2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Richmond, VA

2026 monthly care rates for Richmond (Chesterfield County), local Census affordability metrics, and 19 CMS-certified care facilities.

Assisted Living🏠
$7,140/mo
$85,680/yr
+15% vs U.S. avg
Memory Care🧠
$8,710/mo
$104,520/yr
+15% vs U.S. avg
In-Home Care🤝
$40.30/hr
$7,680/mo (44h/wk)
+15% vs U.S. avg
Nursing Home (Semi)🏥
$11,030/mo
Private: $12,430/mo
+15% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$7,140/mo
Memory Care$8,710/mo
Home Care$40.30/hr
Nursing Semi$11,030/mo
Nursing Priv$12,430/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $313k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Richmond, VA

40.9 hrs/wk Break-even threshold

At Richmond, VA's average caregiver rate of $40.30/hr, hiring in-home care equals the $7,140/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$3,492/mo

Saves $3,648/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$7,683 vs. $7,140/mo

Full-time home care costs $543/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$13,970/mo

Assisted Living saves $6,830/mo; Memory Care averages $8,710/mo.

Richmond vs. Virginia & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Chesterfield County economic indicators.

Richmond, VA$7,140/mo
Virginia State Average$7,170/mo
U.S. National Median$6,200/mo

Chesterfield County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $98,910/yr ($8,243/mo)
Median Home Value $336,700
Median Gross Rent $1,542/mo
Virginia Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Richmond, VA

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Sitter And Barfoot Veterans Care Center
1601 Broadrock Blvd, Richmond, VA 23224 • 8043718000
200 Certified Beds Government - State CCN: 495393
5/5 CMS Rating
Westminster-Canterbury Of Richmond
1600 Westbrook Ave, Richmond, VA 23227 • 8042646000
158 Certified Beds Non profit - Corporation CCN: 495096
5/5 CMS Rating
Vcu Health Children'S Services At Brook Road
2924 Brook Rd, Richmond, VA 23220 • 8043217474
47 Certified Beds Non profit - Corporation CCN: 49A022
5/5 CMS Rating
Cedarfield Pinnacle Living
2300 Cedarfield Parkway, Richmond, VA 23233 • 8044748800
20 Certified Beds Non profit - Corporation CCN: 495434
5/5 CMS Rating
The Laurels Of University Park
2420 Pemberton Rd, Richmond, VA 23233 • 8047479200
145 Certified Beds For profit - Corporation CCN: 495109
3/5 CMS Rating
The Virginia Home
1101 Hampton St, Richmond, VA 23220 • 8043594093
130 Certified Beds Non profit - Corporation CCN: 49E084
3/5 CMS Rating
Lakewood Manor
1900 Lauderdale Drive, Richmond, VA 23238 • 8047402900
96 Certified Beds Non profit - Corporation CCN: 495403
3/5 CMS Rating
Our Lady Of Hope Health Center
13700 North Gayton Road, Richmond, VA 23233 • 8043601960
75 Certified Beds Non profit - Church related CCN: 495311
3/5 CMS Rating
August Healthcare At Richmond
1503 Michael Road, Richmond, VA 23229 • 8042886245
32 Certified Beds For profit - Corporation CCN: 495428
3/5 CMS Rating
Southampton Rehabilitation And Healthcare Center
7246 Forest Hill Ave, Richmond, VA 23225 • 8043207901
195 Certified Beds For profit - Partnership CCN: 495423
2/5 CMS Rating
Lakeside Health & Rehabilitation
2125 Hilliard Road, Richmond, VA 23228 • 8042669666
194 Certified Beds For profit - Limited Liability company CCN: 495045
2/5 CMS Rating
Beaufont Health And Rehabilitation Center
200 Hioaks Road, Richmond, VA 23225 • 8042722918
120 Certified Beds For profit - Limited Liability company CCN: 495260
2/5 CMS Rating
Shalom Gardens Health & Rehabilitation
1600 John Rolfe Parkway, Richmond, VA 23233 • 8047502183
101 Certified Beds For profit - Corporation CCN: 495291
2/5 CMS Rating
Westport Rehabilitation And Nursing Center
7300 Forest Ave, Richmond, VA 23226 • 8042883152
225 Certified Beds For profit - Limited Liability company CCN: 495227
1/5 CMS Rating
Canterbury Rehabilitation And Healthcare Center
1776 Cambridge Drive, Richmond, VA 23238 • 8047406174
183 Certified Beds For profit - Corporation CCN: 495272
1/5 CMS Rating
Parham Health Care & Rehab Center
2400 E Parham Road, Richmond, VA 23228 • 8042649185
180 Certified Beds For profit - Limited Liability company CCN: 495097
1/5 CMS Rating
Forest Hill Health & Rehabilitation
4403 Forest Hill Avenue, Richmond, VA 23225 • 8042310231
174 Certified Beds For profit - Limited Liability company CCN: 495327
1/5 CMS Rating
Rosedale Health & Rehabilitation
1719 Bellevue Avenue, Richmond, VA 23227 • 8042627364
128 Certified Beds For profit - Limited Liability company CCN: 495283
1/5 CMS Rating
Glenburnie Rehab & Nursing Center
1901 Libbie Ave, Richmond, VA 23226 • 8042813500
125 Certified Beds For profit - Partnership CCN: 495391
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Richmond

The estimated median cost of assisted living in Richmond, VA is $7,140 per month ($85,680 per year), adjusted for Chesterfield County housing and income data.
A semi-private room in a skilled nursing facility in Richmond averages $11,030 per month, while a private room averages $12,430 per month.
In-home caregiver services in Richmond, VA average $40.30 per hour, or roughly $7,680 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Virginia is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby Virginia Cities