CNA Home Care in Sylva, NC: Nursing Assistants

Local figures

Nursing Assistants in Sylva, NC: the local picture

6+

Medicare-certified nursing homes within 25 miles

624

certified beds in the 6 nearest nursing homes

$15.02

median hourly wage of home care aides in North Carolina (BLS, May 2025)

$7.25

North Carolina minimum wage per hour

The nearest Medicare-certified nursing homes to Sylva are Skyland Care Center in Sylva (0.3 mi), Vero Health & Rehab Of Sylva in Sylva (0.4 mi), Tsali Care Center in Cherokee (9.7 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).

Sylva has about 123 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Sylva compared with Jackson County and North Carolina

Census figure	Sylva	Jackson County	North Carolina
Residents 85 or older	4.6%	1.6%	1.7%
Residents 65+ with a disability	36%	28%	33%
Residents 65 or older	15%	20%	17%
Residents 65+ in households who live alone	59%	24%	28%
Residents 65+ below the poverty line (approx.)	38%	11%	11%
Households with no vehicle	8.6%	3.1%	5.3%
Median income, households headed by someone 65+	$30,938	$60,284	—

Older residents in towns around Sylva

Town	Distance	Residents 65+	Residents 85+
Cullowhee, NC	5.0 mi	241	0
Waynesville, NC	15 mi	2,815	466
Franklin, NC	16 mi	1,228	127
Lake Junaluska, NC	17 mi	909	156
Canton, NC	24 mi	810	101
Gatlinburg, TN	29 mi	838	115

Nursing homes near Sylva

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Skyland Care Center	Sylva, NC	0.3 mi	4 of 5	94	(828) 586-8935
Vero Health & Rehab Of Sylva	Sylva, NC	0.4 mi	1 of 5	106	(828) 631-1600
Tsali Care Center	Cherokee, NC	9.7 mi	2 of 5	100	(828) 497-5048
Maggie Valley Health And Rehabilitation Center	Maggie Valley, NC	12 mi	2 of 5	114	(828) 926-4326
Autumn Care Of Waynesville	Waynesville, NC	13 mi	1 of 5	90	(828) 456-7381
Mountain View Of Bryson City	Bryson City, NC	14 mi	1 of 5	120	(828) 488-2101

Home health agencies serving Sylva

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Harris Home Health	Sylva, NC	2.1 mi	3 of 5	nursing, physical therapy, speech therapy, medical social work, home health aides	(828) 586-7410
Carepartners Home Health Services	Asheville, NC	40 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—

Straight-line miles from the center of Sylva. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What CNAs costs in Sylva

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 50% of the $2,578 monthly median income of Sylva 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.

Before you hire

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.

Questions

Nursing Assistants in Sylva: common questions

What nursing homes are near Sylva?

The closest Medicare-certified nursing homes are Skyland Care Center in Sylva (0.3 mi, 4 of 5 overall); Vero Health & Rehab Of Sylva in Sylva (0.4 mi, 1 of 5 overall); Tsali Care Center in Cherokee (9.7 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Sylva?

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 50% of the $2,578 monthly median income of Sylva 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 near Sylva

More senior care near Sylva

Nursing Assistants in nearby cities

Other care in Sylva

More for Sylva families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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.

Certified Nursing Assistants (CNAs) for Home Care in Sylva, NC