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Page Reviewed / Updated – August 11, 2020

The 10 Best Assisted Living Facilities in Winston-Salem, NC

Winston-Salem is a city located in upstate North Carolina a short drive away from Charlotte and the Raleigh-Durham metro area. The city has around 248,000 residents and approximately 13.9% of them are seniors. 

Winston-Salem’s local government invests heavily in arts, with the Southeastern Center for Contemporary Art and Reynolda House Museum of American Art among the many places residents can visit for cultural enrichment. Considering the area’s roots and success in the tobacco industry, seniors in Winston-Salem are especially fortunate to have access to significantly more physicians than the average American. 

Since the city’s cost of living is 18.7% less than the United States average, seniors may have extra room in their budget for outdoor adventures on one of the city’s many pleasant weather days

Read through our top 10 list of Winston-Salem’s best assisted living facilities and see which community’s unique features you like the most. Additionally, find out more about the cost of assisted living in Winston-Salem and what financial assistance programs are available.

Brighton Gardens of Winston-Salem

Minutes away from Forsyth Hospital and Wake Forest Baptist Hospital, Brighton Gardens of Winston-Salem is a senior living community offering assisted living and memory care. Residents are provided up to three nutritious meals a day, and snacks are available in between. The daily event calendar includes a variety of activities designed to engage seniors physically, intellectually and emotionally, and it also features social and educational programs for family members. Each week, staff members perform housekeeping and laundry services, and one of the licensed staff nurses provides a wellness visit every month. Caregivers are available around-the-clock, and the community provides seniors in respite care all of the same services and amenities as those staying long-term. 

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Homestead Hills

Offering a full suite of care options, luxury senior living community Homestead Hills enables seniors to age in place while taking advantage of numerous amenities for maintaining an active and maintenance-free lifestyle. The community's all-inclusive assisted living plan includes scheduled transportation, assistance with daily living tasks and access to a robust event calendar full of mind-stimulating activities. Residents' well-appointed apartment homes are equipped with emergency call systems, and the community has its own hair salon. In its clubhouses, fully-stocked bars serve a variety of wines, beers and cocktails.  We included Homestead Hills on our list of the best assisted living facilities in Winston-Salem because of its high-quality culinary program. 

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  • Restaurant-style fine dining
  • Activities include card games, movies, fitness classes and arts and crafts

Heritage Woods

Surrounded by trees and a peaceful walking trail, Heritage Woods is an assisted living and memory care community offering seniors 24-hour assistance with medications and activities of daily living, such as bathing and grooming. Between live music, craft fairs and wine tastings, seniors' days are filled with opportunities to build new relationships and engage in rewarding hobbies. In the spacious dining room, residents are served healthy, freshly-prepared meals three times a day, and the culinary team can make accommodations for individual preferences and dietary needs. In the Wellness Edge program, seniors are encouraged to implement preventative health measures, such as optimizing their diets and exercise regimens. 

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Brookdale Reynolda Road

The 24-hour security and care at assisted living community Brookdale Reynolda Road helps seniors maintain a safe and healthy retirement. The community's cardio and strength training classes enable seniors to keep their bodies in shape, while the Flex Your Brain sessions ensure the mind stays sharp. Among the shaded porch overlooking the landscaped grounds, the cafe and the game room, residents are always steps away from somewhere to relax and socialize. 

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  • Laundry and housekeeping services
  • Event calendar includes outings to local museums, shops and restaurants

Arbor Acres

As a continuing care retirement community, Arbor Acres offers seniors a continuum of care options, enabling residents to retain their relationships within the community when their needs change. Staff members take care of the laundry and housekeeping, and residents can schedule on-site physician appointments. Residents have the choice between a range of spacious accommodations that include kitchenettes and walk-in closets. Worship services, Bible studies and prayer sessions are just a few of the ways spiritual residents can practice their faith. Between taking group walks around the peaceful pond and gardens, water aerobics and indoor strength training classes, every day at Arbor Acres provides seniors with fun ways to improve their physical fitness. 

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  • State-of-the-art physical therapy center with a hydrotherapy pool
  • Transportation to medical appointments

Forest Heights Senior Living Community

The generous selection of activities and amenities at Forest Heights Senior Living Community enables seniors to pursue a lifestyle as relaxed or active as they wish. A variety of on-site health care services are available, including in-house physician visits and physical therapy. Community amenities include a library, restaurant-style dining room, beauty and barbershop and a dedicated card and game room. Housekeeping, laundry and transportation to local destinations are covered in residents' monthly fees. Walking paths and group exercise classes encourage residents to achieve their fitness goals, and their personal emergency alert systems ensure assistance arrives promptly when help is needed most. 

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Magnolia Creek Assisted Living

At Magnolia Creek Assisted Living, seniors receive three healthy meals a day and around-the-clock assistance with activities of daily living. Residents can spend their afternoons relaxing on the shaded porch, listening to the sounds of nature from the nearby woods or collecting their neighbors' chips in spirited rounds of poker. All of the accommodations include individually controlled climate systems and private bathrooms with step-in showers. The community provides transportation for doctor appointments, and a physician is always on-call for medical emergencies. After a long day of exercise classes, games and social events, residents can relax in the private spa. 

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  • On-site beauty salon and barbershop
  • Private and shared rooms available furnished and unfurnished


Southfork is a memory care and assisted living community in Winston-Salem, conveniently located near shopping, churches and Interstate 40. Residents receive three daily meals plus snacks, all of which are approved by a registered dietitian. The community offers private and semi-private accommodations that include emergency call systems and housekeeping service. Holiday celebrations, social events, group outings and recreational activities are some of the ways seniors stay busy and entertained. Southfork earned a spot on our top 10 list because of its suburban setting that provides seniors with a quiet, peaceful environment moments away from the city's entertainment and cultural attractions. 

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  • 24-hour caregivers specially trained in assisting seniors with dementia
  • All-inclusive

Salem Terrace of Winston-Salem

Offering assisted living, memory care and respite care, Salem Terrace of Winston-Salem strives to help seniors maintain their independence by personalizing care services to the individual's needs and abilities. In order to appeal to a broad range of interests, Salem Terrace's activities director plans a variety of events, such as live entertainment, exercise classes, parties and educational workshops. Caregivers work 24/7, and the community provides transportation for medical appointments as well as worship services and trips to the library.  Salem Terrace of Winston-Salem also partners with a local home health agency, enabling it to provide seniors with on-site physical therapy and rehabilitation. 

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Somerset Court at University Place

Somerset Court at University Place is a memory care and assisted living community steps away from public transportation and Skyland Park. The community keeps a physician on-call for urgent medical situations, and residents have access to scheduled transportation for their doctor appointments. Furnished and unfurnished accommodations are available which include cable and individual climate control systems. In addition to residents' three daily meals, a variety of restaurants are minutes away. 

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The Cost of Senior Living and Care in Winston-Salem

According to the Genworth 2018 Cost of Care study, the cost of senior care in the Winston-Salem area varies depending on the type of care. While nursing home care comes in at $6,950, which is on par with the state average, assisted living costs in the area are $4,212, costing several hundred dollars more than the state average. Adult day care in Winston-Salem is less expensive than the state average at only $1,148, while home care costs are slightly more expensive than the state average at $3,623. 

How much does Assisted Living Cost in Winston Salem?

The average monthly cost of assisted living in Winston-Salem is mid-range with other cities throughout the state. When compared to the state average, the cost of assisted living in Winston-Salem is more than $300 higher.

However, in Raleigh, the capital of North Carolina, assisted living is nearly $1,500 more per month than in Winston-Salem. Assisted living is far less expensive in some of North Carolina’s smaller cities, such as Goldsboro and Jacksonville, where average monthly assisted living costs are $2,750 and $3,125, respectively. Other cities, such as Asheville and Charlotte, have assisted living costs that are within several hundred dollars of Winston-Salem’s average.

How much does Home Care Cost in Winston Salem?

The average monthly cost of home care in Winston-Salem is $3,623, which is just a little bit above the state average of $3,527. In fact, most cities throughout the state have costs that are within a few hundred dollars of the state average.

In Asheville, the cost of home care is the most expensive in the state and is nearly $300 higher than in Winston-Salem. The least expensive home care costs in the state can be found in Goldsboro, where the average monthly cost is about $400 less than in Winston-Salem at $3,241. 

How much does Adult Day Care Cost in Winston Salem?

The cost of adult day care throughout North Carolina tends to vary drastically depending on the city. While the average monthly cost in Winston-Salem is only about $40 less than the state average, it’s nearly $900 lower than in Goldsboro, where the average monthly cost is $2,080. When compared to Jacksonville, where the cost is only $758 per month, Winston-Salem’s average monthly cost is almost $400 higher. Most other cities, including Raleigh, Asheville and Charlotte, are priced similarly to Winston-Salem.

How much does Nursing Home Costs in Winston Salem?

The cost of nursing home care in Winston-Salem is $6,950 per month, which is the same as the state average. In both Goldsboro and Asheville, nursing home costs are considerably higher at $7,787 and $7,680. There are some cities that are less expensive than Winston-Salem, such as Greenville, where the average cost is $6,743.

The average monthly cost of assisted living in Winston-Salem is on the lower end when compared to most other cities in North Carolina, with the most expensive cities bringing up the state’s average monthly cost of nursing home care considerably. 

Financial Assistance Programs in Winston-Salem

Medicaid Program in Winston-Salem

In North Carolina and throughout the U.S., Medicaid exists to provide healthcare to low-income individuals, including senior citizens. The standard state plan covers the cost of a wide variety of healthcare-related expenses, such as doctors’ visits, hospitalization, medical treatments, dental care, prescription medications and medical equipment. Additionally, the standard state plan covers the cost of nursing home care. Funding for those who require financial aid with the cost of assisted living or home care expenses may be available under additional Medicaid waiver programs.

In North Carolina, elderly individuals wishing to receive Medicaid must be at least 65 years of age and meet the financial requirements of the program. Individuals may not have an income that exceeds $1,012 per month or assets valued at more than $2,000, while married applicants may not have an income higher than $1,372 per month or assets valued at more than $3,000. Asset limits exclude the individual’s home, provided they continue to live in it, as well as household furnishings, personal items and a single vehicle. 

In North Carolina, some exceptions can be made to income requirements via the state’s Spend-Down Program, which allows seniors to count income after paying for medical expenses, such as outstanding medical bills or necessary home modifications. 

Seniors can apply for Medicaid online by visiting the state Medicaid website. 

Other Financial Assistance Programs in Winston-Salem

Community Alternatives Program for Disabled Adults

This program, also known as CAP/DA, is funded by Medicaid and covers a variety of services for seniors who live at home and require long-term care, such as assisted living and supportive services, homemaker services, meal preparation and delivery, transportation and nurse visits. This program allows seniors to direct their own care, which means they have the option to choose their own caregivers, including family members. 

Seniors can automatically qualify for CAP/DA if they have a monthly income that’s less than $1,041 for individuals or $1,409 for married couples. Those with a higher income may be eligible to receive assistance as well, provided that their cost of care reduces their disposable income to less than $242 for individuals or $317 for married couples. 

To apply for CAP/DA, seniors can contact Senior Services Inc. at (336) 725-0907.

Personal Care Services Program

This program is available to any senior who requires assistance with activities of daily living. It covers the cost of care in the home, in assisted living or in adult foster homes. This program is also funded by Medicaid. To be eligible for this program, seniors must be financially eligible for Medicaid and require daily assistance. 

Seniors can apply or learn more about this program by calling (855) 307-8307. 

Project C.A.R.E

Caregivers of elderly individuals with Alzheimer’s Disease or other forms of dementia can receive temporary assistance under this program, which offers respite care. This program is limited and often has waiting lists in place but is available to all caregivers who provide support to seniors with dementia.

To request support, seniors or their caregivers can contact (828) 485-4267. 

Special Assistance Programs

The state of North Carolina offers several special assistance programs to seniors who reside both at home or in residential care facilities that provide assisted living or nursing care. These programs are funded by the state and cover expenses, such as room and board, groceries, clothing and other necessities.  Seniors who qualify for these programs are automatically qualified for Medicaid. There are three separate parts of this program for each level of care: an in-home program, an adult care home resident program and a special care unit program for seniors who reside in memory care homes. 

To be eligible for these programs, seniors must be at least 65 years of age, U.S. citizens and legal residents of North Carolina. It must also be medically documented that they require the level of care they are receiving. Financially, seniors may not earn more than $1,228 per month and may not own countable assets valued higher than $2,000.

To apply, seniors can contact the Forsyth Department of Social Services at (336) 703-3800.  

In-Home Aide Services Program

This program is also funded by the state and provides seniors with personal care services, including meal preparation, respite care, transportation services and personal care.

To be eligible for funding, seniors need to be at least 60 years of age and unable to perform activities of daily living without assistance. They must also reside in a participating care residence. There are no income or asset limitations for this program, but instead, care is covered on a sliding scale. Therefore, some seniors may be required to pay for a portion of their care. 

To apply for In-Home Aide Services, seniors can contact the Forsyth Department of Social Services at (336) 703-3800. 

More Senior Living Resources in Winston-Salem

Resource Phone Number Description
Multi-Family Units for the Elderly

(202) 708-1112

The U.S. Department of Housing and Urban Development (HUD) provides seniors with access to an inventory of low-cost multifamily units that are available to seniors and disabled individuals. 
Crisis Control Ministry

(336) 724-7875

Seniors who are at risk of eviction or having utilities shut off due to nonpayment can contact the Crisis Control Ministry for financial assistance. The organization is nonprofit and provides urgent assistance to those in dire need. 
Experiment in Self Reliance – Forsyth County

(336) 722-9400

The ESR provides low-income residents of Winston-Salem with temporary accommodations and low-income housing. The program is available to seniors and other low-income residents of all ages. 

For additional information and planning, please read our comprehensive guide to paying for senior care in North Carolina.