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

The 9 top-ranked in-home care agencies serving Gastonia, 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. Firstlight Homecare Of Greater Charlotte, NC ranks first with 4.8 stars from 164 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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These are the top 9, ranked by the Care Close to Home Score. 54 other licensed agencies serve Gastonia, 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 Gastonia, NC: how to compare agencies

We ranked the top nine in-home care agencies serving Gastonia, 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 54 licensed agencies serving Gastonia, 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 63 agencies on this list are based in 3 ZIP codes; the busiest are 28054 (48 agencies), 28052 (12 agencies) and 28056 (3 agencies). By license type: Home Care Agency (In-Home Aide, Companion, Sitter and Respite) (58), Home Care Agency (Companion, Sitter and Respite) (4) and Home Care Agency (In-Home Aide) (1). If Gastonia has too few choices for your needs, the closest other cities we list are Dallas (5 agencies, about 4 miles away), Belmont (8 agencies, about 7 miles away) and Mount Holly (4 agencies, about 8 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 Gastonia

Gastonia is Gaston County's largest city, a former textile town of about 87,000 residents roughly 21 miles west of Charlotte. The old Loray Mill and downtown district anchor a revival, while newer subdivisions spread outward, so seniors here live in everything from mill-era neighborhoods to suburban homes. About one in six residents is 65 or older. Families commonly live across the Charlotte region, which makes in-home help a practical way to support a parent who wants to stay in a familiar house.

16.5% of residents are 65 or older. Source: 2020 Census (city), as reported on Wikipedia.

Neighborhoods and nearby towns

In Gastonia, families ask about care in Downtown Gastonia, Loray Mill Historic District, FUSE District, South Gastonia, Ashebrook Park and Crowders.

Downtown GastoniaLoray Mill Historic DistrictFUSE DistrictSouth GastoniaAshebrook ParkCrowders

Agencies listed here also commonly serve nearby Belmont, Mount Holly, Kings Mountain, Dallas, Bessemer City, Cherryville and Charlotte. Confirm each agency's service area before you sign.

Familiar places in Gastonia

Care that fits the routines of home often means getting to the places that matter: Schiele Museum of Natural History, CaroMont Health Park, Loray Mill, Gaston County Courthouse, Crowders Mountain State Park and Eastridge Mall.

Planning care in Gastonia

Gastonia has hot, humid summers, with July highs near 91 degrees, and winters where snow is rare, about an inch in a typical year. The main routes toward Charlotte can be congested at rush hour, so caregiver arrival windows and appointment travel are worth discussing with an agency. Housing ranges from older mill-district homes with front steps to suburban ranch and two-story houses. Most of the city lies within a short drive of CaroMont Regional Medical Center, a major local employer.

Local resources

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

Questions Gastonia families ask

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

The state roster dated October 6, 2026 lists 63 agencies in Gastonia with an active North Carolina license. Agencies based in nearby towns may also serve Gastonia.

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

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 Gastonia?

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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