Elder care services in Fairfax, Virginia cover the menu of in-home and community-based support older adults use to live safely: companion care, personal care (ADL help), skilled home health, adult day programs, geriatric care management, respite, and hospice. Most Fairfax families need a mix that evolves over time. Fairfax City is a Northern Virginia city of about 25,000, within a county of 1.1 million, with one of the highest senior household incomes in the region, and matching the right service to your parent’s actual needs saves significantly compared to default choices.
Companion care in Fairfax
Non-medical, hands-off support. Cost: $25–$40 per hour. Best for IADL needs (meal prep, errands, transportation, light housekeeping, conversation). Does not include hands-on body care.
Personal care in Fairfax
Hands-on ADL support — bathing, dressing, toileting, transfers. Provided by CHHAs or CNAs. Cost: $28–$45 per hour (18 to 28 percent above the national average of national). Best for seniors needing physical help with daily routines.
Skilled home health in Fairfax
Clinical care — RN visits, PT, OT, speech therapy — provided under physician’s order for specific medical conditions. Often Medicare-covered for Fairfax patients meeting criteria. Short-term (4–8 weeks typical) for post-hospital recovery or chronic-disease management.
Adult day, respite, and geriatric care management
- Adult day programs in Fairfax: $80–$200/day for structured social engagement, meals, supervision
- Respite care: short-term breaks for family caregivers — in-home, adult day, or residential stays
- Geriatric care manager: $300–$500 in-home assessment + ongoing case management at $125–$200/hour
How Fairfax families combine services
Typical evolution:
- Early aging: 4–12 hours/week companion care
- Mid-stage: add personal care for ADL needs; quarterly GCM visits
- Post-hospital: layer skilled home health for 4–8 weeks
- Late stage: 24-hour live-in or shift care
- End-of-life: hospice layered on existing staffing
A geriatric assessment is the right first step for most Fairfax families — $300–$500 for an in-home visit that produces a 12-month care plan with cost projections. Talk to an ElderCareServicesNearMe advisor when you’re ready.






