60No- 88.3% 24-
The Gardens of Trent
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

New Bern
60No- 86.7% 38-
Hope Mills Retirement Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hope Mills
64No--9-
Homestead Hills Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Winston-Salem
66No- 30.3% 19-
Waltonwood Lake Boone
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Raleigh
68No- 60.3% 12-
The Landings of Swansboro
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Swansboro
80No- 32.5% 7-
The East Tower at Cardinal North Hills
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Raleigh
49No- 73.5% 4-
Dunmore Senior Living of Zebulon
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Zebulon
60No- 71.7% 15-
Lawndale Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Garner
62No--21-
Goldsboro Assisted Living & Alzheimer’s Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Goldsboro
56No- 91.1% 25-
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Overview of Verena at Bedford Falls

Experience the serenity and convenience of Raleigh, NC with the blissful retreat of Verana at Bedford Falls that offers independent living. Enjoy your later years surrounded by the community’s well-designed and fully-furnished one- and two-bedroom accommodations for the finest comfort and safety. Maintenance, housekeeping, and concierge services are also provided to ensure a hassle-free lifestyle.

Enjoy the best of your golden years with a full slate of enriching activities and engaging programs tailored to residents’ leisure and wellness. Have a satisfactory dining experience with healthy and delicious meals catering to dietary needs and tastes. The community features plenty of amenities including a heated pool, a salon, a fitness center, lounges, and a fireplace, perfect for recreation and socialization.

What does this home offer?

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Minimum Age: 62 Years Old

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 605 / 731 / 868 / 948 / 1052 / 1129 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: Mid-rise

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Contact Verena at Bedford Falls

Overview of Morningview at Irving Park

Morningview at Irving Park is a premier destination offering exceptional assisted living places and a specialized memory care unit in the heart of Greensboro, North Carolina. The dedicated team provides a comprehensive range of services, including respite care and outpatient rehabilitation, ensuring that every resident receives the utmost care and support they deserve.

Engage their senses in the delightful melodies of the grand piano or unleash their inner artist in the captivating arts and crafts store. They can enjoy the sunshine and create lasting memories in the vibrant courtyard, where laughter and shared experiences abound. The thoughtfully designed spaces, including a cozy library and a state-of-the-art movie theater, offer the perfect escapes for relaxation and entertainment. They can stay connected with the digital world through Internet access and indulge in pampering moments at the top-notch salon and barber shop. Whether it’s providing personalized care or fostering a welcoming atmosphere, the team is dedicated to creating an environment where residents thrive.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / 1 Bed

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Building Type: 2-story

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Contact Morningview at Irving Park

Overview of Kelley’s Family Care Home

Experience a blissful retirement with Kelley’s Family Care Home, a blissful retreat surrounded by convenient local amenities in Raleigh, NC, that offers assisted living. A kind and highly trained team strives to meet residents’ unique needs with round-the-clock care and support. Residents also enjoy hassle-free living, with the community helping with their day-to-day activities and household responsibilities.

A jam-packed calendar of fun activities and engaging programs is conducted to keep residents active and socially engaged. Mealtimes are also something to look forward to, with diverse dining options that cater to dietary needs and preferences. Medication assistance and an in-home doctor are also available, alongside transportation services for residents’ convenience. The community is ideal for those looking to live comfortably in their golden years, especially with its cozy and welcoming amenities.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Contact Kelley’s Family Care Home

Overview of Avendelle at Wyckford

Make every moment of your golden years memorable with Avendelle at Wyckford, an idyllic community in Raleigh, NC, that offers residential care. Residents here experience top-tier care and support for their unique needs, with a compassionate and highly trained team available 24/7. Beautifully furnished and cozy accommodations are also available in a nurturing and welcoming environment to ensure residents’ comfort and safety.

With plenty of fun activities and engaging programs, residents are encouraged to live actively and meet new friends. Three delightful and healthy meals are also served daily to meet residents’ dietary needs and preferences. Medication management and nurses are available to address residents’ healthcare needs. The community is great for those who need assistance to live their golden years without worries, especially with its dedicated services and purposely designed amenities.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Contact Avendelle at Wyckford

Abernethy Laurels

102 Leonard Ave, Newton, NC 28658
Overview of Abernethy Laurels

Set on the scenic lands of Leonard Avenue, Newton, NC, Abernethy Laurels is a trusted Continuing Care Retirement Community that offers a wide array of care options including assisted living, independent living, memory care, long-term care, skilled nursing, and rehabilitation services. Experience unparalleled comfort and convenience with meticulously designed and well-built residences of Abernethy Laurels in varied studio, one-bedroom, and two-bedroom floor plans. With its dedication to seniors’ well-being, the community strives to deliver top-tier care and assistance tailored to their special needs and preferences.

Optimize your independence and enjoy the things you love through engaging activities and exciting events. Abernethy Laurels values residents’ choices, considering their interests in every aspect of their stay on its premises. Have the finest dining experience with delicious and healthy meals catering to nutritional needs and tastes. With its inviting spaces and tranquil landscapes, Abernethy Laurels is ideal for seniors looking to live a meaningful retirement.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: 1 Bed /2 Bed

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact Abernethy Laurels

Overview of Givens Gerber Park

Givens Gerber Park is a supportive, independent living, senior rental community where older adults can thrive. Offering a broader range of resources than typical rental retirement communities, Givens Gerber Park empowers residents to explore new opportunities and navigate their next adventure confidently.

Located in vibrant South Asheville, residents enjoy peace of mind and abundant amenities, fostering an active and fulfilling lifestyle. At Givens Gerber Park, residents can enjoy enriching activities and enjoy convenient amenities, including a wellness clinic, fitness center, and communal spaces. From growing vegetables in raised garden beds to socializing in cafes or libraries, residents lead purposeful lives within a supportive community.

Contact Givens Gerber Park

Overview of Clemmons Village Assisted Living & Memory Care

Clemmons Village, a charming home in the heart of North Carolina, is designed for seniors seeking an elevated living experience. With professionally designed floorplans and amenities, this community is dedicated to providing seniors with an enriching lifestyle. The picturesque outdoor areas offer a tranquil setting, where pets are warmly welcome. Embracing the uniqueness of each resident, Clemmons Village ensures a vibrant community that celebrates personal interests and passions.

Step into fully furnished layouts that exude convenience and style, complemented by modern amenities like Wi-Fi and transportation services, catering to the needs of today’s seniors. The elegant dining space invites residents to savor delicious meals prepared with care. A team of dedicated professionals, including registered nurses and certified medication technicians, is always on hand to provide exceptional care, empowering seniors to enjoy a safe and secure home where they can truly thrive. Clemmons Village invites seniors to embark on a fulfilling journey, surrounded by comfort and companionship.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / 2 Bed

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Building Type: Single-story

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Fitness and Recreation

Contact Clemmons Village Assisted Living & Memory Care

Overview of Kingston Residence of Hickory

Kingston Residence of Hickory is one of the trusted homes in the area, offering a top-notch level of assisted living and independent living services. The results-driven environment of the community boasts an innovative and modern approach to senior care. Management and the team of professional caregivers understand the unique needs of each individual and aim to enrich a fulfilling lifestyle for its residents.

The Kingston Residence lifestyle is focused on growth and enrichment; they provide essential amenities and services, such as 24/7 care and supervision, an on-site nurse practitioner, recreational activities, enriching programs, guest rooms, respite stays, and wellness support services.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 368 sq. ft

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Housing Options: Studio

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Building Type: 3-story

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Fitness and Recreation

Contact Kingston Residence of Hickory

Porters Neck Village

1200 Porters Neck Rd, Wilmington, NC 28411
Overview of Porters Neck Village

Porters Neck Village, situated in Wilmington, NC, stands as a comprehensive senior living community providing independent living, assisted living, memory care, and skilled nursing services. Porters Neck Village offers spacious and modern accommodations with open floor plans, spacious closets, and full-sized kitchens featuring quartz/granite countertops and stainless steel appliances. Each home is designed with abundant storage and offers breathtaking views, creating a comfortable and visually appealing living space.

The community provides a range of amenities to enhance the overall well-being and lifestyle of its residents. Porters Neck Village boasts apartments with water views, a bar and bistro for social gatherings, a wellness center to support residents’ health, and a heated saltwater pool for relaxation. The state-of-the-art fitness center caters to residents’ physical well-being, while the renovated library offers a tranquil space for intellectual enrichment. Additionally, the 375-seat auditorium provides a venue for performances and guest lectures, contributing to a vibrant and engaging community of Porters Neck Village.

Contact Porters Neck Village

Overview of Spring Arbor of Wilmington

Spring Arbor of Wilmington, situated in Wilmington, NC, is a prominent senior living community providing assisted living and memory care services. The community offers spacious apartments with individual climate control, including multiple floorplan options to suit residents’ preferences. Cable is included, and spacious common areas are available for family gatherings, fostering a sense of community.

Dedicated to resident well-being, Spring Arbor of Wilmington provides personalized care with 24/7 supervision and support, assisting residents with daily living activities, and medication management. The community also offers a comprehensive list of amenities, including high-speed internet, a well-stocked library, three delicious meals per day plus snacks, an outdoor courtyard, sunroom, full-service beauty and barber salon, on-site therapy, a wellness program, spacious rocking chair front porch, fitness center, scheduled transportation, and a traditional dining room with restaurant-style dining. Residents also enjoy engaging activities, such as walking paths, volunteer programs from the School of Gerontology, pet therapy, and a self-serve coffee shop.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Spring Arbor of Wilmington

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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