Senior Living in Ashe County, North Carolina
Assisted living, memory care & independent living in Ashe County
5 communities licensed by the state of North Carolina. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| Ashe Family Care Home #1 | Todd | Assisted Living | 6 | Deborah Hart |
| Ashe Family Care Home #3 | Todd | Assisted Living | 6 | Deborah Hart |
| Ashe Family Care Home #4 | Todd | Assisted Living | 6 | Deborah Hart |
| Forest Ridge Assisted Living | West Jefferson | Assisted Living · Memory Care | 60 | RSS/West Jefferson Operations, LLC |
| Generations Assisted Living and Memory Care | West Jefferson | Assisted Living · Memory Care | 55 | Ashe Services for Aging, Inc |
Also in Ashe County, from public records: 3 income-restricted senior apartments
Costs: assisted living in North Carolina costs a median of $6,496 a month (CareScout 2025). Nursing home costs in North Carolina: CareScout medians and the private-pay rates nursing homes publish.
Income-restricted senior apartments in Ashe County
3 buildings from public records. Rent is set by income, there are age and income limits, and there is often a wait list. Apply through the property manager.
| Building | City | Apartments | Managed by |
|---|---|---|---|
| Ashe Senior Village | West Jefferson | 24 | Ashe Services for Aging |
| Historic Ashe Hospital | Jefferson | 46 | Northwestern Housing Enterprises, Incorporated |
| Spruce Hills Apartments | West Jefferson | 30 | Community Management |
Nursing homes in Ashe County
1 Medicare-certified nursing facility with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Margate Health and Rehab Center | Jefferson | ★★☆☆☆ | 210 | For profit - Limited Liability company |
What will senior living cost, and how will we pay?
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help.

Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.