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ElderCareCosts
Updated August 2026

Assisted Living in Hot Springs, North Carolina

Hot Springs, NC has 2 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $6,725/mo. That's above the North Carolina state median by about 4%.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Hot Springs

$6,725/mo

Estimated range $5,991 – $7,396

● Hot Springs $6,725 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

See all 2 providers →Compare costs →

What senior care costs in Hot Springs

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingHot SpringsNorth CarolinaNational
25th percentile$5,991/mo$6,201/mo$5,488/mo
Median$6,725/mo$6,496/mo$6,230/mo
75th percentile$7,396/mo$7,060/mo$7,083/mo

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Source: CareScout 2025 survey, adjusted for local wages (opens in a new tab)

Staying home instead

Home care in Hot Springs runs about $31 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,692
44 hrs/weekMost of every weekday$5,922
24/7 (168 hrs/week)Round-the-clock coverage~$22,611

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby cities: Asheville

What can you afford?

Here is what different monthly budgets cover in Hot Springs.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Hot Springs runs about $1,896 a month. Income-restricted affordable senior housing is the other common choice, and Hot Springs has 1 such property. The county aging agency at (828) 251-6622 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
Affordable senior apartments →
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $5,922 a month. The local assisted living median is $6,725 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Hot Springs assisted living median of $6,725 a month with room to spare. It also covers close to full-time home care, about $5,922 a month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Hot Springs run about $10,077 a month at the median. Around-the-clock home care usually costs more.
How families pay →
Find options that fit your budget
Tell us how you plan to pay and we'll send licensed options that fit.
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2 assisted living communities in Hot Springs

Compare communities side by side
Tick Compare on the ones you like, then continue.
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In the last 365 days: 3 newly licensed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

Hot Springs, in Madison County, has about 567 residents. About 82 of them (14%) are 65 or older. The median household income is $44,688.

Source: US Census Bureau
  • Land of Sky Regional Council Area Agency on Aging(828) 251-6622landofsky.org

    Area Agency on Aging serving this city.

  • North Carolina Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Seniors' Health Insurance Information Program (SHIIP)855-408-1212ncdoi.gov

    State Health Insurance Assistance Program (SHIP).

  • North Carolina 2-1-11-888-892-1162nc211.org

    Statewide help for older adults, people with disabilities and caregivers.

  • Charles George Department of Veterans Affairs Medical Centerva.gov

    VA Medical Center in Asheville.

  • Community Alternatives Program for Disabled Adults (CAP/DA)Official program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Hot Springs more expensive than the rest of North Carolina?

Hot Springs's median assisted living cost is about 4% higher than the North Carolina state median.

Find Hot Springs care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Assisted Living across North Carolina → · Assisted Living cost across North Carolina → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

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Assisted Living in Hot Springs: 2026 Costs & Licensed Providers