The 10 Best Home Care Agencies for Seniors in Gaithersburg, MD for 2025

"The Agency provides caregivers who assist in ambulation, showering and personal needs, meals, driving to and accompanying client to healthcare and personal appointments, as well as providing companionship. They are professional and personable. I have found them to be the best agency by far that we have used."

"Gauri and her team are absolutely delightful . . . professional, kind end great listeners. They found me the perfect Home Health Aide. I recommend them to everyone."

I am Rebecca Bodor, proud owner of Homewatch CareGivers of Loudoun. My husband Tim and I are natives of Northern Virginia and its surrounding communities. We have enjoyed raising our family here and taking advantage of all that this area has to offer. I made the decision to be involved in work that provided a meaningful service and a way to give back to our community. Both Tim and I have experienced the struggles of finding the right home care for our families. In the 1990’s, Tim’s mother had the challenge of a husband with dementia. At that time, she felt there were no other options other than to put him in an institution. Ten years later while we were living abroad, Tim’s mother faced another challenge of having to struggle with cancer on her own, unable to find adequate in-home care before she passed away. I came into this business not only as an owner, but as a client. After my father had a stroke in 2015, my parents had to face the very difficult decisions that need to be made regarding aging and their care. The vast amount of information and resources out there can be overwhelming! We continue to experience the emotional toll this takes on a family and I understand the difficult task of choosing care for the people you love. I believe my personal experiences give me a unique understanding in how to provide a better service to our clients. Our guiding principle is to provide our clients with the kind of service that we would want for our own families. I understand how it feels to bring someone into your home when there is a need for professional care, and we make every effort to match our clients with the right caregiver. We strive to give our caregivers a great place to work, where they feel valued and part of our extended family. By doing so, we know our caregivers will extend those feelings to our clients. In 2019 we were proud to receive the distinguished Best of Home Care –Leader in Excellence Award from Home Care Pulse, the leading firm in quality assurance for home care. The Leader in Excellence Award is the highest recognition awarded by Home Care Pulse and is given to select home care businesses that consistently rank among the very highest in 10 or more quality metrics. Nationally recognized as a Leader in Excellence, Homewatch CareGivers of Loudoun is now ranked among the top echelon of home care providers participating in the nationwide Home Care Pulse Satisfaction Management Program.

"Using for home health aides. Incredibly responsive. Warm, caring aides. Very, very happy w agency"

"I cannot thank Jamie and Paragon Home Care enough for the help they provided my parents during their time of need. Both parents suddenly needed in home assistance and Jamie came for an initial visit less than 24 hours after my initial call. Within 48 hours of the call a kind, professional, competent caregiver was there to help my mom. 24 hours later, my father came home from the hospital and needed assistance and we increased, the number of hours immediately. As my parents slowly improved they worked with us to reduce the caregiver hours safely. Working with the Paragon group has been straight forward and incredibly easy. The caregivers were kind, arrived on time for every single visit, jumped in to help with sensitive bathing and cleaning needs, and adjusted their tasks as the needs changed. I cannot praise them enough for giving a concerned daughter peace of mind."

"I am using HomeCare.com for Mom. They're courteous, on time, knowledgeable on the things they need to do, and very much a caring group of people. They are good at following up. They call ahead and kind of follow up as necessary. They're good for all of that."

"We worked with Always Best Care Loudoun for more than a year to take care of my 90-year-old mother with advancing dementia. I highly recommend their services for how flexible, kind, proactive and supportive they were. At first, we had someone come about 3 - 4 days a week for 5 hours/day. As my mom had more physical issues and falls, Always Best Care was very easy to work with in getting additional support, which ultimately ended up being 24/7 for several months. They provided companionship, advocacy, support and care at every step of the way. I'm a single parent so having someone who could be there when I couldn't toward the end of my mom's life was invaluable. My mom loved all of her caregivers and told them so daily. They laughed with her and shared life stories, took her to events, drove her to doctor's appointments, did laundry, prepared meals, and so much more. On more than one occasion, they would call me to let me know something had changed or that my mom needed a doctor or something else urgent, that I would not have known otherwise. They were truly a godsend when I needed it most. I really can't say enough good things about Always Best Care Loudoun."

CareLiving is a trusted home health agency providing compassionate, personalized care in the comfort of your home. From daily support to skilled services, we’re here to make life easier, safer, and more fulfilling for every client we serve. With CareLiving, you’re not just getting care — you’re gaining a team that treats you like family.

"Attenda cared for my father as though he were a member of their family. He had three wonderful care givers, all professional, and ever so kind and attentive, who would spend several hours with him during the day. The management team, Irina and Mila, made it ever so easy to arrange matters right from the start. Thank-you all so much for making this transition for my father so much more bearable!"

"My mother was in hospice care and needed help and companionship and I couldn’t be there 24/7. Always Best Care sent providers to be with her and I can’t say enough good things about them. They were compassionate and skilled, and always there when I needed them. I could relax knowing that my mom was in good hands. "

We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. Our highly trained and compassionate staff members are dedicated experts in delivering personalized home care services within the comfort of our clients’ homes. Through our personalized care plan, we can give you the needed care services that are all intended to cater to your unique personal and health needs. With us, we ensure around-the-clock services and supervision to help you achieve optimum health and wellness. We bring caring relationships to build happiness at home. Services: Personal hygiene, including help with a sponge bath, tub bath, bed bath or a shower, washing hair and help your loved ones with their favorite hairstyle, help with dental hygiene Mobility assistance, transferring, positioning Dementia care such as engaging activities for mental stimulation, meals and medication reminders, compassionate support for their day-to-day activities Companionship care including activities like arranging appointments, assistance with morning wake-up, bedtime assistance, medication reminders, accompanying to doctor’s visits, Grocery lists preparation, assistance with reading Visiting neighbors & friends, Playing games or cards, assistance with coupon clipping, answering the telephone, organizing/mailing bills and letters Transportation assistance, drive to appointments, accompanying to doctor visits, drive to errands or outings, or accomplishing grocery shopping or similar errands on your behalf Veteran care, assisting with funding for elderly Veterans and their surviving spouses through the Veterans’ Aid and Attendance Benefit Light housekeeping, laundry, healthy meal preparation Medication reminders

Hallmark Homecare is a trusted resource for families seeking high-quality, reliable in-home care—without the high costs or frustrations of traditional agencies. Serving seniors and high-needs adults across Northern Virginia, we connect families with thoroughly vetted, experienced caregivers who deliver consistent, personalized care in the comfort of home. Unlike agency-based models that rotate caregivers and lock you into rigid schedules, our approach offers more flexibility and choice—without adding complexity. We work closely with you to understand your needs and match you with an independent caregiver who fits your loved one’s personality, care requirements, and routine. Families benefit from a more cost-effective care model, where more of what you pay goes directly to the caregiver—helping foster stronger relationships and better continuity of care. All caregivers are carefully screened through national background checks, credential verification, and in-depth interviews, and are paid through a secure third-party platform that simplifies the process for everyone involved. We’re locally owned and operated, so when you call Hallmark Homecare, you’re not speaking to a call center or corporate office—you’re speaking directly with the owner. That means personalized support, fast answers, and a true partner who understands the local community and is invested in your family’s care. Whether your loved one needs help with personal care, dementia support, or daily living activities, Hallmark Homecare delivers a proven, family-centered solution—one that prioritizes safety, dignity, and peace of mind. Let us guide you through every step. Schedule a free consultation today and discover how Hallmark Homecare can help you find the right caregiver—with the flexibility and trust your family deserves. Service Areas: Eastern Loudoun & Northern Fairfax Counties including Ashburn, Centerville, Chantilly, Dulles, Dunn Loring, Fairfax, George Mason, Great Falls, Herndon, Leesburg, Oakton, Reston, South Riding, Sterling, Tysons Corner, Vienna, Wolf Trap and surrounding areas.

Acti-Kare of Sterling, VA is a veteran-owned in-home care provider serving Loudoun and Fairfax counties. With over a decade of experience, they offer personalized, non-medical care that supports independence, dignity, and comfort for seniors, families, and individuals recovering from illness or surgery. Their comprehensive services include personal care, Alzheimer’s and dementia support, companionship, hospice and respite care, and the signature Acti-Vate® program, which promotes physical, mental, and emotional well-being through engaging activities. Acti-Kare also provides recovery care for those healing from surgery or injuries, as well as family care services for infants, children, and new mothers. Acti-Kare is a VA-approved provider, offering in-home care services to veterans through programs like the Homemaker and Home Health Aide (H/HHA) program, ensuring veterans receive comprehensive support while remaining in their homes. Clients consistently praise Acti-Kare’s caregivers for their reliability, empathy, and professionalism. Whether assisting with daily tasks like meal preparation and mobility or offering meaningful companionship, Acti-Kare is dedicated to helping clients thrive comfortably in their own homes.

"I spoke with a total of 4 home care providers when looking for assistance with a loved one suffering from dementia/Alzheimer's and am so thankful for guidance provided by Home Instead. Within a couple mins of speaking to their VP of Marketing (Pam) I learned of her unique insight and passion for helping families deal with the scary inconsistencies of memory loss. To say she went above and beyond during what was essentially an emergency situation for my family is to sell her short - she personally filled gaps in the schedule to provide the respite I needed and was extremely conscientious about our loved one's experience with the caregivers. She also strongly advocated for a full time memory care facility (even though this meant we would only use her services for a short period of time), made recommendations for local ones she thought would be a good fit, and followed up with me personally after the transition to see how I was doing and how the transition went. If you are looking for in-home care in the Northern Virginia area, I strongly recommend starting with Home Instead Falls Church and using them as your comparison for any other organizations you might consider."