The 10 Best Home Care Agencies for Seniors in Fairfax, VA for 2025

Companion Care, Home making, Live In, Overnight and Respite Care

"Joy is really good with Jeanie. She and I have something we can both improve on—that is "clutter". We allow too much clutter to gather around the house."

Griswold Home Care NoVA West celebrates, educates and advocates for the choice to remain independent wherever one calls "home". Our compassionate and experienced caregivers assist aging adults and individuals with chronic and debilitating diseases with personal care, homemaking, companionship, incidental transportation and more. Our culture of caring begins with how we treat our amazing caregivers and extends to each of the clients we serve.

At Home Helpers® Home Care in East Alexandria, we understand the importance of individualized care for your loved ones. That's why our Cared-4℠ program targets the four primary areas of need- personal care, nutritional needs, wellness calls, and emergency contact services. Our Caregivers are trained to provide assistance with daily living tasks, as well as offer support for seniors and adults with disabilities, injuries, or illnesses. Our goal is to help your loved one remain safe and independent in the comfort of their own home.

A Place At Home – Reston provides professional, non-medical home care services throughout Northern Virginia, including Reston, Herndon, Sterling, Ashburn, and Leesburg. Our services include: Personal Care (bathing, dressing, toileting, mobility assistance), Companionship & supervision, Dementia & memory care support, Medication reminders, Meal preparation & light housekeeping, Overnight & 24-hour home care, Respite care for family caregivers, Post-hospital and rehab discharge support Flexible hourly and live-in options available. A Place At Home – Reston is a locally owned, nurse practitioner–led home care agency serving seniors across Fairfax County and Loudoun County. All caregivers are trained employees who are background-checked and aligned with Virginia home care standards. Families trust A Place At Home – Reston for compassionate senior care, dependable caregivers, and personalized in-home support throughout Northern Virginia.

At Homewatch CareGivers of Chantilly, our extensive caregiving services cater to various needs, including dementia and Alzheimer's care, post-operative assistance, continuous care, respite, and recovery support. Tailored to ease the transition from hospital to home, our services ensure your loved one receives the best care tailored to their needs. Our caregivers are proficient, compassionate, and committed to excellence. They are selected through rigorous screening processes and benefit from continual training to excel in care delivery. We prioritize compassion, dignity, and respect, aiming to pair our clients with caregivers who most closely resonate with their needs, preferences, and expectations. Homewatch CareGivers of Chantilly is dedicated to offering unparalleled in-home care. We understand the importance of selecting the right care solution for your loved one's needs, providing flexible, affordable options supported by our devoted caregivers.

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.

"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 recognize that each person has distinct needs, and our caregivers are trained to deliver personalized care that meets those needs. Our team of trained specialists is accessible 24 hours a day, seven days a week to assist with everyday routines such as bathing, clothing, grooming, meal preparation, feeding, medication reminders, companionship and more. In addition, we provide Alzheimer's and Dementia care, Respite care, Palliative care, Hospice support, and transportation assistance. We think that everyone deserves to age with dignity and respect, which is why we founded our company. Our caring caregivers are committed to providing the best possible care while preserving your loved one's independence and privacy. We understand how tough the adjustment to in-home care may be, so our staff is here to help you every step of the way.

"We got Homecare.com for Mom. They were able to find somebody for us almost immediately, and the person we have is very good. They let us know everything upfront, and they've done a very good job. They provide 24/7 care and do everything for Mom."

"* * Outstanding Prompt Services * * PARAGON responded quickly & booked caregivers within 12 hours from request in difficult situations. I continue to be impressed & satisfied. My Medical Needs: I fell in early January 2019 & had a blood spot on my brain. After few weeks of inpatient, i was told to hire a caregiver to help me. And I went home in wheelchair, for the first time. First Agency - Disappointed I hired another agency recommended by hospital which was disappointing. I told them I needed help walking my dog & there was big miscommunication. One of their caregivers was uncomfortable with dogs & wouldn't help me take my dog out. Called the corporate office & told me that is their policy & I'd have to hire someone as dog walker. Their caregivers were good. Then, I chose Paragon & been happy about my decision. PARAGON - Still using, and I would hire them again. I've told several friends about Paragon. If i was hiring caregivers for my children, family, no question I'd use Paragon. My schedule sometimes fluctuates due to medical appointments, etc. To me they've been flexible. Services provided They provided me caregivers who helped me With daily grooming, mobility, running errands (grocery run),, drive me to medical appointment, cleaning clothes, dishes, & my condo. I didn't know they would do all that. I'm a new client & hope I'm not over exuberant. Just sharing my experience which has been good in a difficult time in my life. For me, my continued recovery wouldn't have been this far without their help. "

At Philia, our guiding principle is to provide older adults in Virginia with attentive, custom-tailored support that respects both their day-to-day requirements and emotional well-being. Whether you're looking into care for yourself or for someone you love in the Northern Virginia area, our specialized in-home programs ensure comfort, safety, and independence. Fostering a true sense of security for each client, we aim to bring reassurance and peace of mind to families who entrust us with the well-being of their relatives.

CareBuilders at Home of Alexandria is a veteran- and woman-owned non-medical home care agency proudly serving seniors and families across Northern Virginia. We provide personalized in-home care, companion services, personal assistance, and senior placement support to help clients live safely and independently where they're most comfortable — at home. Our local team combines compassionate caregivers with innovative programs such as our Virtual Caregiver and Brain Health & Fitness initiatives, offering flexible care options with no minimum hours required. Every care plan is RN-supervised and designed to promote dignity, comfort, and quality of life. At CareBuilders at Home, we believe that "Love is in the CARE."