
A fresh start, right at home
Kind, dependable in-home care from a local agency that believes everyone deserves a second chance to live well, in the home they love.
Or call us now: (252) 822-1790
- NC Licensed Home CareLicense HC7784
- Locally OwnedDowntown Rocky Mount
- Serving Since 2012Rooted in community work
- Free In-Home VisitNo cost, no obligation

Care that starts by listening
When someone you love starts needing help, it can feel like everything is changing at once. We're here to make the next step feel steady.
A Fresh Start Homecare Agency is a licensed North Carolina home care agency in downtown Rocky Mount. We help seniors and adults who need support stay safe, comfortable and independent at home, with personal care, companionship, respite for family caregivers, sitter services and help with errands.
We're not a franchise or a call center. When you call, you'll talk with people who live here, know this community, and treat your family like neighbors.
Meet our founderCare for every part of the day
Every service is shaped around one person and one home, yours.

Personal Care
Gentle, respectful help with bathing, dressing, grooming and moving safely around the home.
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Companionship
Conversation, meals, outings and everyday help, so no one has to spend the day alone.
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Respite Care
Trusted relief for family caregivers, for a few hours, overnight or a whole weekend.
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Sitter Services
A calm, watchful presence for loved ones who shouldn't be alone, day or night.
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Errands & Community Support
Help with groceries, pharmacy runs, appointments and staying connected to the community.
Learn moreNot sure what you need?
Most families aren't. We'll visit, listen, and recommend the right mix of care. No cost, no obligation.
Schedule a free visit
God gave me a chance to live. I just like helping people.Adrianne Hall, Founder
Adrianne knows what it means to need a second chance, because she once needed one herself. Today she offers that same fresh start to Rocky Mount families, one home at a time.
Read Adrianne's storyGetting started is simple
Four unhurried steps from your first call to the first visit, and we walk every one of them with you.
Call or reach out
Tell us a little about your loved one. A real person answers, and we listen first.
Free in-home visit
We come to you, meet your family, and learn the routines, needs and wishes that matter most.
A plan that fits
Together we shape a care plan and schedule built around your loved one, not around us.
Care begins
We match a caregiver who fits, introduce them, and keep checking in as needs change.
Local care with a personal promise
Licensed and accountable
We're a North Carolina licensed home care agency (license HC7784), held to the state's standards for in-home care.
Matched with care
We match caregivers to personality as well as needs, and keep the same familiar face whenever we can.
Flexible scheduling
A few hours a week, daily visits, overnights or weekends. Care is built around your family's life.
Dignity first
Our caregivers ask before they help, move at your loved one's pace, and protect every bit of independence.
Right here in Rocky Mount
Our office is downtown in Station Square. We know the community because we're part of it.
Care with heart
Our work grew out of more than a decade of community service. Helping people is why we exist.
Answers before you call
01What is non-medical home care?
Non-medical home care is help with the everyday activities of life: bathing, dressing, meals, light housekeeping, companionship, errands and supervision. It helps people stay safe and independent at home. It doesn't include skilled nursing tasks like wound care or injections.
02Is A Fresh Start licensed?
Yes. A Fresh Start Homecare Agency is licensed by the State of North Carolina as a home care agency (license HC7784).
03What areas do you serve?
We serve Rocky Mount and the surrounding Nash and Edgecombe County communities. If you're not sure whether we can reach your loved one's home, just call (252) 822-1790 and ask.
04How do we get started?
Call us or send a message through our contact form. We'll set up a free in-home visit to meet your family, learn your loved one's needs and routines, and build a care plan and schedule together.
Let's talk about your family
Schedule a free, no-pressure visit. We'll listen, answer your questions, and help you decide what's right.
Join a team that believes in second chances
If you have a caring heart and a steady hand, we'd love to meet you. Flexible schedules, local clients, real support.