Skip to content
ElderCareCosts
Updated August 2026

Assisted Living in Winston-Salem, North Carolina

Winston-Salem, NC has 22 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $6,143/mo. That's below the North Carolina state median by about 5%. The typical licensed assisted living provider in Winston-Salem has 53 beds, against 12 statewide.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Winston-Salem

$6,143/mo

Estimated range $5,797 – $7,024

● Winston-Salem $6,143 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

See all 22 providers →Compare costs →

What senior care costs in Winston-Salem

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingWinston-SalemNorth CarolinaNational
25th percentile$5,797/mo$6,201/mo$5,488/mo
Median$6,143/mo$6,496/mo$6,230/mo
75th percentile$7,024/mo$7,060/mo$7,083/mo

Scroll for more →

Source: CareScout 2025 survey, adjusted for local wages (opens in a new tab)

Staying home instead

Home care in Winston-Salem runs about $28 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

Scroll for more →

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: Clemmons 6,143 · Kernersville 6,143 · King 6,143 · High Point 5,949 · Lexington 6,143

What can you afford?

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

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Winston-Salem runs about $1,732 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.
Affordable senior apartments →
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $5,409 a month. The local assisted living median is $6,143 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Winston-Salem assisted living median of $6,143 a month with room to spare. It also covers close to full-time home care, about $5,409 a month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Winston-Salem run about $9,205 a month at the median. Around-the-clock home care usually costs more.
How families pay →
Find options that fit your budget
Tell us how you plan to pay and we'll send licensed options that fit.
Find care options →

22 assisted living communities in Winston-Salem

What assisted living looks like in Winston-Salem

The typical licensed assisted living provider in Winston-Salem has 53 beds, against 12 across North Carolina. They range from 3 to 142.

Compare communities side by side
Tick Compare on the ones you like, then continue.
Choose communities →

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 assisted living in Winston-Salem more expensive than the rest of North Carolina?

Winston-Salem's median assisted living 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? Assisted Living across North Carolina → · Assisted Living 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.

Open the checklistEmail it to me
Assisted Living in Winston-Salem: 2026 Costs & Licensed Providers