Salisbury is home to a large senior population that accounts for nearly a fifth of its 34,000 residents. The city is a popular retirement destination for its low cost of living, generally comfortable climate and state-of-the-art hospitals. The largest hospital in the city is Rowan Medical Center, a 268-bed teaching hospital that provides 24-hour emergency services, heart and vascular care and primary care services.  

Nursing home care is the most extensive care option available outside of a hospital setting. It includes around-the-clock monitoring, assistance with daily living activities, meals and medication administration. According to the Genworth 2020 Cost of Care Survey, seniors in Salisbury pay approximately $7,787 per month for semiprivate nursing home accommodations. This is nearly $500 higher than the state median, making this city a relatively expensive option for care. For those able to live more independently, other care options such as home health care and assisted living are more affordable and may be more suitable.  

This guide covers the cost of nursing home care in the Salisbury region and compares monthly fees to other senior care options. It also highlights the services and programs that serve seniors who need skilled nursing services.  

Directory of Nursing Homes in Salisbury, NC

Salisbury Center – North Carolina

710 Julian Road, Salisbury, NC, 28147

Located in Salisbury, North Carolina, Salisbury Center – North Carolina provides convenient access to Interstate 95 and is a short drive from a variety of restaurants and stores, including Kohl’s and … (read more)
Located in Salisbury, North Carolina, Salisbury Center – North Carolina provides convenient access to Interstate 95 and is a short drive from a variety of restaurants and stores, including Kohl’s and … (read more)

Autumn Care of Salisbury

1505 BRINGLE FERRY ROAD, Salisbury, NC, 28146

My brother is in a nursing home at Autumn Care of Salisbury. I chose it because it had good reviews. The staff is very helpful and caring. The food looks fine. It’s easily accessible. The rooms are ad … (read more)
My brother is in a nursing home at Autumn Care of Salisbury. I chose it because it had good reviews. The staff is very helpful and caring. The food looks fine. It’s easily accessible. The rooms are ad … (read more)

Lutheran Home at Trinity Oaks

820 KLUMAC RD, Salisbury, NC, 28144

I have been a constant visitor for over 5 years. The staff is top notch. Compassion starts at top with administration and carries through the entire staff – medical, support staff, maintenance, transp … (read more)
I have been a constant visitor for over 5 years. The staff is top notch. Compassion starts at top with administration and carries through the entire staff – medical, support staff, maintenance, transp … (read more)

North Carolina State Veterans Nursing Home – Salisbury

1601 Brenner Ave, Salisbury, NC, 28145

My father was a resident of this wonderful place for about 5 years. The staff was wonderful and caring. The facility is exceptionally clean and anything you need is provided.
My father was a resident of this wonderful place for about 5 years. The staff was wonderful and caring. The facility is exceptionally clean and anything you need is provided.

The Laurels of Salisbury

215 LASH DRIVE, Salisbury, NC, 28147

The local hospital gave me a list of facilities in the area to tour for my mother. Rooms are slightly small but I was impressed with the therapy department, friendliness of the staff, and the cleanlin … (read more)
The local hospital gave me a list of facilities in the area to tour for my mother. Rooms are slightly small but I was impressed with the therapy department, friendliness of the staff, and the cleanlin … (read more)

Brian Ctr Health & Rehab/salisbury

635 STATESVILLE BLVD, Salisbury, NC, 28144

My friend was at this nursing home and was so neglected he got head lice. and he smelled bad. I am sorry for the elderly ,there is no one who speaks or does anything in their behalf to change it. Wh … (read more)
My friend was at this nursing home and was so neglected he got head lice. and he smelled bad. I am sorry for the elderly ,there is no one who speaks or does anything in their behalf to change it. Wh … (read more)

Brightmoor Nursing Center

610 West Fisher Street, Salisbury, NC, 28144


Liberty Commons Nsg & Reh Rowa

4412 SOUTH MAIN ST, Salisbury, NC, 28147


Alston Brook

4748 OLD SALISBURY ROAD, Lexington, NC, 27292

My brother was at Alston Brook before he passed. We both really liked it. He liked the staff and he liked the people. I’m not sure if they were allowing families in, but they did call me ahead, so I w … (read more)
My brother was at Alston Brook before he passed. We both really liked it. He liked the staff and he liked the people. I’m not sure if they were allowing families in, but they did call me ahead, so I w … (read more)

Magnolia Estates Skilled Care

1404 S SALISBURY AVENUE, Spencer, NC, 28159


Nursing Home Costs in Salisbury, NC

In Salisbury, nursing homes charge approximately $7,787 per month for semiprivate rooms and $8,182 for private rooms. 

The Cost of Nursing Home Care in Nearby Cities

Seniors in North Carolina typically pay $7,300 per month for nursing home care. In Salisbury, monthly rates are several hundred dollars higher at $7,787. While this is expensive compared to the statewide average, it is consistent with the national average of $7,756. 

Nursing home fees vary considerably across the state. In Greensboro, monthly rates are a little lower than fees in Salisbury at $7,695, and in New Bern care costs are among the lowest in North Carolina at $6,996. Charlotte is pricier at $7,817, and in Asheville, care costs are among the highest in the state at $8,000.  

$7787

Salisbury

$7300

North Carolina

$7756

The United States

$7695

Greensboro

$6996

New Bern

$7817

Charlotte

$8000

Asheville

The Cost of Other Types of Senior Care

With monthly fees coming in at $7,787 for semiprivate rooms and $8,182 for private accommodations, nursing home care is the most expensive senior care option in Salisbury. Seniors who need short-term or intermittent skilled nursing services may obtain the care they need in an assisted living facility, where fees are considerably lower at $4,500, or via home health care, which has rates averaging $3,909. Home care, which features light medical care and homemaker services, also costs $3,909 per month. Adult day health care is the most affordable option at $1,452. 

$3909

Home care

$3909

Home health care

$1452

Adult day health care

$4500

Assisted living

$7787

Nursing home (semiprivate room)

$8182

Nursing home (private room)

Note: Data for Salisbury was unavailable, so data for the nearest city, Winston, was used instead

Financial Assistance for Nursing Home Care in Salisbury, NC

Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.

  • Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
  • Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
  • Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.

If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.

Free Resources for Seniors in Salisbury, NC

The following resources are available to all seniors in Salisbury. This list is composed of local nonprofit organizations that provide services that may help seniors identify options for delaying, avoiding or shortening the duration of nursing home care. Some agencies also have trained professionals who help seniors and families navigate payment options.  

Resource Contact Service 
Centralina Area Agency on Aging (704) 372-2416 The Centralina Area Agency on Aging houses the region’s long-term care ombudsman program, which advocates on behalf of those in nursing homes to ensure that they receive high-quality care and understand their payment options. The agency also provides a broad range of services such as transportation, personal care and home-delivered meals.  
Rufty-Holmes Senior Center (704) 216-7714 Rufty-Holmes Senior Center houses the local Senior Health Insurance Information Program office, which can help seniors identify options for paying for nursing home care. Through SHIIP, trained volunteers provide free Medicare options counseling to explain Medicare benefits, help seniors compare Medicare Advantage and Medigap plans and choose prescription drug coverage. The center also has a food bank to address food insecurity in seniors, and it operates the RUOK? Program, which provides daily telephone safety checks for older adults and homebound seniors.  
Veterans Service Office (704) 216-8138 The county’s Veterans Service Office is located in Salisbury and has trained officers who help veterans and their family members obtain the benefits they’re entitled to. Seniors obtain assistance with applying for veterans’ and survivors’ pension programs, disability compensation and the Aid and Attendance or Housebound benefit, which can help cover nursing home fees. Veterans can also be screened for veterans’ home placement, which may be an affordable alternative to nursing home placement.  
Carolina SeniorCare PACE Program (800) 735-2962 Seniors who qualify for nursing home level care but prefer to remain in their home or residential facility may obtain a full range of services through the local PACE. This program provides a full range of services to promote seniors’ independence, including in-home care, a day center, social services, nutritional counseling and meals, prescription drugs, durable medical equipment and primary and specialty medical care. The program also pays for nursing home care as needed. Seniors eligible for both Medicare and Medicaid typically pay nothing for services, while those only eligible for Medicare may have cost-sharing responsibilities.