Senior Care in Randolph County: Asheboro, Archdale and the Small Towns

A county with its own center of gravity

Randolph County had about 149,516 residents on July 1, 2025, 20.7% of them 65 or older, with a median age of 42.0. Asheboro, the county seat, is home to Randolph Hospital and most of the county's licensed care, while Archdale and Trinity in the north lean toward High Point.

For families in Ramseur, Liberty, Franklinville or Seagrove, distances matter: the nearest adult care home may be in Asheboro or Randleman, and the nearest special care unit in Asheboro or Archdale.

Every licensed home and nursing home in the county

Source: N.C. DHHS Division of Health Service Regulation listings and rating pages, retrieved November 6, 2026. Nursing home ratings are CMS's; adult care home ratings are DHSR's.

Programs that help Randolph families stay home

Randolph Health StayWell Senior Care in Asheboro (336-628-4200) is the PACE program for Randolph and Montgomery counties, combining medical care, home care and a day center for people 55 and older who qualify for nursing home care. CAP/DA is available through NC Medicaid for eligible adults, often with a wait.

Hospice of Randolph and the Randolph Hospice House in Asheboro provide end-of-life care at home and in an inpatient setting. Home care agencies with Asheboro offices are listed in our home care roster.

Paying for care in Randolph County

Costs follow North Carolina's 2025 medians: about $6,200 a month for assisted living and $9,733 for a semi-private nursing home room. For low-income residents, Special Assistance pays up to $1,397 a month in an adult care home and $1,792 in a special care unit.

Apply for Special Assistance and Medicaid at the Randolph County Department of Social Services in Asheboro. Adult Protective Services reports go to 336-683-8300.

Hospital and specialist access

Randolph Hospital in Asheboro is the county's general hospital on DHSR's list. Many specialists and the larger hospitals are in High Point and Greensboro, so families in the north of the county often look there for both care and housing.

When comparing homes, ask about transportation to appointments in High Point or Greensboro. Some homes provide it; others expect families to drive.

Family care homes in Randolph County

Randolph County has only a couple of licensed family care homes, both in Asheboro on DHSR's current list. For families who want a small household setting, they are worth a visit alongside the larger adult care homes; read each one's star rating and inspection history first.

If neither has an opening, Rockingham County has many more family care homes, and some Randolph families look there or to Greensboro. Distance for the main visitor should weigh heavily in that choice.

Choosing among a small number of homes

With fewer options, each home's record matters more. Read the latest annual survey for each adult care home on its page, check for penalties, and ask about openings early, since a short list can fill quickly.

If no local home fits, High Point and south Greensboro are within reach for many Randolph families. Our adult care home roster filters by county and city, so you can widen the search one step at a time.