Senior care in Richmond, Virginia.
Richmond is the most affordable senior-care market in our coverage area, with a deeper pool of Medicaid-friendly assisted living communities than anywhere else in Virginia. PACE is available, Auxiliary Grant communities are common, and the private-pay rates run roughly 30% below Northern Virginia. We’ll help you find the right fit.
Richmond-metro neighborhoods we cover
Richmond City: Fan, Museum District, Carytown, Westover Hills, Forest Hill, Northside, Church Hill, Manchester, Westhampton. Henrico: Glen Allen, Short Pump, Innsbrook, Lakeside, Tuckahoe, Sandston, Highland Springs, Varina. Chesterfield: Midlothian, Bon Air, Brandermill, Woodlake, Chester, Powhatan-adjacent. Hanover: Mechanicsville, Ashland, Beaverdam. Goochland, Powhatan, Williamsburg, and the upper James corridor.
Hospital discharge support
We work with case managers at VCU Medical Center, Bon Secours St. Mary’s, Bon Secours Memorial Regional (Mechanicsville), Henrico Doctors’ Hospital, Chippenham Hospital, Johnston-Willis Hospital, Parham Doctors’, and Riverside Walter Reed (Hampton Roads-adjacent). When discharge says 48 hours, mark urgent on the intake and we’ll call same day.
What care actually costs in Richmond
- In-home care (hourly)20-hr/week ≈ $2,300 – $2,600 / mo$26 – $30 / hr
- Live-in / 24-hour home care$13,000 – $16,500 / mo
- Independent living$2,800 – $4,500 / mo
- Assisted livingall-in, with level of care$3,800 – $6,000 / mo
- Memory care$5,500 – $7,800 / mo
- Skilled nursing (long-term)$10,000 – $12,500 / mo
Funding paths Richmond families use most
PACE
Program of All-Inclusive Care for the Elderly. Bundles all medical and long-term care for nursing-home-eligible seniors who want to stay home. Riverside PACE and Sentara PACE cover different parts of the metro. Medicare + Medicaid pay for it.
Virginia Auxiliary Grant
State supplement for SSI recipients in assisted living. Pays $1,800–2,200/mo. Richmond has one of the largest pools of AG-accepting communities in the state.
CCC Plus waiver
Virginia's Medicaid managed long-term-care program. Covers personal care services in your home, in assisted living, or in a nursing home. More accepting communities in Richmond than in NoVa.
VA Aid & Attendance
Federal benefit for wartime veterans and surviving spouses. Adds $2,800–3,300/mo for those who qualify. The Richmond metro has roughly 90,000 veterans.
Long-term care insurance
Less prevalent in Richmond than in NoVa, but many families have policies they bought in the 1990s–2000s. We'll read the trigger language and help you file.
Richmond senior care FAQ
How much does assisted living cost in Richmond?
Richmond-area all-in assisted living runs $3,800–6,000 per month in 2025 — meaningfully lower than Northern Virginia. Memory care reaches $5,500–7,800. The brochure base rate is typically $800–1,500 less than what families actually pay once level-of-care add-ons are included.
What is PACE in Richmond?
PACE (Program of All-Inclusive Care for the Elderly) is available in Richmond and bundles all medical and long-term care for nursing-home-eligible seniors who want to stay home. Medicare and Medicaid pay for it. Riverside PACE and Sentara PACE serve different parts of the metro.
Are there Medicaid-friendly assisted living communities in Richmond?
Yes — Richmond has one of the deepest pools of Auxiliary Grant–accepting assisted living communities in Virginia. Combined with the CCC Plus waiver, this opens up affordable options for families who can't manage NoVa-level private pay.
What's discharge planning like at VCU Health or Bon Secours?
VCU Health, Bon Secours St. Mary's, Bon Secours Memorial Regional, Henrico Doctors', Chippenham, and Johnston-Willis all have case management teams. They give families a list — we do the actual matching and tour the communities ourselves.
Does VA Aid & Attendance work in Richmond?
Yes. The Richmond metro has roughly 90,000 veterans. A&A pays $2,800–3,300/mo for wartime-era vets and $1,800/mo for surviving spouses — a substantial offset against assisted living or in-home care costs.
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