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 Richmond, Virginia

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Quality Care @ Home, Home Helpers Home Care Chesterfield & Midlothian and Care Advantage of Southside Richmond, VA are the top three home care agencies in Richmond, Virginia. With 220 home care organizations in the area, families have access to a diverse selection of services tailored to individual needs. These agencies offer personalized, nonmedical assistance — such as help with daily activities, companionship, and light housekeeping — at an average hourly cost of about $31.

Richmond’s history and vibrant culture provide seniors with many opportunities to engage in community events and visit the area’s rich natural attractions.

Home Care Agencies near Richmond, VA

Showing 57 home care providers
Last Updated: 12/6/25
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Photo of Quality Care @ Home
11 Photo available
11 reviews
Depending on what type of care they are looking for. It varies based on the caregiver they send. I have had some very good ones and some who I would not recommend again. But they will make adjustments if you...
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 Home Helpers Home Care Chesterfield & Midlothian
77 Photos available
2 reviews
Very helpful when I need a little more help with my mom. It sounded like you really cared about helping do the best for my mom
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.
Home Helpers of RichmondWe are North America's #1 trusted Source of Non-Medical Home Care Services for: - Seniors and the Elderly, Adults - People recuperating from injury or illness - Persons needing continuing care due to life long challenges - Families needing short-term assistance as a result...
Photo of Care Advantage of Southside Richmond, VA
11 Photo available
2 reviews
On site staff as well as the workers have been pretty good to work with. The company provides great services, I would beware of the minimum of four hours that they have to be there. Other than this it is a...
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 Home Care Assistance of Richmond, VA
1010 Photos available
3 reviews
Home Care Assistance, [name removed] and her team were nothing short of a god send. They found my mother the perfect team of caregivers and she's thriving in her own home without the constant worry of 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.
Home Care Assistance provides hourly and live-in home care for seniors that is a comprehensive alternative to a nursing home or an assisted living facility. 89 percent of seniors want to live in their own homes. Home Care Assistance helps seniors with their daily activities, enabling them to...
Photo of Home Instead - Tappahannock, VA
11 Photo available
1 review
I have had three visits from the caregivers at Home-instead and they do a great job every time.
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.
Home Instead Senior Care offers two types of caregivers to take care of  your needs. We have Companion/Home Helper Services for all around general help (light housekeeping, errands/transportation, shopping, meal preparation, laundry, changing bed linens, engaging in activities, medication...
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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 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 Options for Senior America Richmond VA
11 Photo available
26 reviews
Our caregiver [name removed] is very dependable and compassionate with an excellent attitude that is hard to replace when she leaves.
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 Covenant Home Care
22 Photos available
6 reviews
I didn't give them that many hours at first, and they were a bit hard pressed to schedule that few hours. But they worked with me to be able to accommodate. They just had to rotate several people to meet...
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.
Covenant Home Care has been serving Richmond and all surrounding counties for over ten years. We are privately owned and operated and all our services are catered specifically to the needs of our clients. The owners, John and Lorna, have over 25 years of combined experience and both are committed...
Photo of FirstLight Home Care of Charlottesville, VA (228A)
11 Photo available
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
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3 reviews
The owner was excellent and very accommodating. If I had to, I would use them again and definitely 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
1 review
They have been great to work with. Reliable, friendly staff, helpful in scheduling, courteous. [name removed] has gone above and beyond helping me to understand Mom's LTC insurance and work out all 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
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
16 reviews
We receive care from 1 (same) caregiver each week. We really like her -she helps mom with housework and takes her to grocery store and lunch. She provides great companion care. My only concern is cost...
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.
Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in the lives of those we care for. Richmond Owners,Mark and Amy Grasser...
2 reviews
We are very impressed with the sincerity, dedication, and caring of the director. He was very skilled in talking with my folks--respected them, and also was able to give them good advice and recommedations...
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.
Sometimes, nursing homes or retirement centers seem like the only options for care. Visiting Angels non-medical home care services allow people to maintain the independence of their daily routines and familiar surroundings. We are licensed through the Virginia Department of Health and are insured...
2 reviews
Care Advantage did a very good job communicating and letting me know if the specific caregiver they sent could not come. Also offering to send someone in their place. I would totally recommend them 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.
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
2 reviews
Following a knee replacement surgery for my 78 year old husband, this 75 year old caretaker found herself overwhelmed with meds, personal care needs and utterly exhausted. In comes the Care Advantage team...
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.
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.
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 Helping Hands Patient Services, LLC
22 Photos available
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.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
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
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
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 Richmond, Virginia?

In Richmond, the average cost of home care is approximately $31 per hour, according to A Place for Mom’s proprietary data.[01] This rate makes home care a flexible and personalized option for seniors who require assistance with daily activities but want to remain in their own homes.

Richmond’s overall cost of living is about 5% lower than the national average, with housing expenses approximately 15% less expensive than the national average.[02] This affordability can help offset some of the expenses associated with home care.

For seniors who need around-the-clock or daily care, other care options, such as assisted living, memory care, or a nursing home, may be more cost-effective.

Average home care costs in Richmond, VA

Average hourly rate
$31/hr
Average overnight rate
$33/hr
Average weekend rate
$38/hr

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

44 hours of home care/wk
$5,906/mo
$5,201/mo

Home care costs in Richmond 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
Richmond, VA$31$124$2,685$32,240
Virginia$31$124$2,685$32,240
National$30$120$2,598$31,200
Richmond, 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 Richmond.

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How to pay for home care in Richmond

Families in Richmond typically depend on a combination of sources to fund home care, including private pay and public assistance programs.

Private pay options

Many families choose to pay for home care services directly using personal savings, retirement funds, or other income. This method offers flexibility in selecting services and scheduling but requires careful budgeting to manage long-term expenses. Other private options include:

  • Long-term care insurance. If a senior has a long-term care insurance policy, it may cover various home care services, including assistance with daily activities. Policies differ, so it’s important to review the terms and understand the coverage details.
  • Life insurance. Some life insurance policies can be converted into long-term care benefit plans, providing funds to pay for home care services. This option can offer financial support without surrendering the policy.
  • Home equity. Homeowners might consider utilizing home equity through reverse mortgages or home equity lines of credit to fund home care needs. These financial tools can provide necessary funds but come with considerations and risks that should be thoroughly evaluated.

Medicare

Medicare can help cover certain home health services for eligible seniors in Richmond. However, it won’t pay for long-term custodial care or 24/7 assistance.[03] Medicare Part A and/or Part B may cover home health services if a senior meets the following conditions:

  • They are homebound, meaning leaving home requires considerable effort or assistance.
  • A doctor certifies that they need part-time or intermittent skilled nursing care, physical therapy, speech-language pathology, or continued occupational therapy.
  • Their care is provided by a Medicare-certified home health agency.

Covered services may include skilled nursing, therapy, medical social services, and part-time home health aide care (only when combined with skilled services). Medicare won’t cover meal delivery or homemaker services that are unrelated to a physician’s care plan.

Medicare resources in Richmond

The Virginia Insurance Counseling and Assistance Program provides free and unbiased counseling on Medicare topics through Virginia’s many Area Agencies on Aging (AAA). The Span Center serves as the Capital Area Agency on Aging for Central Virginia and can be reached by phone at 804-343-3000 or by email at contact@spancenter.org.

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Medicaid will cover some types of home care for eligible Richmond residents.[04] Virginia’s Medicaid program offers the Commonwealth Coordinated Care Plus (CCC) waiver, which covers various in-home services that support Virginia residents in their desire to age in place.

Medicaid resources in Richmond, VA

Elderly residents and their families can get help with Virginia Medicaid through these resources:

VA benefits

Eligible veterans in Richmond can use VA benefits to cover home care services. The U.S. Department of Veterans Affairs offers several programs designed to support eligible veterans and their families in accessing in-home care.​

  • Aid and Attendance (A&A): 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 nearest 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 Richmond

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

Resources in Richmond that help seniors age in place

Richmond, Virginia, offers a variety of resources to support seniors who wish to age in place. These organizations provide services ranging from home modifications and healthcare to legal assistance and social engagement.

  • Office of Aging and Disabilities Services
    OADS provides access to services for older adults and individuals with disabilities, such as in-home assessments, Medicaid applications, and home repair assistance.
    7945 Forest Hill Ave., Building 26
    Richmond, VA 23225
    Phone: 804-646-1082
  • Central Virginia Legal Aid Society
    CVLAS provides free legal assistance in civil matters to low-income and elderly residents, including help with wills, powers of attorney, and housing issues.
    101 W. Broad St., Suite 101,
    Richmond, VA 23220
    Phone: 800-868-1012
  • Feed More
    Feed More provides home-delivered meals to seniors, helping them maintain nutrition and independence.
    8020 Villa Park Drive
    Richmond, Virginia 23228
    Phone: 804-521-2500
    Email: info@FeedMore.org

Home care laws and regulations in Virginia

Virginia’s home care laws and regulations help ensure that home care agencies operate safely and ethically, providing peace of mind about the standards of care and the qualifications of caregivers.

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 Richmond

Selecting the right home care agency in Richmond, Virginia, is crucial for ensuring your loved one receives quality, compassionate care. To make an informed decision, take the following steps.

Request detailed pricing information

Home care rates can vary based on the level of care, services provided, and agency policies. When evaluating agencies, request a comprehensive breakdown of costs, including hourly rates, minimum service hours, and any additional fees for specialized services. Understanding the full scope of expenses will help you budget effectively and avoid unexpected charges.

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.

Look up licensing status

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

Read home care reviews

Client testimonials and reviews can offer firsthand perspectives on an agency’s reliability, caregiver professionalism, and overall service quality. Pay attention to recurring themes in reviews, both positive and negative, to gauge the agency’s strengths and areas for improvement.

Frequently asked questions about home care in Richmond

Quality Care @ Home, Home Helpers Home Care Chesterfield & Midlothian and Care Advantage of Southside Richmond, VA are the top-rated Home Care facilities near Richmond, 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 Richmond 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.

References

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

  2. PayScale. (2024). Cost of living in Richmond, Virginia.

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

  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.
3.

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

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.