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Through Life’s Challenging Seasons, We’re Here to Help.

Elizabeth House

The Elizabeth House at Four Seasons is a home-like environment that provides a comfortable, soothing atmosphere for patients and families. Here, our interdisciplinary team can address challenging symptoms and issues that cannot be managed in other care settings. The Elizabeth House is also a place where respite care is provided for the benefit of both the patient and loved ones.

A Special Place

Located just off Upward Road in Flat Rock, NC, less than one mile from I-26 at exit 53, Elizabeth House provides a home-like environment, staffed with doctors, nurses, chaplains and other members of our team. Because every moment spent with your loved one is precious, visitors including children are not only welcome, but encouraged at all hours of the day and night. In addition, because pets are often part of the family, they are welcome, too. (Leash or carrier required)

When your loved one needs 24-hour, in-patient hospice, only the absolute best care will do. At Elizabeth House, your loved one’s physical, emotional, and spiritual needs are addressed by our compassionate team of hospice professionals. This incredible care, soothing atmosphere, and supportive environment provides relief for both patients and families during this difficult journey.

Is Elizabeth House right for your loved one?

For many of our patients, a temporary stay at Elizabeth House allows medications to be adjusted, symptoms to get under control, and other benefits that allow them to return home. For others, a period of respite care (up to five days) can benefit both patient and loved ones. This Medicare-eligible benefit can help families who are traveling or caregivers that need to be refreshed from full-time caregiving.

Our team is available 24/7 to assist you with questions and to provide support. Please do not hesitate to call 828.692.6178. You may take a tour of the Elizabeth House and our Four Seasons campus at any time. Our address is:

581 South Allen Road, Flat Rock NC 28731.

Elizabeth House Visual Tour


Gathering Places

Our common spaces are great areas for gathering and making yourself at home. Our family room features comfortable seating, television, aquarium, dining area, coffee bar, and full kitchen.


Elizabeth House family room with couches, fireplace, tables
Elizabeth House dining area with multiple tables and coffee bar
Elizabeth House family area with comfortable seating
Small, cozy, stylish family meeting room

Family Suites

Each patient resides in a comfortable room with homemade quilts and home-like decor, a sleeper sofa for loved ones and a view of the grounds with a bird feeder at each window. Rooms also include an adjacent family area with more seating and doors that lead to a semi-private patio with rocking chairs.
Family suite open to patio
family room with cozy seating
patient room with blue crazy quilt
Patio overlooking grounds

Serene Spaces

Loved ones find solace on the grounds of Elizabeth House in the Dan and Nancy Barber Veteran’s Memorial Garden, a beautiful space for peaceful reflection. A walk around the gardens reveals an abundance of beautiful plants, birds,  and the occasional butterfly.
Elizabeth House Grounds with pergola
elizabeth house grounds with angel statue
Veterans garden with flags from each branch of service
elizabeth house garden

Elizabeth House History

As a community-based nonprofit provider, Four Seasons is “owned” by you – the community.  Started by volunteers in 1979, Four Seasons is committed to providing the absolute highest quality of in-patient care to all who need it.

Elizabeth House was built in 1999 as a 12-patient facility after funds were provided by generous donors. This facility was named in memory of Elizabeth M. Kinsella Reilly, RN, the mother of a former Four Seasons board member and retired pediatrician, Kathleen “Kay” McGrady.

In 2007, the capacity of the Elizabeth House expanded to 19 beds through the generosity of the community, including Kathleen “Kay” McGrady, naming the Dr. Charles W. McGrady WingThe Cooper Family Wing, given by brothers Tom and Mike Cooper, and the Seiler Family Wing, given by Robert Seiler, were named in 2018.

Elizabeth M. Kinsella Reilly, born in New York City on October 23, 1898, was the only one of her Irish immigrant parents’ 12 children born in the United States. Early in her career, she became interested in the care of patients with terminal illness, particularly symptomatic pain alleviation. During World War II, she worked as a civilian nurse in an army hospital, where she remained constantly aware of the ravages of chronic pain on the wounded and seriously ill soldiers she tended.

At a time when the hospice concept was just being introduced in the United States, Elizabeth was a veteran nurse who advocated for meeting the challenges of terminal illness with love, compassion, respect, and deep spirituality. We are privileged to name our inpatient facility after such a pioneer in compassionate care.

To learn more about Four Seasons Hospice Care services, and should you like our assistance in speaking with your doctor about Hospice Care, please call us at 828.692.6178 or 866.466.9734 (toll-free).

If you are a provider, click here to download a flyer about Hospice Eligibility and please note that all Palliative and Hospice care referrals should be faxed to 855.355.4067.

Four Seasons contribution to the national hospice movement

Serving 13 counties in Western North Carolina, Four Seasons is one of the premier Hospice and Palliative care providers in the country. As Four Seasons has grown, our reputation for high quality of care has earned national recognition. Staff members regularly present at national conferences on the specialized services and research our agency provides.

View our Confident Caregiver Manual.

View our Confident Caregiver Manual in SPANISH.


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Local: 828.692.6178
Toll-Free: 866.466.9734