Certified Nursing Assistants (CNAs) for Home Care in Fletcher, NC
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Fletcher for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Fletcher, NC: the local picture
The nearest Medicare-certified nursing homes to Fletcher are Fletcher Rehabilitation And Healthcare Center in Fletcher (0.7 mi), Biltmore Haven Nursing And Rehabilitation in Arden (2.5 mi), The Lodge At Mills River in Mills River (3.8 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in North Carolina earn a median $15.02 an hour (BLS, May 2025, home health and personal care aides). North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Fletcher has about 90 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Fletcher compared with Henderson County and North Carolina
| Census figure | Fletcher | Henderson County | North Carolina |
|---|---|---|---|
| Residents 85 or older | 1.1% | 2.8% | 1.7% |
| Residents 65+ with a disability | 31% | 29% | 33% |
| Residents 65 or older | 22% | 26% | 17% |
| Residents 65+ in households who live alone | 23% | 25% | 28% |
| Residents 65+ below the poverty line (approx.) | 4.4% | 8.1% | 11% |
| Households with no vehicle | 2.7% | 3.5% | 5.3% |
| Median income, households headed by someone 65+ | $49,701 | $60,528 | — |
Older residents in towns around Fletcher
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Royal Pines, NC | 3.2 mi | 975 | 0 |
| Avery Creek, NC | 4.3 mi | 561 | 31 |
| Mountain Home, NC | 4.3 mi | 930 | 127 |
| Mills River, NC | 5.8 mi | 1,770 | 149 |
| Hendersonville, NC | 8.1 mi | 5,156 | 862 |
| Valley Hill, NC | 9.6 mi | 572 | 117 |
Nursing homes near Fletcher
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Fletcher Rehabilitation And Healthcare Center | Fletcher, NC | 0.7 mi | 1 of 5 | 90 | (828) 654-9060 |
| Biltmore Haven Nursing And Rehabilitation | Arden, NC | 2.5 mi | 1 of 5 | 100 | (828) 681-0904 |
| The Lodge At Mills River | Mills River, NC | 3.8 mi | 5 of 5 | 50 | (828) 684-4857 |
| Orchard Valley Health And Rehabilitation | Hendersonville, NC | 4.8 mi | 1 of 5 | 134 | (828) 693-5849 |
| Givens Health Center | Asheville, NC | 4.9 mi | 5 of 5 | 70 | (828) 771-2900 |
| Deerfield Episcopal Retirement | Asheville, NC | 5.5 mi | 5 of 5 | 62 | (828) 274-1531 |
Home health agencies serving Fletcher
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Asheville, NC | 7.4 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Adventhealth Home Health | Fletcher, NC | 1.3 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (828) 687-5261 |
| Carepartners Home Health Services | Asheville, NC | 12 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Pardee Home Care | Flat Rock, NC | 12 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (828) 692-1846 |
Straight-line miles from the center of Fletcher. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in Fletcher
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 31% of the $4,142 monthly median income of Fletcher 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 nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in Fletcher: common questions
What nursing homes are near Fletcher?
The closest Medicare-certified nursing homes are Fletcher Rehabilitation And Healthcare Center in Fletcher (0.7 mi, 1 of 5 overall); Biltmore Haven Nursing And Rehabilitation in Arden (2.5 mi, 1 of 5 overall); The Lodge At Mills River in Mills River (3.8 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Fletcher?
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 31% of the $4,142 monthly median income of Fletcher 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).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Fletcher
Nursing Assistants in nearby cities
- Nursing Assistants in Royal Pines, NC
- Nursing Assistants in Avery Creek, NC
- Nursing Assistants in Mountain Home, NC
- Nursing Assistants in Mills River, NC
- Nursing Assistants in Hendersonville, NC
- Nursing Assistants in Valley Hill, NC
- Nursing Assistants in Asheville, NC
- Nursing Assistants in Edneyville, NC
- Nursing Assistants in Etowah, NC
- Nursing Assistants in Dana, NC
- Nursing Assistants in East Flat Rock, NC
- Nursing Assistants in Flat Rock, NC
- Nursing Assistants in Emma, NC
- Nursing Assistants in Swannanoa, NC
- Nursing Assistants in Woodfin, NC
- Nursing Assistants in Black Mountain, NC
Other care in Fletcher
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- Dementia Care in Fletcher
- Respite Care in Fletcher
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- Post-Surgery Care in Fletcher
- Senior Transportation in Fletcher
- Home Health Aides in Fletcher
- Personal Care in Fletcher
- Overnight Caregivers in Fletcher
- 24-Hour Home Care in Fletcher
- Mobility Assistance in Fletcher
- Parkinson’s Care in Fletcher
- Stroke Recovery Support in Fletcher
- Disability Care for Adults in Fletcher
- Hospice Support in Fletcher
- Senior Meal Preparation in Fletcher
- Senior Housekeeping in Fletcher
- Medication Reminders in Fletcher
- Veterans’ Home Care in Fletcher
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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