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Richmond, Virginia · Cost guide · 2026

Assisted Living Cost in Richmond

The average cost of assisted living in Richmond is $4,500/month in 2026. This guide covers room-type pricing, how Richmond compares to the national average, Medicaid coverage through Virginia Medicaid EDCD Waiver, and the most affordable alternatives in the area.

Near avgRange: $3,000$7,500/mo
Reviewed by the AllyKin Editorial TeamCMS data via Medicare.gov Care CompareMethodology: How we research and rank →

Richmond Assisted Living Costs at a Glance

Average (all types)

$4,500

per month

Memory Care

$6,200

per month

Skilled Nursing

$9,500

per month

Cost by Room Type in Richmond (2026)

Room TypeMonthly CostDaily Rate
Studio / Shared$3,600$120
1-Bedroom$4,700$157
2-Bedroom / Deluxe$6,000$200
Memory Care$6,200$207
Skilled Nursing (semi-priv.)$9,500$317

* Costs are 2026 market averages. Actual fees vary by facility, level of care, and unit size.

How Richmond Compares

Richmond

$4,500/mo

Virginia Avg

$4,400/mo

Near avg

National Avg

$4,500/mo

Near avg

Why Does Assisted Living Cost $4,500/Month in Richmond?

  • Richmond's growing economy and population pressure has pushed AL costs up 15% over 5 years
  • Short Pump, Glen Allen, and western Henrico County facilities run 15–20% above Richmond proper
  • McGuire VA Medical Center provides a full VA healthcare system for the large Richmond veteran community
  • Virginia has no state income tax on Social Security — helps fund AL costs for retirees

Medicaid Coverage for Assisted Living in Richmond

Virginia Medicaid EDCD Waiver covers assisted living

Virginia's Elderly or Disabled with Consumer Direction (EDCD) Medicaid waiver covers personal care in licensed assisted living facilities. Virginia Medicaid does NOT cover room and board — only personal care services. Income limit: $2,829/month; asset limit: $2,000. Apply through your local DSS office.

Virginia Medicaid Guide →

How to Afford Assisted Living in Richmond

  • Colonial Heights, Chesterfield, and Hopewell offer 10–20% savings vs. Richmond proper
  • Virginia EDCD Medicaid waiver covers personal care in licensed AL — apply through local DSS
  • VA Aid & Attendance (up to $2,830/month) is a major resource for Richmond's veteran community
  • Virginia has no income tax on Social Security benefits — helpful for funding AL costs
  • Virginia's six state veterans homes provide skilled nursing for qualifying Virginia veterans

Find Assisted Living Communities in Richmond

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More Affordable Alternatives Near Richmond

If Richmond costs are too high, these nearby cities offer lower averages and similar access to family, healthcare, and amenities.

Frequently Asked Questions — Assisted Living in Richmond

How much does assisted living cost in Richmond?

Richmond assisted living averages $4,500/month in 2026, ranging from $3,000 (basic shared rooms) to $7,500+ (premium suites in Short Pump or Glen Allen). Richmond is near the national average. The western Henrico County suburbs command a premium; Chesterfield and colonial heights offer savings.

Does Virginia Medicaid (EDCD) pay for assisted living?

Virginia's EDCD waiver covers personal care services in licensed AL facilities but NOT room and board. Residents pay room and board separately. Income limit: $2,829/month; asset limit: $2,000. Apply through your local Department of Social Services or call Virginia's Medicaid helpline at 804-786-7933.

What memory care options are available in Richmond?

Memory care in Richmond averages $6,200/month. VCU Health System and Bon Secours Mercy Health provide memory care specialty services. The Richmond metro has numerous dedicated Alzheimer's units; look for facilities with formal partnerships with Virginia's Alzheimer's Association chapter (804-967-2580).

What veterans resources are available in Richmond?

The Hunter Holmes McGuire VA Medical Center (804-675-5000) is a major VA teaching hospital in Richmond. Virginia operates six state veterans homes. VA Aid & Attendance provides up to $2,830/month for qualifying veterans. Virginia Wounded Warrior Program (866-393-8892) provides additional coordination.

How does Richmond compare to Northern Virginia for AL costs?

Richmond ($4,500/mo) is significantly more affordable than Northern Virginia/Fairfax County ($5,500–$8,000/mo). For families with flexibility on DC metro proximity, Richmond offers similar quality facilities at 25–40% less cost, 90 minutes south on I-95.

What type of assisted living licenses exist in Virginia?

Virginia licenses 'Assisted Living Facilities' (ALFs) at two levels: Level I (residents need minimal assistance) and Level II (residents need substantial assistance or have cognitive impairment). Level II facilities have stricter staffing requirements. Ensure the facility holds the appropriate level license for your loved one's needs.

Looking for statewide data?

See the full Virginia assisted living cost guide, Medicaid eligibility, and facility directory.

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