Located in Northern Virginia, Fairfax County lies alongside the Potomac River and is a suburb of Washington, DC. More than 1.1 million people reside in Fairfax County, and seniors constitute approximately 14.5% of the local population, which is a lower percentage than state and national figures. Crime rates are lower than average, and the area has a high number of physicians. The county is home to the state’s highest-ranking hospital: Inova Fairfax. The facility performs highly in the fields of cardiology, gastroenterology, endocrinology, pulmonology and neurology, as well as for 17 conditions or procedures. Other medical facilities include Inova’s Mount Vernon Hospital and Fair Oaks Hospital. Virginia doesn’t tax Social Security income, and older residents of Fairfax County may qualify for property and vehicle tax exemptions. According to Genworth’s Cost of Care Survey 2021, home care costs an average of $5,339 per month in Fairfax County. Home care differs to home health care in that it doesn’t include any elements of medical care.

Below we’ve compiled a comprehensive directory of every home care provider in Fairfax County– 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 Fairfax County, VA

Right at Home Northern Virginia

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

I have had my caregiver for quite some time, and it helps me. I like that if I object to someone they send, they will send me someone else.
I have had my caregiver for quite some time, and it helps me. I like that if I object to someone they send, they will send me someone else.

2019, 2021, 2022, 2023

Homewatch Caregivers of Loudoun

2 Pidgeon Hill Drive, Suite 550 , Sterling, VA, 20165

They handle chores for my father and go grocery shopping. They are aware of the issues I’ve had; but they lack quality employees.
They handle chores for my father and go grocery shopping. They are aware of the issues I’ve had; but they lack quality employees.

2019, 2022, 2023

Capital City Nurses

5568 General Washington Dr., Alexandria, VA, 22312

Each time, I was coming out of the hospital and needed to be reoriented into my home environment. I like the two aides that I work with so far, they have been very nice and professional.
Each time, I was coming out of the hospital and needed to be reoriented into my home environment. I like the two aides that I work with so far, they have been very nice and professional.

2019, 2020, 2021, 2022, 2023

Griswold Home Care NoVA West

5723-A Centre Square Drive, Centreville, VA, 20120

They will work with you to find the right person.
They will work with you to find the right person.

2022, 2023

Paragon Home Care

6704 Old McLean Village Drive Suite 200, Mclean, VA, 22101

I rate Paragon Home Care highly because they are very understanding with our needs. Paragon Home Care is very flexible with our time. Paragon Home Care has reasonable prices.
I rate Paragon Home Care highly because they are very understanding with our needs. Paragon Home Care is very flexible with our time. Paragon Home Care has reasonable prices.

2017, 2018, 2022

Home Instead – Manassas, VA

9309 Center St, Suite 104, Manassas, VA, 20110

Home Instead takes care of my WWII Veteran father. The aides ensure his personal needs are safely met which allows him to comfortably remain in my home surrounded by family.
Home Instead takes care of my WWII Veteran father. The aides ensure his personal needs are safely met which allows him to comfortably remain in my home surrounded by family.

2022, 2023

Mint Home Care Providers LLC

4015 Chain Bridge Rd., Suite 36, Fairfax, VA, 22030

Mint is a veteran owned, independent home care agency that believes in a client- centered care approach with affordable options and flexible scheduling features. Here is what we mean by client-cente … (read more)
Mint is a veteran owned, independent home care agency that believes in a client- centered care approach with affordable options and flexible scheduling features. Here is what we mean by client-cente … (read more)

HomeCare.com

7925 Jones Branch Dr., Suite LL 140, Mclean, VA, 22102

I’m using HomeCare.com. It’s fine. They’re very good and very responsive to any concerns I have, and they’ve provided me with a good health care aide, not great necessarily, but good. They also provid … (read more)
I’m using HomeCare.com. It’s fine. They’re very good and very responsive to any concerns I have, and they’ve provided me with a good health care aide, not great necessarily, but good. They also provid … (read more)

2021

Griswold Home Care NoVA East

105 Oronoco St Suite #100 , Alexandria, VA, 22314

Other than some initial difficulties getting the schedule worked out the service has been absolutely fantastic. The Girswold office staff did an amazing job getting care for my mother-in-law lined up … (read more)
Other than some initial difficulties getting the schedule worked out the service has been absolutely fantastic. The Girswold office staff did an amazing job getting care for my mother-in-law lined up … (read more)

Home Instead – Annandale, VA

7058 Columbia Pike, Annandale, VA, 22003

I hired Home Instead to help my elderly aunt, who is like a second mother to me. She lives in Virginia, and I live in Texas. So I could not be with her while she recovered from hip surgery. Every step … (read more)
I hired Home Instead to help my elderly aunt, who is like a second mother to me. She lives in Virginia, and I live in Texas. So I could not be with her while she recovered from hip surgery. Every step … (read more)

Home Instead – Falls Church, VA

103 W Broad St, Suite 602, Falls Church, VA, 22046

Daily home aide care. on time always, lovely caregivers, incredibly responsive agency
Daily home aide care. on time always, lovely caregivers, incredibly responsive agency

2015

Attenda Home Care, LLC

1900 Campus Commons Drive #100, Reston, VA, 20191

Attenda’s care givers were very patient to a very stubborn client who was set in her ways. Were more like friends after 3 years of care-giving. Recommend them!!!
Attenda’s care givers were very patient to a very stubborn client who was set in her ways. Were more like friends after 3 years of care-giving. Recommend them!!!

ElderOptions Senior Care LLC – Fairfax, VA

12011 Lee Jackson Memorial Hwy, Suite 310 , Fairfax, VA, 22033

We found a home care agency for my mother. It’s ElderOptions. They’re very good. They went over and beyond to try to work with me and accommodate what my needs were. So far, we have had really good su … (read more)
We found a home care agency for my mother. It’s ElderOptions. They’re very good. They went over and beyond to try to work with me and accommodate what my needs were. So far, we have had really good su … (read more)

Fonge Home Health Services, LLC

4229 Lafayette Center Drive, Suite # 1300G , Chantilly, VA, 20151

Fonge Home Health Services, LLC is an in-home care provider serving Chantilly, Virginia and the surrounding area. Fonge Home Health Services, LLC offers non-medical services in the home, such as meal … (read more)
Fonge Home Health Services, LLC is an in-home care provider serving Chantilly, Virginia and the surrounding area. Fonge Home Health Services, LLC offers non-medical services in the home, such as meal … (read more)

LoveWatch T.L.C. Home Care

9020-F Lorton Station Blvd., Suite 114, Lorton, VA, 22079

Mission Statement <p></p> At LoveWatch T.L.C. our promise is to be always timely, loving, and committed in providing the best support and care to our clients. <p></p> • Timely- The right care at … (read more)
Mission Statement <p></p> At LoveWatch T.L.C. our promise is to be always timely, loving, and committed in providing the best support and care to our clients. <p></p> • Timely- The right care at … (read more)

A Better Solution In Home Care

1073 W Broad St Unit 212B , Falls Church, VA, 22046

A Better Solution In Home Care is locally owned and operated in order to provide Quality Care You Can Trust! Free Assessments are offered 24 hours per day, 7 days per week. Our full service team is … (read more)
A Better Solution In Home Care is locally owned and operated in order to provide Quality Care You Can Trust! Free Assessments are offered 24 hours per day, 7 days per week. Our full service team is … (read more)

Home Instead – Herndon, VA

208 Elden St, Suite 200, Leesburg, VA, 20176

They take my hubby to the grocery store , the bank, and medical appointments. Staff is courteous and arrives on time. The agency is on call 24/7 and always takes care of our needs.
They take my hubby to the grocery store , the bank, and medical appointments. Staff is courteous and arrives on time. The agency is on call 24/7 and always takes care of our needs.

Elite Eldercare Nova

2331 Mill Road Suite 100, Alexandria, VA, 22314

We love the personable care Elite provides our family! They always pick up their phone! Elite Eldercare Nova is Godsend!
We love the personable care Elite provides our family! They always pick up their phone! Elite Eldercare Nova is Godsend!

ADVANCED SENIOR CARE SVCS

23491 ALDIE MANOR TERRACE, Ashburn, VA, 20148


FirstLight Home Care – Fairfax

3949 Pender Drive Suite 230, Fairfax, VA, 22030


Paying for Home Care in Fairfax County, VA

The Cost of Home Care in Fairfax County, VA

Due to their proximity, Fairfax County and Washington, D.C. share the same average fee for home care. Costing an average of $5,339 monthly, home care services in Fairfax County are pricier than both the state and national average rates. North of Fairfax County in Winchester, the median monthly fee decreases by almost $700. Approximately 120 miles southwest in Harrisonburg, seniors pay around $382 less each month than their Fairfax County contemporaries. Staunton shares the same average monthly price as Fairfax County while median monthly home care costs are lower in the state capital of Richmond.

$5339

Fairfax County

$4767

Virginia

$4957

The United States

$4671

Winchester

$4957

Harrisonburg

$5339

Staunton

$5148

Richmond

The Cost of Home Care vs. Other Senior Care Options in Fairfax County, VA

Adult day care is the most affordable care option for Fairfax County’s seniors, costing $3,057 less each month than in-home care. Home care and home health care share the same average rate of $5,339 per month. While home care provides assistance with activities of daily living, home health care supports seniors with medical or therapeutic needs. Older adults who receive supportive care in a residential setting typically pay around $400 more per month for assisted living. Nursing homes provide the highest level of senior care and cost more than twice the price of home care.

$5339

Home Care

$5339

Home Health Care

$2282

Adult Day Care

$5948

Assisted Living

$11467

Nursing Home Care (semiprivate room)

Note: Data for Fairfax County was unavailable, so data for the nearest city, Washington, DC, was used instead.

Financial Assistance for Home Care in Fairfax County, VA

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.

Fairfax County Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Fairfax County:

Fairfax County Services for Older Adults

Address: 12000 Government Center Pkwy., Fairfax, VA 22035
Phone Number: (703) 324-7498, TTY 711

Fairfax County’s government oversees many senior-focused programs, including Meals on Wheels, which provides 11 nutritious meals per week for eligible individuals 60 years of age and above. Care planning is also available, as are caregiver support and respite services. Additionally, Fairfax County offers various forms of transportation for seniors.

Virginia Insurance Counseling & Assistance Program

Address: 1610 Forest Ave., Suite 100, Henrico, VA 23229
Phone Number: (800) 552-3402

VICAP is a resource for seniors who wish to learn more about their Medicare benefits and related matters. Its counselors provide free and confidential advice, inform clients of their rights and help with applications for benefits. The counselors are also knowledgeable regarding free services seniors may be eligible for and prescription drug plans. Additional areas of focus include helping seniors understand medical bills and resolving grievances and appeals.

Home Repair for the Elderly Program

Address: 12000 Government Center Pkwy., Fairfax, VA 22035
Phone Number: (703) 246-5179, TTY 711

Older adults who need non-emergency home repairs may be eligible for up to $500 in aid from the Home Repair for the Elderly program. Funds can go toward repairs of plumbing and electrical systems as well as windows and doors. Gutters and downspouts are eligible for repair as well, though a two-story limit is in effect. The fund can also be used for accessibility improvements. Applicants must own and live in the home. Household income limits apply.

Energy Assistance

Address: 12011 Government Center Pkwy., Suite 232, Fairfax, VA 22035
Phone Number: (703) 324-4328, TTY 711

Offered by the county’s Department of Family Services, the Energy Assistance program aids low-income households by offsetting costs of heating fuel in the area’s colder months. During warmer months, the program offers funding to help cover cooling bills and equipment expenses. Crisis assistance is also available for households at risk of utility disconnection. There are specific application windows for each of these services.

Virginia Department of Veterans Services

Address: 9990 Fairfax Blvd., Suite 120, Fairfax VA 22030
Phone Number: (703) 359-2910

The DVS helps military veterans, including seniors who served, access federal and state benefits. Examples include disability compensation and pensions as well as health care benefits, such as surgical and rehabilitative care. Certain veterans may also be eligible for a real estate tax exemption. Additionally, the DVS assists family members of veterans in certain matters, and it oversees a support network for veterans facing post-service challenges.

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 – oftentimes 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