Wilkesboro and its neighbor North Wilkesboro form the heart of Wilkes County — a community with a strong sense of history, family, and self-reliance. Home to MerleFest, one of North Carolina’s most beloved music festivals, Wilkes County has a rich cultural identity and a deep community spirit. Ashe Home Care respects that independent spirit. Our approach to home care is never about taking over someone’s life — it is about providing the right level of support to help your loved one remain in control of their own home and daily routine for as long as possible.
Our North Wilkesboro office on Sparta Road serves families throughout Wilkesboro, making us a genuinely local option for Wilkes County families who need in-home senior care. We are just minutes away — and that proximity matters when care needs are urgent or when situations change quickly.
Wilkesboro and its neighbor North Wilkesboro form the heart of Wilkes County — a community with a strong sense of history, family, and self-reliance. Home to MerleFest, one of North Carolina’s most beloved music festivals, Wilkes County has a rich cultural identity and a deep community spirit. Ashe Home Care respects that independent spirit. Our approach to home care is never about taking over someone’s life — it is about providing the right level of support to help your loved one remain in control of their own home and daily routine for as long as possible.
Our North Wilkesboro office on Sparta Road serves families throughout Wilkesboro, making us a genuinely local option for Wilkes County families who need in-home senior care. We are just minutes away — and that proximity matters when care needs are urgent or when situations change quickly.
Wilkes Medical Center — part of the Atrium Health Wake Forest Baptist system at 1370 West D Street in North Wilkesboro — serves as the regional hospital for Wilkesboro and the broader Wilkes County community. With over 70 years of service to the community, it offers a full range of acute care, surgical, rehabilitative, and specialty services.
When a parent or spouse returns home from Wilkes Medical Center after surgery, a fall, a cardiac event, or another health episode, the first weeks at home are critical. Ashe Home Care provides the hands-on support that helps patients recover safely — from personal care and medication reminders to simply ensuring someone is there to help if something goes wrong. Our RN director reviews discharge instructions and makes sure care at home aligns with what the hospital recommended.
Personal Care Assistance
Help with bathing, grooming, dressing, toileting, and other personal care needs.
Companion Care
Alzheimer’s & Dementia Care
Specialized care and support for loved ones living with Alzheimer’s, dementia, memory loss, or cognitive changes.
Respite Care
Temporary relief for family caregivers so they can rest, recharge, and care for their own needs.
Daily Activities Support
Assistance with meals, light housekeeping, laundry, errands, and other daily household tasks.
Medication Reminders
Medication reminders and routine health observation to support safety, consistency, and peace of mind.
Transportation
Transportation to Wilkes Medical Center, local physician offices, errands, appointments, and community activities.
24-Hour Home Care
Around-the-clock support for seniors with higher care needs, overnight concerns, or more complex daily routines.
Veterans’ In-Home Care
In-home care support for Wilkesboro veterans and surviving spouses, including help understanding VA Aid & Attendance benefits.
Social isolation is one of the most significant — and least discussed — health risks for older adults in smaller communities. Seniors in Wilkesboro who live alone, have limited mobility, or have lost a spouse may go days without meaningful social contact. Research consistently links isolation to faster cognitive decline, increased depression, and higher risk of hospitalization.
Ashe Home Care’s companion care services are specifically designed to address this. Our caregivers do not just complete tasks — they build genuine relationships with clients. They engage in conversation, share activities, provide encouragement, and become a consistent, trusted presence in your loved one’s life. For many families, this companionship dimension of care is just as important as the physical assistance.
Every client in Wilkesboro receives a free in-home assessment conducted by or under the supervision of our Registered Nurse. We take the time to understand your loved one’s specific needs, health history, daily routine, and personal preferences before developing a personalized Wellness Plan. That plan is revisited and adjusted as needs change over time.
Your family will always know what care is being provided and why. We believe in transparent, open communication — and we welcome your input every step of the way.
Yes. Our North Wilkesboro office at 5 Sparta Road is just minutes from Wilkesboro. Our staff and caregivers are based in the area, which means faster response times and genuine familiarity with the Wilkes County community.
In many cases, yes. Home care can be a viable alternative to assisted living or nursing facility placement, particularly when the primary need is personal care, companionship, and daily activities support rather than skilled nursing. Our RN director can help assess whether home care is the right fit for your loved one’s level of need.
Yes. Dementia care is one of our core specialties. Our caregivers receive hands-on dementia-specific training and care plans are developed by our RN director. We work with families to create a safe home environment and a daily routine that minimizes agitation and supports quality of life.
Care plans are reviewed and updated as your loved one’s needs evolve. Our RN director conducts reassessments when health status changes, and we communicate openly with families throughout the care relationship. If a higher level of care becomes necessary, we will be honest with you about what we can provide and help connect you with appropriate resources.
Yes. We can accommodate a wide range of schedules including overnight care and 24-hour care. Contact us to discuss what your family needs and we will build a schedule that works.