We're still building out our in-home care directory for Topsail Beach, NC. The median estimated cost is $5,612/mo. That's roughly in line with the North Carolina state median. Browse nearby cities or the North Carolina page while we finish adding local providers.
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Starting tier, Topsail Beach
$2,551/mo
About 20 hours a week: a common starting point for a new home-care client
Full-time care (44 hrs/week, survey standard)
$5,612/mo
Modeled range $5,087 – $6,244
● Topsail Beach $5,612 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk
1. Call the county aging agency
Free: (910) 395-4553 (Cape Fear Council of Governments Area Agency on Aging)
2. Shortlist 3 options
3. Prepare for the assessment
Topsail Beach figures as of 2025. Method and sources below.
Median costs for in-home care in Topsail Beach versus North Carolina and the middle state nationally. The 25th and 75th percentile rows are the modeled range explained on the methodology page; in the national column they are percentiles across state medians. Figures are estimates, not quotes.
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The $5,612 monthly figure assumes 44 hours of care a week. The survey standard. At Topsail Beach's implied rate of about $29 an hour:
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Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.
Nearby: Hampstead $5,612 · Surf City $5,612 · Porters Neck $5,612 · Holly Ridge $5,587 · Bayshore $5,612
Every family starts with a number. Here's what different monthly budgets realistically cover in Topsail Beach, grounded in local medians on this page.
A note on counting: we show 0 licensed in-home care agencies listed for Topsail Beach proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.
Providers appear with their government data: license status, capacity, inspection history, and a CMS star rating where the service has one. The order is the date we last verified each record, newest first. Nobody pays to appear, and nobody pays to move up. If a listing says "Sponsored," a provider paid for that placement and the label says so.
Looking for a transparent sort by CMS stars, inspection records, and staffing? That is a separate data ranking, not an editorial pick.
We don't have licensed in-home care agencies listed for Topsail Beach, NC yet.
We're adding providers on a rolling basis from CMS and state licensing data. Check back soon, or browse nearby cities below.
In-home care comes to the home, so agencies based one town over often serve Topsail Beach; 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-Topsail Beach count above. Always confirm they cover your address.
Ordered by distance from Topsail Beach, never by who pays. Office location is shown on every card. How we make money →
Topsail Beach has an estimated population of 406. About 235 residents (58%) are age 65 or older. Topsail Beach is located in Pender County, North Carolina. The median household income is $93,250. Estimated median cost in Topsail Beach is $5,612 per month, compared with $5,720 per month statewide in North Carolina.
Source: US Census Bureau (ACS) · Updated Jul 2026.GOVThese services are public and free. We list them before anything we could earn from.
Area Agency on Aging serving this city.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Aging & Disability Resource Center hub for this state.
Multi-Specialty Community-Based Outpatient Clinic in Wilmington.
Can help pay for care if your parent qualifies. Rules change. Confirm on the official page.
Free national starting points. Official sites only; we do not scrape these directories.
Free nationwide connection to local aging services.
Local health and human services referrals.
Screen for benefits you may qualify for.
ACL Disability Information and Access Line.
Veterans health care and long-term care programs.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. Official info only. How Aid & Attendance works →
Based on the modeled median, in-home care in Topsail Beach runs about $29 an hour. A 20-hour week runs about $2,551/month.
Topsail Beach's median in home care cost is about 2% lower than the North Carolina state median.
Tell us needs and budget once. We email you licensed options with the cost data we publish, the same day. Data stays free either way.
Reading up first? In-Home Care across North Carolina → · In-Home Care cost breakdown → · 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. Free, no email required. Optional send-to-email when you want it on your phone.
How to cite this page
Cite this: According to ElderCareCosts' 2026 index, in-home care in Topsail Beach, NC costs $5,612/month (median), at the 44-hour-a-week survey standard.
APA: ElderCareCosts Research. (2026). In-Home Care in Topsail Beach, NC. ElderCareCosts. Retrieved September 18, 2026, from https://www.eldercarecosts.com/in-home-care/north-carolina/topsail-beach/
Chicago: ElderCareCosts Research. "In-Home Care in Topsail Beach, NC." ElderCareCosts. Last modified August 10, 2026. Accessed September 18, 2026. https://www.eldercarecosts.com/in-home-care/north-carolina/topsail-beach/.
These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections