Senior Living in Madison County, North Carolina
Assisted living, memory care & independent living in Madison County
3 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 |
|---|---|---|---|---|
| Hot Springs Family Care Home #1 | Hot Springs | Assisted Living | 6 | Boyd Mintz |
| Hot Springs Family Care Home #2 | Hot Springs | Assisted Living | 6 | Boyd Mintz |
| Mars Hill Retirement Community | Mars Hill | Assisted Living | 69 | Mars Hill Manor, LLC |
Also in Madison County, from public records: 1 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 Madison County
1 building 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 |
|---|---|---|---|
| Mashburn Gap Apartments | Marshall | 34 | Landura Management Asso |
Nursing homes in Madison County
2 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Elderberry Health Care | Marshall | ★★★☆☆ | 80 | For profit - Corporation |
| Madison Health and Rehabilitation | Mars Hill | ★★★☆☆ | 100 | 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.