Home Health Aides in Spindale, 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 Spindale for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Spindale, NC: the local picture
5 Medicare-certified home health agencies list Spindale ZIP codes in their service area; the highest-rated are below, and 4 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.
Spindale has about 862 residents aged 65 or older, 37% of whom report a disability.
Spindale compared with Rutherford County and North Carolina
| Census figure | Spindale | Rutherford County | North Carolina |
|---|---|---|---|
| Residents 65+ with a disability | 37% | 42% | 33% |
| Residents 65 or older | 21% | 22% | 17% |
| Residents 85 or older | 1.2% | 1.6% | 1.7% |
| Residents 65+ in households who live alone | 47% | 34% | 28% |
| Residents 65+ below the poverty line (approx.) | 2.6% | 13% | 11% |
| Residents 5+ who speak a language other than English at home | 2.3% | 4.6% | 13% |
| Median income, households headed by someone 65+ | $39,078 | $40,364 | — |
Older residents in towns around Spindale
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Rutherfordton, NC | 2.2 mi | 978 | 27% |
| Forest City, NC | 3.4 mi | 1,327 | 48% |
| Boiling Springs, NC | 16 mi | 431 | 33% |
| Landrum, SC | 20 mi | 656 | 43% |
| Shelby, NC | 22 mi | 4,572 | 35% |
| Boiling Springs, SC | 22 mi | 1,477 | 43% |
Medicare-certified home health agencies serving Spindale
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Shelby, NC | 21 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Enhabit Home Health | Marion, NC | 23 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (828) 659-6901 |
| Bayada Home Health Care Inc | Gastonia, NC | 45 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (704) 864-1131 |
| Carolina Home Care | Spindale, NC | 0.1 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (828) 245-3575 |
| Atrium Health At Home Cleveland | Shelby, NC | 21 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (704) 487-5225 |
Straight-line miles from the center of Spindale. 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 Spindale
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 40% of the $3,257 monthly median income of Spindale 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 Spindale: common questions
Which home health agencies serve Spindale?
Medicare lists 5 certified agencies whose service area includes Spindale ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (4 of 5), Enhabit Home Health (4 of 5), Bayada Home Health Care Inc (4 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Spindale?
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 40% of the $3,257 monthly median income of Spindale 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 Spindale
Home Health Aides in nearby cities
- Home Health Aides in Rutherfordton, NC
- Home Health Aides in Forest City, NC
- Home Health Aides in Boiling Springs, NC
- Home Health Aides in Landrum, SC
- Home Health Aides in Shelby, NC
- Home Health Aides in Boiling Springs, SC
- Home Health Aides in Marion, NC
- Home Health Aides in Edneyville, NC
- Home Health Aides in Inman, SC
- Home Health Aides in Valley Falls, SC
- Home Health Aides in Gaffney, SC
- Home Health Aides in Dana, NC
- Home Health Aides in East Gaffney, SC
- Home Health Aides in Whitney, SC
- Home Health Aides in Southern Shops, SC
- Home Health Aides in Hilltop, SC
Other care in Spindale
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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