If you're looking for board & care homes in Matthews, Mecklenburg County, this is the local rundown — real 2026 pricing, how North Carolina licenses it, and what to check before you tour.
What senior care looks like in Matthews
Matthews is a well-established southeast-Mecklenburg town with a steady set of assisted living and adult care options around Downtown Matthews and the Sardis area.
Matthews sits in Mecklenburg County. Nearby hospitals include Novant Health Matthews Medical Center, Atrium Health Carolinas Medical Center, which matters for discharge planning and for staying close to a parent's doctors. Families here commonly focus on areas such as Downtown Matthews, Sardis Area, Crestdale. Matthews pricing runs near the metro median.
Paying for board & care homes in Matthews
In the Matthews market, board & care homes typically runs $2,600 to $4,200 a month. Matthews pricing runs near the metro median. Most families combine sources over time: private savings and Social Security first, then long-term-care insurance if it's in place, VA Aid & Attendance for eligible veterans and surviving spouses, and North Carolina's State/County Special Assistance through the county Department of Social Services, which can help cover room and board in a licensed Adult Care Home or Family Care Home for those who meet the income limits (a cash supplement, not Medicaid, though recipients are automatically Medicaid-eligible), plus NC Medicaid's CAP/DA waiver for in-home support.
Verify any community's license and inspection record on the NC DHSR facility search — one lookup covers adult care homes, family care homes, and nursing homes — before you commit; it is the statewide database that covers every provider in Mecklenburg County.
Board & Care Homes: what you're actually buying
Board-and-care homes are small residential care homes — often a converted house with a handful of residents — offering a quieter, family-style alternative to a big campus.
In North Carolina these are typically licensed as Family Care Homes (2 to 6 beds) under 10A NCAC 13G, licensed and inspected by DHSR — the same one division that oversees larger Adult Care Homes — with the same disclosure and inspection standards scaled to the smaller size. A typical monthly range is $2,600 to $4,200 a month.
Before you tour, know what actually predicts quality:
- the owner or operator's tenure and hands-on involvement
- the caregiver-to-resident ratio, which is the small home's main selling point
- what happens if care needs exceed what the home is licensed for
What to do next
A free Charlotte Senior Advisor advisor can shortlist options that fit your budget and timeline and set up tours. Reach us at (803) 887-0237 or online — there's never a fee for families.
