Ranking 84th out of 302 on the Caring.com 2022 Senior Living Report, Richmond is a dynamic city that offers a range of benefits for seniors. It’s among the more affordable cities on the report with comparatively low housing prices, enabling many seniors to maintain their standard of living throughout retirement. Good air quality and a low crime rate make it a safe community for older residents, and nearly 80% of houses offer zero-step entrances, making them convenient for those who rely on mobility aids. On average, home care agencies in Richmond charge $5,148 per month for services. Home health care, which is similar but includes skilled nursing services, is a little costlier.

Below we’ve compiled a comprehensive directory of every home care provider in the Richmond 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 Richmond, VA

Care Advantage – Southside Richmond

10043 Midlothian Turnpike, Richmond, VA, 23235

They could improve scheduling. They’ve been dependable for us.
They could improve scheduling. They’ve been dependable for us.

Care Advantage – Colonial Heights

3509 Boulevard, Colonial Heights, VA, 23834

They have helped me the most with my transportation. I like the agency because they are dependable.
They have helped me the most with my transportation. I like the agency because they are dependable.

Care Advantage – Richmond

3201 Hungary Spring Road, Richmond, VA, 23228

It gives her a piece of mind that someone is always there to help her and take care of her needs. I like how they were quick to act and had someone ready to go the next day to provide services.
It gives her a piece of mind that someone is always there to help her and take care of her needs. I like how they were quick to act and had someone ready to go the next day to provide services.

Care Advantage – Mechanicsville

7239 Mechanicsville Turnpike, Mechanicsville, VA, 23111

They’ve helped me in coning back from the hospital. They have very good service, the people are just very easy to work with.
They’ve helped me in coning back from the hospital. They have very good service, the people are just very easy to work with.

Right at Home Chesterfield, VA

3825 W Hundred Rd, Chester, VA, 23831

The provider has helped me the most by helping us with chores, and anything else that we need without asking. I like that they show up every day, they show up on time, and that they call if there is … (read more)
The provider has helped me the most by helping us with chores, and anything else that we need without asking. I like that they show up every day, they show up on time, and that they call if there is … (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)

2020

Home Instead – Richmond, VA

2565 Homeview Dr, Richmond, VA, 23294

My grandmother has companionship and home helper services through Home Instead Senior Care in Richmond. Pat has truly become her best friend. She’s dependable and punctual. The caregiver goes abov … (read more)
My grandmother has companionship and home helper services through Home Instead Senior Care in Richmond. Pat has truly become her best friend. She’s dependable and punctual. The caregiver goes abov … (read more)

Always Best Care of Richmond South

10810 Hasty Lane, Suite 103, Midlothian, VA, 23112

My father uses Always Best Care of Richmond South. They help with bathing, bed making, washing linen, washing clothes, they wipe and keep the floors clean, the bathtub and the bathroom area, fold clot … (read more)
My father uses Always Best Care of Richmond South. They help with bathing, bed making, washing linen, washing clothes, they wipe and keep the floors clean, the bathtub and the bathroom area, fold clot … (read more)

FirstLight HomeCare – Charlottesville

673 Berkmar Circle, Charlottesville, VA, 22901

I have been using FirstLight HomeCare for my husband for three weeks now. It has been fine. Their caregivers are very competent. They take care of the person that they’re supposed to take care of. I t … (read more)
I have been using FirstLight HomeCare for my husband for three weeks now. It has been fine. Their caregivers are very competent. They take care of the person that they’re supposed to take care of. I t … (read more)

Home Instead – Tappahannock, VA

1263 Tappahannock Blvd, Tappahannock, VA, 22560

We got short term care for a family member who was recovering from major surgery. The agency and the assigned caregivers were personable, flexible and efficient.
We got short term care for a family member who was recovering from major surgery. The agency and the assigned caregivers were personable, flexible and efficient.

BrightStar Care Richmond

7202 Glen Forest Drive, Suite 302, Richmond, VA, 23226

The agency was able to send someone on short notice. The agency could work on communication.
The agency was able to send someone on short notice. The agency could work on communication.

Dedicated Hearts & Hands LLC

1507 Dusk Court , Richmond, VA, 23235

Care That Comes To You <p></p> Mission Statements <p></p> Our mission is to dedicate our hearts and hands to provide quality, compassionate, one-on-one care to our clients in the comfort of their … (read more)
Care That Comes To You <p></p> Mission Statements <p></p> Our mission is to dedicate our hearts and hands to provide quality, compassionate, one-on-one care to our clients in the comfort of their … (read more)

Visiting Angels – Richmond

4914 Radford Ave UNIT #211, Richmond, VA, 23230

By working, by sending people to see if we have any problems. I like that they’re on top of things and responsive. They always have someone available.
By working, by sending people to see if we have any problems. I like that they’re on top of things and responsive. They always have someone available.

Senior Helpers – Greater Richmond

9165 Atlee Road, Mechanicsville, VA, 23116

I feel lucky to have found these folks. They were very nice and professional from day one. Always available to chat if needed. Caregiver is always on time and helps with personal care as well as compa … (read more)
I feel lucky to have found these folks. They were very nice and professional from day one. Always available to chat if needed. Caregiver is always on time and helps with personal care as well as compa … (read more)

Interim HealthCare of Richmond, VA

720 Moorefield Park Dr., Suite 301, Richmond, VA, 23236

We are using Interim HealthCare of Richmond VA for my mother-in-law. They’ve all been very professional, very kind, and caring to my mother-in-law. It’s great. They help her with everything from bathi … (read more)
We are using Interim HealthCare of Richmond VA for my mother-in-law. They’ve all been very professional, very kind, and caring to my mother-in-law. It’s great. They help her with everything from bathi … (read more)

Options For Senior America Corp. – Richmond

8100 Three Chopt Rd, Richmond, VA, 23229

The lady we have now from Options For Senior America for my wife is terrific. They were easy to deal with and were fine. I’m satisfied with it. My wife is comfortable with them. They do ADLs, medicati … (read more)
The lady we have now from Options For Senior America for my wife is terrific. They were easy to deal with and were fine. I’m satisfied with it. My wife is comfortable with them. They do ADLs, medicati … (read more)

Comfort Keepers of Richmond

10833 Ridgefield Parkway, Richmond, VA, 23238

Comfort Keepers has really helped me out with my dad. They come by one day a week (for 3-4 hours) and help him clean, do laundry, change sheets, grocery shop, and encourage him to get up and shower a … (read more)
Comfort Keepers has really helped me out with my dad. They come by one day a week (for 3-4 hours) and help him clean, do laundry, change sheets, grocery shop, and encourage him to get up and shower a … (read more)

Senior Solutions of America Inc.

7814 Carousel Lane Suite 109, Richmond, VA, 23294

They were flexible and reasonable to deal with. They were willing to come in during crisis situations with little notice and their people were willing to stay later than assigned when necessary. Mos … (read more)
They were flexible and reasonable to deal with. They were willing to come in during crisis situations with little notice and their people were willing to stay later than assigned when necessary. Mos … (read more)

Reliable Homecare, LLC

12201 Gayton Rd, Suite 201B, Henrico, VA, 23238

We had 24 hours care in my mother’s home for 3 days the nurses were very nice.the owner manager was great very helpful and kind. The do health care and light house keeping.
We had 24 hours care in my mother’s home for 3 days the nurses were very nice.the owner manager was great very helpful and kind. The do health care and light house keeping.

Faithful Servants Care

1978 Farnborough Drive, Midlothian, VA, 23112

We are using Faithful Servants Care for my parents and that is working well. It’s excellent. The communication, the care, the flexibility, and staffing have been very good. The caregiver is personable … (read more)
We are using Faithful Servants Care for my parents and that is working well. It’s excellent. The communication, the care, the flexibility, and staffing have been very good. The caregiver is personable … (read more)

Paying for Home Care in Richmond, VA

The Cost of Home Care in Richmond, VA

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. 

$5148

Richmond

$4767

Virginia

$4957

The United States

$6292

Charlottesville

$4767

Virginia Beach

$4185

Lynchburg

$5339

Staunton

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

Home care agencies in Richmond charge $5,148 for basic personal care, and agencies that provide skilled nursing services charge $5,243. Seniors may save a couple hundred dollars per month by opting for assisted living, which costs $4,901 per month, and those seeking the most affordable care may be good candidates for adult day health care, where seniors pay $1,712. Nursing homes charge the highest rates locally of $8,654.  

$5148

Home Care

$5243

Home Health Care

$1712

Adult Day Health Care

$4901

Assisted Living

$8654

Nursing Home Care (semiprivate room)

Financial Assistance for Home Care in Richmond, 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.

Free & Low-Cost Home Care Resources in Richmond, VA

Seniors in Richmond who need an extra hand throughout the day may be able to find the services they need through community-based programs and state agencies. The following table includes resources such as the Area Agency on Aging, the local senior center and the veterans’ service office, which may help older adults find the care they need in the community. 

Resource

Contact

Service

(804) 646-3115

The Linwood Robinson Senior Center is a nonprofit organization that provides social support and recreational activities to those aged 60 and over. Members participate in a range of activities, including walking and bowling programs, table games and holiday-themed events. It also provides nutrition and wellness services, including blood pressure screenings.

(804) 343-3000

Senior Connections is the Area Agency on Aging for the Richmond region. It provides a range of services for seniors who live alone, including home-delivered and congregate meals, respite services, transportation, money management and caregiver training and assistance. It also provides information and referrals for community-based services.

(804) 521-2500

Meals on Wheels supports seniors’ independence at home by providing home-delivered meals to those who qualify. Meals are freshly made in the agency’s community kitchen, and diet-specific meals are available. A nominal fee for meals applies, but no one is turned away due to an inability to pay.

(877) 927-8387

The Richmond Vet Center is a VA-run facility where older veterans can get one-on-one benefits counseling and assistance, which may help them obtain financial assistance for home care. The center can also determine eligibility for VA medical care and provide referrals for community-based services.

(804) 788-0050

CAPUP is the Community Action Partnership for the Richmond region. This nonprofit organization administers the Emergency Food Assistance Programs for low-income households. It offers free income tax filing assistance and operates a senior center where visitors can participate in arts and crafts classes, enjoy congregate meals and obtain health screenings.

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

Frequently Asked Questions

How many home care agencies are there near Richmond?


Seniors in Richmond have 37 home care agencies to choose from. When looking for the right agency for your needs, it’s helpful to consider a range of factors, including what services an agency offers, what qualifications its caregivers have and whether its pricing fits your budget. It’s also a good idea to research an agency’s reviews, noting whether the majority of reviews are positive and whether the company publicly addresses negative reviews.

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


In-home care is non-medical care seniors obtain in their own homes. It includes custodial care, including help with eating, bathing, dressing and toileting, depending on the needs of the individual. It may also include companion services, such as transportation for errands and doctor’s appointments, assistance with physician-ordered exercises and conversation. However, it doesn’t include skilled nursing services. For this, seniors need home health care. This level of care is administered by certified or licensed aides and may include medication administration, disease monitoring and management, wound care and physical or occupational therapies.

What is the average cost of in-home elderly care in Richmond?


Home care rates vary from one agency to another, but on average, seniors pay $5,148 per month for services. This rate is based on receiving 44 hours of care per week. This works out to 8.8 hours per weekday at $27 per hour. If you supplement paid services with subsidized services through local resources such as the Area Agency on Aging, you may be able to reduce your monthly care expenses. Seniors who need care outside of normal operating hours, such as those who require weekend care, may pay more than the average rate.

What is a home care assessment?


Home care agencies conduct assessments that evaluate your strengths and needs in order to create a personalized care plan. The assessment may cover topics such as whether you have a medical diagnosis, what medications you’re taking, your medical history, whether you qualify for state or federal benefits and what services you need. It may also include a walkthrough of your home to identify potential hazards.

Assisted living homes vs. home care: how to decide?


Assisted living facilities and home care agencies provide the same services but in different environments. Assisted living facilities provide housing, meals and recreational activities along with personalized care services. These agencies are ideal for older adults who may otherwise be isolated or don’t want the hassles of living independently. Home care offers personal care in the individual’s own home, making it a great option for older adults who want to maintain optimal privacy and independence. When choosing the right option, it’s helpful to consider factors such as what you can afford and whether you prefer to live alone or in a community setting.