Welcome To Swain County

Social Services

Adult Placement Services

We can assistance aged or disabled adults and their families in finding suitable Adult Care Homes or nursing homes for disabled adults and their families when the adult can no longer remain in their home safely. The long term care placement service offers counseling and information to individuals and families that are making decisions about facility placement. We also assist in evaluating if a group home placement is appropriate for an individual, help the family find a home that is a good match for the client’s need, and work with the family to make the transition as easy as possible.

Adult placement services also help elderly and disabled adults who are unable to maintain themselves in their own homes independently or with available community or family supports, those living in substitute homes, residential health care facilities, or institutions and need assistance in relocating due to changes in level of care needed, those who need assistance in returning to more independent living arrangements, and those who need assistance in adjusting to or maintaining their placements due to individual or family problems or a lack of resources.

Below is a list of providers in our area:

Autumn Wind Assisted Living
PO Box 1429
Bryson City, NC 28713

Mountain View Nursing Center
PO Box 2344
Bryson City, NC 28713

Tsali Care- For EBCI Enrolled Members Only
PO Box B5
Cherokee, NC 28719

Alternatives to consider:

Swain County Health Dept.
PO Box 546
Bryson City, NC 28713
In home aid services & Case Management for Medicaid Recipients

Tsali Manor - For EBCI Enrolled Members Only
PO Box B5
Cherokee, NC 28719
Nutrition, Home repairs, Senior Citizen Fuel Program, Emergency Assistance,  Home Delivered Meals, Plowing Program, and Cannery Program

Hospice & Home Health
West Care Health
PO Box 389
Bryson City, NC 28713
CNA, Physical, occupational, & speech therapy, Skilled Nursing, Social Work, Team approach terminal focus support for family and quality of life.


Department of Social Services
80 Academy Street
Bryson City, NC 28713

Mailing Address
PO Box 610
Bryson City, NC 28713


Sheila Sutton, Director
Phone 828-488-6921
Fax 828-488-8271

Office Hours