Seniors in Richmond have several care options available to them, depending on their level of needs and living preferences. Homemaker services, which feature a similar scope of care to assisted living but are administered in the individual’s home, cost an average of $4,763 per month. Home health aide services include some skilled nursing services and are roughly the same at $4,767. The survey doesn’t include cost data for local adult day health care facilities, but statewide, this is the cheapest care option at $1,733 per month. Assisted living is the cheapest residential option at $5,245, and nursing homes charge the highest rates of $8,699 for shared rooms and $9,825 for private rooms. Â