Home care · Fauquier County, VA
Home care in Fauquier County
Of the 73,000 people in Fauquier County, about 12,300 are 65 or older — one in six residents. Most of them intend to stay in their own homes, and most of the care that makes that possible happens quietly, in living rooms, without anyone calling it "long-term care."
Below is what we'd tell a friend in Fauquier County: what care costs here, who provides it, what the facility alternative actually looks like, and which programs pay.
Fauquier County, in numbers
Full Virginia guide →Residents 65+
12,262
16.7% of the county.
Live with a disability
9.6%
About 7,012 people — the population most likely to need help at home.
Median household income
$120,301
20 hrs/week of care would run about 30% of it.
Certified agencies
60
Medicare-certified home health agencies serving local ZIPs; 51 rated, averaging 3.4★.
Sources: CDC/ATSDR Social Vulnerability Index 2022 (ACS 2018–2022), County Health Rankings 2024, and CMS Care Compare provider files.
What home care costs in Fauquier County
Virginia's going rate for agency home care is around $35/hr. Twenty hours a week — four hours a day, five days a week, the most common schedule families start with — comes to roughly $3,000 a month, or $36,400 a year.
Median household income in Fauquier County is $120,301 — that schedule runs about 30% of it. Manageable for some households here, and still worth checking whether a program can carry part of it.
Who provides care in Fauquier County
60 Medicare-certified home health agencies serve ZIP codes in Fauquier County. 51 of them carry a CMS quality star rating, averaging 3.4 out of 5. 46 report offering home health aide services.
One distinction worth getting straight before you call anyone: those are Medicare-certified home health agencies — skilled, doctor-ordered, intermittent care, usually a nurse or therapist visiting for a few weeks after a hospital stay. That is not the same as the hourly, non-medical help most families are actually looking for: bathing, dressing, meals, driving, company. Medicare pays for the first. It does not pay for the second.
The alternative, locally
Fauquier County has 2 certified nursing homes holding 243 certified beds, averaging 1.5 out of 5 on CMS's overall rating. About 221 people live in them on an average day.
The Virginia programs that pay for care at home
- Commonwealth Coordinated Care Plus (CCC Plus) Waiver
Virginia runs one Medicaid pathway that pays for care at home instead of a nursing home. Each has its own income, asset, and care-need rules, and approval takes weeks to months — so the application is worth starting before the need becomes urgent.
How each Virginia program works →Caregiver training in VA
75 hrs
Minimum for certified aides (the federal minimum). Agencies are licensed by the VA Dept. of Health.
Choosing an agency in Fauquier County
- Ask for the license. Virginia licenses home care agencies through the VA Dept. of Health. A legitimate agency shows its license without hesitating. One that changes the subject has told you something.
- Ask what the rate covers. Around $35/hr is typical in Virginia. A real agency's rate covers a trained, background-checked, insured caregiver plus supervision and backup staffing when your regular person is sick. A rate well under the local range usually means one of those is missing.
- Don't confuse a fast answer with a good one. With 60 certified agencies serving Fauquier County, someone will always pick up. Ask specifically: can you staff the exact hours I need, with the same caregiver, starting when? Vague answers there predict vague service later.
- Ask about Medicaid now, not later. If money is going to be the constraint, ask about Commonwealth Coordinated Care Plus (CCC Plus) Waiver at the first call. Approval takes weeks to months, and private pay is what bridges the gap — so the sooner the application starts, the smaller that bridge is.
Want to talk it through?
We provide care in the Milwaukee, WI area — but we’re glad to help any family think through the options in Fauquier County.
Fauquier County home care questions, answered
How much does home care cost in Fauquier County, VA?
Agency home care in Virginia runs around $35/hr for private pay. At 20 hours a week that is about $3,000 a month. For context, median household income in Fauquier County is $120,301. Rates move with the level of care and the schedule — short daily visits cost more per hour than long shifts.
Does Medicare pay for home care in Fauquier County?
Medicare pays for skilled home health — a nurse or therapist, doctor-ordered, for a limited stretch, usually after a hospital stay. 60 Medicare-certified agencies serve Fauquier County. Medicare does not pay for the hourly, non-medical help most families want — bathing, dressing, meals, driving, company. For that, the money comes from private pay, long-term care insurance, VA benefits, or Virginia Medicaid.
Does Medicaid pay for home care in Fauquier County?
Yes — for people who qualify. Virginia runs a Medicaid program that pays for care at home instead of a nursing home: Commonwealth Coordinated Care Plus (CCC Plus) Waiver. Income, asset, and care-need rules apply, and approval usually takes weeks to months, so apply before you need it.
How are caregivers trained and vetted in Virginia?
Certified home health aides in Virginia complete at least 75 hours of training, the federal minimum. The state licenses home care agencies through the VA Dept. of Health, so ask to see an agency's license before you hire.
Is home care better than a nursing home in Fauquier County?
It depends on the level of care needed, not on which one sounds nicer. Fauquier County's 2 certified facilities average 1.5 out of 5 stars on CMS ratings, against a Virginia average of 2.95. Round-the-clock skilled nursing is something a facility does that home care cannot. But for help with bathing, meals, medication reminders, and company, care at home usually costs less and keeps someone in their own bed — and most people, asked plainly, say that is what they want.
Does Juniper at Home provide caregivers in Fauquier County?
Not directly — our own caregivers serve the Milwaukee area of Wisconsin. This page is a free guide for Fauquier County families: what care really costs here, who provides it, and which programs can help pay.
Bordering counties in Virginia