On a cold night, Companies were dispatched to fire alarm at a high rise apt. bldg for the elderly. This was the scene of many false alarms over the past years. E-01,04,06,A-01 and A-04 and C-01. Nothing showing upon 1st in arrival. Crews went to check the source of the alarm and discovered a working fire in an Apt on the 10th floor. Crews rescued the occupant who was transported to a local hospital for smoke inhalation. Crews confined fire to Apt of origin and smoke damage to the 10th floor. All occupants werer evacuated and removed safely from Bldg. 2nd alarm brought E-03,E-08,a nd E-18 and Air resource 1 and additional BC and District chief and Fire marshall. Another FINE job by the Winston Salem Fire & Rescue.