SERVING WATAUGA COUNTY SINCE 2006

Senior Home Care in Boone, NC — Trusted In-Home Care Since 2006

Boone is one of western North Carolina’s most vibrant communities — shaped equally by the grandeur of the Blue Ridge Mountains and the energy of Appalachian State University. It is a place where generations of families have put down roots, where retired professors and longtime locals live side by side, and where the value of independence and community runs deep. At Ashe Home Care, we share those values. We have provided professional in-home senior care, elder care, and personal care services for families throughout Watauga County for nearly 20 years, and we are proud to be a trusted part of this community.

In-Home Care for Boone and Watauga County Families

Boone is one of western North Carolina’s most vibrant communities — shaped equally by the grandeur of the Blue Ridge Mountains and the energy of Appalachian State University. It is a place where generations of families have put down roots, where retired professors and longtime locals live side by side, and where the value of independence and community runs deep. At Ashe Home Care, we share those values. We have provided professional in-home senior care, elder care, and personal care services for families throughout Watauga County for nearly 20 years, and we are proud to be a trusted part of this community.

When your loved one needs support to remain safely at home — whether following a discharge from Watauga Medical Center, managing a chronic condition, or simply needing daily assistance — Ashe Home Care is here. Our care is led by Chelsea Moriarty, a Registered Nurse and ANCC board-certified Med-Surg specialist, who personally oversees every client’s care plan. This clinical foundation is what sets us apart from agencies that simply place aides without medical oversight.

Home Care After a Stay at
Watauga Medical Center

Watauga Medical Center, located on Deerfield Road in Boone, is the primary regional hospital for High Country residents. It is a 117-bed facility and a UNC Health Appalachian affiliate offering emergency care, cardiac care, orthopedics, cancer services, and more. For many Boone-area families, a hospital discharge is when the conversation about home care first begins.

The transition from hospital to home is one of the highest-risk periods for seniors. Without proper support at home, patients are significantly more likely to be readmitted within 30 days. Ashe Home Care coordinates closely with families following discharges from Watauga Medical Center — providing the hands-on support, medication reminders, and health monitoring that helps your loved one recover at home instead of returning to the hospital.

Home Care Services We Provide in Boone, NC

Personal Care

bathing, grooming, dressing, personal hygiene

Companionship

Companionship and social engagement

Alzheimer’s & Dementia Care

Alzheimer’s and dementia care

Respite Care

Respite care for family caregivers

Meal Preparation & Light Housekeeping

Meal preparation, light housekeeping, and laundry

Medication Reminders & Health Monitoring

Medication reminders and health monitoring

Transportation

Transportation to Watauga Medical Center and local medical appointments

24-Hour & Overnight Home Care

24-hour and overnight home care

Veterans’ Home Care

Veterans’ home care — we work with VA Aid & Attendance benefits

Veterans’ Home Care in Boone and Watauga County

Boone is home to a significant veteran population, supported by the Watauga County Veterans Service Office located at 126 Poplar Grove Connector. If your loved one is a veteran, they may qualify for VA Aid & Attendance or other VA pension benefits that can help cover the cost of in-home care.

Ashe Home Care accepts veterans’ benefits and our team is experienced in helping families navigate the VA home care benefit process. If you are unsure whether your loved one qualifies, call us and we will walk you through the options. Many Boone-area veterans and their surviving spouses are entitled to benefits they are not yet receiving.

Home Care for Boone’s Appalachian State University Community

Appalachian State University has been a cornerstone of Boone’s identity for well over a century — and its influence extends far beyond the student population. Over the decades, App State has drawn faculty, administrators, researchers, and staff from across the country who came to Boone for a career and stayed for a lifetime. Many of these individuals — and their spouses and parents — are now in or approaching their senior years, having built deep roots in the community they chose.

Ashe Home Care serves a number of families connected to the App State community. Retired faculty and staff who spent careers in Boone and who want to remain in the community they helped shape deserve high-quality, locally grounded home care. We understand the intellectual curiosity, the independence, and the high expectations that often characterize this community — and we bring that same standard to every care relationship we build.

App State also draws a steady stream of parents and grandparents who relocate to or near Boone to be close to family members who settled here after their own time at the university. For these families, Ashe Home Care provides the in-home support that makes it possible for older relatives to live nearby without placing the full weight of their care on family members.

When App State Faculty and Staff Are Caring for Aging Parents

Many people who work at Appalachian State University are simultaneously managing the care of an aging parent — either locally in Boone or at a distance. This dual responsibility — meeting professional obligations while navigating a parent’s declining health or increasing care needs — is one of the most stressful situations families face.

Ashe Home Care provides consistent, professional in-home care that gives App State employees confidence their loved one is safe and well-supported. When you know a trusted caregiver is with your parent, you can focus on your work and your own family without the constant background worry. Call us to talk through your situation — we understand how common this is and we are here to help.

Our Caregivers Include App State Nursing Students

One of the things that makes Ashe Home Care distinctive in the Boone area is our longstanding relationship with Appalachian State University’s nursing program. We consistently hire App State nursing students as caregivers — and for families in the Boone area, this is a meaningful quality advantage.

App State nursing students bring something that experience alone cannot always provide: current, rigorously trained clinical knowledge. These are individuals who are actively studying anatomy, pharmacology, patient assessment, and care techniques under the direction of nursing faculty. When they come to work for Ashe Home Care, they bring that academic foundation into the homes of our clients — under the supervision of Chelsea Moriarty, our owner and RN director.

For clients and families, this means your loved one’s caregiver is not just compassionate and reliable — they are clinically literate. They understand what they are observing when a client’s condition changes. They know how to communicate health concerns accurately. And they are motivated: nursing students who choose home care are typically drawn to it because they want direct, meaningful patient relationships of the kind that hospital rotations do not always provide.

A Pipeline Built on Standards

Not every App State nursing student who applies to Ashe Home Care is hired. We maintain the same rigorous screening process for all caregivers — background checks, skills assessment, and a thorough onboarding process supervised by our RN director. The App State connection is a pipeline to high-caliber candidates, not a guarantee of automatic placement. Families can be confident that every Ashe Home Care caregiver has met our standards before entering a client’s home.

Supporting the Next Generation of Healthcare Professionals

Ashe Home Care takes seriously our role in developing the next generation of nurses in western North Carolina. The hands-on experience our nursing student caregivers gain — working one-on-one with clients across a range of conditions and ages, under RN supervision — is some of the most valuable clinical preparation available outside of a hospital setting. Many of our former nursing student caregivers have gone on to careers in hospitals, clinics, and healthcare systems across the region.

Helping Boone Seniors Age in Place at Home

Boone and Watauga County have a growing and increasingly diverse senior population. The presence of Appalachian State University has long made Boone attractive not just for students, but for educated, active retirees who value the arts, outdoor recreation, intellectual engagement, and the sense of community that a university town provides. Boone consistently ranks as one of North Carolina’s most desirable places to retire for exactly these reasons.

But the realities of mountain living are significant. Steep terrain, winter weather along the Blue Ridge, and the distance to specialty medical care can make daily life increasingly difficult for older adults — especially those living alone or managing a chronic health condition. Ashe Home Care helps High Country seniors age in place by bringing professional, nurse-supervised care directly to their homes.

Whether your loved one lives near downtown Boone, in a neighborhood close to App State’s campus, out in Deep Gap, or along one of Watauga County’s rural roads, we come to them. Staying at home in a community they chose — surrounded by familiar faces, mountain views, and the life they have built — is meaningful. We help make that possible.

Why Watauga County Families Choose Ashe Home Care

Nurse-Directed Care

Every client in Boone receives a personalized care assessment and Wellness Plan developed by Chelsea Moriarty, our owner and RN director. This clinical oversight means your loved one’s needs are being evaluated by someone with real healthcare expertise — not just administrative staff.

Local and Family-Owned​

We are not a national franchise. Ashe Home Care is a small, family-owned business rooted in western North Carolina. When you call us, you speak with people who know this community personally and are invested in the care we provide.

App State Nursing Program Caregivers

Our longstanding relationship with App State’s nursing program gives Boone-area clients access to caregivers who bring current clinical training alongside compassion. Every caregiver — student or experienced CNA — is vetted, trained, and supervised by our RN director.

Serving Boone Since 2006

For nearly 20 years, Ashe Home Care has been a trusted presence in Watauga County. Families across Boone, Deep Gap, Blowing Rock, and the surrounding High Country communities have counted on us to be there when it matters most.

Frequently Asked Questions — Home Care in Boone, NC

In most cases we can begin a free in-home assessment within a few days of your first call. Once the assessment is complete and a care plan is established, we work to place a caregiver as quickly as possible. Urgent situations are given priority.

Yes. We coordinate with families following hospital discharges to ensure continuity of care. If your loved one is being discharged from Watauga Medical Center and needs in-home support, contact us as soon as possible — ideally before discharge — so we can have a care plan ready when they arrive home.

Absolutely. Alzheimer’s and dementia care is one of our core services. Our caregivers receive specialized dementia-care training under the supervision of our RN director, and care plans are tailored to the specific stage and symptoms of each client’s condition.

We serve Boone, Deep Gap, Blowing Rock, Banner Elk, Valle Crucis, Seven Devils, Vilas, Fleetwood, and surrounding communities throughout Watauga County. If you are unsure whether your location is within our service area, call us and we will confirm.

We accept VA Aid & Attendance and related pension benefits. Our team can help families understand the process and works alongside the Watauga County Veterans Service Office to help eligible veterans and surviving spouses access the benefits they have earned.

Start by calling us at (336) 846-1345. This is one of the most common situations we hear from Boone families — App State faculty and staff managing demanding professional responsibilities while also trying to make sure an aging parent is safe and cared for. We offer a free in-home assessment with no obligation. We will assess your loved one’s needs, answer your questions, and put together a care plan that fits your schedule and your family’s situation.

The first step is a free in-home assessment. We come to your parents’ home, take the time to understand their daily routine, health history, and specific needs, and develop a personalized care plan. There is no pressure and no obligation. Call us at (336) 846-1345 or submit an inquiry online.

Yes. All of our caregivers are certified nursing assistants or home health aides who have completed required training and background checks. In the Boone area specifically, we consistently hire App State nursing students as caregivers — individuals actively studying nursing under rigorous academic standards — working under the supervision of our RN director Chelsea Moriarty. For families, this means caregivers who are not just trained but are clinically informed

Schedule a Free In-Home Assessment in Boone

Getting started is simple. Contact Ashe Home Care at 📞 (336) 846-1345 or ➡️ submit an inquiry online to schedule your free, no-obligation assessment. We serve Boone, Deep Gap, Blowing Rock, Banner Elk, Valle Crucis, Seven Devils, Vilas, Fleetwood, and all of Watauga County from our West Jefferson office. We look forward to meeting your family.
Careers at Ashe Home Care

App State Nursing Students — Start Your Career With Ashe Home Care in Boone

Are you an Appalachian State University nursing student looking for meaningful, flexible part-time work in Boone? Ashe Home Care has a long history of hiring App State nursing students as in-home caregivers — and we would love to talk with you.

Working as a caregiver with Ashe Home Care is not just a paycheck. It is genuine clinical experience. You will work one-on-one with real clients across a range of ages, health conditions, and care needs — building the patient relationship skills, observational abilities, and practical confidence that nursing school teaches in theory but that only direct care experience can truly develop.

Why App State Nursing Students Choose Ashe Home Care

What We Look For

We hire App State nursing students who are reliable, compassionate, and genuinely invested in the wellbeing of the people they care for. Prior CNA certification is helpful but not always required — we evaluate each applicant individually. All caregivers undergo a thorough background check and onboarding process before working with clients.

How to Apply

➡️ Visit our Careers page or call us directly at 📞 (336) 568-7232 . We review applications on a rolling basis and hire throughout the year to accommodate the academic calendar.

I am an App State nursing student. Does Ashe Home Care hire nursing students as caregivers in Boone?

Yes, and we actively recruit from App State’s nursing program. We offer flexible scheduling around class and rotation schedules, work close to campus in the Boone area, and provide meaningful one-on-one patient care experience under RN supervision. Visit our Careers page or call (336) 568-7232 . We review applications year-round.

We also serve nearby areas such as Sparta and Blowing Rock with the same level of personalized care.