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ElderCareCosts
Updated August 2026

In-Home Care in Four Oaks, North Carolina

Four Oaks, NC has 1 licensed in-home care agency listed on ElderCareCosts. The median estimated cost is $5,796/mo. That's roughly in line with the North Carolina state median.

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

Starting tier, Four Oaks

$2,635/mo

About 20 hours a week: a common starting point for a new home-care client

Full-time care (44 hrs/week, survey standard)

$5,796/mo

Estimated range $5,234 – $6,410

● Four Oaks $5,796 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Four Oaks

2025 figures

In-Home Care cost comparison (2025)
In-Home CareFour OaksNorth CarolinaNational
25th percentile$5,234/mo$5,460/mo$6,221/mo
Median$5,796/mo$5,720/mo$6,769/mo
75th percentile$6,410/mo$6,217/mo$7,627/mo

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What home care costs by the hour

Home care in Four Oaks runs about $30 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,635
44 hrs/weekMost of every weekday$5,796
24/7 (168 hrs/week)Round-the-clock coverage~$22,130

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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: Smithfield · Selma · Clayton · Garner · Fuquay-Varina

If getting up from the toilet is the hard part, an electric toilet lift does the lifting, day or night. Sponsored

What can you afford?

Here is what different monthly budgets cover in Four Oaks.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Four Oaks runs about $1,855 a month. Income-restricted affordable senior housing is the other common choice, and Four Oaks has 3 such properties. The county aging agency at (800) 310-9777 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
$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 $5,796 a month. The local assisted living median is $6,582 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Four Oaks assisted living median of $6,582 a month with room to spare. It also covers close to full-time home care, about $5,796 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Four Oaks run about $9,862 a month at the median. Around-the-clock home care usually costs more.
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1 in-home care agency in Four Oaks

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Also serving Four Oaks

In-home care comes to the home, so agencies based one town over often serve Four Oaks; their licensed office is simply in a different city. These 12 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-Four Oaks count above. Always confirm they cover your address.

Ordered by distance from Four Oaks, never by who pays. Office location is shown on every card.

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In the last 365 days: 6 newly licensed. Counts come from our ingestion diffs, not a complete state registry dump.

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Free local help worth saving

Four Oaks, in Johnston County, has about 2,459 residents. About 461 of them (19%) are 65 or older. The median household income is $72,826.

Source: US Census Bureau
  • Central Pines Regional Council Area Agency on Aging(800) 310-9777centralpinesnc.gov

    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.

  • Fayetteville VA Medical Centerva.gov

    VA Medical Center in Fayetteville.

  • 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

What does in-home care cost per hour in Four Oaks?

Based on the modeled median, in-home care in Four Oaks runs about $30 an hour. A 20-hour week runs about $2,635/month.

Is in-home care in Four Oaks more expensive than the rest of North Carolina?

Four Oaks's median in home care cost is about 1% higher than the North Carolina state median.

Find Four Oaks care options

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

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Reading up first? In-Home Care across North Carolina → · In-Home Care cost across North Carolina → · Adult Day Care vs In-Home Care →

Assessment scheduled this week? Print our checklist: what to ask during your in-home assessment, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

In-Home Care in Four Oaks: 2026 Costs & Licensed Providers