As an affluent small city in the Washington, D.C. area, Fairfax rewards retirees with comfortable, vibrant community living. More than 3,500 or 14.9% of its residents are 65 and older, benefiting from Fairfax County’s senior-focused initiatives under its award-winning 50+ Community Action Plan. Aside from its excellent public services, diverse attractions, and unique events, the county seat is a safe place to live and has easy access to Inova Fairfax Hospital, which is the top hospital in the National Capital Region.

The high standard of living in Fairfax means the city is generally expensive in terms of basic needs and long-term care. Seniors can expect to spend approximately $11,726 per month for nursing home care in semiprivate accommodations, greatly exceeding the national average of $7,756. Compared to residential and community-based long-term care arrangements, nursing home care provides higher levels of skilled care and is typically the most expensive option. Home health care or assisted living may be considered alternatives for those who prefer a noninstitutional setting and do not require 24-hour clinical care.

This guide provides an overview on long-term care costs in Fairfax and lists some of the city’s helpful resources for seniors.

Directory of Nursing Homes in Fairfax, VA

The Virginian

9229 Arlington Blvd, Fairfax, VA, 22031

Lots of issues since it was sold. Nursing staff is now switched around frequently and continuity and quality of care are compromised. Residents have NO voice in decisions. Priscilla makes decisions … (read more)
Lots of issues since it was sold. Nursing staff is now switched around frequently and continuity and quality of care are compromised. Residents have NO voice in decisions. Priscilla makes decisions … (read more)

Inova Commonwealth Care Center

4315 CHAIN BRIDGE ROAD, Fairfax, VA, 22030

This facility treated my great-grandfather with the upmost respect. The staff was very friendly and treated all of us like family. They even had a cat that would wonder the floor, or building I should … (read more)
This facility treated my great-grandfather with the upmost respect. The staff was very friendly and treated all of us like family. They even had a cat that would wonder the floor, or building I should … (read more)

Fairfax Nursing Center

10701 MAIN STREET, Fairfax, VA, 22030

Not enough staff for the number of patients on second floor My sister is a Hospice patient there receiving palliative care. Her needs are pain medication, bedridden so changing and these needs were … (read more)
Not enough staff for the number of patients on second floor My sister is a Hospice patient there receiving palliative care. Her needs are pain medication, bedridden so changing and these needs were … (read more)

Manorcare Health Services-fair Oaks

12475 LEE JACKSON MEMORIAL HIGHWAY, Fairfax, VA, 22033

The room my husband stayed in was dirty and in disrepair. Very little interaction with saff. They had no activities or amenities. We left after 46 hours. After his medications were not given correctly … (read more)
The room my husband stayed in was dirty and in disrepair. Very little interaction with saff. They had no activities or amenities. We left after 46 hours. After his medications were not given correctly … (read more)

Heatherwood Retirement Community

9640 BURKE LAKE ROAD, Burke, VA, 22015

Excellent and compassionate care during rehab after my mothers back surgery. All questions were answered promptly and accurately, nursing staff responded promptly when called and the physical therapy … (read more)
Excellent and compassionate care during rehab after my mothers back surgery. All questions were answered promptly and accurately, nursing staff responded promptly when called and the physical therapy … (read more)

Goodwin House Bailey’s Crossroads

3440 S Jefferson St, Falls Church, VA, 22041


Golden Livingcenter – Sleepy Hollow

6700 COLUMBIA PK, Annandale, VA, 22003

This place should be shut down. I have a relative there and they let her sit in her soiled diapers for 6 hours. She rings for the nurse and is not attended to for at least 4-5 hours. I will be co … (read more)
This place should be shut down. I have a relative there and they let her sit in her soiled diapers for 6 hours. She rings for the nurse and is not attended to for at least 4-5 hours. I will be co … (read more)

Goodwin House Alexandria

4800 Fillmore Ave, Alexandria, VA, 22311

Residents enjoy calling Goodwin House, in Alexandria, their home because of the ornate decorations that make them feel at home as they walk around the senior community. Located right off Interstate 39 … (read more)
Residents enjoy calling Goodwin House, in Alexandria, their home because of the ornate decorations that make them feel at home as they walk around the senior community. Located right off Interstate 39 … (read more)

Arleigh Burke Pavilion – Assisted Living & Long-term Care

1739 Kirby Road, Mclean, VA, 22101

My father was in Arleigh Burke Pavilion for rehab. The community was very nice, and the care that my father received was very good. The staff was attentive, it’s a nice place and very clean. It’s a go … (read more)
My father was in Arleigh Burke Pavilion for rehab. The community was very nice, and the care that my father received was very good. The staff was attentive, it’s a nice place and very clean. It’s a go … (read more)

Greenspring Village

7470 SPRING VILLAGE DR, Springfield, VA, 22150

Everything looked impressive when first visiting to look at the facility for our parents. However there have been a number of disappointing issues since we moved them in last year. First, we specifica … (read more)
Everything looked impressive when first visiting to look at the facility for our parents. However there have been a number of disappointing issues since we moved them in last year. First, we specifica … (read more)

Powhatan Nursing Home

2100 Powhatan St, Falls Church, VA, 22043

Their motto is "caring makes a difference" and they make you feel that way when you sign up for them to take care of your loved ones. I was even told by the head of the facility that "any day that y … (read more)
Their motto is "caring makes a difference" and they make you feel that way when you sign up for them to take care of your loved ones. I was even told by the head of the facility that "any day that y … (read more)

Leewood Adult Daycare Center

7120 BRADDOCK ROAD, Annandale, VA, 22003

My dad was at Leewood Healthcare Center for a month. They seemed friendly enough, and they took care of him. They met all of his needs. He just did not need to be there any more than a month. It seeme … (read more)
My dad was at Leewood Healthcare Center for a month. They seemed friendly enough, and they took care of him. They met all of his needs. He just did not need to be there any more than a month. It seeme … (read more)

Iliff Nursing Home and Rehab C

8000 Iliff Drive, Dunn Loring, VA, 22027

I don’t like Iliff Nursing and Rehab C because it looks run-down. The rooms are very narrow and dark, and they have two patients per room so it’s very packed. They are undergoing renovation, but it lo … (read more)
I don’t like Iliff Nursing and Rehab C because it looks run-down. The rooms are very narrow and dark, and they have two patients per room so it’s very packed. They are undergoing renovation, but it lo … (read more)

Manorcare Health Services-arlington

550 SOUTH CARLIN SPRINGS ROAD, Arlington, VA, 22204

I have waited a while to share this. My father in law was transferred here in January after having a covid-related seizure. We were not allowed to see him but were told he was doing well. After fiv … (read more)
I have waited a while to share this. My father in law was transferred here in January after having a covid-related seizure. We were not allowed to see him but were told he was doing well. After fiv … (read more)

THE WASHINGTON HOUSE

5100 Fillmore Ave, Alexandria, VA, 22311


Dulles Health & Rehab Center

2978 Centreville Road, Herndon, VA, Herndon, VA, 20171


Nursing Home Costs in Fairfax, Virginia

The average cost of nursing home care in a semiprivate room for Fairfax is $11,726 per month, while the private-room option costs $13,059.

The Cost of Nursing Home Care in Nearby Cities

Although Virginia’s average nursing home care cost of $7,665 is considered affordable and comparable to the national median, Fairfax is far more expensive by approximately $4,000 at $11,726. Cost comparisons are based on the average pricing for semiprivate rooms. 

Because Fairfax is in the D.C. area,  it’s the most expensive option for nursing home care in Virginia. Winchester is less expensive by nearly $2,200 at $9,566 per month. Charlottesville is even more affordable at $7,452, nearly $4,300 cheaper than Fairfax. In neighboring Maryland, nursing home care in Baltimore costs almost $12,000, while Hagerstown’s costs at $9,794 are about $2,000 less. 

$11726

Fairfax

$7665

Virginia

$7756

The United States

$9566

Winchester

$7452

Charlottesville

$11984

Baltimore, MD

$9794

Hagerstown, MD

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

The Cost of Other Types of Senior Care

Seniors requiring 24-hour skilled care can expect to pay the highest costs for senior care in Franklin, where nursing home care costs $11,726 for semiprivate accommodations and $13,059 for private rooms. These costs are more than twice the amounts for home care and home health care, averaging $4,601 and $4,767, respectively. Assisted living is relatively midrange at $6,000 and may be suitable for those who only need intermittent nursing services. The least expensive care opinion is adult day health care at $1,744 per month, which also has a limited scope of medical care.

$4601

Home care

$4767

Home health care

$1744

Adult day health care

$6000

Assisted living

$11726

Nursing home (semiprivate room)

$13059

Nursing home (private room)

Financial Assistance for Nursing Home Care in Fairfax, Virginia

Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.

  • Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
  • Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
  • Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.

If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.

Free Resources for Seniors in Fairfax, Virginia

Fairfax seniors and their caregivers have access to city, county and regional resources related to aging and long-term care. These resources include agencies and programs that provide supportive services at home, as well as information and assistance on nursing home care and its alternative options.

ResourceContactService
Fairfax County Adults and Aging Division(703) 324-7948Operating under the Fairfax County Department of Family Services and designated as an Area Agency on Aging, this division administers a comprehensive range of senior programs. These include two care management programs, Meals on Wheels, free Medicare counseling through VICAP (Virginia Insurance Counseling and Assistance Program), family caregiver support, Volunteer Solutions and the Northern Virginia Long-Term Care Ombudsman Program. Its Aging, Disability and Caregiver Resources line connects seniors to appropriate services and programs based on their needs. As part of the county’s Health and Human Services system, this division also handles pre-admission screenings for nursing home placement, auxiliary grant-funded assisted living and Medicaid waiver programs.
Fairfax County Department of Neighborhood and Community Services – Older Adults(703) 324-4600


NCS offers dedicated programs for 50+ adults, keeping them connected to the community. Its free inclusive services include case management and therapeutic recreation for Fairfax County senior center members with minor cognitive and physical disabilities. Other NCS services include senior transportation, congregate meals, adult day health care and technology education.
Geriatric Resource Center(703) 776-3357The Joanne G. Crantz MD Geriatric Resource Center is an interactive section of Inova Fairview Hospital’s Health Sciences Library. It holds an extensive book collection and free brochures/pamphlets on senior-focused topics such as healthy aging, long-term care, caregiving and advance care planning. It also has a low-vision adaptive computer station, and its Sight, Touch, Sound Program provides access to hands-on assistive technology devices.
Home Repair for the Elderly Program(703) 246-5000


HREP is a program by the Fairfax County Department of Housing and Community Development, providing free accessibility modifications and minor home repairs to help low-income homeowners 62 and older live safely and comfortably in their own property. Services may include grab bar and handrail installations, window and door repairs, water heater repair/replacements, and basic plumbing and electrical repairs.
Legal Services of North Virginia – Elder Law(703) 778-6800The LSNV Elder Law Practice Group serves low-income seniors 60 and older, handling cases related to public benefits, long-term care providers, advance directives, health care and elder abuse.