Home Health Aides in Smithfield, 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 Smithfield for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Smithfield, NC: the local picture
13 Medicare-certified home health agencies list Smithfield ZIP codes in their service area; the highest-rated are below, and 7 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.
Smithfield has about 2,473 residents aged 65 or older, 45% of whom report a disability.
Smithfield compared with Johnston County and North Carolina
| Census figure | Smithfield | Johnston County | North Carolina |
|---|---|---|---|
| Residents 65+ with a disability | 45% | 34% | 33% |
| Residents 65 or older | 20% | 14% | 17% |
| Residents 85 or older | 2.6% | 1.3% | 1.7% |
| Residents 65+ in households who live alone | 39% | 27% | 28% |
| Residents 65+ below the poverty line (approx.) | 19% | 9.6% | 11% |
| Residents 5+ who speak a language other than English at home | 12% | 16% | 13% |
| Median income, households headed by someone 65+ | $40,392 | $53,545 | — |
Older residents in towns around Smithfield
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Selma, NC | 3.6 mi | 1,072 | 37% |
| Wilson's Mills, NC | 4.3 mi | 174 | 19% |
| Clayton, NC | 11 mi | 2,993 | 35% |
| Archer Lodge, NC | 11 mi | 907 | 24% |
| Benson, NC | 14 mi | 816 | 27% |
| Wendell, NC | 19 mi | 2,044 | 46% |
Medicare-certified home health agencies serving Smithfield
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Pruitthealth At Home - Wake | Raleigh, NC | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (919) 838-2768 |
| Centerwell Home Health | Goldsboro, NC | 27 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Centerwell Home Health | Raleigh, NC | 27 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Well Care Home Health Of The Southern Triangle, Inc. | Holly Springs, NC | 29 mi | 4.5 of 5 | — | (919) 346-0075 |
| Well Care Home Health, Inc | Raleigh, NC | 29 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (919) 846-1018 |
| Amedisys Home Health | Durham, NC | 42 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (919) 941-5793 |
| Wakemed Home Health | Raleigh, NC | 25 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (919) 350-0236 |
| Unc Health Johnston Home Care And Hospice | Smithfield, NC | 1.2 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (919) 938-7583 |
Straight-line miles from the center of Smithfield. 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 Smithfield
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 39% of the $3,366 monthly median income of Smithfield 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 Smithfield: common questions
Which home health agencies serve Smithfield?
Medicare lists 13 certified agencies whose service area includes Smithfield ZIP codes. The highest-rated on Medicare’s quality stars include Pruitthealth At Home - Wake (4.5 of 5), Centerwell Home Health (4.5 of 5), Centerwell Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Smithfield?
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 39% of the $3,366 monthly median income of Smithfield 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 Smithfield
Home Health Aides in nearby cities
- Home Health Aides in Selma, NC
- Home Health Aides in Wilson's Mills, NC
- Home Health Aides in Clayton, NC
- Home Health Aides in Archer Lodge, NC
- Home Health Aides in Benson, NC
- Home Health Aides in Wendell, NC
- Home Health Aides in Garner, NC
- Home Health Aides in Knightdale, NC
- Home Health Aides in Dunn, NC
- Home Health Aides in Zebulon, NC
- Home Health Aides in Mar-Mac, NC
- Home Health Aides in Angier, NC
- Home Health Aides in Erwin, NC
- Home Health Aides in Buies Creek, NC
- Home Health Aides in Goldsboro, NC
- Home Health Aides in Brogden, NC
Other care in Smithfield
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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