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Get Pricing & Availability for Assisted Living in Winston Salem, NC

Call (855) 481-6777 for immediate assistance and get more details


Page Reviewed / Updated – June, 22, 2022

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For seniors looking for an affordable city in the southeast to retire, Winston-Salem has a cost of living that’s nearly 20% lower than the national average. It’s also approximately 10% lower than the state average. Seniors experience the biggest cost savings in housing but will also find lower costs in groceries, utilities and transportation. Assisted living costs are around $4,923 per month, which is more than both the state and national averages.

Within the state of North Carolina, Social Security income isn’t taxed; however, withdrawals from retirement accounts are fully taxed. Pensions are also fully taxed when seniors file their annual individual income taxes.

This guide covers a comparison of the cost of assisted living communities in Winston-Salem and other cities within the state and also includes the cost of other long-term care options. Seniors can also find a list of state and local resources that address a variety of needs concerning older adults.

The Cost of Assisted Living and Care in Winston-Salem

According to Genworth’s 2021 Cost of Care Survey, assisted living in Winston-Salem costs around $4,923 per month, which is $913 more than the state average and $423 more than the national average. Other cities in North Carolina have varying assisted living costs. At $4,998 per month, Asheville facilities have similar costs to Winston-Salem. Charlotte residents pay around $4,400. Raleigh and Wilmington have higher median costs at $5,388 and $5,254 per month.

  • Winston-Salem: $4,923
  • North Carolina: $4,010
  • United States: $4,500
  • Asheville: $4,998
  • Charlotte: $4,400
  • Raleigh: $5,388
  • Wilmington: $5,254

The Cost of Other Types of Care in Winston-Salem, NC

Cost is often a factor for seniors choosing long-term care. Assisted living is $4,923 per month, but there are additional options with both higher and lower costs. In-home care and home health care both cost around $3,909 per month. Seniors who only need care and supervision during the day can opt for adult day health care at $1,354. Nursing homes offer round-the-clock care and skilled nursing and typically cost the most at $8,197 for a semiprivate room and $9,125 for a private room.

  • Assisted Living Facility: $4,923
  • In-Home Care: $3,909
  • Home Health Care: $3,909
  • Adult Day Health Care: $1,354
  • Nursing Home Facility (semiprivate room): $8,197
  • Nursing Home Facility (private room): $9,125

Financial Assistance for Assisted Living in Winston-Salem, NC

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Other Ways To Pay for Assisted Living in Winston-Salem, NC

Since not everyone can afford to pay for assisted living out-of-pocket, it’s important to find alternative methods to help make assisted living more affordable. Some of these options include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

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

Free Resources for Seniors in Winston-Salem, NC

Seniors in Winston-Salem can get answers to a variety of questions through programs and services offered by both government and private agencies. These resources address a variety of needs that improve the overall quality of life of older adults.




Senior Services of Winston-Salem

(336) 725-0907

Senior Services of Winston-Salem provides home and community-based services that allow seniors to remain in their homes or in the community for as long as possible. These services include a helpline that connects older adults with resources, meals, companionship and support groups.

Shepherd’s Center of Greater Winston-Salem

(336) 748-0217

The Shepherd’s Center is a senior citizens center that promotes the health and well-being of seniors through direct services, volunteer opportunities and enrichment programs. Seniors can take part in arts and crafts, games, outings, fitness classes and congregate meals.

North Carolina Long-Term Care Ombudsman

(800) 663-7010

The North Carolina ombudsman program advocates for seniors in long-term care. The ombudsman investigates complaints and works towards a resolution. They also make annual visits to long-term care facilities to make sure the facility and its workers are adhering to state and federal standards for care.

Adult Protective Services

(800) 662-7030

APS seeks to keep seniors and those with disabilities safe from abuse, neglect and exploitation. It receives reports of abuse and evaluates the need for protection and intervention. The organization also reports evidence of mistreatment to the district attorney and can assist in locating safe accommodations until the investigation is complete.

Aging Services of Forsyth County

(336) 703-3870

Aging Services of Forsyth County is a network of providers that address the needs and issues of seniors aged 60 and older and those with disabilities. The organization works to increase community awareness, provides a forum for discussion on issues that affect older adults and provides educational opportunities.

Rules and Regulations for Assisted Living Facilities in Winston-Salem, NC

Assisted Living Communities in Winston Salem are required to follow a set of rules and regulations that are determined by the state. For an overview of those rules and regulations, see the information below. For more specific information, talk with your local community or Area Agency on Aging.

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

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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