In-Home Dementia and Alzheimer's Care in Winston-Salem, NC
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Winston-Salem for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Winston-Salem, NC: the local picture
Winston-Salem has about 4,894 residents aged 85 or older among 38,688 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.
32% of residents 65 and older report a disability (30% in Forsyth County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
34% of older Winston-Salem residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.
Winston-Salem compared with Forsyth County and North Carolina
| Census figure | Winston-Salem | Forsyth County | North Carolina |
|---|---|---|---|
| Residents 85 or older | 1.9% | 1.9% | 1.7% |
| Residents 65 or older | 15% | 17% | 17% |
| Residents 65+ with a disability | 32% | 30% | 33% |
| Residents 65+ in households who live alone | 34% | 31% | 28% |
| Residents 65+ below the poverty line (approx.) | 13% | 10% | 11% |
| Residents 5+ who speak a language other than English at home | 20% | 16% | 13% |
| Median income, households headed by someone 65+ | $47,562 | $50,508 | — |
Older residents in towns around Winston-Salem
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Walkertown, NC | 6.1 mi | 1,077 | 126 |
| Wallburg, NC | 8.1 mi | 704 | 12 |
| Clemmons, NC | 8.5 mi | 4,153 | 353 |
| Rural Hall, NC | 8.6 mi | 689 | 79 |
| Midway, NC | 9.1 mi | 1,029 | 125 |
| Lewisville, NC | 9.1 mi | 2,226 | 193 |
Nursing homes near Winston-Salem
| 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 |
| Trinity Glen | Winston-Salem, NC | 3.0 mi | 4 of 5 | 117 | (336) 595-2166 |
| Brookridge Retirement Community | Winston-Salem, NC | 3.2 mi | 5 of 5 | 77 | (336) 759-1044 |
Hospices serving Winston-Salem
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Trellis Supportive Care | Winston Salem, NC | 3.4 mi | (336) 768-3972 |
| Well Care Hospice, Inc. | Advance, NC | 12 mi | (910) 362-9405 |
| Hospice Of The Piedmont Inc | High Point, NC | 17 mi | (336) 889-8446 |
| Hospice Of Davidson County/ Hinkle Hospice House | Lexington, NC | 19 mi | (336) 475-5444 |
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 dementia caregiver can help with
- Keeping a predictable daily routine
- Gentle help with bathing, dressing and toileting
- Meals, hydration and medication reminders
- Calming approaches for sundowning, agitation and repeated questions
What dementia care 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.
What to know before hiring a dementia caregiver
An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.
Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Dementia Care in Winston-Salem: common questions
What nursing homes are near Winston-Salem?
The closest Medicare-certified nursing homes are Willow Valley Center For Nursing And Rehabilitatio in Winston-Salem (0.8 mi, 1 of 5 overall); Arbor Acres United Methodist Retirement Community in Winston Salem (1.0 mi, 4 of 5 overall); The Oaks in Winston-Salem (2.5 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care 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).
When does someone with dementia need care at home?
Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.
More senior care near Winston-Salem
Dementia Care in nearby cities
- Dementia Care in Walkertown, NC
- Dementia Care in Wallburg, NC
- Dementia Care in Clemmons, NC
- Dementia Care in Rural Hall, NC
- Dementia Care in Midway, NC
- Dementia Care in Lewisville, NC
- Dementia Care in Kernersville, NC
- Dementia Care in Tobaccoville, NC
- Dementia Care in Bermuda Run, NC
- Dementia Care in King, NC
- Dementia Care in Welcome, NC
- Dementia Care in Oak Ridge, NC
- Dementia Care in High Point, NC
- Dementia Care in Stokesdale, NC
- Dementia Care in Thomasville, NC
- Dementia Care in Jamestown, NC
Other 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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