Winston-Salem Senior AdvisorIs PACE available in Winston-Salem?
Not yet. The North Carolina PACE Association lists PACE of the Triad West, at 1741 Motor Road in Winston-Salem, as coming soon for Forsyth, Stokes and Surry counties, so Forsyth residents cannot enroll in a PACE program today.
When it opens, enrollment will be by ZIP code, and NC Medicaid will publish the list of ZIP codes the program covers. Until then, Forsyth families who need coordinated help at home use CAP/DA, private home care, adult day programs and Senior Services Inc.'s services instead.
Which PACE program serves Davidson and Davie counties?
Carolina SeniorCare, based at 802 E. Center Street in Lexington (336-746-3500), is the PACE program for Davidson and Davie counties, along with Rowan and part of Iredell.
PACE is for people 55 and older who need nursing facility level of care, live in the service area and can live safely in the community when they enroll. The program provides all medical care, a day center, therapy, home care and transportation through one team, paid by Medicare and Medicaid for those who have both. Yadkin County has no PACE program.
What does Senior Services Inc. offer in Forsyth County?
Senior Services Inc., based at 2895 Shorefair Drive in Winston-Salem (336-725-0907), runs Meals-on-Wheels, the Elder Care Choices Help Line (336-724-2040), a home care program, the Living-at-Home program and the Elizabeth and Tab Williams Adult Day Center.
These are nonprofit services, some with waiting lists and some with income-based contributions, and they are often the first step for a Forsyth County parent who is managing at home but starting to slip. The help line is a good place to ask what is available before a crisis, not only after one.
What do the county departments of social services offer older adults?
Beyond Medicaid, Special Assistance and Adult Protective Services, county DSS offices run adult services such as in-home aide programs for eligible older adults, guardianship services and adult care home monitoring, though waiting lists are common.
Forsyth County's adult intake line is 336-703-3501. Smaller counties route the same requests through their main numbers: Davidson 336-242-2500, Davie 336-753-6250, Stokes 336-593-2861 and Yadkin 336-849-7910. Ask specifically about in-home aide services and Special Assistance In-Home if a parent wants to stay home.
Where are adult day programs around Winston-Salem?
Adult day programs in North Carolina are certified by the Division of Aging, not licensed by DHSR, and in Forsyth County the best-known is the Williams Adult Day Center on West 30th Street (336-724-2155), run by Senior Services Inc.
CareScout's 2025 North Carolina median for adult day health is about $1,831 a month for five days a week, far below the cost of full-time home care. CAP/DA can pay for adult day health for eligible members, and PACE includes its own day center. Ask about transportation, hours and how the program handles a participant with dementia.
What it is, and what it is not
| Local help around Winston-Salem includes | Local help around Winston-Salem does not include | |
|---|---|---|
| PACE | Carolina SeniorCare for Davidson and Davie | An operating PACE program in Forsyth, Stokes or Yadkin yet |
| Forsyth | Senior Services Inc. meals, help line, home care and adult day | Unlimited free home care |
| Counties | DSS adult services, APS and benefit applications | Same-week service for every request |
| Region | Piedmont Triad aging agency counseling and ombudsman | Direct payment for assisted living |
Based on N.C.G.S. Chapter 131D, 10A NCAC 13F and 13G, DHSR and NCDHHS documents, NC Medicaid, CMS, the VA, CareScout and the local agencies named above; see our editorial standards for how each is checked.
