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Page Reviewed / Updated – June 05, 2020

The 10 Best Assisted Living Facilities in Alexandria, VA

Located on the west bank of the Potomac River, Alexandria is a dynamic city known for its rich history, beautiful architecture and vibrant culture. Its small-town atmosphere is complemented by the convenience of big-city amenities. 

Alexandria is a wonderful retirement destination for active seniors who can take advantage of the city’s more than 900 acres of parks and trails. One of the city’s most distinctive features is its Old Town District, which is home to a number of historic landmarks, restaurants, local boutiques and cultural attractions. It’s also very walkable, so seniors without their own transportation can get around easily. Low crime rates and access to some of the area’s top medical facilities allow seniors to enjoy a safe and healthy retirement, and the state of Virginia doesn’t levy a tax on Social Security income.

Alexandria’s high cost of living and steep housing prices are reflected in the cost of assisted living services. Seniors in the area can expect to pay an average of $5,100 per month, which is higher than both the state median of $4,800 per month and the national average of $4,051.

Note: Information for Alexandria was not available, so data from the nearest city, Washington, DC, was used.

Take a look at our list of the top 10 assisted living facilities in Alexandria to find a community that’s right for you. Additionally, find out more about the cost of assisted living in Antioch and what financial assistance programs are available.

The Cost of Senior Living and Care in Alexandria

Senior living expenses in Alexandria can be very high, relative to the prices paid for residential care elsewhere in the state of Virginia, according to the 2018 Genworth Cost of Care Survey. Nursing home care, for example, costs seniors in the area nearly $700 a month more in Alexandria than is typical for most Virginia seniors, while assisted living costs in the city are more than double the state average.

Note: Senior care cost data wasn’t available for Alexandria, so the data for the closest city, Washington, D.C., was used.

How much does Assisted Living Cost in Alexandria?

Assisted living in Alexandria costs seniors an average of $9,266 a month. This is the highest monthly cost reported for the state by far. It is more than twice the average $4,451 a month that seniors pay in Virginia as an average. Even Blacksburg, the second most expensive city for assisted living surveyed, averages only $4,695 a month. Some areas in the state are far less expensive, such as Lynchburg, where assisted living costs seniors an average of $3,695 a month, the lowest rate reported among surveyed Virginia cities.

How much does Home Care Cost in Alexandria?

Home care costs in Alexandria are not included in the survey of local senior living expenses, and so cannot be easily compared with other cities in the state, or with the $3,813 a month seniors in Virginia generally pay. Prices for home care vary by a wide margin around the state, from as little as $3,384 a month in Roanoke to as high as $4,385 in Charlottesville. Seniors in Staunton and Blacksburg pay something close to the middle of this range, at $4,004 a month for home care.

How much does Adult Day Care Cost in Alexandria?

Adult day care costs in Alexandria are not available, and so are not directly comparable to other Virginia cities. Across the entire state, seniors in Virginia pay an average of $1,517 a month for adult day care services. This is well below the maximum reported costs of $1,733, which is the average in both Charlottesville and Staunton. Seniors in Winchester pay as little as $1,322 a month for similar care, while the two lowest prices reported for Virginia seniors are in Harrisonburg and Blacksburg, which report monthly average costs of $1,224 and $1,203, respectively.

How much does Nursing Home Costs in Alexandria?

Nursing home care in Alexandria costs seniors an average of $9,125 a month. This is significantly higher than the statewide reported cost of a semi-private room in Virginia, which is $7,452 a month. Some Virginia cities report significantly lower monthly costs than either of these rates, such as the $6,385 seniors pay in Lynchburg. Winchester reports an average monthly cost of $10,129 for nursing home care, putting it $104 a month higher than Alexandria and making it the most expensive city to be surveyed.

Financial Assistance Programs in Alexandria

Medicaid Program in Alexandria

Seniors in Alexandria who need help with the cost of healthcare can apply for assistance through the federal Medicaid program. Virginia Medicaid pays many of the expenses related to basic and urgent medical care, as well as some prescription drug coverage and residential care for eligible seniors. To qualify, seniors in Alexandria must be citizens or legal residents of the United States and reside permanently in the Commonwealth of Virginia. Proof of residency and citizenship may be requested at the time of application.

In addition to these eligibility criteria, seniors must meet Medicaid’s income and asset limits to qualify for coverage. During the intake process, Virginia Medicaid examines applicants’ income and assets over the last 60 months to gain an accurate picture of the seniors’ financial status.

Alexandria seniors applying for themselves must earn less than 300% of the Federal Benefit Rate, which is $2,313 a month for individuals; married couples may earn $4,626 a month. Seniors’ countable assets are limited to a maximum of $2,000. Non-applying spouses may own up to $126,420 in assets for themselves. Virginia Medicaid allows seniors to retain personal possessions and a personal vehicle as non-countable assets while applying for coverage. Equity in a home the qualifying senior’s spouse still lives in is exempt from the asset limits up to the first $585,000.To apply for Medicaid in the Commonwealth, seniors in Alexandria can call the Cover Virginia call center at (855) 242-8282 for an application packet. Seniors can also apply online at the state’s Common Help website or by mail through the Department of Social Services.

Medicaid Waivers in Alexandria

Commonwealth Coordinated Care Plus (CCC+)

Seniors in Alexandria can get help with the cost of assisted living and home care through the consolidated Commonwealth Coordinated Care Plus (CCC+) waiver program. CCC+ pays many of the costs seniors face when opting out of Medicaid placement in a nursing care home. New applications for CCC+ are subject to an annual enrollment cap that was 36,195 in 2016. Financially, seniors must meet Medicaid income and asset limits to participate.

Many benefits are covered by the CCC+ program. Most services offered under the waiver are oriented toward safety improvements for independent or assisted living. Among the covered benefits are:

  • Personal Emergency Response System (PERS) equipment installation and service
  • Consumer-directed respite care service
  • Adult day care at home or a local facility
  • Assistive technology for the home
  • Limited environmental modifications, such as wheelchair ramps and guard rail installation for safety and accessibility
  • Some personal care services
  • Home nursing services from either an RN or LPN
  • Transportation and facility assistance for seniors with limited mobility, such as non-emergency medical transportation
  • Translation and interpreter services

Seniors who enroll in CCC+ face certain limits to the care they receive. Respite care, for example, is limited to 480 hours a year and nursing services are limited to 112 hours a year. Seniors can get up to $5,000 for environmental modifications per fiscal year, and the same limit applies to assistive technology, though not to PERS equipment. Seniors in Alexandria can also get help with transition services, which are capped at a lifetime maximum of $5,000 per individual.

Other Financial Assistance Programs in Alexandria

Adult Services Program (AS)

Seniors in Alexandria with a physical or mental disability, who meet the income and asset limits of Medicaid, can get help staying in their homes through Companion Care, Virginia’s Adult Services program. Companion Care provides no-cost homemaker and companion services and assistance with many household chores. Seniors enrolled in the program through a Medicaid worker can also receive the following benefits:

  • Adult foster care at home or in a facility
  • Adult day care at home or in a facility
  • Placement services and advice on program eligibility from an AS case manager
  • Nutrition assistance and at-home meal delivery service
  • Pre-admission screenings for assisted living facility placement
  • Screening services for placement in a nursing home or for other Medicaid waiver programs

Auxiliary Grant (AG)

Some Alexandria seniors can get direct cash assistance through Virginia’s Auxiliary Grant (AG) program. AG pays seniors who receive SSI and have a physical disability a cash stipend each month to help with the cost of living in an adult foster care home. There is also a cash benefit to provide seniors with spending money for personal use during the month.

Applications for AG generally go through the staff of a participating residential or community care home. Seniors may also apply for AG on their own prior to admission. Applications are accepted by the Virginia Department of Social Services in the senior’s home county, defined as the last place of residence prior to entering residential care. Processing of new claims may take up to 45 days.

More Senior Living Resources in Alexandria


Phone Number


Alexandria Office of Housing (703) 746-4990 The Office of Housing operates multiple conventional public housing units in the Alexandria area, to which seniors can apply if they meet the income and asset guidelines. Public housing in Alexandria typically has a waiting list, which seniors can apply to join by phone or through the mail with an application packet and proof of residency and income.
Virginia Department of Housing and Community Development (DHCD) (804) 371-7000 The DHCD helps Alexandria’s seniors by keeping a current list of affordable housing throughout the state. Some seniors, such as HIV-positive and homeowners who need accessibility upgrades for their own homes, have special programs set aside for them. Applications may be submitted online.
Common Help (855) 635-4370 Seniors in Alexandria can apply for multiple independent living programs through Common Help. The program offers assistance with home improvement and weatherization services for seniors who own their own homes and helps seniors apply for the Low-Income Home Energy Assistance Program (LIHEAP) in Northern Virginia. Applications can be made by phone, mail or online.

For additional information and planning, please read our comprehensive guide to paying for senior care in Virginia.

Sunrise at Mount Vernon

With a mission to deliver a high quality of life for each of its residents, Sunrise at Mount Vernon has earned a spot on our top 10 list. Tucked away in a quiet, residential neighborhood, the facility offers easy access to a number of top medical facilities, shopping centers, libraries and local parks. The facility has won numerous awards for its care services, and its team of compassionate caregivers offer a personalized approach to care. The outdoor porch offers a comfortable place to relax and socialize with friends, and the facility's house dog, Cooper, offers companionship for residents.

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  • Daily chef-prepared meals made with fresh, seasonal ingredients
  • Activities designed for an active mind, body and spirit

Hermitage in Northern Virginia

Known for its warm, inclusive atmosphere, Hermitage in Northern Virginia is a not-for-profit, faith-based community committed to helping seniors live a better life. The tree-lined campus is located right in the heart of Alexandria, offering easy access to shops, restaurants and local attractions. It's listed as a top facility for its caring staff, robust monthly calendar of events and affordability, made possible through its Samaritan Program. The facility is designed with seniors in mind, featuring wide hallways and handrails for safety. The facility has a number of amenities that can be enjoyed independently, including a fully-stocked library, landscaped walking paths and solarium lounges.

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  • Programming features social, recreational, entertainment and educational options
  • 24-hour caregivers

The Fountains at Washington House

The Fountains at Washington House is conveniently located near shopping, dining, entertainment and health care facilities. It's considered one of Alexandria's premier assisted living facilities for its upscale amenities, elevated dining experience and dynamic activity calendar. On-site, residents have access to a full-service beauty salon, state-of-the-art wellness center and outdoor walking paths. Seniors are served three daily chef-prepared meals with optional wine service, and snacks are offered throughout the day in the Cherry Blossom Cafe. All residences feature a full kitchen, large living room and private bathrooms, and guest accommodations are available for visiting relatives. 

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  • Full continuum of care services
  • Choice of a studio, one- and two-bedroom apartments

Goodwin House Alexandria

Since 1967, Goodwin House Alexandria has provided exceptional services and personalized support. Set in a peaceful, residential neighborhood, the not-for-profit community is close to parks, shops, restaurants and local attractions. Multiple levels of care are available, so seniors can comfortably age in place. In an effort to help seniors maintain a healthy body and mind, the facility offers a wealth of amenities, engaging activities and delicious daily meals that can be enjoyed both indoors and outdoors. Weekly housekeeping and laundry services give seniors time to enjoy a variety of cultural and educational programs, including art classes, educational lectures, book groups and volunteer opportunities.

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  • Upscale amenities include a heated indoor pool, fitness center and fish pond
  • Pet-friendly

Brookdale Arlington

Right in the heart of the city, residents of Brookdale Arlington have easy access to restaurants, shopping centers and cultural attractions. Its peaceful setting, restaurant-style dining experience and diverse cultural enrichment programs make it one of the area's top assisted living facilities. Staff are on-site 24 hours a day to offer assistance with bathing, dressing and medication management, as well as to provide gentle reminders and redirection to help seniors maintain a sense of independence. Residents enjoy three daily meals in the sunlit dining room, and a private dining space is available for family gatherings. Amenities at this pet-friendly facility include a library, fitness center and courtyard garden.

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Sunrise of Springfield

Sunrise of Springfield has received numerous awards and praise for its holistic approach to senior care, focusing on the wellness of each individual and developing personalized care plans that can be adjusted to meet residents' changing needs. The facility features amenities, such as a full-service beauty salon and outdoor garden, and it's located just minutes from shopping, dining and entertainment at Springfield Town Center. Residents have daily opportunities to participate in a variety of activities designed for the mind, body and spirit, including book club, gardening, bridge, fitness classes and religious services. Its unique Reminiscence Program also gives seniors a chance to volunteer and connect with the local community.

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Spring Hills Mount Vernon

Residents of Spring Hills Mount Vernon can look forward to engaging activities, fine dining and interaction with pets. The facility is committed to delivering a high standard of care with personalized services tailored to each resident's individual needs. Residents enjoy the comfort and privacy of spacious apartment suites with housekeeping, laundry and flat linen service provided. The facility's robust social programming features activities that reflect seniors' hobbies and interests, with signature wellness classes to support physical health. Chef-prepared meals are served restaurant-style three times daily, with snacks and beverages available 24 hours a day. Dedicated staff members are on-site to offer regular wellness checks and holistic health care.

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The Fairfax

Recognized as one of Northern Virginia's premier senior living destinations for retired military officers, The Fairfax is included in this list for its many outdoor amenities and its efforts to foster an active, healthy lifestyle. Nonmilitary residents are also warmly welcomed. The facility's 60 acres of landscaped grounds are characterized by lush gardens and walking paths that extend around a picturesque lake, which is open for fishing year-round. Residents can look forward to a variety of exciting events and celebrations held throughout the year. 

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  • Unique amenities include an indoor pool and hot tub, butterfly garden, putting green and tennis courts
  • Fresh, seasonal meals prepared daily by the in-house chef

Sunrise at Bluemont Park

At Sunrise at Bluemont Park, seniors can relax with cooking, cleaning and daily chores taken care of. It's recognized for its focus on delivering highly personalized, resident-centered care and the efforts of staff members to build lasting relationships with residents. The facility is conveniently located near medical facilities and shopping centers, and hosts frequent outings to nearby attractions, parks and local restaurants. Residents can enjoy three daily home-cooked meals in the restaurant-style dining room or grab a quick snack at the bistro. Programs and activities, such as lectures, music lessons and fitness classes, keep seniors active and engaged.

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Braddock Glen

An award-winning facility, Braddock Glen is included in this list for its efforts in cultivating a warm, friendly senior living environment with daily opportunities for engagement and fun. Staff members are on-site 24 hours a day to assist with activities of daily living, taking into account the individual needs and wishes of each resident. To elevate residents' quality of life, the facility offers a full calendar of activities and events, including resident clubs, spiritual sessions, fitness classes, art projects and nature exploration. The community's location provides opportunities for regular group outings, so seniors can get out and explore local restaurants, shops and entertainment.

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