Free senior care guidance for Winston-Salem and the five counties around it. Families never pay us.
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Winston-Salem Senior Advisor(336) 439-8142

The five counties we cover

One state licensing agency, one aging region, five very different counties.

Home›Counties

Which North Carolina counties does Winston-Salem Senior Advisor cover?

Five: Forsyth, Davidson, Davie, Stokes and Yadkin, the counties of the Winston-Salem metropolitan area, all licensed by the same state agency and all inside the Piedmont Triad Regional Council's aging region.

CountyPopulation65+85+Median ageAdult & family care homesNursing homes
Forsyth401,71876,3398,31239.13916
Davidson180,18237,3923,89742.588
Davie45,85511,0861,38545.743
Stokes46,12611,3661,20247.263
Yadkin38,3258,57299244.232

U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025); state license files pulled November 6, 2026.

Why doesn't this site cover Greensboro and High Point?

Because Guilford, Randolph and Rockingham counties make up the separate Greensboro-High Point metropolitan area and have their own site; keeping to the five Winston-Salem metro counties means every count and table here describes one market.

Kernersville and Thomasville sit right on the line, and families there often look both ways, which is sensible. Every licensed home in this directory, though, has an address in one of our five counties.

Which of the five counties has the oldest population?

Stokes County, with a median age of 47.2 and 24.6% of residents aged 65 or older in 2025 Census estimates, followed closely by Davie (24.2%); Forsyth is youngest at 19.0%.

The older counties are also the most rural, with fewer licensed homes and longer drives to hospitals, so families there often end up comparing options in Winston-Salem, Clemmons or King.

Where is most of the region's licensed senior care?

In Forsyth County: Winston-Salem, Kernersville and Clemmons hold most of the adult care homes, dementia units, nursing homes and home care agencies, while Lexington and Thomasville anchor Davidson, Mocksville anchors Davie, King anchors Stokes and Yadkinville anchors Yadkin.

Each county page lists every licensed facility and gives the straight-line distance from the county seat to the closest hospitals and to downtown Winston-Salem.

How many older adults live in the five counties?

Census Bureau estimates count 144,755 residents aged 65 or older across the five counties on July 1, 2025, 15,788 of them 85 or older, the age group most likely to need help every day.

Forsyth has the most older adults by far, but Davie, Stokes and Yadkin have higher shares, and their smaller supply of licensed care is one reason so many families from those counties look at Winston-Salem and Clemmons.

What the five counties share, and where they differ

Shared by all five countiesDifferent from county to county
RulesState licensing (13F, 13G, nursing homes) and NC Medicaid rulesThe Adult Protective Services office and number
Aging agencyPiedmont Triad Regional Council Area Agency on Aging ((336) 904-0300)Which hospital is closest
PACEThe same state PACE rulesWhether a program is open (Davidson and Davie only)
CostsThe same North Carolina CareScout mediansWhat homes actually quote

Where should your family begin?

Tell us about the care needed in five quick answers, and Shelly or a colleague will send back licensed options in Winston-Salem, Forsyth County and the nearby towns that match the needs and the budget. No charge, no obligation to tour.

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