Home Health Aides in Asheville, NC
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Asheville for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Asheville, NC: the local picture
12 Medicare-certified home health agencies list Asheville ZIP codes in their service area; the highest-rated are below, and 6 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in North Carolina earn a median $15.02 an hour (BLS, May 2025), with the middle half between $13.65 and $17.08.
Asheville has about 19,041 residents aged 65 or older, 31% of whom report a disability.
Asheville compared with Buncombe County and North Carolina
| Census figure | Asheville | Buncombe County | North Carolina |
|---|---|---|---|
| Residents 65+ with a disability | 31% | 30% | 33% |
| Residents 65 or older | 20% | 21% | 17% |
| Residents 85 or older | 2.8% | 2.5% | 1.7% |
| Residents 65+ in households who live alone | 32% | 24% | 28% |
| Residents 65+ below the poverty line (approx.) | 12% | 9.2% | 11% |
| Residents 5+ who speak a language other than English at home | 9.3% | 9.4% | 13% |
| Median income, households headed by someone 65+ | $62,221 | $63,415 | — |
Older residents in towns around Asheville
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Emma, NC | 3.2 mi | 525 | 59% |
| Woodfin, NC | 5.7 mi | 1,374 | 30% |
| Royal Pines, NC | 7.0 mi | 975 | 14% |
| Avery Creek, NC | 7.4 mi | 561 | 30% |
| Weaverville, NC | 8.9 mi | 1,299 | 21% |
| Swannanoa, NC | 9.5 mi | 1,135 | 30% |
Medicare-certified home health agencies serving Asheville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | Salisbury, NC | 116 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (704) 639-1060 |
| Centerwell Home Health | Asheville, NC | 2.9 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Enhabit Home Health | Marion, NC | 31 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (828) 659-6901 |
| Home Care Services Of Haywood Regional Medical Center | Waynesville, NC | 24 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (828) 452-8292 |
| Transylvania Home Care & Hospice | Brevard, NC | 26 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Pruitthealth At Home - Yancey | Burnsville, NC | 27 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (828) 682-7825 |
| Carepartners Home Health Services | Asheville, NC | 1.8 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Adventhealth Home Health | Fletcher, NC | 8.9 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (828) 687-5261 |
Straight-line miles from the center of Asheville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Asheville
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 25% of the $5,185 monthly median income of Asheville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in Asheville: common questions
Which home health agencies serve Asheville?
Medicare lists 12 certified agencies whose service area includes Asheville ZIP codes. The highest-rated on Medicare’s quality stars include Adoration Home Health (4.5 of 5), Centerwell Home Health (4 of 5), Enhabit Home Health (4 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Asheville?
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 25% of the $5,185 monthly median income of Asheville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near Asheville
Home Health Aides in nearby cities
- Home Health Aides in Emma, NC
- Home Health Aides in Woodfin, NC
- Home Health Aides in Royal Pines, NC
- Home Health Aides in Avery Creek, NC
- Home Health Aides in Weaverville, NC
- Home Health Aides in Swannanoa, NC
- Home Health Aides in Fletcher, NC
- Home Health Aides in Black Mountain, NC
- Home Health Aides in Mills River, NC
- Home Health Aides in Mountain Home, NC
- Home Health Aides in Canton, NC
- Home Health Aides in Edneyville, NC
- Home Health Aides in Mars Hill, NC
- Home Health Aides in Hendersonville, NC
- Home Health Aides in Etowah, NC
- Home Health Aides in Valley Hill, NC
Other care in Asheville
- Companion Care in Asheville
- Dementia Care in Asheville
- Respite Care in Asheville
- Live-In Caregivers in Asheville
- Post-Surgery Care in Asheville
- Senior Transportation in Asheville
- Nursing Assistants in Asheville
- Personal Care in Asheville
- Overnight Caregivers in Asheville
- 24-Hour Home Care in Asheville
- Mobility Assistance in Asheville
- Parkinson’s Care in Asheville
- Stroke Recovery Support in Asheville
- Disability Care for Adults in Asheville
- Hospice Support in Asheville
- Senior Meal Preparation in Asheville
- Senior Housekeeping in Asheville
- Medication Reminders in Asheville
- Veterans’ Home Care in Asheville
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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