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 2026 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 2026 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 2026 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, Ready 2 Serve Home Health Care LLC - Alexandria, VA and Assisting Hands Home Care of Frederick, MD are the top home care agencies in Fairfax, Virginia, offering compassionate, professional in-home support to help seniors live independently and safely. With 734 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 $32 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 734 home care providers
Last Updated: 9/22/26
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Unfortunately my eldest son had to have emergency surgery which a tracheotomy was performed, doctors wont allowed him be discharged from hospital without having In Home Care Nurse to change trach, after...
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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My experience with Homewatch services is excellent. The owner, [Name removed] and the nurse coordinator, [Name Removed] are excellent. The home health aides are excellent also. They all make sure you receive...
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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I cannot say enough wonderful things about Senior Helpers. From the very beginning, they worked closely with our family to ensure my mom received the best care possible. Every member of their team was kind,...
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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Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Abella LLC was a great company to work with. They provided me with wonderful care and companionship for the first 48 hours after my hip replacement. I plan on calling them again when I have my knee...
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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Provides: Home Care
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Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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We use home care services for my loved one through QCC Home Health Care. I would recommend them 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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I had a very good experience with Senior Helpers. The people were very helpful, especially in preparing meals for me. They also did a great job in taking care of household chores, such as laundry. They were...
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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True Grace worked with me and the person needing care to make sure our needs were met. They stayed in touch and were responsive and extremely helpful. I have no problem recommending them to anyone in this...
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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The truth is that most facilities are not staffed properly and underpaid. That's today's world we're profits are before well being. If you have a lot of money you are taken care of and if you don't you are...
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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My mom was coming home from rehab I the morning. My brother and I couldn’t be with her and needed care. We called this agency and the Nurse [name removed]responded right away! She came out the same day 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.
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The care my mother receives with Trusted Hearts is exceptional. The caregiver goes above and beyond to ensure that she is actively engaged throughout the day. Since she has Dementia, it’s critical to know...
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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Villi was very professional, courteous and extremely helpful. Her recommendations directed us to a perfect home care solution. I would highly recommend this service and would use it again if needed.
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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Griswold Homecare of Carroll County has been caring for my mom (82yr Parkinson’s) for a few months. We are thankful and happy with the care that mom is receiving. From the beginning conversations 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.
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What we like the most about their services is the ease of starting the care, communication, the friendliness and the overall care. Yes, we would definitely recommend Thrive USA Home 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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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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Our family had an home health caregivers and the aide so far has been very pleasant and very helpful to my mother in law
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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The staff members at the Assisting Hands Home Care community have very good communication...timely and transparent. Very good efforts to get a consistent caregiver and avoid a revolving door of caregivers.
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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My 94 year old husband wanted to come home from the hospital and rehab facility after nothing was stopping his pain and other difficulties. I could not handle him myself so we contacted Freedom Care. [name...
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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I love the ease of text communications, where if I have any questions/concerns/ect, the text goes to a main hub and someone working that day is able to respond. Its also how they communicate with me as well....
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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The whole program was great to work with and easy to set up. Thank you! Just wish we could have used it longer. Everyone was very personable, helpful, and understanding.
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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Hi my name is [name removed] I would like to say thank you to pugh's patient care for there excellent service I am very please with my care taker [name removed] she is apart of my family Thanks again to...
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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I am a present consumer with holistic Homecare services, the service is outstanding the way how they treat me and respect my wishes. It’s really amazing working with holistic homecare services. They’re very...
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
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The only thing I think that could be improve is upon is tracking....sometimes when staff arrived they would sit for 15 minutes in the car coming and leaving! This can take up the amount of hours spent, if...
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
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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...

How much does home care cost in Fairfax, Virginia?

The average cost of home care in Fairfax is $32 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 $2,732 per month. Seniors who need daily assistance may require a full-time schedule of about 44 hours a week, which costs about $6,010 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
$32/hr
Average overnight rate
$36/hr
Average weekend rate
$37/hr

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

44 hours of home care/wk
$6,010/mo
$8,359/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$32$128$2,771$33,280
Virginia$32$128$2,771$33,280
National$32$128$2,771$33,280
Fairfax, VA
Hourly cost:$32
Daily cost:$128
Monthly cost:$2,771
Annual cost:$33,280
Virginia
Hourly cost:$32
Daily cost:$128
Monthly cost:$2,771
Annual cost:$33,280
National
Hourly cost:$32
Daily cost:$128
Monthly cost:$2,771
Annual cost:$33,280
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.

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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More questions?

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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.