About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in Fairfax, Virginia

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Senior Helpers of Fairfax, VA, FirstLight Home Care of Winchester, VA (203) and Helping Seniors of VA are the top home care agencies in Fairfax, Virginia, offering compassionate, professional in-home support to help seniors live independently and safely. With 293 home care agencies in the area, families have a variety of choices to match their loved one’s care needs. On average, home care in Fairfax costs $31 per hour.

In addition to home care services, Fairfax provides many senior-friendly community resources, including transportation, meal delivery, wellness programs, and caregiver respite services to support aging in place.

Home Care Agencies near Fairfax, VA

Showing 186 home care providers
Last Updated: 12/6/25
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Photo of Senior Helpers of Fairfax, VA
11 Photo available
1 review
Loved the people from Senior Helpers... [name removed] aka [name removed] in Sales was sooo great in helping me however she could with my husband who just passed away on Jan. 19th. She always helped me get...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of FirstLight Home Care of Winchester, VA (203)
11 Photo available
6 reviews
The first home care aid didn’t work out and declined to return after two visits. No reason given. The second aid has been better. Had two cancellations due to sickness with a temp provided during one of the...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Helping Seniors of VA
11 Photo available
2 reviews
They are very responsive, they follow up to any of our questions and make sure everything is going smoothly with whoever they have recommend and sent over. They also seem very concerned with us getting the...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Nova Home Care
11 Photo available
5 reviews
I used Nova home care for my dad. We were content. They are professional, compassionate, and very nice. I would highly recommend them.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Care with LOVE
11 Photo available
1 review
Care with Love is so amazing! The staff and team are very dedicated! Thanks [name removed] for your help!
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
We're devoted to seniors and the chronically disabled who aren't ready to leave their home for an institutional setting or who live with relatives, but because of illness or chronic conditions need support to remain at home. We bought the franchise over a year ago. Our caregivers are well...
Photo of Better and Best Home Care
11 Photo available
2 reviews
My husband is a formal client with Better and Best Home care when he had an acute leg pain. The staff who attended to my husband was so great. She was very serviceabble , clean and very respectful. We will...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Caring Hands Healthcare Solutions, LLC - Fredericksburg
44 Photos available
9 reviews
My family and I have been with Caring Hands Healthcare Solutions for the past four years now. [Name removed] cares for our son with Down Syndrome. She is patient and kind with him as well as firm when he...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Caring Hands Healthcare Solutions, LLC is a leading provider of quality and affordable care in Virginia. We are licensed by VDH and accept most Medicaid waivers, and long-term care insurances. Our staff members have over 35 years combined experience in senior and pediatric care, providing both...
Photo of Medical Professionals On-Call
11 Photo available
11 reviews
I only know the people that come to the house and they were very good. So based on that, I would say to give them a call. They have been providing physical therapy for my loved one.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Medical Professionals On-Call is committed to helping our clients live full, dignified, and independent lives in the comfort and familiarity of their homes. We provide in-home care to enrich the lives of our clients, and the peace of mind of their families, to maintain and enhance the maximum...
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Photo of Grandma Joan's Live-In Care Consulting and Recruiting
66 Photos available
57 reviews
I was in a real pinch to find the right care giver and "home manager" for my parents. Mom suffers from dementia and suddenly Dad, her main caregiver, had a stroke. Almost overnight, we needed immediate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
About our Consulting and Recruiting ServicesGrandma Joan is an award-winning consulting and recruiter service that has been helping discerning families recruit, screen, and hire premium live-in caregivers since 2010.We act as the family’s private 3rd party recruiters, finding and screening the...
Photo of Southern Made Home Care - Woodbridge
11 Photo available
3 reviews
They are very friendly, and very responsive to any concerns our family had. Overall we have had a positive experience and we would highly recommend their services to others.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of Options for Senior America - Arlington/Falls Church/McLean
22 Photos available
41 reviews
They provided all the details and patiently answered all the questions over the phone. Reliable, and friendly care providers. Highly recommended for in home care services.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal customer service that the company's management has always been keen to...
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Photo of Indigo Nursing Services
11 Photo available
2 reviews
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Indigo Nursing Services is a licensed and bonded full service Home Health Care Company dedicated to the needs of the elderly and disabled in all of Northern Virginia (and soon to be in Montgomery County, MD). We have a dedicated management team with over 70 years of experience in the health and...
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Photo of Inova Home Care
11 Photo available
4 reviews
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
1 review
They're very good and very friendly. THe care is great, it's like anything else, everythings fine and I think the most important thing for families is they have to understand establishing real, relevant...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
We Are Comfort Keepers™ Our Family Is Here To Give Comfort To Your Family. Nothing is more important than helping people to live, independent and dignified lives within the comfort of their own homes. Comfort Keepers has been dedicated to providing the kind of non-medical in-home care that helps...
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1 review
I would highly recommend this health provider as I have been received excellent care for myself through the caregivers that came to my home. The Office Personnel have been extremely responsive, easy to work...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
3 reviews
Owner and staff were professional yet personable. Scheduling was a little difficult. We had one woman quit without telling anyone. There were some other caregivers who just weren't quite right. I think...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
3 reviews
The team who cared for my loved one was excellent. They went above and beyond to provide excellent care for my loved one with end stage Alzheimer’s and I would recommend their services time and time again.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
I can’t say enough wonderful things about Arch Homecare. Their caregivers provided exceptional care, kindness, and compassion to my family when we needed it most. They were professional, attentive, and...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
I cannot recommend A Peaceful Homecare highly enough. [name removed] and the caregivers who took care of my mom for over two years ([names removed]) were exceptionally compassionate, competent and reliable...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Great home care in the area.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
4 reviews
They've very accommodating. Whenever I need to schedule an appointment, I'm able to do it. They try to send the same person all the time, because my loved one has dementia. That way he's familiar with the...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Spring Hills Home Care Services, a division of Spring Hills Senior Communities, emerged from wanting to meet the needs of seniors who want to stay at home. Spring Hills Home Care Services is fully licensed by the State of Virginia to match carefully selected caregivers to you and your family. Our...
2 reviews
Initially, there were issuues with scheduling the first day of care. Once resolved, the home health care Aid was very helpful with showering and dressing. The Nurse was very friendly, organized, knew her...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
I would give them an overall rating of 4.9 and a rating of 5 for everything else. The reason for that is that sometime they struggled with maintaining a team for only Saturday on the weekend. That changed...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details

How much does home care cost in Fairfax, Virginia?

The average cost of home care in Fairfax is $31 per hour, according to A Place for Mom’s proprietary data.[01] This is slightly higher than the national average of $32 per hour, reflecting Fairfax’s higher-than-average cost of living.[02]

Families often choose part-time home care, averaging around 20 hours a week, which costs about $2,685 per month. Seniors who need daily assistance may require a full-time schedule of about 44 hours a week, which costs about $5,906 per month.

If your loved one needs 24-hour support, you may want to compare home care expenses with a nursing home, or an assisted living or memory care community in Fairfax.

Average home care costs in Fairfax, VA

Average hourly rate
$31/hr
Average overnight rate
$32/hr
Average weekend rate
$32/hr

Home care costs vs. senior living costs in Fairfax, VA

44 hours of home care/wk
$5,906/mo
$7,373/mo

Home care costs in Fairfax vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Fairfax, VA$31$124$2,685$32,240
Virginia$31$124$2,685$32,240
National$30$120$2,598$31,200
Fairfax, VA
Hourly cost:$31
Daily cost:$124
Monthly cost:$2,685
Annual cost:$32,240
Virginia
Hourly cost:$31
Daily cost:$124
Monthly cost:$2,685
Annual cost:$32,240
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Fairfax.

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How to pay for home care in Fairfax

Families in Fairfax often rely on a mix of personal funds, insurance, and public benefits to pay for home care services.

Private pay options

Typical private funding sources include:

  • Savings and retirement income. Pensions, Social Security, or retirement accounts.
  • Long-term care insurance. Some policies cover part or all of home care costs.
  • Life insurance. Certain policies can be sold or converted into funds for care.
  • Home equity. Reverse mortgages or home equity loans may help cover care expenses.

Medicare

Medicare may cover short-term, medically necessary home health care prescribed by a physician and delivered by a Medicare-certified agency. Covered services may include:[03]

  • Skilled nursing care
  • Physical, occupational, or speech therapy
  • Durable medical equipment and certain supplies

However, Medicare won’t cover long-term, nonmedical services such as personal care or companionship.

Medicare resources in Fairfax

Elderly residents in Fairfax can contact the following organization for free and unbiased information about Medicare.

For general information and questions about Medicare, visit Medicare.gov.

Medicaid

Virginia Medicaid helps eligible seniors remain at home through its Commonwealth Coordinated Care Plus (CCC Plus) waiver and other programs.[04] These may cover:

  • Personal care services
  • Homemaker and chore assistance
  • Respite care
  • Skilled nursing services
  • Adult day health care

Medicaid resources in Fairfax, VA

Seniors in Fairfax can apply for Virginia Medicaid online through Virginia’s Insurance Marketplace. For help with applications or benefits, consider:

VA benefits

Veterans and surviving spouses in Fairfax may qualify for VA programs that help pay for home care:

  • Aid and Attendance (A&A) benefit: The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities. These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the regional benefit office in Roanoke.[05]
  • Homemaker and Home Health Aide Care: This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in Virginia for next steps.[06]
  • Veteran Directed Care (VDC): The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[07]

Resources for veterans in Fairfax

Veterans and their families can get help with VA benefits through these organizations:

Resources in Fairfax that help seniors age in place

Fairfax offers local programs and organizations that support older adults living independently.

  • Meals on Wheels Fairfax
    • The AAA in Fairfax operates the Meals on Wheels program, which delivers meals to homebound seniors throughout the county.
    • Phone: 703-324-5409

Home care laws and regulations in Virginia

Home care agency rules and regulations in Virginia help ensure safe, professional, and ethical care for seniors.

Licensing and accreditation

In Virginia, home care and home health care organizations must obtain a license from the Virginia Department of Health before providing services. Licensing requirements address administrative policies, staff qualifications, patient rights, and safety protocols.[08]

Hiring practices

Virginia law mandates that home care agencies conduct comprehensive background checks on all compensated employees within 30 days of hire. Prospective employees must provide a sworn statement disclosing any criminal convictions or pending charges. Furthermore, agencies are required to establish policies for maintaining a drug-free workplace, which may include drug testing when there is reasonable suspicion of illegal drug use.[09]

How to choose the right home care agency in Fairfax

Request detailed pricing information

Ask agencies for a written breakdown of rates, minimum hours, and extra charges such as holiday or weekend care.

Ask about caregiver training and expertise

In Virginia, personal care aides employed by licensed home care agencies are required to complete a minimum of 75 hours of initial training, including a standardized curriculum provided by the DMAS. Additionally, caregivers must engage in 12 hours of continuing education annually to maintain their competencies.[10] When interviewing agencies, inquire about their caregivers’ certifications, ongoing training programs, and experience with specific health conditions relevant to your loved one’s needs.

Verify licensing and inspection history

The Virginia Department of Health oversees the licensing and regulation of home care organizations. You can find out an agency’s licensing status by looking them up in the VDH provider portal.

Read home care reviews

Reviews from other families in Fairfax can provide insight into the reliability and quality of an agency’s services.

Frequently asked questions about home care in Fairfax

Senior Helpers of Fairfax, VA, FirstLight Home Care of Winchester, VA (203) and Helping Seniors of VA are the top-rated Home Care facilities near Fairfax, VA. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in Fairfax is $5,906 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.
Most agencies help with personal care, meal preparation, housekeeping, companionship, and transportation. Some also offer skilled nursing.
Yes. Many agencies provide flexible hourly, part-time, and overnight care.
Yes. Several agencies offer round-the-clock assistance with live-in or rotating caregivers.
Yes. Some agencies provide bilingual staff, with Spanish, Korean, and Vietnamese among the most common languages spoken in Fairfax.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. Economic Research Institute. (2025, Aug. 8). Cost of living data in Fairfax, Virginia, United States.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services.

  4. Virginia Department of Medical Assistance Services. (2022, October 24). Home Health Manual.

  5. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  6. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  7. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  8. Virginia Department of Health. Home care and hospice licensure. Regulations for the licensure of home care organizations.

  9. Virginia Department of Health. Home care and hospice licensure. Home care organization licensing.

  10. PHI National. Personal care aide training requirements.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.

Economic Research Institute. (2025, Aug. 8). Cost of living data in Fairfax, Virginia, United States.

3.

U.S. Centers for Medicare and Medicaid Services. Home health services.

4.

Virginia Department of Medical Assistance Services. (2022, October 24). Home Health Manual.

5.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

6.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

7.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

8.

Virginia Department of Health. Home care and hospice licensure. Regulations for the licensure of home care organizations.

9.

Virginia Department of Health. Home care and hospice licensure. Home care organization licensing.

10.