The Genworth 2021 Cost of Care Survey, which highlights long-term care rates in communities across the country, reports that home care agencies in Richmond charge $5,148 per month for services. This is high compared to the state rate of $4,767 and the national average of $4,957. Even so, home care rates in Richmond are competitive compared to care costs in Charlottesville, where older adults pay $6,292, and Staunton, where fees come in at $5,339. In Virginia Beach, rates are consistent with the state rate at $4,767, and in Lynchburg, care costs are roughly $1,000 lower than in Richmond at $4,185.