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At Home Eldercare of Winston Salem, NC, Purple Heart Health Care Inc and Impressions Home Care are the top three home care agencies in Winston-Salem, North Carolina. There are 80 trusted home care agencies within a 10-mile radius of the city, and according to A Place for Mom’s proprietary data, the average hourly rate for home care in the area is around $29. From peaceful neighborhoods to robust senior centers, Winston-Salem offers an ideal environment for aging comfortably at home.

Home Care Agencies near Winston Salem, NC

Table of contents

How much does home care cost in Winston-Salem, North Carolina?
How to pay for home care in Winston-Salem, North Carolina
Resources in Winston-Salem that help seniors age in place
Home care laws and regulations in North Carolina
How to choose the right Winston-Salem home care agency
What families are saying about home care in Winston Salem

How much does home care cost in Winston-Salem, North Carolina?

In Winston-Salem, home care services average $29 per hour.^[01] An hourly pricing approach offers flexibility for families seeking part-time or intermittent assistance. To understand exactly how much and what kind of care your loved one needs, a home care agency will assess them before services begin. The agency will then work with your family to develop a personalized care plan that meets your loved one’s needs and budget.

For seniors who require around-the-clock or daily care, alternative options such as assisted living or a residential care home may be more cost effective.

Location and the local cost of living are other factors that can affect home care costs. Winston-Salem’s overall cost of living is approximately 9% lower than the national average, with housing expenses notably 32% below the national norm.^[02] This affordability can help offset some home care expenses.

Average home care costs in Winston Salem, NC

Average hourly rate

$29/hr

Home care costs vs. senior living costs in Winston Salem, NC

44 hours of home care/wk

$5,525/mo

Assisted Living

$4,478/mo

Memory Care

$5,401/mo

Home care costs in Winston Salem vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.

Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.

Column location: Location (Location name)

Column hourlyCost: Hourly cost (Cost per hour)

Column dailyCost: Daily cost (Cost per day (4 hours))

Column monthlyCost: Monthly cost (Cost per month)

Column annualCost: Annual cost (Cost per year)

Location	Hourly cost	Daily cost	Monthly cost	Annual cost
Winston Salem, NC	$29	$116	$2,511	$30,160
North Carolina	$30	$120	$2,598	$31,200
National	$30	$120	$2,598	$31,200

Winston Salem, NC

Hourly cost:$29

Daily cost:$116

Monthly cost:$2,511

Annual cost:$30,160

North Carolina

Hourly cost:$30

Daily cost:$120

Monthly cost:$2,598

Annual cost:$31,200

National

Hourly cost:$30

Daily cost:$120

Monthly cost:$2,598

Annual cost:$31,200

Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Winston Salem.

Get started

How to pay for home care in Winston-Salem, North Carolina

Most families in Winston-Salem rely on a combination of private resources and insurance to cover the ongoing expenses of home care.

Private pay options

The most common way to pay for home care is through personal or family savings, income from retirement accounts, or Social Security benefits. In some cases, adult children contribute to expenses as part of a family care plan. Other payment sources include:

Home equity. For homeowners, tapping into home equity can be a practical way to pay for care. Options include selling the home to move in with family, downsizing to a smaller home, or taking out a reverse mortgage. Seniors can use reverse mortgages to convert a portion of their home’s value into cash without having to sell or move.
Long-term care insurance. If a senior has a long-term care insurance policy, it may reimburse them or directly pay for home care services. Coverage details vary, so it’s important to understand any waiting periods, daily benefit caps, and qualifying criteria before relying on this source.
Life insurance. Some life insurance policies can be converted into long-term care benefits or sold for their current value in what’s known as a life settlement. This approach can provide an immediate cash source for care needs, especially if the policy is no longer needed for its original purpose.

Medicare

Medicare can help cover certain home health care services in Winston-Salem, but it’s important to understand its limitations. Medicare Part A and/or Part B may cover medically necessary part-time or intermittent skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, and limited home health aide services. To qualify, a doctor must certify that the recipient is homebound and requires skilled care, and services must be provided by a Medicare-certified home health agency.

Medicare won’t cover 24/7 care at home, meals delivered to the home, homemaker services (such as shopping, cleaning, and laundry) that aren’t related to a care plan, or personal care (such as bathing and dressing) when this is the only care needed.^[03]

Medicare resources in Winston-Salem, NC

For assistance navigating Medicare coverage and understanding options in Winston-Salem, consider reaching out to the following resources.

Seniors’ Health Insurance Information Program (SHIIP)
Phone: 855-408-1212
The Shepherd’s Center of Greater Winston-Salem
1700 Ebert Street
Winston-Salem, NC 27103
Phone: 336-748-0217
Email: info@shepherdscenter.org

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Medicaid can help cover home care services for eligible seniors in Winston-Salem. North Carolina’s Medicaid program offers several options to support in-home care, including:^[04]

Personal Care Services (PCS). This program helps with activities of daily living (ADLs) such as bathing, dressing, eating, toileting, and mobility. To qualify, individuals must have a medical condition, disability, or cognitive impairment and demonstrate a need for help with at least two ADLs. An independent assessment determines eligibility and the number of service hours approved.^[05]
Home Health Services. Medicaid covers medically necessary services prescribed by a physician, including skilled nursing care, physical therapy, occupational therapy, speech-language pathology, and home health aide services. These services are provided in the individual’s residence and are intended for those who are homebound or have limited mobility.^[06]
Community Alternatives Program for Disabled Adults (CAP/DA). This Home- and Community-Based Services (HCBS) waiver program offers a range of services to help individuals who require a nursing facility level of care to remain in their homes. Services may include personal care assistance, home modifications, meal delivery, and case management. Enrollment in CAP/DA is limited and may involve a waiting list.^[07]

Medicaid resources in Winston-Salem, NC

For assistance with applications or to explore eligibility for programs like CAP/DA, contact the Forsyth County Department of Social Services or the North Carolina Medicaid Contact Center. They can provide guidance on the application process, required documentation, and program availability.

Forsyth County Department of Social Services
741 North Highland Avenue
Winston-Salem, NC 27101
Phone: 336-703-3800
Fax: 336-727-2842
North Carolina Medicaid
Phone: 1-888-245-0179
ePASS Online Application
Apply for Medicaid and other benefits online at ePass.

VA benefits

Veterans in Winston-Salem can utilize VA benefits to help cover the cost of home care services. The U.S. Department of Veterans Affairs (VA) offers several programs designed to support eligible veterans and their families in accessing in-home care.

Aid and Attendance (A&A) benefit: The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities. These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680 and submit the completed form to the Winston-Salem Regional Benefit Office.^[08]
Homemaker and Home Health Aide Care: This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, download and complete the Veteran Decision Aid for Care at Home or in the Community and contact a VA social worker in North Carolina for next steps.^[09]
Veteran Directed Care (VDC): The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department. To access the program, reach out to your loved one’s VA social worker.^[10]

Resources for veterans in Winston-Salem, NC

Veterans and their family members can access information and benefits counseling through the VA’s regional office in Winston-Salem.

Winston-Salem Regional Benefit Office
251 N. Main Street
Winston-Salem, NC 27155

Phone: 1-800-827-1000

Additionally, veterans service organizations (VSOs) can assist veterans in understanding their eligibility, applying for benefits, and coordinating in-home care services. The following VSOs are located at the Winston-Salem Regional Office address above.

American Legion
Suite 420
Phone: 336-631-5471
Disabled American Veterans
Suite 151
Phone: 336-631-5481
Paralyzed Veterans of America
Suite 430
Phone: 336-251-0836
Veterans of Foreign Wars
Suite 490
Phone: 336-631-5457
National Association of Black Veterans
Suite 169
Phone: 336-251-0776
North Carolina Department of Military and Veterans Affairs
Suite 190
Phone: 336-251-0677

Resources in Winston-Salem that help seniors age in place

Winston-Salem offers a variety of resources to support seniors who wish to age in place. From in-home care services to community centers and transportation assistance, the city provides comprehensive support to help older adults maintain their independence and quality of life.

Senior Services, Inc.

Senior Services, Inc. offers a wide range of programs, including in-home care, Meals on Wheels, and adult day services, to support seniors living independently.

2895 Shorefair Drive
Winston-Salem, NC 27105

Phone: 336-725-0907
Email: info@seniorservicesinc.org

The Salvation Army Senior Center

The center provides enrichment programs, community gatherings, and educational events to keep seniors engaged and active.

2850 New Walkertown Road
Winston-Salem, NC 27105

Phone: 336-499-1196
Email: alves.gonzalez@uss.salvationarmy.org

City of Winston-Salem Recreation and Parks Department

The city’s Recreation and Parks Department offers programs and activities tailored for older adults.

Phone: 336-727-2313

Home care laws and regulations in North Carolina

Home care agencies in Winston-Salem must follow state laws designed to ensure the safety and quality of in-home services for seniors and individuals with disabilities. These regulations are enforced by the North Carolina Division of Health Service Regulation (DHSR) and include licensing, accreditation, and staff hiring standards.^[11]

Licensing and accreditation

To legally operate, home care agencies in North Carolina must obtain a license from the DHSR’s Acute and Home Care Licensure and Certification Section. To obtain a license, agencies must demonstrate that they have:

Formal policies covering client, facility, and personnel records and practices
Documented standard operating procedures
Infection control policies and practices
Emergency response plans
Staff immunization and sick leave plans
Mechanisms to verify staff background and criminal records
Mechanisms to ensure staff are appropriately trained for their jobs

Hiring practices

Home care agencies in North Carolina are required to implement strict hiring procedures to ensure client safety, including the following.^[11]

All potential employees must undergo a criminal background check. Applicants who have lived in North Carolina for less than five years must complete both state and national background checks, including fingerprinting.
Agencies may not hire individuals with substantiated findings on the North Carolina Health Care Personnel Registry.
Staff must meet specific education and training requirements, and agencies must provide regular supervision to maintain high standards of care.

These regulations help maintain accountability and ensure that seniors in Winston-Salem receive dependable, high-quality home care.

How to choose the right Winston-Salem home care agency

Finding the right home care agency in Winston-Salem, North Carolina, is an important decision for families. To make the best choice, take the following steps.

Request detailed pricing information

Costs can vary across home care agencies in Winston-Salem. Ask each prospective agency for a comprehensive breakdown of services and fees, including hourly rates, minimum care hours, and any additional costs for weekends, nights, or holidays. Transparent pricing will help you compare options fairly and avoid unexpected charges later.

Ask about caregiver training and expertise

Caregiver qualifications can significantly affect the quality of care your loved one receives. In Winston-Salem, many reputable agencies offer caregivers who have specialized training in dementia care, mobility support, and chronic condition management. Be sure to ask about staff certifications, ongoing training programs, and supervision protocols to ensure your caregiver is fully prepared.

Read home care reviews

Online reviews from Winston-Salem families can offer valuable insight into the day-to-day experiences clients have with different agencies. Look for comments on timeliness, caregiver compatibility, professionalism, and overall satisfaction. Reviews on trusted platforms can help you narrow your search and identify home care providers with strong reputations in the local community.

What families are saying about home care in Winston Salem

Recent reviews for home care in Winston Salem

Options For Senior America - Triad in Burlington, NC

5.0

Option For Senior America worked well with us to find affordable care for our mom. The person they sent was wonderful, but she is retiring at the end of this month. They are sending a replacement. We are looking forward to her helping.

Magnolia Affordable Home Care in Greensboro, NC

4.7

We chose Magnolia Affordable Home Care because she has early stages of dementia and I felt that when I met the caregiver she would have she would give her good care. She very sweet and very kind. We have had some scheduling issues but overall I would recommend them to others and I have been ...

North Carolina Personal Care Services in Greensboro, NC

5.0

They have been taking care of my mom for 2 months and she loves her caregiver.

References

A Place for Mom. (2025). A Place for Mom proprietary data.
PayScale. Cost of living in Winston-Salem, North Carolina.
U.S. Centers for Medicare and Medicaid Services. Home health services coverage. Medicare.gov.
North Carolina Department of Health and Human Services. (2025, April). NC Medicaid 1915(i) services.
North Carolina Department of Health and Human Services. (2025, April 16). Personal Care Services (PCS).
North Carolina Department of Health and Human Services. (2025, April 8). Home Health Services.
Forsyth County Division of Social Services. (2025). Community Alternatives Program for Disabled Adults.
U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.
U.S. Department of Veterans Affairs. (2025, April 14). Homemaker and home health aide care.
U.S. Department of Veterans Affairs. (2025, April 14). Veteran-directed care.
Acute and Home Care Licensure and Certification Section. North Carolina Division of Health Service Regulation. (2023, May 11). Home care licensure information.

More questions?

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.

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Best Home Care Agencies in Winston Salem, NC for 2025

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