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ElderCareCosts
Updated August 2026

Adult Day Care in Winston-Salem, North Carolina

Winston-Salem, NC has 2 licensed adult day care centers listed on ElderCareCosts. The estimated cost here is $1,732/mo, the North Carolina median adjusted for local wages. That's below the North Carolina state median by about 5%.

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Median monthly price, Winston-Salem

$1,732/mo

Estimated range $1,635 – $1,980

● Winston-Salem $1,732 ○ National median $2,058

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Winston-Salem

2025 figures

Adult Day Care cost comparison (2025)
Adult Day CareWinston-SalemNorth CarolinaNational
25th percentile$1,635/mo$1,748/mo$1,798/mo
Median$1,732/mo$1,831/mo$2,058/mo
75th percentile$1,980/mo$1,990/mo$3,033/mo

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Staying home instead

Home care in Winston-Salem runs about $28.37 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,459
44 hrs/weekMost of every weekday$5,409
24/7 (168 hrs/week)Round-the-clock coverage~$20,653

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby: High Point 1,677 · Greensboro 1,677

What can you afford?

Here is what different monthly budgets cover in Winston-Salem.

Under $2,500/mo

Adult day care, part-time home care, family care or affordable senior housing

Adult day care in Winston-Salem runs about $1,732 a month. Part-time home care, 20 hours a week, runs about $2,459 a month. Income-restricted affordable senior housing is the other common choice, and Winston-Salem has 22 such properties. The county aging agency at (336) 904-0300 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Full-time home care or assisted living

Full-time home care at 44 hours a week runs about $5,409 a month. Assisted living in Winston-Salem runs about $6,143 a month at the median, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Nursing homes

Nursing homes in Winston-Salem run about $9,205 a month at the median.
Over $11,000/mo

Round-the-clock home care

Round-the-clock home care runs about $20,653 a month.
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2 adult day care centers in Winston-Salem

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Free local help worth saving

Winston-Salem, in Forsyth County, has about 252,037 residents. About 38,688 of them (15%) are 65 or older. The median household income is $59,268.

Source: US Census Bureau
  • Piedmont Triad Regional Council Area Agency on Aging(336) 904-0300ptrc.org

    Area Agency on Aging serving this city.

  • North Carolina Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Seniors' Health Insurance Information Program (SHIIP)855-408-1212ncdoi.gov

    State Health Insurance Assistance Program (SHIP).

  • North Carolina 2-1-11-888-892-1162nc211.org

    Statewide help for older adults, people with disabilities and caregivers.

  • W.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Centerva.gov

    VA Medical Center in Salisbury.

  • Community Alternatives Program for Disabled Adults (CAP/DA)Official program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is adult day care in Winston-Salem more expensive than the rest of North Carolina?

Winston-Salem's estimated adult day care cost is about 5% lower than the North Carolina state median.

Find Winston-Salem care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Adult Day Care across North Carolina → · Adult Day Care cost across North Carolina → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Adult Day Care in Winston-Salem: 2026 Costs & Licensed Providers