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. Every moment spent with your loved one is precious; therefore, visitors are not only welcomed, but encouraged, including children, at all hours of the day and night. Pets are often part of the family – so they are welcomed, 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 can be 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.




    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. 






    Family Suites

    Each patient resides in a comfortable room with homemade quilts and homey 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.







    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. 







    What families say about Elizabeth House

    My mother-in-law was admitted to Palliative Care in April. She then was a resident at a local nursing home.Within a few days it was obvious to the visiting Hospice nurse that Laurene needed a level of care that could not be provided in her current...

    “…My special needs daughter, Lisa, arrived at Elizabeth House with her entourage of professional staff from the care facility in which she resided, and her brother, Rick, and I, to find her room had been prepared for her personally. Elizabeth House...


    “…From the moment we walked through the front door, we were welcomed with a smile and a helping hand. We knew immediately that we had entered a very special place. My wife, Rachel, was only expected to live about two weeks when she arrived, but...


    “Mom was admitted to the hospital…The doctor reported that her health could not withstand the surgery needed. Then, he soon told us the words every family dreads to hear: “There is nothing more we can do…a decision needs to be made.” Those hours...


    “….There were 16 of us who came with my Dad, and Elizabeth House welcomed each of us with such love and compassion, showing us around the center and where to find anything that we might need. They lovingly positioned my Dad so comfortably in a bed,...

    The Farnum Family

    “…I loved the care our son got from Four Seasons. A team with a doctor, nurse, case manager and chaplain would meet with us to decide what the best medications were and what could be done to help us. I was more comfortable there than at home because...


    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 Wing. The 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.

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