In Washington, DC, the nation’s capital city, seniors make up about 13% of the population. While this is small compared to the national average, the city has a wide range of resources and programs to help older adults age in place, including social and recreational programs, home-delivered meals and a property tax exemption program. It promotes high access to health care with over 400 doctors per capita, about double the national average. In general, local home care services cost $5,339 per month. This type of care includes nonmedical services, such as companionship, transportation and light housekeeping. For older adults who need skilled nursing support, home health care may be a more suitable long-term care option.

Below we’ve compiled a comprehensive directory of every home care provider in the Washington, DC area – complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in Washington, DC

2020, 2021, 2022, 2023

Right at Home Washington, D.C.

1818 New York Avenue Northeast, Suite 219, Washington, DC, 20002

She looks forward to her coming. I have no problems with the agency and so far they have assigned good caregivers. My mother really likes Chantel and I am comfortable with Chantel in the home.
She looks forward to her coming. I have no problems with the agency and so far they have assigned good caregivers. My mother really likes Chantel and I am comfortable with Chantel in the home.

Right at Home Northern Virginia

8260 Willow Oaks Corporate Dr., Suite 320, Fairfax, VA, 22031

The most helpful has been the cleaning up around the house. I like that I have kept the same provider for quite some time.
The most helpful has been the cleaning up around the house. I like that I have kept the same provider for quite some time.

2017, 2018, 2019, 2020, 2021, 2022

Home Instead -Silver Spring MD

2439 Linden Ln, Silver Spring, MD, 20910

My family has used home health aides from Home Instead over a period of 12 years for both companion and personal care and we are a third time repeat and very happy customer. A number of the same carin … (read more)
My family has used home health aides from Home Instead over a period of 12 years for both companion and personal care and we are a third time repeat and very happy customer. A number of the same carin … (read more)

TheKey – Bethesda

8757 Georgia Ave , #600, Silver Spring, MD, 20910

Lifematters has become the first choice for home care, offering a curated and innovative experience to make the best of every day. <p></p> With a team of professional caregivers and nurses, and an o … (read more)
Lifematters has become the first choice for home care, offering a curated and innovative experience to make the best of every day. <p></p> With a team of professional caregivers and nurses, and an o … (read more)

Fassity Home Care LLC – Springfield, VA

7013 Backlick Court, Springfield, VA, 22151

Mission Statement The Mission of Fassity Home Care LLC is to provide a level of quality care that encourages the safe and cost-effective delivery of home health services. Vision Our vision is … (read more)
Mission Statement The Mission of Fassity Home Care LLC is to provide a level of quality care that encourages the safe and cost-effective delivery of home health services. Vision Our vision is … (read more)

Livity Life Care

3501 Hamilton St, Hyattsville, MD, 20782

You Are In Safe Hands <p></p> Our caregivers are competent nurses with over 30 years of experience in nursing homes, hospitals, out-patient clinics (if needed). We offer 24–hour dieting and nutrit … (read more)
You Are In Safe Hands <p></p> Our caregivers are competent nurses with over 30 years of experience in nursing homes, hospitals, out-patient clinics (if needed). We offer 24–hour dieting and nutrit … (read more)

Blessed Angels Home Healthcare Services

1806 Saint Georges Way, Mitchellville, MD, 20721

The care that Blessed Angels Home Healthcare Services provides for my mother is excellent. We have one caregiver who comes 7 days a week for 6-7 hours, and she has been wonderful. She helps prepare my … (read more)
The care that Blessed Angels Home Healthcare Services provides for my mother is excellent. We have one caregiver who comes 7 days a week for 6-7 hours, and she has been wonderful. She helps prepare my … (read more)

Comfi-Kare LLC

12 South Summit Ave, Suite 100 , Office #32, Gaithersburg, MD, 20877

We are a non-medical homecare agency that also provides 4 hours of registered nursing care while unboarding your caregiver of no charge to you. This way the nurse can provide the training necessary to … (read more)
We are a non-medical homecare agency that also provides 4 hours of registered nursing care while unboarding your caregiver of no charge to you. This way the nurse can provide the training necessary to … (read more)

Care and Beyond Home Care

19112 Stedwick Drive , Montgomery Village, MD, 20886

0UR STRENGTH IS CARING OUR FOCUS IS YOU About Us Our mission is to provide the best Home Care Services to our clients while improving their quality of life so they can continue to live a dignified … (read more)
0UR STRENGTH IS CARING OUR FOCUS IS YOU About Us Our mission is to provide the best Home Care Services to our clients while improving their quality of life so they can continue to live a dignified … (read more)

Cherished Hands Home Health Care

18526 Office Park Dr , Montgomery Village, MD, 20886

Cherished Hands Home Health: Exceptional Home Health Care Services in Montgomery County, Baltimore County, Prince George County, Frederick County, and surrounding areas <p></p> Caring for a senior l … (read more)
Cherished Hands Home Health: Exceptional Home Health Care Services in Montgomery County, Baltimore County, Prince George County, Frederick County, and surrounding areas <p></p> Caring for a senior l … (read more)

Right at Home Prince George’s

1450 Mercantile Ln, Suite 127, Largo, MD, 20774

The caregiver from Right at Home comes in three times a week. She’s very friendly and she does exercises with my aunt. We chose them because they were a match. They were also willing to work with me b … (read more)
The caregiver from Right at Home comes in three times a week. She’s very friendly and she does exercises with my aunt. We chose them because they were a match. They were also willing to work with me b … (read more)

A Homemade Plan – Lanham, MD

4500 Forbes Blvd. Suite 200, Lanham, MD, 20706

Our Prince George County Services <p></p> Since January of 2012, A Homemade Plan has been offering quality care services in Prince George County. Our qualified in-home caregivers have been providing … (read more)
Our Prince George County Services <p></p> Since January of 2012, A Homemade Plan has been offering quality care services in Prince George County. Our qualified in-home caregivers have been providing … (read more)

ADVANCED SENIOR CARE SVCS

23491 ALDIE MANOR TERRACE, Ashburn, VA, 20148


A Homemade Plan – Kensington, MD

10410 Kensington Pkwy # 106, Kensington, MD, 20895

Our Montgomery County Services <p></p> As Montgomery County locals, the founders of A Homemade Plan are proud to serve the community in which they grew up and call home. Our qualified, in-home careg … (read more)
Our Montgomery County Services <p></p> As Montgomery County locals, the founders of A Homemade Plan are proud to serve the community in which they grew up and call home. Our qualified, in-home careg … (read more)

FirstLight Home Care – Fairfax

3949 Pender Drive Suite 230, Fairfax, VA, 22030


Capital City Nurses – Chevy Chase

8401 Connecticut Avenue Suites 1020-1040, Chevy Chase, MD, 20815

THE SMART CHOICE FOR HOME CARE For over 45 years, Capital City Nurses has been serving clients across DC, Maryland and Virginia by providing exceptional levels of care and support in the home. We hav … (read more)
THE SMART CHOICE FOR HOME CARE For over 45 years, Capital City Nurses has been serving clients across DC, Maryland and Virginia by providing exceptional levels of care and support in the home. We hav … (read more)

Capital City Nurses – Washington, DC

4900 Massachusetts Avenue NW Suite 330 , Washington, DC, 20016

THE SMART CHOICE FOR HOME CARE For over 45 years, Capital City Nurses has been serving clients across DC, Maryland and Virginia by providing exceptional levels of care and support in the home. We hav … (read more)
THE SMART CHOICE FOR HOME CARE For over 45 years, Capital City Nurses has been serving clients across DC, Maryland and Virginia by providing exceptional levels of care and support in the home. We hav … (read more)

Cure Home Health LLC

8300 Boone Blvd STE 500, Vienna, VA, 22182

Our mission is to improve our clients’ lives and health by providing professional services that enable them to achieve the full potential of every day.
Our mission is to improve our clients’ lives and health by providing professional services that enable them to achieve the full potential of every day.

TheKey – Northern Virginia

7531 Leesburg Pike Suite 100&102, Falls Church, VA, 22043


Grace and Mercy Health Services, Inc – Washington, DC

1818 New York Ave, Suite 210 B , Washington, DC, 20002

Our Mission Our mission is to provide quality health care with dignity and respect to the sick or medically fragile and dually diagnosed persons; and to enhance their growth, well being and optimum l … (read more)
Our Mission Our mission is to provide quality health care with dignity and respect to the sick or medically fragile and dually diagnosed persons; and to enhance their growth, well being and optimum l … (read more)

Paying for Home Care in Washington, DC

The Cost of Home Care in Washington, DC

In Washington, DC, home care agencies charge $5,339 per month for services, which is several hundred dollars higher than the national average of $4,957. Care costs are high compared to rates in nearby cities, including Winchester, Virginia, where seniors pay $4,671 for services. In the Maryland cities of Baltimore and California, monthly care costs average $4,957 and $4,576, respectively. Seniors in Vineland, New Jersey, pay $4,767 for care. 

$5339

Washington, DC

$4957

The United States

$4671

Winchester, VA

$4957

Baltimore, MD

$4576

California, MD

$4767

Vineland, NJ

The Cost of Home Care vs. Other Senior Care Options in Washington, DC

In Washington, DC, home care agencies charge $5,339 for nonmedical services. Home health care agencies, which offer similar services along with skilled nursing, charge the same monthly rate. This is about $3,000 higher than the cost of adult day health care, which costs $2,282, but it’s affordable compared to assisted living rates of $5,948. Nursing home care, which includes around-the-clock medical care and monitoring in an institutional setting, costs more than double the rate of home care, with seniors paying $11,467 for semiprivate accommodations. 

$5339

Home Care

$5339

Home Health Care

$2282

Adult Day Health Care

$5948

Assisted Living

$11467

Nursing Home Care (semiprivate room)

Financial Assistance for Home Care in Washington, DC

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living.Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Free & Low-Cost Home Care Resources in Washington, DC

Washington, DC, supports its older residents’ quality of life through access to several nonprofit agencies and programs. These resources help older adults obtain the services they need to age at home, including transportation services, affordable in-home care, social and recreational programs and home-delivered meals.

Resource
Contact
Service

(202) 724-5626

Washington, DC, is home to 13 Senior Villages, each of which serves a designated region. These nonprofit agencies feature networks of screened volunteers and in-home care providers. It provides nonmedical services, such as transportation for errands and medical appointments, meal preparation, companionship and help with daily living activities.

(202) 895-9448

Iona Senior Services is a regional nonprofit agency that provides assistance and practical solutions for seniors and families in the Washington, DC, region. Through this agency, older adults can obtain services, such as home-delivered and congregate meals, active wellness programs and care management.

(202) 724-5626

The DC Office on Aging is the designated Area Agency on Aging for the region. It operates several free and low-cost programs to help seniors age in place, including Safe at Home, which provides home safety adaptations. It also provides home-delivered meals and transportation services, and it operates senior wellness centers.

(202) 727-4829

Seniors who own homes in Washington, DC, may be eligible to reduce their property tax burden through the Senior Citizen Deduction. Through this program, older adults may reduce their property’s assessed value by $78,700 for an annual savings of $668.95. This may help seniors afford to retain ownership of their homes.

(202) 673-7647

The district’s Senior Programs provides a range of social and recreational activities to older adults, helping them avoid boredom and isolation and maintain their general health. Through the department, seniors can participate in programs, such as walking groups and chair exercises. Activities are available in senior centers throughout the region.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Checklist for determining the need for in-home care


Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Talking with family and others about a loved one's needs

Frequently Asked Questions

What is the difference between in-home care and home health care?


In-home care and home health care both provide customized long-term care services in an individual’s home, which may help them avoid or delay moving to an assisted living community or nursing home. Home care is ideal for older adults who need assistance with daily living activities. Attendants provide nonmedical services, such as help with meal planning and preparation, mobility, transportation and personal care. Home health care provides these services but is primarily for older adults who need skilled nursing services. Aides are licensed to provide services, such as medication administration, medical monitoring and wound care.

What is the average cost for in-home elderly care in Washington, DC?


In Washington, DC, in-home care costs $5,339 per month. This is a few hundred dollars higher than the national rate of $4,957, indicating that care costs are higher here than in over half of the surveyed cities in the United States. Hourly, home care agencies in the district charge about $28. If seniors obtain help from friends or family, or if they access subsidized care from organizations, such as the Area Agency on Aging, they may be able to reduce their overall monthly home care bill.

How do you pay for senior care at home?


For many seniors, in-home care is one of their most significant monthly expenses. Fortunately, they have several options for paying for services. While home care is nonmedical and can’t be paid for with most health insurance plans, seniors can pay for services through a long-term care insurance policy. If older adults meet income and asset limits, they may be eligible for the district’s Adult Day Health Program Services Program or the Medicaid Elderly and Persons with Disabilities Waiver, both of which provide funds to pay for home care services. Other options may include using veterans’ benefits, accessing life insurance benefits and taking out a reverse mortgage.

What is in-home respite care?


In-home respite care provides short-term in-home care for older adults. It fills in the gaps in care for seniors who mainly rely on friends or family for help but need assistance when their regular helpers are traveling or have other obligations. In-home respite care is available through home care agencies, and care can be arranged daily, weekly or on an occasional basis depending on the needs of individuals and their regular helpers.

What is private pay home care?


Because home care is nonmedical in nature, services can’t typically be paid for with Medicare or private health insurance plans, and not all home care agencies accept payment from Medicaid. Private pay, which is accepted by all agencies, is the most common way to fund home care services. With this option, seniors use their income and assets to pay for services. If they don’t have the cash on hand for monthly services, options for paying for in-home care include collective sibling agreements, reverse mortgages and annuities.