Senior Care Costs in Virginia: 2026 State & City Report
An empirical cost analysis of assisted living, memory care, nursing homes, and in-home care across Virginia. Compare statewide medians directly against national benchmarks and explore top metro pricing across 244 cities.
Virginia vs. National Cost Benchmarks
CareScout/Genworth Cost of Care Survey statewide medians compared against U.S. national benchmarks.
| Care Category | Virginia Median | National Median | Difference |
|---|---|---|---|
| Assisted Living | $6,945/mo | $6,200/mo | +12% above national |
| In-Home Care (Home Health Aide) | $35/hr | $35/hr | Equal to national |
| Nursing Home (Private Room) | $140,160/yr | $129,575/yr | +8% above national |
| Adult Day Care | $81/day | $95/day | -15% below national |
Senior Care Pricing Breakdown by Level of Care in Virginia
Assisted Living Communities
State Median: $6,945 / month ($83,340 / year)
Assisted living in Virginia covers private or semi-private living quarters, 24-hour on-site supportive staff, three daily meals, housekeeping, and scheduled social activities. Base rents commonly bundle level-one personal care, with higher acuity tiers (medication management, transfer assistance, continence care) billed as tiered service fees.
Memory Care & Dementia Facilities
Estimated Median: $8,681 / month ($104,172 / year)
Dedicated memory care communities provide specialized environments for individuals with Alzheimer's disease and other forms of dementia. Facilities feature secured perimeter access, wander-management safety protocols, specialized cognitive therapies, and higher staffing ratios, generally commanding a 20% to 30% premium over standard assisted living.
In-Home Care (Non-Medical & Home Health Aide)
State Median: $35 / hr (Home Health) | $0 / hr (Homemaker)
Home care allows Virginia seniors to age safely in place. For part-time support (20 hours weekly for companionship, bathing, and meal preparation), monthly expenditures average approximately $3,031. For full-time assistance (44 hours weekly), monthly costs average $6,668, nearing residential community fees.
Skilled Nursing Home Facilities
State Median: $11,680 / mo (Private) | $0 / mo (Semi-Private)
Nursing homes provide round-the-clock clinical supervision, registered nurse administration, wound care, and comprehensive rehabilitative therapy. Private rooms average $140,160 annually, while shared semi-private rooms average $0 annually.
Virginia Medicaid & Financial Assistance Programs
Paying for senior care in Virginia frequently requires coordinating private personal savings, long-term care insurance (LTCI), veterans benefits (such as VA Aid & Attendance), and state Medicaid programs.
State Regulatory Authority
Licensed senior living communities, assisted living residences, and nursing facilities in Virginia are regulated by the Virginia Department of Health.
The regulator oversees annual safety audits, staffing quotas, and incident investigations.
Medicaid & HCBS Waiver Program
In Virginia, qualified low-income seniors can seek home and community-based support through the Commonwealth Coordinated Care (CCC) Plus.
Waivers cover direct caregiving and therapy services, while room and board remain private-pay.
Top 10 Cities in Virginia for Senior Care
Largest senior care markets in Virginia ranked by provider inventory with local cost estimates.
| City | Inventory | In-Home Care | Assisted Living | Details |
|---|---|---|---|---|
| #1 Richmond | 161 licensed providers | $35/hr | $6,945/mo | View Richmond Costs → |
| #2 Virginia Beach | 79 licensed providers | $35/hr | $6,945/mo | View Virginia Beach Costs → |
| #3 Fairfax | 67 licensed providers | $35/hr | $6,945/mo | View Fairfax Costs → |
| #4 Roanoke | 63 licensed providers | $35/hr | $6,945/mo | View Roanoke Costs → |
| #5 Alexandria | 55 licensed providers | $35/hr | $6,945/mo | View Alexandria Costs → |
| #6 Fredericksburg | 55 licensed providers | $35/hr | $6,945/mo | View Fredericksburg Costs → |
| #7 Newport News | 45 licensed providers | $35/hr | $6,945/mo | View Newport News Costs → |
| #8 Charlottesville | 44 licensed providers | $35/hr | $6,945/mo | View Charlottesville Costs → |
| #9 Chesapeake | 39 licensed providers | $35/hr | $6,945/mo | View Chesapeake Costs → |
| #10 Lynchburg | 38 licensed providers | $35/hr | $6,945/mo | View Lynchburg Costs → |
Virginia Neighboring States Cost Comparison
Compare senior care affordability across regional neighbor states.
| State | Assisted Living | In-Home Care | Nursing Home (Private) | Report |
|---|---|---|---|---|
| Maryland | $7,173/mo | $35/hr | $173,376/yr | Maryland Report → |
| North Carolina | $6,496/mo | $30/hr | $129,576/yr | North Carolina Report → |
| Tennessee | $5,845/mo | $31/hr | $120,456/yr | Tennessee Report → |
| Kentucky | $5,528/mo | $33/hr | $135,048/yr | Kentucky Report → |
| West Virginia | $6,340/mo | $30/hr | $159,144/yr | West Virginia Report → |
Frequently Asked Questions About Senior Care in Virginia
What is the average cost of assisted living in Virginia?
According to the 2025 CareScout Cost of Care Survey (published March 2026), the median monthly cost of assisted living in Virginia is $6,945 per month (approximately $83,340 per year). Actual costs vary depending on resident acuity, apartment size, medication management tiers, and specific geographic location within Virginia.
How much does in-home senior care cost in Virginia?
In Virginia, certified home health aides average $35 per hour, while non-medical homemaker services average $0 per hour. For part-time assistance (20 hours per week), families spend approximately $3,031 per month. Full-time assistance (44 hours per week) averages $6,668 per month.
Does Virginia Medicaid cover assisted living or nursing home care?
In Virginia, Medicaid covers skilled nursing home care for medically and financially qualified individuals. For assisted living and in-home care, Virginia operates Home and Community-Based Services (HCBS) waiver programs, including the Commonwealth Coordinated Care (CCC) Plus. While waivers help cover care services and case management, room and board charges in assisted living are typically self-pay.
Who regulates licensed senior care facilities in Virginia?
Licensed senior living communities, memory care facilities, and nursing homes in Virginia are regulated and inspected by the Virginia Department of Health. Families can review inspection reports, licensing history, and compliance records before making placement decisions.
Explore Virginia Providers
Browse licensed senior care communities and agencies across 244 cities in Virginia.
National Cost Comparison
Compare senior care affordability, state rankings, and provider supply across all 50 states.
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Methodology & Data Sources
This report compiles data from the CareScout 2025 Cost of Care Survey, published in March 2026. Figures reflect statewide median monthly rates for assisted living (one-bedroom, single-occupancy), memory care, adult day care, and private nursing home rooms, as well as hourly rates for certified in-home non-medical care.
Provider counts and availability statistics are derived from the families.care verified provider directory of licensed state health and human services facilities as of September 2026. Population metrics are calculated using U.S. Census Bureau American Community Survey (ACS) 5-year estimates for residents aged 65 and older.
How we research and verify this information
Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.
- Cost of Care Survey (2025)Publisher: CareScout. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Skilled nursing facility coveragePublisher: Medicare.gov. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Medicaid coverage and eligibilityPublisher: Medicaid.gov. Supports: General senior-care planning information. Last checked: 2026-07-10.
- Long-term-care guidance for familiesPublisher: National Institute on Aging. Supports: General senior-care planning information. Last checked: 2026-07-10.
- VA pension rates (Aid & Attendance)Publisher: U.S. Department of Veterans Affairs. Supports: General senior-care planning information. Last checked: 2026-08-15.