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Home care in Lexington, NC that leads with the heart.


Helping older adults live the life they love in the place they call home.

I'm interested in home care services for:

4.4 rating on Google (35 reviews)
(336) 249-1011
A Home Instead Care Pro with an adult.

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Why we’re the most trusted home care service in Lexington:

We’ve been caring for Lexington since 2008, providing over 970K hours of in-home care for more than 1,000 families. Many clients begin receiving care within 48 hours, with a care plan that fits their life and a consistent caregiver that they come to know and trust.


Here’s why so many families choose us:


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    Skilled & Trusted Caregivers

    We handpick every Care Pro for their skills, compassion, and professionalism—each one thoroughly vetted, trained, and ready to deliver exceptional care.

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    Flexible & Consistent Care

    Need help during the day? Overnight care? Weekend coverage? We offer flexible options, on-time visits, and reliable care from Care Pros you know and trust.

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    Matches Made to Last

    Because strong relationships lead to better care, we take time to find a Care Pro who’s the right fit—not just for the job, but for the person.

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    Proven Expertise

    Behind every Care Pro is a team of experienced home care advisors, gerontologists, and specialists working to ensure you receive care that’s thoughtful, informed, and personal.

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    Customized Care Plans

    Care isn’t one-size-fits-all. We partner with you to create a personalized care plan that grows and adapts as your needs change.

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    Unmatched Experience

    Founded in 1994, Home Instead has helped older adults around the world age safely and with dignity at home, using a time-tested approach built on connection and compassion.

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    Connected Care

    With our user-friendly care platform, you can get real-time updates, track care tasks, and manage care from anywhere—making home care less stressful and more connected.

Read our local Google reviews

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Ana S.

“Absolutely loved it! The staff there was extremely friendly and kind, had an amazing experience.”

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Elisa R.

“Home Instead Senior Care is an amazing service to our community! They are a great resource for anyone looking for some help taking care of a loved one. They will work with you to choose the best plan to keep your loved one happy and safe! They are available 24 hours a day/ 7 days a week, so you can count on them! I would recommend them to anyone who has an older family member or friend that needs some help with non-medical home care!”

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Alan J.

“Such a gift! I think we’re a year or so in, and our caregiver has been wonderful, managing to build good relationships with both my mother and my aunt. The latter amazes me, since my aunt has to learn who the caregiver all over again every week. She’s been late only once, and Home Instead let us know as soon as they could, which was before she was actually due!”

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Alexandria W.

I absolutely love this company, the staff are amazing. Awesome caregivers who show so much compassion for everyone!

Trusted help for those everyday needs.


We know it’s the little things that often make life easier. That’s why our approach to senior care includes help with daily tasks and routines, like cooking meals, shopping, and even folding laundry.


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    Light Housekeeping & Meal Prep

    We help with household tasks like laundry, vacuuming, and meal preparation to ensure a clean, safe, and nurturing environment.

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    Transportation & Errands

    We offer safe rides to just about anywhere around town. Have an appointment at Lexington Medical Center, or need groceries from Food Lion? We help seniors stay active and connected.

Helpful FAQs

If you’re starting to wonder whether it’s time to get help at home, you’re not alone. Families across Lexington, Thomasville, and Denton often come to us with the same question—and the answer isn’t always clear-cut.

Sometimes, it’s small things: missed medications, skipped meals, or an uncharacteristic lack of energy. Other times, it’s a fall, hospital visit, or a growing sense that your loved one just isn’t thriving on their own.

At Home Instead Lexington, we’ve helped more than 900 local families navigate this moment—providing care that supports independence while easing family stress.

Here are a few signs it may be time:

  • Trouble with hygiene, meals, or mobility
  • Confusion, memory loss, or frequent forgetfulness
  • More time alone and less interest in favorite activities
  • A stack of unopened mail or unpaid bills
  • Caregiver stress or burnout

In-home care isn’t about taking over—it’s about stepping in with the right help, at the right time.

Not sure how to talk about care? Download our free What’s Next Toolkit for helpful checklists and conversation starters. Or talk to our local team about your concerns.

Caring for a loved one can be incredibly rewarding—but also exhausting, especially when you're trying to do it all yourself. If you live nearby, you may already be managing groceries, appointments, or check-ins. If you live farther away, the worry can feel constant.

That’s where in-home care can make all the difference.

At Home Instead Lexington, we’ve delivered more than 970,000 hours of care in Davidson County and surrounding areas. We’ve seen firsthand how even a few hours of weekly support can lighten the load—without taking away your role as a caring son, daughter, or spouse.

Here’s when home care can help:

  • You’re stretched thin with work and family responsibilities
  • You want to protect your relationship—not just manage tasks
  • Your loved one’s needs are growing, and you need a hand
  • You want flexible care that adapts over time

We’re here to partner with you, not take over. Whether it’s preparing meals in Midway, assisting with mobility near High Rock Lake, or providing companionship in Welcome, our Care Pros are trained to step in with warmth and reliability.

Want help thinking it through? Schedule a free consultation or download our What’s Next Toolkit to explore your options.

It depends on your loved one’s goals—but for many families in Lexington and the surrounding area, in-home care is the best way to maintain comfort, dignity, and connection.

Older adults often prefer to age in the home they know—whether that’s a farmhouse in Denton or a small neighborhood in Thomasville. Home care makes that possible, without the stress of moving to a facility or managing care on your own.

Home care vs. assisted living:

Assisted living can work for some, but in-home care offers:

  • One-on-one support in familiar surroundings
  • Customizable schedules and routines
  • The ability to keep pets, family traditions, and comfort items
  • Relationships with the same Care Pro over time

Home care vs. private caregivers:

Hiring a caregiver privately can seem simpler, but it comes with risks. You're responsible for finding backup, handling taxes, and ensuring safety.

With Home Instead Lexington, we take care of it all:

  • Background checks, drug screening, and insurance
  • Consistent scheduling with professional supervision
  • Trusted local support, with care that often starts in 48 hours

Want help deciding what’s best?

In-home care is designed to help older adults stay safe, healthy, and connected—right in the comfort of their own homes. Whether your loved one needs help with a morning routine or round-the-clock support, we’ll create a care plan that works for your family.

Here’s how it works with Home Instead Lexington:

  1. Start with a conversation. We’ll come to your home—whether you're in Denton, Lexington, or Midway—to listen, understand your situation, and learn what matters most.
  2. Build a personalized care plan. From personal care and companionship to Alzheimer’s support or meal prep, we’ll customize services to fit your loved one’s needs and preferences.
  3. Match you with a Care Pro. We carefully match each client with a trained, compassionate Care Pro based on personality, skills, and availability. Many of our Care Pros have been with us for years and are known for building meaningful connections.
  4. Start care—quickly. We can often begin within 48 hours. And if needs change, your dedicated Care Manager will help adjust the plan.
  5. Stay supported. With 24/7 phone support and regular check-ins, you’re never alone on this journey.

Ready to see how care would work for your family?

We call our caregivers Care Pros because they’re more than just helpers—they’re skilled, compassionate professionals who bring warmth and respect to every visit.

What makes our Lexington Care Pros different?

  • Trained and background-checked Every Care Pro completes a thorough screening and receives ongoing training—including support for Alzheimer’s, Parkinson’s, and chronic conditions.
  • Matched with care We consider your loved one’s personality, needs, and preferences to find a Care Pro who feels like family—not just a service provider.
  • Employees, not contractors We manage taxes, scheduling, insurance, and oversight—so you don’t have to.
  • Reliable and backed by a team If your Care Pro can’t make it, we send a qualified backup. Our 24/7 support team is always here when you need us.



Whether they’re helping with a bath, preparing lunch, or sharing stories over coffee, our Care Pros deliver more than just care—they bring connection.



Ready to meet the people behind our care? Get to know our Lexington Care Team

With nearly 1 million hours of care delivered to hundreds of local families, Home Instead Lexington has earned a reputation as one of the most trusted in-home care providers in Davidson County.

Founded in 2008, we’ve supported hundreds of local families with care that adapts to changing needs—without long-term contracts or surprises.



Why families trust us:

  • Local ownership and a long-standing, experienced care team
  • Personalized care plans and flexible scheduling
  • Quick start times—often within 48 hours
  • Compassionate Care Pros trained in dementia, personal care, and more
  • Strong relationships with providers like Novant Health and Atrium Health



Whether we’re helping a client return home from Lexington Medical Center or offering companionship to someone living alone in Denton, we’re here to bring comfort, safety, and connection.



Let’s talk about what your family needs.

The cost of in-home care can vary depending on the services you need and how often. At Home Instead Lexington, we’ll work with you to create a personalized care plan that fits your schedule, goals, and budget.

Most families choose hourly care—ranging from a few visits a week to 24-hour support. There's no long-term contract, so care can evolve with your needs.



Payment options include:

  • Private pay
  • Long-term care insurance
  • Veterans benefits, including Aid & Attendance
  • Retirement or health savings funds



We’ve helped families across Lexington and Davidson County navigate these options—and we’re happy to help you explore what’s available to you.

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Serving Lexington and the surrounding area.


Since 2008, Home Instead has been part of the community, providing quick access to top-rated home care in Lexington.


Proudly caring for communities near you:

Davie County, Providence, Mocksville, Advance, Davidson, Denton, Lexington, Thomasville, Linwood, Guilford County, Clemmons, and High Point, NC

…to name a few.


Get started with the most trusted home care in Lexington.


Searching for reliable, compassionate home care or home care near Lexington? We’re here to listen and help you through every step of the decision-making process.

Call Home Instead Lexington at (336) 249-1011 or request a free consultation to begin creating a personalized care plan.

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Get to Know a Care Pro


Sharon M, Home Instead Lexington


“Helping is my passion. I cared for my grandpa in the hospital for two years, which led me to pursue a CNA course after he passed. I love communicating with clients, learning about their culture and sharing mine. I’ve learned to think ahead—be kind, because we all grow old. My clients are kind and respectful, and I value showing them they’re worth loving.”