Randolph County lies south of Guilford, with Asheboro as its seat and Archdale, Trinity, Randleman, Ramseur, Liberty and Franklinville among its towns; about 149,516 people lived there on July 1, 2025.
Census estimates put 20.7% of residents at 65 or older, with a median age of 42.0. Randolph Hospital in Asheboro is the county's general hospital, and the northern towns lean on High Point for specialists.
How many seniors and licensed care homes does Randolph County, NC have?
Randolph County had about 30,971 residents aged 65 and older (20.7% of 149,516), including 3,027 aged 85 and older, on July 1, 2025, and DHSR licenses 6 adult care homes, 2 family care homes and 6 nursing homes there.
| Found in Randolph County | Not found in Randolph County | |
|---|---|---|
| Licensed with a local address (DHSR) | Adult care homes: 6, Family care homes: 2, Nursing homes: 6, Home health agencies: 3, Hospice offices: 3, Home care agencies: 28 | — |
| No local license on file | — | All categories present |
| Special care units (dementia) | 5 buildings | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which facilities are licensed in Randolph County?
Every licensed adult care home, family care home and nursing home in Randolph County on DHSR's current listings appears below with licensed beds, special care unit beds and DHSR or CMS stars.
| Facility | License type | Licensed beds | Special care unit beds | City |
|---|---|---|---|---|
| Brookdale Asheboro 514 Vision Drive, 27203 | ACH | 76 | 24 | Asheboro |
| Brookstone Haven 501 Pointe South Drive, 27317 | ACH | 120 | 0 | Randleman |
| Cross Road Retirement Community 1302 Old Cox Road, 27205 | ACH | 152 | 40 | Asheboro |
| North Pointe 1195 Pineview Road, 27317 | ACH | 67 | 0 | Randleman |
| North Pointe Assisted Living Of Archdale 303 Aldridge Road, 27263 | ACH | 56 | 20 | Archdale |
| TerraBella Asheboro 2925 Zoo Parkway, 27205 | ACH | 96 | 24 | Asheboro |
| Edna's Place 963 Rockcliff Terrace, 27205 | FCH | 6 | 0 | Asheboro |
| Uwharrie Family Care Home 4028 Old NC Hwy 49, 27205 | FCH | 6 | 0 | Asheboro |
| Alpine Health and Rehabilitation of Asheboro 230 East Presnell Street, 27203 | NH | 238 | 0 | Asheboro |
| Asheboro Rehabilitation and Healthcare Center 400 Vision Drive, 27203 | NH | 100 | 0 | Asheboro |
| Clapp's Convalescent Nursing Home Inc 500 Mountain Top Drive, 27203 | NH | 96 | 0 | Asheboro |
| Ramseur Rehabilitation and Healthcare Center 7166 Jordan Road, 27316 | NH | 90 | 24 | Ramseur |
| The Graybrier Nursing And Retirement Center 116 Lane Drive, 27370 | NH | 128 | 0 | Trinity |
| Westwood Health and Rehabilitation 625 Ashland Street, 27263 | NH | 68 | 0 | Archdale |
Which home health agencies and hospices are based in Randolph County?
DHSR's listings show 3 home care agencies licensed for home health and 3 hospices at Randolph County addresses, plus 28 other home care agencies.
- Gentiva, Asheboro: hospice
- Hospice of Randolph, Asheboro: hospice
- The Randolph Hospice House, Asheboro: hospice
- Amedisys Home Health Care, Asheboro: home health agency
- Enhabit Home Health, Asheboro: home health agency
- Home Health of Randolph Hospital, Asheboro: home health agency
Which agencies serve older adults in Randolph County?
Randolph County is one of the twelve counties in Piedmont Triad Regional Council Area Agency on Aging's Region G service area, based at 1398 Carrollton Crossing Drive, Kernersville, NC 27284 ((336) 904-0300); it plans and funds aging services, offers information and options counseling, and houses the regional long-term care ombudsmen who advocate for residents of adult care homes and nursing homes.
Randolph County Department of Social Services takes Adult Protective Services reports at 336-683-8300. Licensing complaints go to the DHSR Complaint Intake Unit at 1-800-624-3004, and Medicaid and Special Assistance applications go through the same county agency. Randolph Health StayWell Senior Care, 809 Curry Drive, Asheboro, 336-628-4200, is the PACE program for Randolph and Montgomery counties.
How far do Randolph County residents travel for hospital care?
From Asheboro, the county seat, the nearest general hospital on DHSR's list is Randolph Hospital in Asheboro, about 2.0 miles away in a straight line, and downtown Greensboro is about 24 miles away.
Next come High Point Regional Health (about 21 miles) and Cone Health (about 25 miles). These are straight-line distances, not driving routes.