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The 10 Best Assisted Living Facilities in Alexandria, VA for 2024

Alexandria is a city on the opposite bank of the Potomac River from Washington, D.C. that regularly features in lists of the best places to live in Virginia. About 11.3% of its almost 160,000 residents are aged 65 and older. Alexandrians benefit from an excellent choice of health care facilities and low rates of crime. The city’s old town is awash with historic eateries serving a wide range of foods and independent boutique stores, with each offering something unique.

Seniors struggling with daily tasks at home, such as cleaning and managing medications, may want to consider assisted living. The facilities in Alexandria are staffed with trained caregivers who assist with daily needs and help residents live in safety and comfort in their new homes. Costs average at $5,948, which is high for Virginia, where the typical rate is $5,250, but in keeping with other cities close to Washington, D.C.

This guide considers the pros and cons of living in Alexandria and compares its assisted living fees with some other Virginian cities. It also compares costs for other types of senior care and lists some useful resources for seniors.

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Assisted Living Facilities in Alexandria, Virginia

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What to Consider About Assisted Living in Alexandria

The Virginia Department of Social Services issues licenses to facilities that satisfy its guidelines, which include strict adherence to health and safety, fire safety and staff recruitment policies. The administrator of the facility must also be licensed by the Board of Long-Term Care Administrators. Licensed facilities are regularly monitored and subject to unannounced inspections.

Benefits and Drawbacks of Assisted Living in Alexandria

  • Many hospitals in the Washington D.C. area provide excellent health care services for Alexandria’s older residents. Within the city, Inova Alexandria Hospital has a high reputation for multiple specialisms, including cancer care, orthopedics and stroke services. The Inova Mount Vernon Hospital also serves the city’s seniors, specializing in behavioral health, joint replacement and vision services.
  • Property crime in Alexandria is below the state average. Violent crime is also less frequent than the state average. The chances of becoming a victim of a violent crime in Alexandria are 1 in 525 while the figure for Virginia is 1 in 482. Seniors concerned about crime may be interested to know assisted living facilities typically provide security and surveillance systems as part of their services and many have staff on-site 24/7.
  • The climate in Alexandria is generally favorable for seniors who like to experience all four seasons but want to avoid weather extremes. July is the hottest month, with temperatures hovering around a pleasant 88 degrees. January is the coldest, but temperatures tend not to fall far below 27 degrees very often. Snowfall is about half the national average, at 14 inches annually, and rainfall is usually around 5 inches more than the U.S mean.
  • Alexandria’s high housing costs are one of the drivers behind the city’s average cost of living index of 149.9, which is considerably higher than normal for Virginia and the country. However, the city’s average health cost index is 98.5, which is lower than the state and national equivalents.
  • MetroAccess Paratransit is a shared-ride door-to-door service provided by the Washington Metropolitan Area Transit Authority. It’s for residents whose disabilities make it too difficult for them to use the authority’s bus and rail services. To be eligible, seniors must have an ADA-defined disability or need to use a ramp or wheelchair lift to use a public transportation vehicle. All adults aged 65+ are eligible for a Senior SmarTrip Card, which reduces their travel costs on the transit network.

Paying for Assisted Living in Alexandria

The average assisted living facility in Alexandria charges $5,948 per month for its services. This is above the norm for Virginia, where the typical senior pays $5,250, and the country, where the average is $4,500.

The Cost of Assisted Living in Nearby Cities

Being on the opposite side of the river from the state capital can drive up costs in Alexandria, which may answer the question of why assisted living in the city is more costly than normal for Virginia. However, some nearby cities have high costs too, such as Harrisonburg, where the median is $5,711. Generally, though, assisted living tends to be more affordable, such as in Winchester, where costs average $5,015, and Richmond, where they’re $4,901.





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The Cost of Other Types of Senior Care

Seniors who want to remain at home can expect to pay around $5,339 per month for homemaker or home health aide services. Those able to attend adult day care can see average costs reduced to around $2,282. Assisted living’s typical rates of $5,948 are around half of the normal fees charged by nursing homes, where a private room typically costs $13,049, and a semiprivate room, $11,467.

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Financial Assistance for Assisted Living in Alexandria

Eligible seniors can apply for financial assistance for assisted living in Virginia through the Auxiliary Grant and a state supplement to SSI

Learn more about these programs, plus who’s eligible, on our Assisted Living in Virginia page.

Financial Assistance in Virginia

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Virginia page.

Free Assisted Living Resources in Alexandria

Alexandria’s seniors can get help from many nonprofit organizations in the area dedicated to improving the lives of the city’s older residents. Those listed here can provide medical equipment that makes it easier for seniors to move around, help assisted living residents resolve issues with their care providers and identify the benefits available to veterans and their dependents.

Northern Virginia Long-Term Care Ombudsman Program(703) 324-5861The Northern Virginia Long-Term Care Ombudsman Program aims to resolve differences between residential care residents and those who own and manage facilities. It uses a combination of counseling, investigation and negotiation to find solutions that satisfy all parties. The department also trains volunteers to be ombudsmen, who are tasked with regularly visiting care communities to speak with residents and inform them of their rights and conduct investigations into complaints.
DVS Springfield Benefits Office(703) 359-1210Managed by the Virginia Department of Veterans Services, the Springfield Benefits Office helps U.S. military vets and their families get the state and federal benefits they should. Located only minutes from Alexandria, it can also help eligible veterans apply for allowances that meet some long-term care costs, such as VA Aid Attendance. Additionally, it can refer those discharged from active service to the Alexandria VA Vet Center if they need support from counselors to deal with issues such as addiction and depression.
RSVP Northern Virginia(703) 246-3460Adults aged 55 or more who want to volunteer some of their time to help the community of Alexandria can contact RSVP Northern Virginia, an organization specializing in connecting volunteers with nonprofits that rely on their assistance. Volunteer work can vary. For example, the volunteer may require training to be an income tax advisor or a teaching assistant, but they may also be able to mentor others developing knowledge where the senior already has expertise.
Medical Equipment Loan Closet(703) 719-1380The medical equipment loan closet is a service provided by ENDependence Center of Northern Virginia, Inc., a nonprofit that helps disabled adults gain more independence. All loans are free of charge and typically include the most common medical devices, such as electric wheelchairs, commodes, canes, rollator walkers and knee scooters. As the organization depends on donated equipment, the requested device may not be immediately available. However, the center will try to provide it as soon as possible.

Assisted Living Laws and Regulations in Alexandria

Alexandria Assisted Living Communities must adhere to the comprehensive set of state laws and regulations that all Assisted Living Facilities in Virginia are required to follow. Visit our Assisted Living in Virginia page for more information about these laws.

Assisted Living Laws and Regulations in Virginia

Reviews of Communities Nearby

Assisted Living


I visited this facility

Review of The View Alexandria

The View Alexandria is a beautiful facility, inside and out. It's newly renovated. The rooms and everything were stripped out and put back together. It's got a new floor, new paint, and new...

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Assisted Living

Dave in VA

I am a friend or relative of a current/past resident

Review of Woodbine Rehabilitation & Healthcare Center

The care at this facility is absolutely inexcusable. My sister in law stayed here following a stroke. We’ve found her weeping because she was left lying in her own urine for hours, has not been...

Read more

Assisted Living


I visited this facility

Review of The View Alexandria

We're looking at The View Alexandria for my mother. You pay an initial deposit, which is much more reasonable, and then it goes month to month, and their rates are just as competitive as others. It...

Read more

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The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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