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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 Brookdale at Home® Carriage Club

Located in the quaint neighborhood of Charlotte, NC , Brookdale at Home Carriage Club is a leading home care provider that offers personalized senior care services designed to support aging in place with dignity and comfort. Their dedicated caregivers are trained professionals committed to assisting with daily tasks, allowing residents to focus on enjoying life’s meaningful moments. Whether it’s help with housekeeping, meal preparation, or personal grooming, our team ensures a safe and nurturing environment.

At Brookdale at Home Carriage Club, residents benefit from a variety of amenities and programs tailored to enhance their quality of life. From companionship and light housekeeping to medication reminders and errand assistance, every service is delivered with compassion and expertise. Brookdale at Home Carriage Club’s goal is to provide peace of mind to families and individuals alike, knowing that their loved ones are receiving attentive care and support in the comfort of their own surroundings.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 527 / 690 / 807 / 1,025 / 1,140 / 1,344 / 1,372 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: Two-story

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Contact Brookdale at Home® Carriage Club

Brookdale at Home® Hendersonville

2601Chimney, Rock Road Suite PL1, Hendersonville, NC 28792
Overview of Brookdale at Home® Hendersonville

Helping seniors stay comfortably at their homes, Brookdale at Home Hendersonville is a passionate home care provider in Hendersonville, NC, offering various in-home care services. The home care provider offers companion care, personal care, and respite care, designed to provide utmost comfort and support to seniors and their family caregivers.

Ensuring that seniors are at ease in welcoming their caregivers in their homes, Brookdale at Home Hendersonville conducts thorough background checks and screenings to select highly qualified and trustworthy caregivers. Offering various support, including assistance with activities of daily living, transportation, errands, light housekeeping, pet care and meal preparation, Brookdale at Home ensures residents live a maintenance-free lifestyle with plenty of time to spend with their families or doing their hobbies.

Contact Brookdale at Home® Hendersonville

Overview of Livewell @ Governors Club Cottages (1) (chapel Hill)

Experience unparalleled care and comfort with the distinguished senior living community of LiveWell at Governors Club Cottages (1) located in the harmonious neighborhood of Club Drive, Chapel Hill, NC, that offers memory care. The community takes pride in a team of kind and highly trained professionals attending to residents’ needs 24/7. With personalized care plans, residents can rest assured of receiving the highest quality of care and assistance.

The community fosters a bright and friendly environment, encouraging residents to remain well-connected with their surroundings. Here, meal preparations are handled by the community, providing healthy and delicious meals that cater to their dietary needs and tastes. Residents spend their golden years creating lasting moments with the community’s genuine care and support.

What does this home offer?

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Total Residents: 6 Residents

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Housing Options: Private / Semi-Private Rooms

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Staff to Resident Ratio: 1:3

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Building Type: Single-story

Contact LiveWell @ Governors Club Cottages (1) (Chapel Hill)

Overview of Solista Hickory by Cogir

Enrich your retirement with Solista Hickory by Cogir, an astounding community surrounded by a tranquil setting and lush trees in Hickory, NC, that offers independent living. 24-hour care, emergency, and non-emergency response are also provided to ensure residents live without worries. A variety of studio, one-bedroom, and two-bedroom residences are designed with residents’ needs and preferences in mind, ensuring comfort and safety like no other.

The community also makes use of the Lively Mobile Plus Device, to provide assistance whenever necessary. Here, residents have hassle-free dining with delicious and healthy restaurant-style dining that cater to their dietary needs and tastes. With spacious and beautiful amenities including a library, game room, media room, and community grounds, residents have more opportunities to mingle with friends and remain socially-connected.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 335 - 563 / 542 - 696 / 925 - 1056 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Fitness and Recreation

Contact Solista Hickory by Cogir

Overview of Griswold Home Care for Raleigh

Griswold Home Care for Raleigh is a leading home care provider in Raleigh, NC, delivering comprehensive in-home care services to residents’ doorsteps. Their excellent team of care professionals is dedicated to helping residents remain in their homes through compassionate care and assistance with their daily living activities and other needs. Household responsibilities, such as housekeeping, laundry, grocery shopping, and meal prep are also handled by their attentive team to give residents more time for their hobbies.

To keep residents active and socially connected, they encourage them to engage in various activities, support their hobbies, and engage them in meaningful conversations. For those facing a challenging illness or recovering from an injury, additional clinical services are available for them. With Griswold Home Care for Raleigh, residents can enjoy the retirement they want without leaving the comfort of their residence.

Contact Griswold Home Care for Raleigh

Overview of Duke Homecare & Hospice, Infusion, & Grief Services

Cherish your final moments while receiving compassionate hospice care from Duke HomeCare & Hospice, Infusion, & Grief Services, a dependable community located in Durham, NC. Residents here feel utmost comfort with an excellent team of nurses, counselors, chaplains, therapists, and social workers available to support all their care needs. Their community is also equipped to accommodate residents with advanced medical needs, including those recovering from treatment that requires therapy or needing end-of-life support.

Dedicated to helping residents face an end of life with comfort and dignity, their team of reliable caregivers is always ready to meet their physical, emotional, and spiritual needs wherever they are. Their support also goes beyond caring for residents but also for their families by helping them cope with the loss of a loved one through their bereavement services program. At Duke HomeCare & Hospice, Infusion, & Grief Services, they always go the extra mile to deliver the best possible care.

Contact Duke HomeCare & Hospice, Infusion, & Grief Services

Overview of Stay at Home Senior Care

Cherish every moment of your golden years with Stay at Home Senior Care, an astounding community in Wake Forest, NC, that offers home care. Utilizing a family-oriented and holistic approach, older adults keep peace of mind and receive the utmost care for their unique needs and preferences. Older adults experience a worry-free retirement with a kind and highly skilled team helping with their day-to-day activities and household responsibilities.

Companion services are also provided to prevent loneliness and encourage older adults to live actively. The community also offers respite care and private duty nursing for older adults’ comfort and convenience. With its dedicated care and top-notch services, older adults are guaranteed to have the finest retirement experience in the comforts of their homes.

Contact Stay at Home Senior Care

Overview of The Enclave at Pamalee Square

Based in the vibrant community of Fayetteville, NC, The Enclave at Pamalee Square is an esteemed senior living community offering independent living, assisted living, and memory care services. Spacious and convenient accommodations ranging from one-bedroom, two-bedroom, and three-bedroom apartments are available for its residents. Having a highly equipped and dedicated team, residents can receive round-the-clock care and services whenever needed. As for memory care, those with cognitive conditions are served with evidence-based and activity-centered approaches to personalize care plans.

With its top-notch amenities and services, residents can enjoy a 24-hour state-of-the-art fitness center, a large cardio area and multiple weight stations, a theater lounge, a gaming room with poker tables, and many more. Meet new people and create unforgettable memories through other social activities and wellness programs. With The Enclave at Pamalee Square, seniors can enjoy a glorious living experience.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: 1 Bed / 2 Bed / 3 Bed

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Building Type: 3-story

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Fitness and Recreation

Contact The Enclave at Pamalee Square

Overview of Heritage Greens

Providing seniors in Guilford County, Greensboro, NC with an excellent continuum of care for over 30 years, Heritage Greens is a well-established senior living community that warrants premiere lifestyle options and services. The community offers award-winning independent living, assisted living, and memory care services that fosters successful aging in place. Residents can choose from a variety of floor plans that suit various lifestyles and come with conveniences like private patios or balconies, full kitchens and walk-in closets.

Recognized by the U.S News and World Report as a Best Assisted Living, Independent Living, and Memory Care community, Heritage Greens proves its excellence as a senior living community. Residents here are given plenty of opportunities to enhance or maintain their overall health with planned social events, programs, and activities. The community also offers a one-of-a-kind dining experience with restaurant-style dining services featuring delicious and nutritious chef-prepared meals. Here, residents are provided with the necessities they need to thrive and live well.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 190-550 / 580 / 608 / 1000 / 1200 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

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Overview of Abbotswood at Stonehenge

In Abbotswood at Stonehenge, independent and assisted living come together to create a truly exceptional senior living community. Nestled on a sprawling 10-acre property in the heart of Raleigh, this community offers a serene and picturesque environment for seniors to come home to. The home offers a variety of floor plans to choose from, including low-rise, mid-rise, and high-rise abodes with one to two bedrooms. Licensed clinical staff are available round the clock, and the community offers a range of specialized services, including balance and mobility programs, chauffeur service, and more.

The community is conveniently located near daily conveniences, making it easy for residents to access shopping, dining, and recreational activities. Whether it’s a stroll in the lush surroundings or a visit to the nearby JC Raulston Arboretum and North Carolina Museum of Natural Sciences, there’s always something to do and see. From educational enrichment programs and fitness classes to therapy services and excursions, there are plenty of opportunities to stay active, engaged, and fulfilled. Housekeeping services, Wi-Fi, utilities, and expanded cable are also provided to ensure that residents have all the comforts of home. With three decades of experience in senior care, Abbotswood at Stonehenge is the best decision yet.

What does this home offer?

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Room Sizes: 528 / 668 / 905 sq. ft

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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 Abbotswood at Stonehenge

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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