Alzheimers, Dementia & Memory
Care Facilities in Virginia

Finding a place for your elderly parents is an emotional thing for many people to deal with. Having to see the people you love forget important things can be scary to watch when they live on their own, but these signs may be telling you that it is time to find suitable memory care facilities for them.

Doing this for the first time can be difficult, but it doesn’t have to be as hard as you think it is. With the help of the information below on how to find and pay for these dementia and Alzheimer's care homes, you can find the right place for your parent or loved one without further delay.

Memory Care Costs in Virginia

Memory care costs in Virginia can vary widely depending on the location, level of care needed, and the specific community. On average, the monthly cost for memory care in Virginia is approximately $5,800.

Here is a breakdown of memory care costs in 10 of Virginia’s largest cities:

In Virginia, the cost of memory care is typically in the range of $5,400 to $6,200 per month, depending on the city. The more metropolitan areas, like Alexandria and Richmond, tend to have higher costs, while smaller cities like Roanoke and Lynchburg offer more affordable options.

When comparing Virginia’s memory care costs to nearby large cities in other states, Virginia’s costs are fairly typical. For example, memory care in Washington D.C. averages around $7,000 per month, which is notably higher than most cities in Virginia. Meanwhile, cities like Raleigh, North Carolina, and Charleston, West Virginia, tend to have lower average costs, often between $4,500 and $5,000 per month. Virginia’s memory care pricing offers a middle ground, with several large cities slightly above the state average, and more rural areas offering lower costs.

Cost of Memory Care in Most and Least Expensive Zip Codes in Virginia

Memory care costs can vary significantly between different zip codes within Virginia. Below is a comparison of the 5 most expensive and 5 least expensive zip codes for memory care in the state.

In Virginia, the most expensive zip codes for memory care tend to be concentrated in metropolitan areas like Alexandria, Richmond, and Virginia Beach. The cost of care in these areas can exceed $6,000 per month. In contrast, more rural areas, such as Blacksburg, Staunton, and Radford, offer more affordable memory care options, with costs typically ranging between $5,100 and $5,450 per month. The variation in pricing is influenced by factors such as demand for services, local economy, and availability of specialized care.

Comparison of Memory Care Costs to Other Types of Senior Living in Virginia

In Virginia, memory care is one of the more expensive options for senior living, as it provides specialized care for individuals with Alzheimer’s or other forms of dementia. Below is a table comparing memory care costs to other types of senior living in Virginia.

Memory care in Virginia is more expensive than assisted living and independent living due to the higher level of care and supervision required for individuals with memory impairments. On average, memory care costs around $5,800 per month, while assisted living is more affordable at around $4,500. Independent living is the least expensive, averaging $2,800 per month, as it typically offers fewer services. Nursing home care, particularly in a private room, is the most expensive type of senior living, with costs averaging $9,000 per month.

Can you use Medicare to pay for memory care in Virginia?

In Virginia, Medicare generally does not cover long-term memory care, but it can cover certain medical services that may be part of a memory care plan. Memory care typically refers to specialized care for individuals with Alzheimer's disease, dementia, or other memory-related conditions. Understanding how Medicare works with memory care services in Virginia requires knowing what it can and cannot cover.

Medicare Coverage for Memory Care in Virginia

Medicare is a federal health insurance program primarily for people aged 65 and older, and for some younger individuals with disabilities. While Medicare covers many healthcare services, its coverage for memory care is limited and typically does not extend to long-term custodial care in a facility.

1. Medically Necessary Services: Medicare will pay for specific services related to memory care when they are deemed medically necessary. This includes doctor visits, certain therapies, and medical equipment needed for the treatment of memory disorders like Alzheimer’s. If a resident in Virginia requires hospital care for a related medical issue, Medicare may cover inpatient stays at a hospital or skilled nursing facility (SNF) for a limited period (up to 100 days in some cases) under Part A.

2. Skilled Nursing Facility (SNF) Care: If you or a loved one in Virginia is recovering from an illness, injury, or surgery, and requires skilled nursing services related to memory care, Medicare Part A may cover a stay at a skilled nursing facility for up to 100 days. However, this is only applicable when the patient has been hospitalized for at least three days before moving into the SNF, and the care needed must be skilled, such as physical therapy, occupational therapy, or speech therapy.

3. Medicare Part B – Outpatient Services: Medicare Part B covers outpatient services, such as doctor’s visits, some therapies, and diagnostic services. If you are receiving outpatient care related to memory conditions like dementia, these services are generally covered, as long as they are medically necessary and provided by Medicare-approved providers in Virginia.

4. Medicare Advantage (Part C): If you opt for a Medicare Advantage plan (offered by private insurance companies and approved by Medicare), some plans may offer additional coverage that could potentially help with services related to memory care. These plans often have extra benefits beyond original Medicare, like transportation to medical appointments or wellness programs, but they still do not cover long-term memory care in a facility.

What Medicare Does Not Cover for Memory Care in Virginia

Medicare will not cover the following memory care services in Virginia:

• Custodial Care: If a person’s needs are primarily for assistance with daily activities like bathing, dressing, or eating, Medicare does not cover these services. Most memory care in Virginia facilities is custodial, meaning it is focused on helping residents with daily living rather than medical treatments.

• Long-Term Memory Care: Long-term stays in specialized memory care units are not covered by Medicare. If you or a loved one needs extended care for Alzheimer’s or other forms of dementia, you would typically need to look into private pay options or other financial assistance programs.

• Personal Care Services: Personal care services, which are a staple in many memory care facilities in Virginia, are also not covered by Medicare. These services include help with dressing, grooming, and other non-medical tasks.

Alternatives for Paying for Memory Care in Virginia

For those needing ongoing memory care in Virginia, there are a few options that can help cover the costs:

1. Medicaid: In Virginia, Medicaid may cover long-term memory care costs for individuals who meet specific income and asset requirements. Medicaid is a state and federal program for low-income individuals, and Virginia has its own Medicaid guidelines for long-term care. If you qualify, Medicaid could help pay for memory care services in approved facilities.

2. Private Insurance: Some private long-term care insurance policies may cover memory care services, including in memory care facilities. If you have a private policy, it is essential to review the specifics of your coverage to understand what is included.

3. Veterans Benefits: If you or your loved one is a veteran, the U.S. Department of Veterans Affairs (VA) provides benefits that may help with the cost of memory care in Virginia, especially through their Aid and Attendance program for veterans and surviving spouses.

4. Private Pay: Many families in Virginia ultimately pay for memory care out of pocket, which can be expensive. Memory care facilities in Virginia can cost anywhere from $4,000 to over $8,000 per month, depending on the location and level of care provided.

Who are Virginia Dementia & Alzheimer's Care Facilities For?

Virginia dementia care communities provide all the necessary forms of care for elderly patients who have been given the diagnosis of dementia or Alzheimer's disease. These illnesses are degenerative and affect the patient's ability to function in their everyday life because of the memory loss and severe emotional symptoms that come along with the disease.

These memory care homes attempt to account for these issues and provide the care needed to address them while finding ways to properly treat them. They also offer personalized care that caters to each individual’s specific needs in a way that no other facilities can match. With access to medical, mental, and psychological care, patients get the full range of treatment needed to prevent the worsening of their symptoms.

Memory Care Admission Requirements in Virginia

The admission requirements to Alzheimer's and dementia care facilities are regulated by the state of Virginia to ensure that individuals receive the appropriate level of care. Below are the key factors and requirements for admission to memory care facilities in Virginia:

1. Medical Assessment

Before admission to a memory care facility, a comprehensive medical assessment is typically required. This includes a physical examination and an evaluation of the individual’s mental health status. A physician must verify that the person has a cognitive impairment, such as dementia or Alzheimer’s disease, that necessitates specialized care. This ensures that the individual’s needs align with the facility's capabilities in providing dementia-specific care.

2. Level of Care

Memory care facilities in Virginia are designed to provide a higher level of care than standard assisted living facilities, focusing specifically on individuals with memory impairments. As such, a resident must require 24-hour supervision and care due to their cognitive impairment. Some facilities may conduct their own assessments or accept assessments from a licensed healthcare professional, such as a physician or psychologist, to determine the appropriate level of care.

3. State Licensing and Regulations

Virginia’s Department of Social Services (DSS) regulates the licensing of memory care facilities. These facilities are licensed as “assisted living facilities with a special care unit for individuals with Alzheimer’s disease or other dementia-related disorders.” To operate, memory care facilities must meet specific health, safety, and staffing standards set by the DSS.

The facility must provide:

• Secure environments to prevent wandering
• Staff trained in managing memory-related conditions
• Tailored programs to improve cognitive function and manage behavioral symptoms
• Proper medication management systems

4. Behavioral or Medical Needs

Memory care units in Virginia generally require that the individual’s behavioral or medical needs do not exceed the capabilities of the facility. For example, individuals with severe behavioral disturbances or medical conditions that require hospital-level care might not be eligible for admission to a memory care facility. Some facilities may assess the potential resident’s needs to ensure they can provide the appropriate care without compromising safety and well-being.

5. Financial Considerations

Admission to a memory care facility in Virginia typically requires proof of the ability to cover the costs of care. Many facilities offer private pay options, though some may accept Medicaid for qualified individuals. Medicaid eligibility requirements vary and depend on financial need and other factors. Individuals seeking Medicaid coverage will need to work with the facility’s admissions staff to determine if the specific facility accepts Medicaid or Medicaid Waiver programs for memory care services.

6. Assessment of Family Involvement

Facilities may inquire about the level of family involvement and the ability of family members to assist in decision-making and care coordination. Families may be asked to provide input into the care plan and may be involved in the decision-making process, particularly when it comes to setting goals and expectations for care.

7. Admissions Agreement

Once an individual is deemed eligible for admission, a formal agreement is signed between the resident (or their representative) and the memory care facility. This document outlines the terms and conditions of care, including cost, care plans, resident rights, and facility policies.

8. Specialized Care Plans

Upon admission, the memory care facility in Virginia will develop an individualized care plan based on the specific needs of the resident. This care plan is regularly updated to reflect changes in the resident’s condition and ensures that the facility can meet their evolving needs.

Amenities Offered in Virginia Memory Care Facilities

Virginia Alzheimer's care facilities have many amenities that are offered to the residents who stay at their home. These can be access to 24-hour medical care, various personal care services, and socialization through events and gatherings at the home.

The medical care that is provided includes routine care, like medication distribution and physical exams, but it also includes the emergency services that are provided to each patient as well. These services can include emergency call buttons and routine visits throughout the day for constant supervision and check-ins.

The personal care services that are provided depend on the health of the patient and the severity of their physical limitations. These can include grooming, bathing, and feeding assistance. For those who are very limited with their movement, they will even have dental care in the form of assistance with brushing their teeth to help maintain proper tooth health.

The social amenities that are offered at these facilities aim to keep residents from feeling isolated and alone without their families. Group activities that involve all residents can help cultivate a sense of community among the patients and help them to keep their minds sharp by engaging in conversations with each other regularly.

Questions to Ask Virginia Memory Care Facilities

When considering a memory care facility in Virginia for a loved one, it's essential to ask the right questions to ensure their safety, comfort, and well-being. Below are several key questions to ask when evaluating potential facilities:

1. What are the staff-to-resident ratios?

It's crucial to know how many staff members are available to care for residents. A higher staff-to-resident ratio can provide more personalized care and attention, particularly for individuals with dementia or Alzheimer's. Ask about the facility's daily staffing levels, including nurses, caregivers, and specialists.

2. What type of training does the staff receive?

Memory care requires specialized knowledge, so it's important to ensure that staff are adequately trained in dementia care, including de-escalation techniques, understanding behavior changes, and ensuring safety. Ask about the training programs offered, including whether they are certified by national or state organizations.

3. How are residents' medical needs managed?

Understanding how the facility handles medical needs is essential. Inquire about the facility's process for medication management, doctor visits, emergency protocols, and how they communicate with family members regarding changes in the resident’s health.

4. What activities and therapies are offered?

Memory care residents often benefit from activities that engage their cognitive and physical abilities. Ask about the types of daily activities and therapies offered, such as music therapy, art therapy, exercise programs, and social events. It’s important to ensure the facility has a structured program designed to keep residents mentally and physically active.

5. How do you ensure resident safety?

Safety is a top priority in memory care settings. Ask about the security measures in place, such as secured entrances, alarm systems, monitoring technology, and how the facility prevents residents from wandering. Additionally, inquire about emergency protocols and how staff are trained to respond to emergencies like falls or medical crises.

6. What is the facility's approach to dementia and Alzheimer's care?

Different memory care facilities may have varied approaches to handling dementia-related symptoms. Some may have specific programs tailored for Alzheimer’s or other types of dementia. Ask about the facility’s philosophy regarding care, and whether it provides individualized care plans that address the specific needs of each resident.

7. How is family involvement encouraged?

Staying involved in a loved one’s care is important for families. Ask how the facility supports family members, including regular updates, care meetings, and opportunities to participate in activities with residents. Some facilities may even offer family support groups.

8. What is the facility's approach to nutrition?

Proper nutrition is vital for individuals with memory issues. Ask about the types of meals provided, how dietary restrictions or preferences are handled, and whether the facility employs nutritionists or dietitians to ensure residents receive balanced, healthy meals.

9. Are there any additional fees or costs?

Memory care can be costly, and understanding the full cost structure is vital. Ask about all fees, including base rates, additional charges for specific services (e.g., extra medical care, special therapies, or transportation), and if there are any price increases over time.

10. What is the discharge policy?

It’s important to understand under what circumstances a resident may be discharged from the facility. Ask about the facility’s policies for transferring or discharging residents if their care needs change, and if any transition support is provided.

11. How do you handle end-of-life care?

Inquire about the facility’s approach to hospice or end-of-life care, including what support services are available for both residents and their families during this difficult time. A compassionate approach to end-of-life care is essential in memory care settings.

12. What is the facility’s accreditation and licensing status?

Ensure that the memory care facility is licensed by the state of Virginia and meets all regulatory requirements. Ask to see the facility’s accreditation, licenses, and inspection reports to verify that it complies with state and federal regulations.

13. What is the facility's visitation policy?

Ask about the visiting hours, any restrictions, and the policy for family members or friends to visit. Some facilities have more flexible visitation policies, while others may have specific times or protocols in place, particularly for infection control or security reasons.

14. How are residents' personal preferences and dignity respected?

Understanding how the facility maintains residents’ dignity and personal preferences is important. Ask about the approach to personal care, such as assistance with bathing, dressing, and toileting. A good memory care facility will prioritize residents’ privacy and comfort while providing necessary assistance.

15. What are the options for transitioning to higher levels of care?

If the resident’s condition worsens over time, it's helpful to know what options are available. Ask whether the facility can accommodate a resident's needs as they progress, and if they have relationships with nearby hospitals or long-term care facilities if a higher level of care becomes necessary.

Memory Care in Virginia or Assisted Living / Nursing Homes?

Though some different facilities may seem similar to dementia care homes, these facilities offer a specialized form of care that the other homes don’t. Facilities like nursing and assisted living homes are made for patients who are advanced in age, but don’t deal with the severe symptoms that come along with being diagnosed with Alzheimer’s or dementia.

Assisted living homes are meant to house those who are transitioning into a more dependent lifestyle, but still retain much of their independence. These patients may have some memory issues and physical limitations, but they are less severe.

Nursing homes are meant to be for long-term residents who can’t live on their own any longer. However, the care that is given to these residents does not match the elevated level that memory care communities provide.

Facilities that provide memory care have much more individualized care and offer more involved patient relations. The staff at these facilities are specially trained to care for these residents because they will likely deal with outbursts of frustration due to the mental limitations that come with the disease. Patients can get angry because they are confused, and the medical staff must know how to diffuse the situation and calm the patients.

Memory care regulations in Virginia

Memory care regulations in Virginia are designed to ensure that individuals with Alzheimer’s disease, dementia, and other cognitive impairments receive appropriate care in a safe and supportive environment. These regulations are primarily overseen by the Virginia Department of Social Services (VDSS) and apply to assisted living facilities and nursing homes offering memory care services. Here are the key elements of Virginia's memory care regulations:

Licensing and Certification

In Virginia, memory care units within assisted living facilities must be licensed and meet specific requirements. The state’s regulations distinguish between general assisted living facilities and those offering specialized memory care services. These specialized units must comply with additional standards to address the unique needs of individuals with cognitive impairments. Facilities must be licensed by the VDSS and are required to undergo regular inspections to ensure compliance with state regulations.

Memory care facilities must ensure that their staff members are properly trained in caring for residents with dementia or Alzheimer’s. Staff training requirements include instruction on dementia care, behavior management, communication techniques, and understanding the medical aspects of cognitive impairments. Additionally, the facility must have a qualified administrator who oversees the operation of the memory care unit.

Environment and Safety

Virginia regulations emphasize the importance of creating a safe and secure environment for individuals with memory impairments. Memory care units are required to have features that reduce the risk of residents wandering or becoming lost, such as secure entry and exit points. These measures are intended to prevent residents from leaving the facility unsupervised, which can be a significant concern for individuals with dementia.

Facilities must also provide a physical environment that promotes residents' well-being. This includes appropriately sized living spaces, easy access to areas for socialization, and the installation of safety features like handrails and non-slip flooring. The environment should be conducive to the needs of individuals with cognitive disorders, helping to minimize stress and confusion.

Staffing and Care

Virginia regulations specify that memory care units must have sufficient staffing levels to provide appropriate care to residents. These staffing levels should reflect the complexity of care required by residents with dementia. The number of staff needed may vary depending on the level of care the residents require. Care plans are tailored to each individual and must be updated regularly to account for changes in the resident’s condition. Staff are trained to manage the behavioral and emotional challenges associated with dementia and to ensure the dignity and safety of residents.

The regulations also state that each resident must have a care plan that is developed and reviewed with input from medical professionals, family members, and staff. The care plan should detail the resident's medical and cognitive needs, including any behavioral challenges, and must include provisions for monitoring the resident’s health and well-being.

Medication Management

Memory care regulations in Virginia require that medications be administered safely and appropriately. Facilities must ensure that medications are stored securely and that proper records are kept. Only licensed personnel are allowed to administer medications, and they must follow state guidelines to ensure residents receive the correct doses at the right times. Regular monitoring and assessment of medication effectiveness and side effects are necessary to ensure residents' health is maintained.

Activities and Social Engagement

In Virginia, regulations also emphasize the importance of providing meaningful activities for residents with memory impairments. Facilities are required to offer structured and unstructured activities that promote cognitive stimulation, physical health, and social interaction. These activities should be designed to cater to the needs and abilities of residents, encouraging participation while maintaining a sense of independence.

The regulations mandate that the facility provide social and recreational opportunities, which can include music therapy, art activities, physical exercises, or outings. These activities help residents maintain cognitive function and emotional well-being, reduce feelings of isolation, and enhance their quality of life.

Resident Rights and Protection

Virginia's memory care regulations emphasize the protection of residents' rights. Individuals with memory impairments are entitled to the same rights as other residents, including the right to privacy, dignity, and respect. Facilities must make reasonable accommodations to meet the needs of residents while maintaining these rights.

Additionally, memory care units are required to have protocols for reporting abuse, neglect, or mistreatment. Facilities must also have a system in place for handling grievances and complaints from residents or their families. The state mandates that residents' rights must be upheld in a manner that respects their condition, ensuring they live in a supportive, respectful, and secure environment.

Inspections and Compliance

Virginia memory care facilities are subject to regular inspections by the VDSS to ensure compliance with all regulatory requirements. These inspections evaluate the facility’s physical environment, staffing levels, care plans, safety procedures, and overall quality of care. Facilities that do not comply with regulations may face corrective actions, including fines or potential loss of licensure. Inspections are conducted both announced and unannounced to ensure continuous compliance.

How to Pay for Dementia & Alzheimer's Care in Virginia

Taking on the financial burden of paying for Alzheimer's care communities can be too much for one person or family to handle on their own. With the cost of care in Virginia being as much as $5,800 a month, not many people can afford to pay that throughout the year and must rely on financial assistance.

Luckily, Virginia Alzheimer's care homes can be fully covered with the help of the Medicaid program. This federally-funded healthcare program provides financial help to patients who can’t afford the cost of care on their own. If your parent or loved one qualifies for this program, they will get the entire cost of homes that offer dementia care covered so that they don’t have to pay anything out of pocket. Medicaid does not have enrollment limits, which means that anyone who qualifies will get the financial assistance they need.

However, if the resident does not qualify, there are other ways to lower or completely cover the costs of memory care. Through the help of Virginia’s Commonwealth Coordinated Care Plus Medicaid Waiver (CCC+), patients can receive assistance while remaining in their homes. This will allow them to have around the clock caregivers, medical assistance, and allows the patient the power to choose who cares for them. This program does have enrollment caps, which means that once the maximum number of enrollments has been reached, no one else will receive help and they will need to be added to a waitlist.

Whether you have been looking for some time or you have just begun your search, you now have the information that will make this process a whole lot easier to finish. Having a loved one leave their home can be tough, but knowing that they’re going to a great facility will make the transition much easier to handle for all parties involved.

If you would like to find out more information about how to find and pay for dementia care facilities in Virginia, please browse our directory for options that are available in your area.