Adult Disability Care in Winston-Salem, NC: In-Home Support

Local figures

Disability Care for Adults in Winston-Salem, NC: the local picture

11%

of residents aged 18 to 64 have a disability (11% in Forsyth County)

6,138

residents aged 18 to 64 have difficulty doing errands alone

8.2%

of households have no vehicle (6.2% in Forsyth County)

21

Medicare-certified home health agencies list Winston-Salem ZIP codes in their service area

About 17,196 Winston-Salem residents aged 18 to 64 report a disability (11%; 11% in Forsyth County).

6,138 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

8.2% of Winston-Salem households have no vehicle (6.2% in Forsyth County); say in your posting if you need a caregiver who drives.

Winston-Salem compared with Forsyth County and North Carolina

Census figure	Winston-Salem	Forsyth County	North Carolina
Residents 18 to 64 with a disability	11%	11%	11%
Residents 18 to 64 with difficulty doing errands alone	4.0%	3.9%	3.9%
Households with no vehicle	8.2%	6.2%	5.3%
Residents 5+ who speak a language other than English at home	20%	16%	13%
Residents 65+ with a disability	32%	30%	33%
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+	Disability (18 to 64)
Walkertown, NC	6.1 mi	1,077	10%
Wallburg, NC	8.1 mi	704	16%
Clemmons, NC	8.5 mi	4,153	12%
Rural Hall, NC	8.6 mi	689	11%
Midway, NC	9.1 mi	1,029	18%
Lewisville, NC	9.1 mi	2,226	4.8%

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

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 it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Winston-Salem

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 33% of the $3,964 monthly median income of Winston-Salem households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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.

Before you hire

What to know before hiring a disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Winston-Salem: common questions

How much does disability care for adults cost in Winston-Salem?

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 33% of the $3,964 monthly median income of Winston-Salem households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers North Carolina.

More near Winston-Salem

More senior care near Winston-Salem

Disability Care for Adults in nearby cities

Other care in Winston-Salem

More for Winston-Salem families

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.

In-Home Support for Adults With Disabilities in Winston-Salem, NC