A curated guide to senior services, fall prevention resources, and community support organizations serving the NC High Country.
Need help navigating these resources?
HCSS can help you find the right support — free and government-funded options, or hands-on help directly from me. The initial consultation is always free.
Each county has a dedicated senior services organization providing government-funded support. These services are free or low-cost for eligible residents.
Alleghany County
30 Wellness Way | PO Box 416, Sparta, NC 28675
Services: In-Home Aide, Meals, Health Promotion, Transportation, SHIIP
alleghanyseniorservices.org →Ashe County
80 Chatty Rob Lane, West Jefferson, NC 28694
Services: In-Home Aide, Meals, Adult Day Care, Health Promotion, Transportation, SHIIP
generationsashe.org →Avery County
1655 Schultz St. | PO Box 447, Newland, NC 28657
Services: In-Home Aide, Meals, Health Promotion, Transportation, SHIIP
averycountync.gov →Mitchell County
152 Ledger School Rd., Bakersville, NC 28705
Services: In-Home Aide, Meals, Health Promotion, Transportation, SHIIP
mitchellcountync.gov →Watauga County
132 Poplar Grove Connector, Suite A, Boone, NC 28607
Services: In-Home Aide, Meals, Health Promotion, Transportation, SHIIP
highcountryaging.org →Wilkes County
710 Veterans Dr., Suite A, North Wilkesboro, NC 28659
Services: Congregate & Home Delivered Meals, Housing & Home Repairs
broc.org →Wilkes County
1915 West Park Drive, Suite 200, North Wilkesboro, NC 28659
Services: In-Home Aide, Adult Day Health Care
Wilkes County
228 Fairplains School Rd. | PO Box 1601, North Wilkesboro, NC 28659
Services: In-Home Aide, Health Promotion, Transportation, SHIIP
wilkesseniorresources.com →Falls are the leading cause of injury among older adults — and most are preventable. These resources provide education, checklists, and local program information.
Statewide coalition working to reduce injuries and deaths from falls among adults across North Carolina.
ncfallsprevention.orgNC fall prevention resources including home safety tips, exercise programs, and a county-by-county interactive resource map.
standingstrongnc.orgNational clearinghouse for home modification resources, research, and a directory of local home modification providers.
homemods.orgRoom-by-room fall prevention checklist and resources from the Centers for Disease Control.
cdc.gov/fallsBroader resources for older adults, caregivers, and families navigating aging services in North Carolina.
Regional aging services hub covering Watauga, Ashe, Avery, Alleghany, Mitchell, and Yancey Counties.
highcountryaging.orgFree, confidential information and referral for NC residents. Call 2-1-1 or visit the website for help with meals, home care, transportation, and more.
nc211.orgNational resource connecting older adults and caregivers to local community services.
eldercare.acl.govVolunteer-based organization serving Alleghany, Ashe, Avery, Watauga, and Wilkes Counties through Foster Grandparent and Senior Companion programs.
seniorprograms.appstate.eduHelps people of all ages access assistive devices and equipment to maintain independence at home.
ncatp.orgHCSS recommendations reference publicly available standards and guidelines from government and public-health sources. The references below are provided for education and transparency — they are not certifications HCSS holds or endorsements of HCSS, and they are not a substitute for consultation with a licensed design professional, contractor, or clinician.
Stopping Elderly Accidents, Deaths & Injuries — an initiative of the U.S. Centers for Disease Control and Prevention offering assessment tools and home checklists for older adults and clinicians.
cdc.gov/steadiFederal accessibility guidelines maintained by the U.S. Access Board. While ADA governs public accommodations rather than private homes, its technical specifications for reach ranges, door widths, and clearances inform accessibility thinking across the field.
access-board.gov/adaAccessible and Usable Buildings and Facilities — the consensus standard for accessible residential construction referenced by state and local building codes across the U.S.
iccsafe.orgHome Improvements and Structural Alterations — a U.S. Department of Veterans Affairs benefit providing funding for medically necessary home modifications for eligible veterans.
prosthetics.va.gov/psas/HISA2The National Institute on Aging (part of NIH) publishes plain-language guides on aging in place, home modifications, and planning for changing needs.
nia.nih.govAdministered by the NC Department of Insurance, Office of State Fire Marshal — governs construction standards, permits, and accessibility requirements for work across North Carolina.
ncosfm.gov/codesA Note From Martin
"These resources exist to help — but sometimes what people need is someone to help them navigate all of it."
If you're feeling overwhelmed by the options, that's exactly what HCSS is here for. Call us — free consultation, no obligation.