Assisted Living in Virginia
What It Costs Across Virginia
Understanding assisted living costs in Virginia can feel overwhelming, especially with the statewide median already at $5,250 per month. While this gives you a starting point, actual prices vary significantly depending on where your loved one lives in the Commonwealth. For instance, the average cost of assisted living in Virginia was reported at around $6,050 per month in 2024, reflecting a notable increase since 2021.
Expect to see a wide range across the state. Northern Virginia, particularly areas like Fairfax, often commands higher rates due to increased real estate values and operating costs, sometimes 20-30% above the state average. Conversely, more rural areas and Southwestern Virginia may offer more affordable options, potentially 15-25% below the average. For example, monthly costs can range from a low of around $3,725 in the Harrisonburg area to a high of $7,282 in the Blacksburg area. Cities like Arlington and Virginia Beach might see costs around $4,083 to $4,159, while Richmond could be around $4,534, and Norfolk closer to $5,471 per month. Factors like the level of care needed and the specific amenities offered by a facility also play a large role in the final price.
Will Medicaid Help Pay?
Virginia offers the Commonwealth Coordinated Care Plus (CCC Plus) Waiver, a vital program designed to help eligible individuals receive long-term care services, including assisted living, in community-based settings. This waiver aims to prevent unnecessary nursing home placements by covering services such as personal care, supervision, meals, transportation assistance, housekeeping, and therapeutic activities. However, it's crucial to understand that the CCC Plus Waiver does not cover the cost of room and board in an assisted living facility.
To be eligible for the CCC Plus Waiver, an individual must be 65 years or older, or have a disability, and have a medical need for assisted living or home care, determined by a screening team using the Uniform Assessment Instrument. They must also meet a nursing facility level of care. Financial eligibility is strict: a single applicant's monthly income generally cannot exceed $2,382 (300% of the Federal Benefit Rate), and countable assets must be less than $2,000. Exempt assets typically include home equity up to $603,000 and one vehicle. For married applicants where only one spouse is applying, a significant portion of joint assets, up to $123,600, can be protected for the non-applicant spouse. If income is slightly over the limit, Virginia has a "Spenddown Program" where excess income can be applied to medical expenses to achieve eligibility. The good news is that unlike some other waiver programs, the CCC Plus Waiver does not have a waiting list. To apply, contact your local Department of Social Services or Department of Health.
How to Find a Good Facility
Virginia is home to over 400 licensed assisted living facilities across the state. When searching for the right place, look for facilities that clearly outline their services, providing or coordinating personal and health care, 24-hour supervision, and assistance with daily tasks like bathing, dressing, and medication management. A good facility should meet residents' physical, mental, emotional, and psychosocial needs, and promote their sense of security and self-worth.
The primary oversight agency for assisted living facilities in Virginia is the Virginia Department of Social Services (VDSS) Division of Licensing Programs (DOLP). This agency is responsible for licensing and monitoring these facilities. To check inspection records and complaint reports for specific facilities, you can use the search tool on the Virginia Department of Social Services website. These reports provide valuable insights into a facility's compliance with regulations and any deficiencies found. Facilities are also legally required to make their latest state inspection report readily available on-site for public examination. Additionally, the Virginia Long-Term Care Ombudsman Program can be a helpful resource for interpreting inspection reports and advocating for residents' rights.
Last updated: March 2026. Sources: Genworth 2024, state licensing agency.