Best Assisted Living in Winston-Salem, NC

Why trust this guide? Our editorial team analyzed 22 assisted living communities in Winston-salem, NC using NC Dept. of Health & Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
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Last updated
We analyzed These are the facilities in Winston-salem, NC our team has analyzed — not a count of every assisted living provider in Winston-salem, NC.
22 homes
Other senior care options in Winston-salem:

Compare Assisted Living around Winston-salem

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Homestead Hills Assisted Living
AL
IL
MC
NH
SNF
Winston-Salem
66
Facility 66
NC AVG 70
Rank #171 / 328
Yes
20
Facility 20
NC AVG 34
Rank #251 / 373
30.3%
Facility 30.3%
NC AVG 68.5%
Rank #167 / 186
-
103.50/200
Facility 103.50/200
NC AVG 92.7
Rank #31 / 291
7
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
-
Arbor Acres
AL
IL
MC
NH
SNF
Winston-Salem
6
Facility 6
NC AVG 70
Rank #278 / 328
Yes
20
Facility 20
NC AVG 34
Rank #251 / 373
78.3%
Facility 78.3%
NC AVG 68.5%
Rank #82 / 186
-----Studio / 1 Bed
Willow Valley Center for Nursing and Rehabilitation
AL
HOS
MC
NH
RC
SNF
Winston-Salem (West Highlands)
230
Facility 230
NC AVG 70
Rank #1 / 328
No
62
Facility 62
NC AVG 34
Rank #35 / 373
94.6%
Facility 94.6%
NC AVG 68.5%
Rank #37 / 186
------
Southfork
AL
MC
RC
Winston-Salem
78
Facility 78
NC AVG 70
Rank #137 / 328
No
20
Facility 20
NC AVG 34
Rank #251 / 373
60.3%
Facility 60.3%
NC AVG 68.5%
Rank #117 / 186
-
91.50/200
Facility 91.50/200
NC AVG 92.7
Rank #227 / 291
10
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
-
Magnolia Creek
AL
MC
RC
Winston-Salem (Crosslands)
117
Facility 117
NC AVG 70
Rank #38 / 328
No-
24.8%
Facility 24.8%
NC AVG 68.5%
Rank #177 / 186
A+
98.50/200
Facility 98.50/200
NC AVG 92.7
Rank #155 / 291
8
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
-
Brighton Gardens of Winston-Salem
AL
HOS
MC
RC
Winston-Salem
115
Facility 115
NC AVG 70
Rank #41 / 328
Yes
47
Facility 47
NC AVG 34
Rank #111 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
A+
73.75/200
Facility 73.75/200
NC AVG 92.7
Rank #274 / 291
15
93%
Facility 93%
NC AVG 91.8%
Rank #109 / 301
Studio / 1 Bed
Brookdale Reynolda Road
AL
Winston-Salem
72
Facility 72
NC AVG 70
Rank #151 / 328
Yes
42
Facility 42
NC AVG 34
Rank #130 / 373
66.7%
Facility 66.7%
NC AVG 68.5%
Rank #106 / 186
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
10
90%
Facility 90%
NC AVG 91.8%
Rank #78 / 301
Studio / 2 Bed
Priddy Manor
AL
MC
King
79
Facility 79
NC AVG 70
Rank #133 / 328
No
2
Facility 2
NC AVG 34
Rank #365 / 373
--
105.50/200
Facility 105.50/200
NC AVG 92.7
Rank #5 / 291
6
83%
Facility 83%
NC AVG 91.8%
Rank #36 / 301
Studio / Suite
Peace Haven Assisted Living
AL
Winston-Salem
5
Facility 5
NC AVG 70
Rank #323 / 328
No
44
Facility 44
NC AVG 34
Rank #125 / 373
100.0%
Facility 100.0%
NC AVG 68.5%
Rank #1 / 186
-
102.50/200
Facility 102.50/200
NC AVG 92.7
Rank #68 / 291
1
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
-
Grand Villa Assisted Living at Winston
AL
MC
Winston-Salem (Swaimtown)
142
Facility 142
NC AVG 70
Rank #9 / 328
No
11
Facility 11
NC AVG 34
Rank #304 / 373
---
43.75/200
Facility 43.75/200
NC AVG 92.7
Rank #277 / 291
30
100%
Facility 100%
NC AVG 91.8%
Rank #126 / 301
Yes, Pets Allowed

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NC assisted living community we track that reports that metric, not just the 22 analyzed for Winston-salem. See how we rank facilities

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Overview of Brighton Gardens of Winston-Salem

Brighton Gardens of Winston-Salem is a senior living community situated in a prime Winston-Salem, North Carolina location, offering a personalized lifestyle where residents can enjoy time with friends and neighbors doing what brings them joy. The community provides room rates starting at $3,040 per month and is committed to championing residents’ quality of life, providing empathy, support, education, and comfort. With around-the-clock, relationship-based care, Brighton Gardens of Winston-Salem delivers a tailored experience to meet each individual’s unique needs and preferences, infusing their days with a healthy dose of fun.

The community features a beautifully decorated environment that welcomes pets with open arms and lots of love, offering a wide range of engaging activities such as balloon volleyball, water pong, music and manicures, and brain games on the porch. Residents can participate in passion-driven, resident-inspired clubs, including walking, card playing, baking, and crafting, while enjoying a diverse menu with options like high fiber, high calcium, low sodium, low fat, or vegetarian meals. Conveniently located in Winston-Salem, NC, on the corner of Reynolda and Polo roads, Brighton Gardens of Winston-Salem is near Reynolda Gardens, movie theaters, shopping, and dining, with residents frequently enjoying community outings to nearby shopping, dining, museums, Salem Lake, and Quarry Park. The community is also close to medical support at Forsyth Hospital and Wake Forest Baptist Hospital, ensuring comprehensive care for its residents.

Contact Brighton Gardens of Winston-Salem

Overview of Brookdale Reynolda Road

Brookdale Reynolda Road, located in Winston-Salem, North Carolina, offers luxury assisted living for those seeking an engaging and fulfilling lifestyle. Residents here can choose from a range of comfortable apartments, including studios and two-bedroom companion suites, all with large windows to let in abundant natural light. The community features an ever-changing activity calendar, private apartments that respect personal space, and delicious home-cooked meals served in a restaurant-style setting.

Balancing care with independence, Brookdale Reynolda Road supports residents with daily needs such as dressing and bathing, allowing them to focus on enjoying life. With ample time to participate in fitness classes, cooking demonstrations, and other engaging activities, residents experience a vacation-like atmosphere. The community ensures peace of mind with 24/7 availability of staff to respond to any emergencies.

Contact Brookdale Reynolda Road

Overview of Peace Haven Assisted Living

Peace Haven Assisted Living offers a cozy, home-like environment for its residents. Residents live their best lives because of excellent services that help a speedy recovery. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Contact Peace Haven Assisted Living

Overview of Priddy Manor

Settled in the vibrant place of King, NC, the Priddy Manor is a remarkable senior living community offering assisted living and memory care services. Here, residents can select from a wide array of spacious and beautifully appointed accommodations ranging from studio deluxe to private studio and share suite. In terms of memory care, a cutting-edge program named Pathways to Discovery is thoughtfully designed to address the needs of those with cognitive conditions like Alzheimer’s disease and dementia. With its highly skilled and hardworking team, this community offers an emergency response system and 24/7 personalized care services.

With its top-tier amenities and other services, residents can enjoy delectable meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Engage in diverse social activities and community events. At the Priddy Manor, seniors are guaranteed a wondrous living experience.

Contact Priddy Manor

Homestead Hills Assisted Living

2101 Homestead Hills Drive Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Homestead Hills Assisted Living

Homestead Hills Assisted Living runs 66 beds in Winston-Salem, North Carolina. Right now about 20 of those beds are filled, which puts occupancy near 30 percent. For a family weighing placement, that low a figure cuts two ways. There is room to move in without a wait. It also means the building is running well under capacity, worth sitting with as you visit.

The setting is not a walkable one. With a Walk Score of 20, most trips out mean getting in a car. Plan visits around that.

Residents have access to rehabilitation services, respite stays for caregivers who need a break, and staffing that covers all 24 hours. Total nursing care runs about 5 hours and 17 minutes per resident each day, with licensed practical nurses adding close to an hour of that. Wellness programming, dining, concierge and salon services, housekeeping, and transportation fill out the day. An emergency call system runs around the clock.

State inspections have focused on standard operational ground: medication management, infection prevention, and fire-safety systems, rather than direct resident care. Medicare and private pay are both accepted here. The place suits an older adult who needs rehabilitation-minded care and steady daily help, and whose family does not mind a quieter building with beds to spare.

Contact Homestead Hills Assisted Living

Southfork

1345 Jonestown Road Winston-Salem, Nc 27103, Winston-Salem, NC 27103
Overview of Southfork

Southfork offers assisted living, memory care, and respite care in Winston-Salem, NC. Assisted living includes help with daily tasks such as bathing, dressing, and medication management. Memory care provides a secured setting with supervision for a resident who may be at risk of wandering, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Several care options are available in one community. Southfork may be a good fit for a resident whose needs may grow over time or for a family caregiver who needs short-term support. The community has 78 beds and accepts Medicaid, giving families who use that program a way to help pay for care, while restaurant-style dining and special diets allow meals to be served in a dining setting while accommodating dietary needs. Residents can also use transportation services for community-provided rides and spend time in an outdoor common area, library, or entertainment room for shared activities.

Contact Southfork

Overview of Magnolia Creek

Dedicated to empowering seniors to live their best lives, Magnolia Creek in Multnomah County, Winston-Salem, NC, is an inspiring senior living community that offers assisted living, memory care, and respite care. The community offers an ideal blend of comfortable residence and exceptional health and personal care needed to live fully and comfortably. Residents enjoy compassionate care and assistance provided by a dedicated care team.

The community makes sure residents are provided with plenty of opportunities for an active and vibrant living experience with an array of fitness and wellness programs. Housekeeping and maintenance services are also offered to give residents plenty of time to enjoy their retirement life fully. With comprehensive services, friendly care team, and convenient amenities, residents at Magnolia Creek are able to live their lives fully and comfortably.

Contact Magnolia Creek

Overview of Grand Villa Assisted Living at Winston

Live a vibrant life with Grand Villa Assisted Living at Winston, a charming senior living community, based in Winston-Salem, NC, offering assisted living and memory care services. The community ensures residents live a comfortable life with the help of a professional trained team and an on-call registered nurse trained to provide various care and support. Residents are also offered access to physical, occupational, and speech therapies, along with in-house physicians, podiatrists, & psychiatrists for other services that residents may need.

Committed to delivering a nurturing environment that empowers residents to live well, the community offers an array of amenities and services designed to ensure quality living and a healthy lifestyle. A variety of activities and exercise opportunities are provided to help residents stay active and engaged. Three course meals are also provided to ensure residents always eat healthy and on time.

Contact Grand Villa Assisted Living at Winston

Overview of Arbor Acres

Situated in the heart of Winston-Salem, North Carolina, Arbor Acres is a distinguished continuing care retirement community. This tranquil haven provides a spectrum of living options, spanning independent living, assisted care, memory care, and skilled nursing, designed to cater to diverse senior needs.

Within the rare and beautiful setting of Arbor Acres, residents find a place to reside and a canvas where purpose, creativity, and motivation flourish. Life at Arbor Acres shines brilliantly, fostering an environment where friendships blossom and the art of living is embraced. All are welcome to experience the exceptional lifestyle offered at Arbor Acres, where each resident is invited to savor the richness of their journey in this vibrant and thriving community.

Contact Arbor Acres

Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Willow Valley Center for Nursing and Rehabilitation

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Winston-salem at a glance

Avg Walk Score: 28/ 100The average Walk Score across facilities in Winston-salem, NC. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 96The average licensed bed capacity across facilities in Winston-salem, NC. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Winston-Salem, NC

What's the difference between assisted living and memory care in North Carolina?

Assisted living in North Carolina supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in North Carolina?

Assisted living in North Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does North Carolina Medicaid cover assisted living?

North Carolina Medicaid does not directly pay room-and-board for assisted living, but most states (including North Carolina) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 22 assisted living facilities in Winston-Salem, NC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Winston-Salem, NC?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Winston-Salem, NC, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Winston-Salem, NC?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.