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Assisted Living in Winston-Salem, NC

Winston-Salem has 22 state-licensed assisted living communities: 15 larger communities and 7 small residential homes (16 or fewer residents). The median cost of assisted living in North Carolina is $6,496 a month (CareScout 2025), against $6,200 nationally. 1 has phone-verified resident and family testimonials on Lilisity.

22licensed communities15 larger, 7 small homes
$6,496a month, typicalNorth Carolina median, CareScout 2025
16inspected in the last yearby the state, records on each page
4publish a pricethe rest show our estimate
Cover of the Lilisity guide Choosing Assisted Living

Free guide · 14 pages

Choosing Assisted Living

A practical guide for families, with checklists to take on your tours.

  • What assisted living costs and the ways to pay
  • Signs it may be time
  • Tour checklists to print and take with you
  • What residents and families told us matters most
Get the free guide
Cover of the Lilisity guide Choosing Assisted Living

Free guide · 14 pages

Choosing Assisted Living

Add your name and email, and the download link appears right here.

Want real prices and openings? Verra Spring at Heritage Woods (in Winston-Salem) can tell you.

Free for families. No community pays Lilisity per inquiry, per referral or per move-in. How we are paid.

Two kinds of assisted living in Winston-Salem

15larger communities (17+ residents): apartments, a dining room, activities staff, often memory care on site; 11 have 50 or more residents.
7small residential homes (16 or fewer): a house in a neighborhood, a few caregivers, home-style meals, often a lower monthly price and a higher staff-to-resident ratio.

Both are licensed by North Carolina as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. North Carolina words these licenses as “Adult Care Home” (15), “Family Care Home” (7).

What residents and families say

From recorded phone interviews Senior Living Alliance conducts with residents and families. Nothing is scraped or anonymous. How testimonials are verified.

Verra Spring at Heritage Woods 20+ verified testimonials

“Management does a good job, and in general they offer a lot of activities. The housekeeper does a good job cleaning the room, maintenance does a really good job, and I think the nurses do really well. What my mother…”

Joan Phillips · Aug 2026phone-verified

All 22 licensed assisted living communities in Winston-Salem

Every assisted living community North Carolina licenses in Winston-Salem, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.

22 shown

CommunitySizeState inspectionsPrice
Verra Spring at Heritage Woods20+ verified testimonials3812 Forrestgate DriveMid-size29 residentsDHSR star rating 4 stars, 0 Type A, 0 Type BLast state inspection Jan 2026from $2,595/mo
Grand Villa Assisted Living at Winstonmemory care2609 Old Salisbury RoadLarge142 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Dec 2025$4,400 to $7,050/moLilisity estimate
PruittPlace-Winston Salemmemory care2500 Polo Ridge CourtLarge125 residentsDHSR star rating 2 stars, 0 Type A, 1 Type BLast state inspection Mar 2026$4,400 to $7,050/moLilisity estimate
Harmony at Brookberry Farm5416 Hundley RoadLarge121 residentsDHSR star rating 4 stars, 0 Type A, 2 Type BLast state inspection Jan 2026from $3,995/mo
Magnolia Creek Assisted Livingmemory care2560 Willard RoadLarge117 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Mar 2026$4,400 to $7,050/moLilisity estimate
Brighton Gardens of Winston-Salemmemory care2601 Reynolda RoadLarge115 residentsDHSR star rating 1 star, 0 Type A, 0 Type BLast state inspection Jul 2026from $3,400/mo
The Southwood3150 Burke Mill RoadLarge100 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Jan 2026$4,400 to $7,050/moLilisity estimate
Southforkmemory care1345 Jonestown RoadLarge78 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Aug 2025$4,400 to $7,050/moLilisity estimate
Brookdale Reynolda Road2980 Reynolda RoadLarge72 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Jul 2026from $5,265/mo
Homestead Hills Assisted Livingmemory care2101 Homestead Hills DriveLarge66 residentsDHSR star rating 2 stars, 0 Type A, 1 Type BLast state inspection Aug 2026$4,400 to $7,050/moLilisity estimate
Somerset Court at University Placememory care1635 East 5th StreetLarge60 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Aug 2026$4,400 to $7,050/moLilisity estimate
Tranquility Care5100 Lansing DriveLarge60 residentsDHSR star rating 4 stars, 0 Type A, 1 Type BLast state inspection Aug 2026$4,400 to $7,050/moLilisity estimate
Salemtowne2000 SalemtowneMid-size46 residentsDHSR star rating 4 stars, 0 Type A, 0 Type BLast state inspection Sep 2025$4,400 to $7,050/moLilisity estimate
C.R.T. - Golden Lamb Rest Home1515 Golden Lamb CourtMid-size40 residentsDHSR star rating 1 star, 0 Type A, 0 Type BLast state inspection Jul 2026$4,400 to $7,050/moLilisity estimate
Brookdale Winston-Salemmemory care275 South Peace Haven RoadMid-size38 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Apr 2026$4,400 to $7,050/moLilisity estimate
Hines Family Care Home2224 Manchester StreetSmall home6 residentsDHSR star rating 4 stars, 0 Type A, 0 Type BLast state inspection Mar 2025$4,850 to $7,800/moLilisity estimate
WAMU's Family Care Home1251 Shelter CoveSmall home6 residentsDHSR star rating 4 stars, 0 Type A, 0 Type BLast state inspection Sep 2026$4,850 to $7,800/moLilisity estimate
Whit Raven Family Home Care203 Snead RoadSmall home6 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Nov 2025$4,850 to $7,800/moLilisity estimate
Parkview Family Care Home2778 Reynolds Park RoadSmall home5 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Mar 2026$4,850 to $7,800/moLilisity estimate
Peace Haven Assisted Living178 S Peace Haven RdSmall home5 residentsDHSR star rating 4 stars, 0 Type A, 0 Type BLast state inspection May 2024$4,850 to $7,800/moLilisity estimate
Serenity Living at Willmeade4155 Willmeade DriveSmall home3 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Nov 2024$4,850 to $7,800/moLilisity estimate
Winston Neighbor's Assisted Living2640 Belwick DriveSmall home3 residentsDHSR star rating 3 stars, 0 Type A, 0 Type BLast state inspection Oct 2026$4,850 to $7,800/moLilisity estimate

Independent living in Winston-Salem

Also in Winston-Salem: 3 independent living, life plan and 55+ communities in Winston-Salem and 17 income-restricted senior apartment buildings. 1 of them come from public records; independent living is usually not licensed by the state.

How much does assisted living cost in Winston-Salem?

The median cost of assisted living in North Carolina is $6,496 a month ($77,952 a year), above the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. 4 Winston-Salem communities publish a starting price on Lilisity, from $2,595 to $5,265 a month. If more care is needed: nursing home costs in North Carolina, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.

Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.

Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator

Three questions to ask on every Winston-Salem tour

From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.

  1. Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
  2. How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
  3. Who is my main contact, and how often will I hear from them?Communication with management was 15%.

All 8 tour questions, with a free printable tour card (PDF).

Check a Winston-Salem community’s license

North Carolina publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: info.ncdhhs.gov. Ask the community for its most recent inspection report too; they have to keep it.

Winston-Salem assisted living questions

North Carolina licenses 22 assisted living communities in Winston-Salem as of November 2026: 15 larger communities and 7 small residential homes of 16 or fewer residents, with about 1,243 licensed spots in all.

The median cost of assisted living in North Carolina is $6,496 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.

Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. North Carolina's Medicaid agency or your local Area Agency on Aging can tell you what's available.

North Carolina publishes its licensing records at info.ncdhhs.gov. You can also ask any community for its most recent state inspection report.

Verra Spring at Heritage Woods. Their testimonials come from recorded phone interviews with residents and family members, verified by Senior Living Alliance.

Assisted Living near Winston-Salem