Greensboro Senior AdvisorWhich North Carolina counties does Greensboro Senior Advisor cover?
Three: Guilford, Randolph and Rockingham, the counties of the Greensboro-High Point metropolitan area, all licensed by the same state agency and all served by the Piedmont Triad Regional Council's Area Agency on Aging.
| County | Population | 65+ | 85+ | Median age | Adult & family care homes | Nursing homes |
|---|---|---|---|---|---|---|
| Guilford County | 562,234 | 100,971 | 11,088 | 38.2 | 31 | 21 |
| Randolph County | 149,516 | 30,971 | 3,027 | 42.0 | 8 | 6 |
| Rockingham County | 94,195 | 22,112 | 2,252 | 44.8 | 25 | 4 |
U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025); DHSR listings retrieved November 6, 2026.
Why aren't Forsyth and Davidson counties included?
Because they belong to the Winston-Salem metropolitan area, which gets its own site; this one sticks to the three counties of the Greensboro-High Point metro so every listing and number lines up with one market.
High Point itself spills into Davidson and Forsyth counties, but every licensed home in our directory sits in Guilford, Randolph or Rockingham. Families on the county edges often look both ways, and that is fine.
Which county has the oldest population?
Rockingham County: 23.5% of residents were 65 or older in 2025 Census estimates, with a median age of 44.8, against 20.7% in Randolph and 18.0% in Guilford.
Rockingham also has the most family care homes of the three counties, small licensed homes of six beds or fewer, while its larger adult care homes are concentrated in Reidsville, Eden and Mayodan.
Where is most of the region's licensed senior care?
In Guilford County: Greensboro and High Point hold most of the adult care homes, special care units, nursing homes, home health agencies and home care agencies, while Asheboro anchors Randolph County and Reidsville and Eden anchor Rockingham.
Each county page lists every licensed facility and the straight-line distance from the county seat to the nearest hospitals and to downtown Greensboro.
How many older adults live in the three counties?
Census Bureau estimates put 154,054 residents aged 65 and older in the three counties on July 1, 2025, including 16,367 aged 85 and older, the group most likely to need daily help.
Guilford holds most of them in raw numbers, but Randolph and Rockingham have noticeably higher shares of older residents, which is part of why so many of their families end up comparing options in Greensboro and High Point.
Side by side
| Shared by all three counties | Different from county to county | |
|---|---|---|
| Rules | DHSR licensing (13F, 13G, nursing homes) and NC Medicaid rules | Adult Protective Services office and phone |
| Aging agency | Piedmont Triad Regional Council Area Agency on Aging ((336) 904-0300) | Which hospital is closest |
| PACE | Available in each county | The same PACE program |
| Costs | The same North Carolina CareScout medians | Actual quotes |
