24-Hour Home Care in Winston-Salem, NC
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Winston-Salem for free and hire a caregiver directly, with no agency mark-up.
24-Hour Home Care in Winston-Salem, NC: the local picture
2,830 Winston-Salem residents 65 or older have difficulty dressing or bathing (7.5%; 6.2% in Forsyth County), and 8,032 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 4,894 residents are 85 or older (1.9% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Willow Valley Center For Nursing And Rehabilitatio in Winston-Salem (0.8 mi) and Arbor Acres United Methodist Retirement Community in Winston Salem (1.0 mi).
Winston-Salem compared with Forsyth County and North Carolina
| Census figure | Winston-Salem | Forsyth County | North Carolina |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 7.5% | 6.2% | 6.6% |
| Residents 65+ with serious difficulty walking | 21% | 19% | 21% |
| Residents 65+ with serious difficulty remembering | 8.0% | 7.3% | 7.9% |
| Residents 85 or older | 1.9% | 1.9% | 1.7% |
| Residents 65+ in households who live alone | 34% | 31% | 28% |
| Residents 65+ below the poverty line (approx.) | 13% | 10% | 11% |
| Median income, households headed by someone 65+ | $47,562 | $50,508 | — |
Older residents in towns around Winston-Salem
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Walkertown, NC | 6.1 mi | 1,077 | 3.7% |
| Wallburg, NC | 8.1 mi | 704 | 4.8% |
| Clemmons, NC | 8.5 mi | 4,153 | 6.7% |
| Rural Hall, NC | 8.6 mi | 689 | 11% |
| Midway, NC | 9.1 mi | 1,029 | 7.3% |
| Lewisville, NC | 9.1 mi | 2,226 | 3.6% |
Home health agencies serving Winston-Salem
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Interim Healthcare Of The Triad | Greensboro, NC | 25 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (336) 282-9701 |
| Centerwell Home Health | Winston-Salem, NC | 3.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (913) 814-2077 |
| Atrium Health Wake Forest Baptist -Care At Home | Winston Salem, NC | 3.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Amedisys Home Health Of Winston Salem | Winston-Salem, NC | 3.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (336) 768-7200 |
| Well Care Home Health Of The Triad Inc | Advance, NC | 12 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (336) 753-6200 |
Nursing homes near Winston-Salem (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Willow Valley Center For Nursing And Rehabilitatio | Winston-Salem, NC | 0.8 mi | 1 of 5 | 230 | (336) 724-2821 |
| Arbor Acres United Methodist Retirement Community | Winston Salem, NC | 1.0 mi | 4 of 5 | 6 | (336) 724-7921 |
| The Oaks | Winston-Salem, NC | 2.5 mi | 2 of 5 | 131 | (336) 768-2211 |
| Silas Creek Rehabilitation Center | Winston Salem, NC | 2.9 mi | 4 of 5 | 90 | (336) 765-0550 |
Straight-line miles from the center of Winston-Salem. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a 24-hour caregiver can help with
- Someone awake and on duty at all hours
- Personal care, meals and medication reminders through the day
- Help at night without relying on one tired caregiver
- Written handover notes between shifts
What 24-hour home care costs in Winston-Salem
24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 276% of the $3,964 monthly median income of Winston-Salem households headed by someone 65+. Rates are agreed with each caregiver. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a 24-hour caregiver
24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.
Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
24-Hour Home Care in Winston-Salem: common questions
How much does 24-hour home care cost in Winston-Salem?
24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 276% of the $3,964 monthly median income of Winston-Salem households headed by someone 65+. Rates are agreed with each caregiver. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
How many caregivers does 24-hour care take?
A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.
More senior care near Winston-Salem
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Walkertown, NC
- 24-Hour Home Care in Wallburg, NC
- 24-Hour Home Care in Clemmons, NC
- 24-Hour Home Care in Rural Hall, NC
- 24-Hour Home Care in Midway, NC
- 24-Hour Home Care in Lewisville, NC
- 24-Hour Home Care in Kernersville, NC
- 24-Hour Home Care in Tobaccoville, NC
- 24-Hour Home Care in Bermuda Run, NC
- 24-Hour Home Care in King, NC
- 24-Hour Home Care in Welcome, NC
- 24-Hour Home Care in Oak Ridge, NC
- 24-Hour Home Care in High Point, NC
- 24-Hour Home Care in Stokesdale, NC
- 24-Hour Home Care in Thomasville, NC
- 24-Hour Home Care in Jamestown, NC
Other care in Winston-Salem
- Companion Care in Winston-Salem
- Dementia Care in Winston-Salem
- Respite Care in Winston-Salem
- Live-In Caregivers in Winston-Salem
- Post-Surgery Care in Winston-Salem
- Senior Transportation in Winston-Salem
- Home Health Aides in Winston-Salem
- Nursing Assistants in Winston-Salem
- Personal Care in Winston-Salem
- Overnight Caregivers in Winston-Salem
- Mobility Assistance in Winston-Salem
- Parkinson’s Care in Winston-Salem
- Stroke Recovery Support in Winston-Salem
- Disability Care for Adults in Winston-Salem
- Hospice Support in Winston-Salem
- Senior Meal Preparation in Winston-Salem
- Senior Housekeeping in Winston-Salem
- Medication Reminders in Winston-Salem
- Veterans’ Home Care in Winston-Salem
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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