Winston-Salem Senior AdvisorHow much does senior care cost in Winston-Salem?
Nobody publishes a Winston-Salem figure; CareScout's 2025 North Carolina medians are about $6,200 a month for assisted living, $9,733 for a shared nursing home room, $5,720 for 44 hours a week of home care and $1,831 for weekday adult day health.
Last verified: November 2026| North Carolina median, 2025 | Per year | Per month (approx.) | Change from 2024 | U.S. median per year |
|---|---|---|---|---|
| Assisted living | $74,400 | $6,200 | -2% | $74,400 |
| Nursing home, semi-private room | $116,800 | $9,733 | +10% | $114,975 |
| Nursing home, private room | $129,575 | $10,798 | +9% | $129,575 |
| Home care, non-medical (44 hrs/week) | $68,640 | $5,720 | 0% | $80,080 |
| Adult day health care (5 days/week) | $21,970 | $1,831 | n/a | $24,700 |
CareScout 2025 Cost of Care Survey, North Carolina results (released March 2, 2026). Monthly figures are the annual medians divided by 12. Home care is priced at 44 hours a week for 52 weeks (exactly $30 an hour). CareScout's North Carolina release publishes statewide medians only: there is no Winston-Salem or Forsyth County figure and no memory care figure.
Which programs help pay for long-term care in Forsyth County?
Private money usually goes first; Medicare covers short skilled nursing stays, home health and hospice; NC Medicaid covers long nursing home stays and, through CAP/DA, care at home; Special Assistance helps low-income adult care home residents; and the VA pension with Aid and Attendance helps eligible veterans and surviving spouses.
There is no Medicaid waiver for assisted living rent in North Carolina. Special Assistance fills part of that gap, paying up to $1,397 a month in an adult care home and $1,792 in a special care unit in 2026. PACE operates in Davidson and Davie counties but has not yet opened in Forsyth.
Where can families get free help with benefits in the five counties?
The county department of social services takes Medicaid and Special Assistance applications; Piedmont Triad Regional Council Area Agency on Aging ((336) 904-0300) and, in Forsyth County, Senior Services, Inc. (336-724-2040) offer free guidance; and SHIIP, the state's Medicare counseling program, answers Medicare questions at no charge.
County veterans services officers file VA pension claims without a fee. Anyone who charges to file a VA claim before it is decided is not following VA rules.
All costs & paying pages
What assisted living, nursing homes and home care cost around Winston-Salem
CareScout's 2025 North Carolina medians for assisted living, nursing homes, home care and adult day health, what they imply for Winston-Salem families, and why there is no local or memory care median.
Read it →Special Assistance: North Carolina's help paying for an adult care home
North Carolina State/County Special Assistance in 2026 for Forsyth, Davidson, Davie, Stokes and Yadkin counties: the Basic and Enhanced Rates, the $70 personal needs allowance, the income test, Special Assistance In-Home and how to apply.
Read it →CAP/DA: Medicaid-paid help at home instead of a nursing home
How the CAP/DA waiver works for Forsyth, Davidson, Davie, Stokes and Yadkin county residents: who qualifies, the services it pays for, the consumer-directed option, waiting lists and what it does not cover.
Read it →Medicaid and long nursing home stays in North Carolina
NC Medicaid for long-term nursing home care in Forsyth, Davidson, Davie, Stokes and Yadkin counties: the $2,000 resource limit, the patient monthly liability and $70 allowance, protections for a spouse, the five-year look-back and how to apply.
Read it →What Medicare covers, and what it never does, in senior care
What Original Medicare and Medicare Advantage pay for in senior care around Winston-Salem: skilled nursing after a hospital stay, the 2026 daily coinsurance, home health, hospice and what is never covered.
Read it →VA pension with Aid and Attendance: help paying for care
How VA pension with Aid and Attendance helps Forsyth County veterans and surviving spouses pay for assisted living, home care or nursing care: 2025-26 maximum rates, the net worth limit, how care costs count and how to apply free.
Read it →PACE and the local programs that help older adults stay home
PACE availability in Forsyth, Davidson, Davie, Stokes and Yadkin counties (Carolina SeniorCare in Lexington; PACE of the Triad West coming soon), plus Senior Services Inc., county aging programs and adult day care.
Read it →What it is, and what it is not
| These pages give you | These pages do not give you | |
|---|---|---|
| Prices | North Carolina's published 2025 medians | A Winston-Salem or memory care median, because none is published |
| Programs | How each program works and who it is for | An eligibility decision; the county or VA makes that |
| Figures | 2026 Special Assistance, Medicaid and VA amounts | Tax or legal advice |
| Planning | The questions worth settling early | A substitute for an elder law attorney |
