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Page Reviewed / Updated – September 28, 2020

The 10 Best Assisted Living Facilities in Fredericksburg, VA

Located halfway between Richmond, VA and Washington, D.C., Fredericksburg is well-known for having a rich cultural heritage, specifically for its significance during the Colonial and Civil War eras. It’s considered one of the top 10 best places to retire in Virginia for its comfortable climate, access to top health care facilities and countless attractions that appeal to seniors with a variety of interests.

Its downtown area is home to a 40-block national historic district that features a number of prominent landmarks, museums, chef-owned restaurants and art galleries. With the Rappahannock River passing through the town and Lake Anna just a short drive away, seniors can enjoy a variety of outdoor activities and take advantage of the area’s many parks, hiking trails and picturesque nature walks. The city also has a number of popular shopping venues, and there are a variety of family-friendly attractions for when the grandkids come to visit.

Note: Information for Fredericksburg was not available, so data from the nearest city, Washington, D.C., was used.

We’ve put together a list of the top 10 assisted living facilities available in the Fredericksburg area. Additionally, find out more about the cost of assisted living in Fredericksburg and what financial assistance programs are available.

Harmony at Falls Run

Harmony at Falls Run seeks to provide seniors with a comfortable, family-like environment that feels like home. Residents can experience the city's historic charm with easy access to museums, galleries, antique stores and specialty shops. Its comprehensive offering of services and amenities helps residents to enjoy a relaxing, carefree lifestyle. The daily calendar is full of fun activities designed to promote active and engaged living, such as yoga lessons, art classes, educational seminars and wine socials. New residents undergo an advanced screening procedure to develop a personalized care plan that suits their individual needs and preferences.

See Full Description
Features
  • Restaurant-style, farm-to-table meals served daily
  • Off-site outings to local restaurants and cultural attractions

Marian Manor of Stafford

Set on a beautifully landscaped, 12-acre campus, Marian Manor of Stafford offers an affordable senior living option for retirees in the greater Fredericksburg area. As a private, family-owned and operated community, seniors are welcomed into a homelike environment that's small enough for caregivers to develop personal relationships with each resident. Three nutritious meals and three daily snacks are served each day, and residents can relax with housekeeping and laundry services included. Residents can choose between three different room styles, all of which are fully furnished, and the home has a community dog and house cats to keep residents company.

See Full Description
Features
  • In-house physical, occupational and speech therapies
  • Beauty and barber services available on-site

Fredericksburg Assisted Living – the Chateau

Designed to support up to 19 residents, Fredericksburg Assisted Living – the Chateau offers the intimacy of a small care home with all the services of a larger-scale facility. Residents receive 24-hour personalized support to help them remain as independent as possible. Each retiree enjoys the comfort of their own private suite, each of which has an outdoor patio. In an effort to encourage social interaction, friendships and individual choice, the community offers a full range of therapeutic activities, recreational programming and facility outings for residents to participate in. Fredericksburg Health and Rehab sits on the same campus, giving seniors access to skilled nursing and rehabilitation services.

See Full Description

Chancellor's Village

By combining the concepts of personal freedom and care, Chancellor's Village has established itself as one of the area's top assisted living facilities. Located just steps from downtown Fredericksburg, seniors have access to shopping, restaurants and local attractions. This family-owned community allows seniors to enjoy a carefree living experience by offering services such as housekeeping, laundry and delicious daily meals. Its signature Daily Living Program features an extensive calendar of activities that provide opportunities to socialize, learn, exercise, explore and grow. Residents live in apartment-style suites across the picturesque campus, which are outfitted with modern amenities for comfortable living.

See Full Description
Features
  • Full spectrum of care services available
  • Activities based on the six dimensions of wellness

Commonwealth Senior Living at Fredericksburg

Commonwealth Senior Living at Fredericksburg operates with a daily commitment to listen, love, care and serve its residents. Its small size helps create an intimate environment where seniors can build close relationships with peers and caregivers. The community is conveniently located near three of the region's top hospitals, as well as attractions such as Old Town Fredericksburg, wineries and Lake Anna State Park. We've included it in this list for its efforts to provide a vibrant engaging lifestyle with a variety of signature programs. These include Commonwealth's award-winning Farm-to-Table and Today from the Bay dining programs, as well as its Travel the World cultural exploration program. 

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Greenfield of Spotsylvania

Greenfield of Spotsylvania has been voted one of the area's best assisted living facilities for multiple years in a row for its efforts to deliver an elevated senior living experience, which is why we've chosen to include it in this list. The facility's one-story design makes it easy for residents to get around and features welcoming common areas where seniors can play games, watch sports and socialize. Residents are encouraged to express themselves creatively and physically through activities such as fitness classes, outdoor recreation, seasonal events and off-site excursions to historic landmarks. Overall wellness is promoted with on-campus therapies and partnerships with some of the region's top health care providers

See Full Description
Features
  • Daily meals served in the bistro-style dining room
  • Private and semi-private suite options

Commonwealth Senior Living at Stafford

Tucked away in a charming residential neighborhood, Commonwealth Senior Living at Stafford is just miles from Fredericksburg and offers convenient access to shopping, dining, entertainment and medical facilities. On campus, residents can enjoy peaceful grounds, beautiful courtyards and amenities such as a beauty salon, games room and library. The community is highly regarded for its personalized care plans designed to support residents' individual needs, abilities and preferences. Its whole-person approach to living can be seen through its signature programs and engaging events calendar, which includes the Travel the World cultural program, regular off-site excursions and holistic therapies, such as music, art and reminiscing.

See Full Description

Brookdale Lake Ridge

At Brookdale Lake Ridge, retirees can enjoy a luxury senior living experience in the charming community of Woodbridge. Caregivers are available on-site 24 hours a day, and its person-centered approach to care ensures each residents' individual needs are met. This high-level of personalized care is one of the many reason's its been included in this list. The community offers an extensive calendar of special events, activities, clubs and cultural enrichment programs that support residents' mental and physical fitness and provide daily opportunities for fun. Residents are treated to delicious, chef-prepared meals served three times daily in the sun-filled dining room along with nutritious snacks.

See Full Description
Features
  • State-of-the-art amenities include a wellness center, library and beauty shop
  • Studios, one- and two-bedroom apartments available

Paramount Senior Living at Fredericksburg

Located just south of Washington, D.C., Paramount Senior Living at Fredericksburg offers personalized services and attention for seniors of every care level, with the added benefit of physical, occupational and speech therapies available right on-site. The campus features beautifully manicured grounds and access to amenities such as a state-of-the-art health and fitness center, full-service beauty salon and cafe serving coffee and snacks throughout the day. Residents enjoy a well-rounded living experience with a full calendar of social, educational, spiritual and recreational programs, as well as daily afternoon socials and organized events for family members to participate in.

See Full Description
Features
  • Comprehensive range of care services
  • Private dining room available for family and guests

HeartFields at Fredericksburg

HeartFields at Fredericksburg offers a warm, welcoming environment with elegantly decorated community spaces, an array of upscale amenities and secure outdoor areas where residents can enjoy the sunshine. It's conveniently located near the city's historic downtown so seniors have access to shopping, restaurants, churches and entertainment all within walking distance. On campus, residents have a full calendar of fun activities and events to participate in, including exercise classes, games, movie nights and social outings. The community's all-day dining program means that residents can enjoy meals on their schedule, as well as snacks and beverages at any time throughout the day.

See Full Description

The Cost of Senior Living and Care in Fredericksburg

The cost of senior care in Fredericksburg largely depends on what level of care is required. When compared to the monthly national average of $4,000, the cost of assisted living in this city is a little over $1,000 more at $5,048 per month. The cost of nursing home care is $7,917, which is $500 more than the national average of $7,441. Homemaker services are about $200 lower than the national average of $4,004, and adult day health care costs are slightly more than $100 lower than the national average of $1,560.

Compared to the state as a whole, assisted living and nursing home costs in Fredericksburg are relatively high, with assisted living costing about $600 more and nursing home care costing over $450 more than the respective  statewide averages of $4,451 and $7,452. The cost of home care is on par with the statewide average at $3,813, and adult day health care costs about $65 less in Fredericksburg than in the state as a whole, where this type of senior care averages $1,517 per month. 

Note: Senior care data isn’t available for Fredericksburg, so data for the closest city, Richmond, was used.

How much does Assisted Living Cost in Fredericksburg?

Of the major cities surveyed, Fredericksburg is the most expensive option for assisted living, with this level of care costing roughly $600 more than the statewide average and about $300 more than Blacksburg, where assisted living averages $4,695 per month. The most affordable care can be found roughly 130 miles away in Lynchburg, where the average cost for assisted living is $3,695 per month.

Closer cities with more affordable assisted living rates include Charleston, which is 70 miles away and nearly $500 cheaper per month, Harrisonburg, which is 90 miles away and about $900 cheaper per month, and Staunton, which is 100 miles away and about $800 cheaper per month. 

How much does Home Care Cost in Fredericksburg?

The cost of home care in Fredericksburg is the same as the statewide average of $3,813 per month. This assumes 44 hours of care per week at a rate of $20.00 per hour.

Of the cities surveyed, four cities had more expensive home care costs, including Charlottesville, where monthly costs average $4,385, Lynchburg, where monthly costs average $3,956, and Staunton and Blacksburg, where this type of care costs an average of $4,004 per month. More affordable care may be found in Virginia Beach, Harrisonburg and Winchester, where home care costs $3,623, $3,527 and $3,670, respectively.

How much does Adult Day Care Cost in Fredericksburg?

Adult day health care in Fredericksburg costs about $60 less than the statewide average and is on par with the average cost of the cities surveyed.

Charlottesville and Staunton are among the priciest options in the region for this type of care, with average costs coming in a little over $1,700 in both cities, followed by Virginia Beach, where this type of care costs $1,560 per month. The most affordable city for adult day health care is Blacksburg, where monthly costs average just over $1,200. 

How much does Nursing Home Costs in Fredericksburg?

Compared to the statewide average, nursing home care in Fredericksburg is about $450 more expensive.

Of the cities surveyed, Fredericksburg is among the most costly cities for nursing home care, coming in third to Harrisonburg, where costs average nearly $8,600 per month, and Winchester, where this level of care costs more than $10,000 per month.

The most affordable care is found in Lynchburg at $6,385 per month, though Charlottesville, Virginia Beach, Staunton and Blacksburg also have lower nursing home rates than Fredericksburg. 

Financial Assistance Programs in Fredericksburg

Medicaid Program in Fredericksburg

Fredericksburg seniors who meet income guidelines may qualify for Virginia Medicaid.  In Virginia, the Medicaid program is administered by the Department of Medical Assistance Services, and an applicant’s eligibility is determined by their local Department of Social Services. Medicaid is an entitlement program, meaning that all applicants who meet guidelines may receive benefits. 

Seniors who reside in nursing homes may have services paid for through Institutional Medicaid. Like regular Medicaid, this program is an entitlement, meaning that it is available to all who meet eligibility guidelines, and is provided exclusively in nursing homes.

To be eligible for Medicaid, seniors must have a monthly income of less than $832.66 per month for regular Medicaid and $2,313 per month for Institutional Medicaid. Individuals may have up to $2,000 in countable assets. Couples who are both applying for Medicaid may have a monthly income of up to $1,127.33 per month for regular Medicaid and $4,626 for Institutional Medicaid and up to $3,000 in countable assets. 

More information about Virginia Medicaid, visit Virginia’s Department of Medical Assistance Services or call (804) 786-7933.

Medicaid Waivers in Fredericksburg

Commonwealth Coordinated Care Plus Medicaid Waiver

The Commonwealth Coordinated Care Plus Medicaid waiver provides services for seniors who require nursing home level care but wish to continue living in their own home. The program covers a variety of services, including respite services, adult day health care, assistive technology, home modifications and skilled private duty nursing. Program participants have the freedom to hire their own caregiver, including friends and relatives. 

To be eligible for the Commonwealth Coordinated Care Plus Medicaid Waiver, an applicant must meet certain criteria. The program is available to individuals who:

  • Are Virginia residents
  • Are 65 years or older or disabled
  • Require nursing home level care
  • Depend upon technological support and require ongoing skilled nursing care
  • Are able to ensure that their health, welfare and safety is maintained when a nurse or care aide is not present
  • Are at imminent risk of nursing home placement

As of 2019, the income limit for this program is set at 300 percent of the Federal Benefit Rate. An individual’s income may be up to $2,313 per month, and they have up to $2,000 in countable assets. 

CCC+ has an enrollment cap, so eligible applicants may be placed on a waitlist. To learn more about this program, visit our CCC+ guide. To begin the application process, call DMAS at 804-786-7933 or visit the local Social Services office.

Other Financial Assistance Programs in Fredericksburg

Adult Services

Adult Services provides assistance to low-income adults age 60 and over who wish to continue living in their own homes rather than transitioning to an assisted living facility or nursing home. The program pays for home care services such as shopping, chores, adult day care and housekeeping.

To be eligible for Adult Services, applicants must be residents of Virginia and at least 60 years of age. While the exact criteria for acceptance into the program is unpublished, acceptance is based on applicants’ need for service and the availability of the service required, along with financial considerations.

For more information on this program, applicants should call (540) 372-1032 and ask to speak to an adult services worker. More information may also be found on our guide.

Auxiliary Grant

The Auxiliary Grant is available to Supplemental Security Income recipients and seniors who reside in a licensed assisted living facility or approved adult foster care home. This assistance can offset the monthly fees associated with assisted living, including care services and room and board.

The eligibility requirements for the Auxiliary Grant are very complex and are based on applicants’ age, residency, functional ability and income and assets. Applicants must be at least 65 years of age or blind or designated as disabled by the Social Security Administration. They must be residents of Virginia for at least 90 days prior to applying for this program. Additionally, they must meet functional ability criteria depending on the level of care that they receive. 

While exact income guidelines for this program are unpublished, the applicant’s monthly cost of their assisted living or foster care at licensed facilities must exceed their countable monthly income. Up to $2,000 in countable assets for an individual and $3,000 for a couple is permitted. 

To learn more about this program, applicants should contact their local Social Services office at (540) 372-1032. More information on this program is also available on our guide.

More Senior Living Resources in Fredericksburg

Resource Phone Number Description
Central Virginia Housing Coalition (540) 439-8690 Central Virginia Housing Coalition provides affordable housing for low-income seniors. The organization’s properties include one- and two-bedroom apartments and two- and three-bedroom homes throughout the city of Fredericksburg.
Mill Park Terrace  (540) 371-4430 Mill Park Terrace provides affordable, pet-friendly housing for low- and middle-income seniors aged 62 and over. This housing complex features comfortable apartments with complete kitchens, resident-controlled access and an on-site laundry room. 
Energy Assistance Program (855) 635-4370 The EA program provides heating, cooling and weatherization assistance for low-income Fredericksburg residents. 
Elderly and Disabled Tax Relief Program (540) 372-1207 The Elderly and Disabled Tax Relief program provides partial or total tax relief for low-income seniors. To qualify, applicants must be at least 65 years old and have an annual income of less than $50,000.


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