About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
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About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Brighton Gardens of Winston-Salem

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2601 Reynolda Road, Winston-Salem, NC 27106

For pricing & availability:
(866) 374-4058
9.6
Review score
90 reviews
Add review
9.6
Review score
90 reviews
5 star
59%
4 star
28%
3 star
7%
2 star
2%
1 star
4%
See all reviews
9.1
Review score
12504 reviews
232 facilities
Pricing promotions expiring soon
Brighton Gardens of Winston-Salem
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Brighton Gardens of Winston-Salem
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Kathy W
-
Child of resident/client
5.0
Dad is happy!
For all a 5 but for value for the money we still waiting on a breakdown of Dad's charges. I love the care he is getting. Much better than other places we had Dad before. Staff is very attentive, staff very respectful to patients, facility clean, keeps dad engaged in activities, and his roo

About the facility
Brighton Gardens of Winston-Salem

Brighton Gardens provides assisted living in an apartment-style setting that offers the simple pleasures - nutritious food, comfortable surroundings, and the support of a warm, caring and competent staff. A separate Special Care Center for residents with Alzheimer's or other memory related disorders is also on-site. The key to our success in the Special Care Center is our dedicated and compassionate staff, which receives special training and supervision. Our Special Care programming offers a variety of activities designed to achieve memory enrichment and positive social interactions. Caring for residents with dementia is a partnership between the community and the family, frequent family visits are encouraged and support groups and advisory councils are arranged. A Short Stay Program for seniors who need short-term care may also be available. It is the ideal alternative for recuperating after a hospital stay, while family caregivers are on vacation or if you just want to try out assisted living. Please call for more information or to schedule a visit to find out how Brighton Gardens can enrich your life or the life of a loved one.

Senior living options offered

Assisted Living

Memory Care

Pricing
for Brighton Gardens of Winston-Salem

Total monthly costs depend on room type, select services, and the level of care needed.

Base fees by care type

Assisted Living

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Studio
Starting at $XXXX/mo
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1 Bedroom
Starting at $XXXX/mo
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2 Bedrooms
Starting at $XXXX/mo
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Semi-Private
Starting at $XXXX/mo

Memory Care

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Studio
Starting at $XXXX/mo
*Prices quoted are monthly rental charges and are provided by the communities themselves. Actual prices may differ due to one-time fees, timing and care services required. Speak with your Senior Living Advisor to learn more.
Current promotions
Veteran & Employee Discounts
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Provides discounts to veterans, teachers and employees of certain companies.

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at Brighton Gardens of Winston-Salem

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Brighton Gardens of Winston-Salem
Brighton Gardens of Winston-Salem

2601 Reynolda Road, Winston-Salem, NC 27106

Brookdale Reynolda Road
Brookdale Reynolda Road

2980 Reynolda Road, Winston-Salem, NC 27106

Cadence at Clemmons by Cogir
Cadence at Clemmons by Cogir

1165 S Peace Haven Rd, Clemmons, NC 27012

PruittPlace Winston Salem
PruittPlace Winston Salem

2500 Polo Ridge Ct, Winston-Salem, NC 27106

9.6
Review score
90 reviews
9.6
Review score
90 reviews
5 star
59%
4 star
28%
3 star
7%
2 star
2%
1 star
4%
9.5
Review score
35 reviews
9.5
Review score
35 reviews
5 star
46%
4 star
29%
3 star
11%
2 star
11%
1 star
3%
9.4
Review score
24 reviews
9.4
Review score
24 reviews
5 star
46%
4 star
50%
3 star
4%
2 star
0%
1 star
0%
9.0
Review score
79 reviews
9.0
Review score
79 reviews
5 star
38%
4 star
29%
3 star
16%
2 star
4%
1 star
13%
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
--
2 bedrooms
--
2 bedrooms
--

Active promotion

Veteran & Employee Discounts

Provides discounts to veterans, teachers and employees of certain companies.

Active promotion

Veteran & Employee Discounts

Provides discounts to veterans, teachers and employees of certain companies.

Active promotion

Fee Discount

Reduces entrance fees required upon move in

Active promotion

Fee Discount

Reduces entrance fees required upon move in

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Care types offered

2

Assisted Living, Memory Care

Care types offered

1

Assisted Living

Care types offered

2

Assisted Living, Memory Care

Care types offered

2

Assisted Living, Memory Care

Amenities
at Brighton Gardens of Winston-Salem

Healthcare Services

  • Incontinence Care
  • Staffing & Ancillary Services
  • Memory Care
  • Diabetic Care
  • Non-Ambulatory Care
  • High Acuity Care
  • Medication Management

Meals & Dining

  • Low / No Sodium
  • Restaurant Style Dining
  • No Sugar
  • Anytime Dining
  • Special Dining Programs
  • Pureed Meals
  • Vegetarian
  • Room Service
  • Meals Provided
  • Guest Meals

Room Amenities

  • Respite or Short Term Stays Offered
  • Ground Floor Units
  • Garden View
  • Handicap Accessible
  • Wi-Fi/high-speed internet
  • Air Conditioned
  • Cable or Satellite TV

Community Amenities

On-site dining options

  • Private Dining Room

Transportation & parking

  • Resident Parking Available
  • Complimentary Transportation
  • Transportation at Cost
  • Uncovered Parking

Pets

  • Cats Allowed
  • Weight Limit (lbs)
  • Dogs Allowed

Common areas

  • Beauty Salon
  • Meeting Room
  • Private Bath
  • Library
  • Indoor Common Areas
  • TV Lounge
  • Outdoor Common Areas
  • Outside Patio
  • Barber Shop

Recreational areas

  • Piano or Organ
  • Arts and Crafts Center
  • Game Room
  • Raised Garden Beds

Services

  • Laundry Service / Drycleaning
  • Housekeeping
  • Grocery Shopping and Errands
  • Beautician

Languages spoken

  • English

Activities

  • Educational Speakers / Life Long Learning
  • Walking Club
  • Activities On-site
  • Live Musical Performances
  • Holiday Parties
  • Community Service Organizations
  • Sensory-based Programs
  • Live Well Programs
  • Activities Off-site
  • Happy Hour
  • Gardening Club
  • Book Club
  • Cooking Club
  • Bible Study Group
  • Dances
  • BBQs or Picnics
  • Devotional Activities On-Site
  • Community Service Programs
  • Reminiscence Programs
  • Yoga / Chair Yoga
  • Pet-focused Programs
  • Trivia Games
  • Intergenerational Programs
  • Stretching Classes
  • Men's Club
  • Art Classes
  • Devotional Activities Offsite
  • Karaoke
  • Wine Tasting
  • Day Trips and Outings
  • Brain fitness / Dakim
  • Birthday Parties

Reviews

for Brighton Gardens of Winston-Salem

9.6Review score90 reviews
9.6
Review score
90 reviews
5 star
59%
4 star
28%
3 star
7%
2 star
2%
1 star
4%
Sunrise Senior Living
9.1
Review score12504 reviews232 communities
Write a review
A Place for Mom has scored Brighton Gardens of Winston-Salem with 9.6 out of 10 using our proprietary review score based on 17 reviews in the last 2 years. Over all time, Brighton Gardens of Winston-Salem has 90 reviews with an average "overall experience" of 4.3 out of 5.
Overall Experience
4.3
Cleanliness
4.4
Friendliness
4.5
Care Services
4.5
Staff
4.6
Meals & Dining
4.7
Activities
4.5
Value for Cost
4.2
A Place for Mom has scored Brighton Gardens of Winston-Salem with 9.6 out of 10 using our proprietary review score based on 17 reviews in the last 2 years. Over all time, Brighton Gardens of Winston-Salem has 90 reviews with an average "overall experience" of 4.3 out of 5.
Parent company
Sunrise Senior Living
9.1
Review score12504 reviews232 communities
Logo for Sunrise Senior Living
Filters
Overall Experience
Date Submitted
Reviewer
Care Received
Verified Review
A Place For Mom has verified the person writing the review and their connection to the community.
1-20 of 90 reviews
Anonymous - Family/friend
Memory Care
November 6, 2025
5.0
Verified Review
Homey atmosphere
Staff is very friendly and helpful. Facility is spacious and home-like.
Cleanliness
4
Friendliness
5
Value for Cost
4
Care Services
5
Activities
4
Staff
5
Meals & Dining
4
Anonymous - Family/friend
Assisted Living
October 29, 2025
3.0
Verified Review
Review for Brighton Gardens of Winston-Salem
We liked the lady who toured us around. Very friendly and knowledgeable. People we met were friendly and seemed supportive. The physical surroundings seemed suitable. We had actually decided on another place but at the last minute my sister chose Brighton. It should be said that my sister had dementia, not full blown, but enough to cause confusion. We liked the location, the outside grounds were nice.
Response from Brighton Gardens of Winston-Salem
November 14, 2025
Thank you for your feedback! We're glad to hear you appreciated the friendly staff and our surroundings. We understand how important it is to find the right fit for your loved ones. Please do not hesitate to reach out to the community directly if you have any questions.
Lianne and John W - Toured community
Not Sure
October 28, 2025
5.0
Brighton
Nice facility and nice people. Unsure if it is a good fit for family member due to size and floors. Peaceful and in a good location. Great team of employees and very professional. That’s all I can say and don’t feel like making up any more comments
Cleanliness
5
Friendliness
5
Value for Cost
5
Staff
5
Kathy W - Family/friend
Memory Care
October 13, 2025
5.0
Verified Review
Dad is happy!
For all a 5 but for value for the money we still waiting on a breakdown of Dad's charges. I love the care he is getting. Much better than other places we had Dad before. Staff is very attentive, staff very respectful to patients, facility clean, keeps dad engaged in activities, and his room is clean and organized. Dad also says the food is very good too. Love seeing him happy.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Anonymous - Family/friend
Assisted Living
September 26, 2025
5.0
Verified Review
Review for Brighton Gardens of Winston-Salem
Not to put anything negative out there.. I think the staff could do better about the residents needs. When they ask for certain things they are sometimes told they will come back and they don't come back...and sometimes they don't get the right food that they order .. I'm only concerned about what I'm being told
Disappointed Senior - Toured community
Assisted Living
April 29, 2025
1.0
False Advertising
The website says a one bedroom is $[removed]. After my tour, was told the price would be $[removed]. Entry fee is $[removed]. The company that owns this place needs to be investigated for deliberately advertising false prices. Seniors don't have time to waste.
Cleanliness
5
Friendliness
5
Value for Cost
1
Staff
5
Response from Brighton Gardens of Winston-Salem
May 1, 2025
We are truly sorry to hear about your experience. We aim for transparency and understand how frustrating this situation is, our website pricing displayed are starting rates. Thank you for bringing this to our attention. - The Sunrise Team
Anonymous - Family/friend
Assisted Living
March 14, 2025
4.0
Verified Review
Brighton Gardens Review
I would tell others to ask how long they can stay with them..not just in their room, but like in the dining area and other areas..even outside. Food, I could suggest that there be a larger variety. Activities, maybe let the residents pick from a variety.
Cleanliness
4
Friendliness
5
Value for Cost
3
Care Services
5
Activities
2
Staff
5
Meals & Dining
3
Response from Brighton Gardens of Winston-Salem
March 20, 2025
Thank you for your valuable feedback! We appreciate your suggestions on stay duration and food variety. Your insights help us improve, and we're committed to making your time with us even better!
Kathryn S - Family/friend
Assisted Living
November 11, 2024
4.0
Verified Review
Overall recommend
I would say that the facility and the staff are very warm and inviting, and we liked the overall feel of the assisted living facility.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
4
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
November 14, 2024
Thank you for your kind words, Kathryn! We're thrilled to hear you found our community and team inviting. Our team works hard to create a welcoming atmosphere, and your feedback means a lot to us. We hope to continue providing a great experience for you and your loved ones!
Arnetter Wheeler
Assisted Living
September 20, 2024
5.0
Very nice facility.
We found the entire staff very accommodating. The administration gave informative information, and were very helpful with the admission process. The floor staff did an excellent job with care. The food service staff was wonderful. Presentation of food served to the residents was excellent.
Cleanliness
5
Friendliness
5
Value for Cost
4
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
September 23, 2024
Arnetter, thank you for your fantastic feedback! We're thrilled to hear that our team at Brighton Gardens of Winston-Salem made such a positive impact during your experience. Your kind words about our administration and food service mean a lot to us. We look forward to continuing to provide exceptional service!
Anonymous - Family/friend
Assisted Living
July 11, 2024
5.0
Verified Review
Brighton Gardens of Winston-Salem review
All questions are a five and where their strengths are special is with the Director [name removed] and his management staff. They have a wealth of knowledge and expertise and treat the residents and families with respect, care and understanding.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
July 15, 2024
We appreciate your kind words about our team! Providing top-notch service and care to our residents and their families is our top priority. Thank you for taking the time to share your positive experience with us!
Elaine - Family/friend
Assisted Living
March 15, 2024
5.0
Verified Review
Recommended
They only stayed for three months before my FIL passed away and my MIL could not be alone, but what they received while there was top notch. I would recommend it. The facility had a house dog and bird. They had nice groups that came to entertain, and the staff really genuinely cared about the residents and their well being.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
March 20, 2024
Elaine, thank you so much for taking the time to share your experience with us at Brighton Gardens of Winston-Salem. We are honored to have been able to provide top-notch care for your loved ones during their time with us. Our team truly values the well-being of our residents, and we appreciate your recommendation.
Anonymous - Family/friend
Assisted Living
March 7, 2024
5.0
Verified Review
Wonderful facility
What I like most is that the staff are very friendly and communicate monthly with me. I don't like how expensive it is, of course.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
March 20, 2024
Thank you for your 5-star review of Brighton Gardens of Winston-Salem! We take pride in providing exceptional care which includes keeping our residents and their families informed. We thank you for your continued trust in our community and team.
Anonymous - Family/friend
Assisted Living
December 20, 2023
5.0
Verified Review
Highly Recommend
They were very kind and cooperative. I felt they went up and beyond for her. I recommend this place for anyone.
Cleanliness
4
Friendliness
5
Value for Cost
4
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
December 26, 2023
Thank you for the wonderful things you said about Brighton Gardens of Winston-Salem and the dedicated care givers and team members. We are passionate about our community and the residents and families that trust us to provide the very best care.
Dustin R - Industry reviewer
Assisted Living
December 18, 2023
5.0
No One Can Care Better
Brighton Gardens of Winston-Salem is community unlike any other in the area. As someone who works closely with seniors for a living, I’ve been able to become familiar with staff and leadership at other local communities and facilities. I’ve also become very familiar with the capabilities they posses when it comes to resident care. Brighton Gardens has astounded me with the level of care they can offer in an assisted living setting. Their ability to provide care for high-acuity residents, partnered with their generous amount of knowledgeable nursing staff makes them an easy sell when it comes to assisting in finding placement for seniors. I don’t know of another assisted living facility in Forsyth that has the amount of staffed skilled nurses as BG. I have referred friends and family members both to BG thanks to what they can offer and the warm staff interactions I’ve witnessed. Your loved one may not need skilled nursing!
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Response from Brighton Gardens of Winston-Salem
December 26, 2023
Thank you, Dustin, for sharing your positive experience with Brighton Gardens of Winston-Salem. We take pride in our level of care and knowledgeable care team, and we're glad to have exceeded your expectations. We appreciate your referrals and look forward to continuing to provide exceptional care to our residents.
Beverly O - Toured community
Assisted Living
December 13, 2023
5.0
Great place
The residents seem very happy and all of the staff are very helpful & nie!
Cleanliness
5
Friendliness
5
Value for Cost
5
Staff
5
Response from Brighton Gardens of Winston-Salem
December 27, 2023
Hi Beverly, thank you so much for your kind words! We're thrilled to hear that our residents are happy and that our team has been helpful. It's always our goal to provide excellent service. If you ever need anything, please don't hesitate to reach out.
Sherry E - Family/friend
Memory Care
December 13, 2023
5.0
Caregivers are Wonderful!
The caregivers are wonderful and take great care of my Mom. They make her laugh. They are family now! Mom has lived in the Memory Care community since December 2021. Glad we made the choice to move Mom here.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
December 27, 2023
Hi Sherry! Thank you so much for your kind words. We're thrilled to hear that our caregivers have made a positive impact on your mom's life. We strive to create a warm and welcoming environment for our residents. We're grateful for your trust in us and for choosing our Memory Care community.
Suzanne A - Industry reviewer
Assisted Living
December 13, 2023
5.0
Great Community!
What I have seen is genuine care for the seniors and all of the staff and employees are friendly and kind people. The folks that live there are happy and well cared for. I would recommend this community.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
December 27, 2023
Thank you so much, Suzanne! We truly value your kind words and are thrilled to hear about your positive experience with our community. It's our utmost priority to provide genuine care and a friendly environment for our seniors at Brighton Gardens of Winston-Salem. We appreciate your recommendation!
SM - Resident/client
Assisted Living
November 16, 2023
5.0
Great community for residents staff and families
I have worked with sunrise for a small amount of time however I have loved every thing about it so far! Best staff I have worked with, loving families and top class care! You can always tell the residents are happy and well cared for.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Response from Brighton Gardens of Winston-Salem
December 1, 2023
Hi SM, We are so glad you enjoy working with Brighton Gardens of Winston Salem. Having positive team members who embody our principles of service is what makes Sunrise shine. Thank you for leaving this amazing feedback and thank you for all that you do for our residents!
Lisa - Family/friend
Memory Care
October 9, 2023
5.0
Verified Review
our families experience
My dad is thriving at Brighton Gardens of Winston-Salem. It was absolutely the best choice we could of made. Based on the first impression we had, it felt like home and people were happy to be there. Staff and residents
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Staff
5
Meals & Dining
5
Myron Pearman - Toured community
Memory Care
July 26, 2023
1.0
Shady business practices
We had visited Brighton Gardens of Winston Salem to consider them for the care of our mother with dementia. Post our visit our mother's situation deteriorated quickly and we needed to find her long term care and on [date removed] we contacted Brighton Gardens regarding availability. Brighton Gardens advised they did not have availability at the moment however if we brought them a $[removed]check they would put our mother on their wait list and we would be first in line. Brighton Gardens advised they would not cash the deposit check unless they had we admitted our mother as a resident. On [date removed] we found a memory care facility for our mother and it was not Brigthon Gardens. On [date removed] Brighton Gardens cashed the $[removed] check after being advised that our mother had been admitted somewhere else. I have spoken to the business manager and the executive director, to no avail and have yet to receive a refund.
Friendliness
1
Value for Cost
1
Staff
1
Response from Brighton Gardens of Winston-Salem
August 9, 2023
Hi Myron, We take your experience at Brighton Gardens of Winston Salem very seriously and would like to review this matter closer. Please contact info@sunriseseniorliving.com so we can promptly review and address these concerns. – The Sunrise Team
Viewing 1-20 out of 90 reviews

Neighborhoods
around Brighton Gardens of Winston-Salem

See what the neighborhood has to offer and what’s nearby:
Brighton Gardens of Winston-Salem in google map

Tips for evaluating your community options

Safety is a primary concern when seniors and their families look for Assisted Living. To ensure that a community meets your needs and expectations, we recommend that seniors and family members:

  • Know North Carolina’s regulations for memory care. Each state has its own laws and inspection processes to ensure seniors reside in a safe environment. Depending on your state, you may even be able to look up inspection reports for the communities you’re considering. Learn more about North Carolina’s regulations for memory care and download the Guide to Senior Living Licensure and Inspection Reports.

  • Tour the location. Touring allows you to speak to current residents and staff, and it helps you confirm the accuracy of the community description and photos. Use our touring checklist to help guide your visit.

  • Confirm the availability of required services. Before committing, make sure that the community offers all the services your loved one needs, and that those services can be provided within your budget.

Frequently Asked Questions
about Brighton Gardens of Winston-Salem

Brighton Gardens of Winston-Salem offers Studio, 1 Bedroom, 2 Bedrooms and Semi-Private. Learn more.
A Place for Mom has scored Brighton Gardens of Winston-Salem 9.6 out of 10 using our proprietary review score.   We assign review scores to give a more reliable view into senior living communities and home care agencies. Our review scores prioritize reviews that are recent — the past 24 months — because we know families need current information when choosing senior care.   Those with many recent, positive reviews receive a high review score, while providers with few recent reviews — regardless of how positive — receive a lower review score. Communities with no recent reviews will not have a review score, even if older reviews are positive. The maximum A Place for Mom review score a community can receive is 10 points.
Call (336) 722-2224 to reach a resident at Brighton Gardens of Winston-Salem.
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4 star
3%
3 star
0%
2 star
0%
1 star
23%
Studio, 1bd, 2bd, Semi-Private
Photo of PruittPlace Winston Salem

PruittPlace Winston Salem

2500 Polo Ridge Ct, Winston-Salem, NC 27106
Starting at $X,XXX+ monthly
9.0
Review score
79 reviews
9.0
Review score
79 reviews
5 star
38%
4 star
29%
3 star
16%
2 star
4%
1 star
13%
Studio, 1bd, Semi-Private
Welcome Home to PruittPlace Winston Salem! This community is devoted to a higher standard of living for seniors who need assisted living or the security and structure of memory care services. We have raised the bar in the assisted living industry by providing unsurpassable care. In addition, our...

The features and amenities that are displayed on this page contain marketing information provided by the community. A Place for Mom has not confirmed the completeness of the provided information, and cannot guarantee its accuracy. If you become aware of any information that should be updated or noted, please contact A Place for Mom. A Place for Mom uses the term “assisted living” to indicate that the community provides some level of assistance with daily living activities. It does not indicate that the facility meets official state requirements for level of care.

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