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The 9 Best In-Home Care Agencies in Cary, NC

The 9 top-ranked in-home care agencies serving Cary, NC, ordered by the Care Close to Home Score. Each holds an active North Carolina Home Care Agency license and has at least 10 public reviews. Home Instead - Raleigh ranks first with 4.8 stars from 120 reviews.

Updated November 2026 · Data: state license rosters, checked October 6, 2026 · How we list agencies

9 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
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Cary City Partner

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These are the top 9, ranked by the Care Close to Home Score. 32 other licensed agencies serve Cary, NC and are not listed. How we rank

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Nearby in-home care

Guides for families

Cost of care in North Carolina

Median hourly rate$30
20 hrs / week$2,600/mo
40 hrs / week$5,200/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in North Carolina

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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Licensed in-home care in Cary, NC: how to compare agencies

We ranked the top nine in-home care agencies serving Cary, NC. Every one holds an active North Carolina Home Care Agency license in the North Carolina Division of Health Service Regulation public roster dated October 6, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 32 licensed agencies serving Cary, NC are not listed here.

In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.

In North Carolina, the median rate for in-home care is $30 an hour, about $2,600 a month for 20 hours a week (CareScout 2025).

The 41 agencies on this list are based in 4 ZIP codes; the busiest are 27511 (20 agencies), 27513 (14 agencies) and 27519 (4 agencies). By license type: Home Care Agency (In-Home Aide, Companion, Sitter and Respite) (40) and Home Care Agency (Companion, Sitter and Respite) (1). If Cary has too few choices for your needs, the closest other cities we list are Morrisville (5 agencies, about 4 miles away), Apex (9 agencies, about 5 miles away) and Holly Springs (6 agencies, about 10 miles away).

Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay

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Aging at home in Cary

Cary has grown from a railroad town into one of North Carolina's largest municipalities, with more than 180,000 residents and about 16 percent of them 65 or older. Its older planned subdivisions such as Kildaire Farms and Farmington Woods, built with mature trees preserved, are now home to many longtime owners who bought decades ago. Newer retirees and the parents of Research Triangle professionals have also settled nearby. Homeownership is high, so most seniors needing a hand are aging in their own houses and townhomes rather than moving away.

16.2% of residents are 65 or older. Source: Census ACS 1-year 2024, Cary town.

Neighborhoods and nearby towns

In Cary, families ask about care in Kildaire Farms, Farmington Woods, Greenwood Forest, Veteran Hills, Russell Hills, Montclair, Carpenter and Green Level.

Kildaire FarmsFarmington WoodsGreenwood ForestVeteran HillsRussell HillsMontclairCarpenterGreen Level

Agencies listed here also commonly serve nearby Raleigh, Morrisville, Apex, Holly Springs and Research Triangle Park. Confirm each agency's service area before you sign.

Familiar places in Cary

Care that fits the routines of home often means getting to the places that matter: Fred G. Bond Metro Park, Hemlock Bluffs Nature Preserve, Page-Walker Arts & History Center, Downtown Cary Park, Cary Arts Center and Stevens Nature Center.

Planning care in Cary

Cary has a humid subtropical climate with hot, muggy summers, mild winters, and only a few inches of snow in a typical year, though occasional ice can make roads tricky. Most homes are suburban houses and townhomes in planned subdivisions, many with garages and some with stairs to bedrooms. Driving is the usual way around, using I-40, US 1, US 64, and NC 55, and rush-hour congestion toward Raleigh and RTP matters when families plan visit times. WakeMed Cary Hospital is a familiar local reference point.

Local resources

  • Aging services. The local Area Agency on Aging is a free place to ask about services and programs that help pay: Central Pines Area Agency on Aging.
  • After a hospital stay. If a family member is discharged from WakeMed Cary Hospital, ask the discharge planner about private-duty help at home, and choose the agency yourself from this list.

Questions Cary families ask

How many licensed in-home care agencies are there in Cary?

The state roster dated October 6, 2026 lists 41 agencies in Cary with an active North Carolina license. Agencies based in nearby towns may also serve Cary.

How do I choose an in-home care agency in Cary?

Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.

How are these agencies ranked?

Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.

How do families pay for in-home care in Cary?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.

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