Certified Nursing Assistants (CNAs) for Home Care in Spencer, NC
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Spencer for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Spencer, NC: the local picture
The nearest Medicare-certified nursing homes to Spencer are Compass Healthcare And Rehab Rowan, LLC in Spencer (1.8 mi), Autumn Care Of Salisbury in Salisbury (2.9 mi), NC State Veterans Home - Salisbury in Salisbury (3.0 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).
Spencer has about 133 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Spencer compared with Rowan County and North Carolina
| Census figure | Spencer | Rowan County | North Carolina |
|---|---|---|---|
| Residents 85 or older | 4.0% | 1.7% | 1.7% |
| Residents 65+ with a disability | 57% | 37% | 33% |
| Residents 65 or older | 23% | 18% | 17% |
| Residents 65+ in households who live alone | 35% | 30% | 28% |
| Residents 65+ below the poverty line (approx.) | 14% | 11% | 11% |
| Households with no vehicle | 1.0% | 6.5% | 5.3% |
| Median income, households headed by someone 65+ | $42,598 | $49,033 | — |
Older residents in towns around Spencer
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Salisbury, NC | 4.6 mi | 6,127 | 827 |
| Granite Quarry, NC | 6.2 mi | 452 | 71 |
| Tyro, NC | 7.3 mi | 520 | 55 |
| Rockwell, NC | 10 mi | 395 | 12 |
| Lexington, NC | 11 mi | 3,040 | 395 |
| China Grove, NC | 12 mi | 708 | 54 |
Nursing homes near Spencer
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Compass Healthcare And Rehab Rowan, LLC | Spencer, NC | 1.8 mi | 3 of 5 | 70 | (704) 633-3892 |
| Autumn Care Of Salisbury | Salisbury, NC | 2.9 mi | 4 of 5 | 97 | (704) 637-5885 |
| NC State Veterans Home - Salisbury | Salisbury, NC | 3.0 mi | 4 of 5 | 99 | (704) 638-4200 |
| Piedmont Health & Rehab Center | Salisbury, NC | 3.7 mi | 2 of 5 | 58 | (704) 633-2781 |
| Meadowbrook Health & Rehabilitation | Salisbury, NC | 4.0 mi | 1 of 5 | 185 | (704) 633-7390 |
| Trinity Oaks | Salisbury, NC | 5.1 mi | 5 of 5 | 115 | (704) 637-3784 |
Home health agencies serving Spencer
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | Salisbury, NC | 5.1 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (704) 639-1060 |
| Bayada Home Health Care, Inc | Salisbury, NC | 5.1 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (704) 633-7213 |
| Amedisys Home Health Care | Thomasville, NC | 22 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (336) 472-4449 |
| Centerwell Home Health | Kernersville, NC | 34 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (913) 814-2077 |
Straight-line miles from the center of Spencer. 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 Spencer
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 37% of the $3,550 monthly median income of Spencer 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 Spencer: common questions
What nursing homes are near Spencer?
The closest Medicare-certified nursing homes are Compass Healthcare And Rehab Rowan, LLC in Spencer (1.8 mi, 3 of 5 overall); Autumn Care Of Salisbury in Salisbury (2.9 mi, 4 of 5 overall); NC State Veterans Home - Salisbury in Salisbury (3.0 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Spencer?
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 37% of the $3,550 monthly median income of Spencer 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 Spencer
Nursing Assistants in nearby cities
- Nursing Assistants in Salisbury, NC
- Nursing Assistants in Granite Quarry, NC
- Nursing Assistants in Tyro, NC
- Nursing Assistants in Rockwell, NC
- Nursing Assistants in Lexington, NC
- Nursing Assistants in China Grove, NC
- Nursing Assistants in Landis, NC
- Nursing Assistants in Mocksville, NC
- Nursing Assistants in Welcome, NC
- Nursing Assistants in Enochville, NC
- Nursing Assistants in Kannapolis, NC
- Nursing Assistants in Bermuda Run, NC
- Nursing Assistants in Midway, NC
- Nursing Assistants in Thomasville, NC
- Nursing Assistants in Clemmons, NC
- Nursing Assistants in Mooresville, NC
Other care in Spencer
- Companion Care in Spencer
- Dementia Care in Spencer
- Respite Care in Spencer
- Live-In Caregivers in Spencer
- Post-Surgery Care in Spencer
- Senior Transportation in Spencer
- Home Health Aides in Spencer
- Personal Care in Spencer
- Overnight Caregivers in Spencer
- 24-Hour Home Care in Spencer
- Mobility Assistance in Spencer
- Parkinson’s Care in Spencer
- Stroke Recovery Support in Spencer
- Disability Care for Adults in Spencer
- Hospice Support in Spencer
- Senior Meal Preparation in Spencer
- Senior Housekeeping in Spencer
- Medication Reminders in Spencer
- Veterans’ Home Care in Spencer
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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