Lilisity Resident reviews verified by Senior Living Alliance
Home › District of Columbia › Washington

Senior Living in Washington, DC: Every Licensed Community & 2026 Costs

Senior living in Washington, District of Columbia spans 821 state-licensed assisted living, memory care, and independent living communities and 130 Medicare-certified nursing homes across District of Columbia County in District of Columbia, plus Montgomery, Prince George's, Frederick, and Charles counties in Maryland, plus Fairfax, Prince William, Loudoun, Arlington, Stafford, Alexandria, Spotsylvania, Fauquier, Culpeper, Manassas, Warren, Fredericksburg, Fairfax, Manassas Park, Clarke, Falls Church, and Rappahannock counties in Virginia, plus Jefferson County in West Virginia. 36 area nursing homes hold a 5-star CMS rating. Lilisity publishes no score or ranking for any community that has not earned an award; the licensing and CMS data below are public records.

All senior living in Washington: 821 licensed communities by county

Every assisted living, memory care, and independent living community licensed by the state in District of Columbia County in District of Columbia, plus Montgomery, Prince George's, Frederick, and Charles counties in Maryland, plus Fairfax, Prince William, Loudoun, Arlington, Stafford, Alexandria, Spotsylvania, Fauquier, Culpeper, Manassas, Warren, Fredericksburg, Fairfax, Manassas Park, Clarke, Falls Church, and Rappahannock counties in Virginia, plus Jefferson County in West Virginia, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified reviews have phone-verified resident and family interviews on file.

District of Columbia County, DC 22 communities

Prince George's County, MD 300 communities

Montgomery County, MD 265 communities

Fairfax County, VA 81 communities

Charles County, MD 41 communities

Frederick County, MD 27 communities

Prince William County, VA 17 communities

Loudoun County, VA 13 communities

Spotsylvania County, VA 9 communities

Arlington County, VA 8 communities

Alexandria County, VA 7 communities

Fairfax County, VA 5 communities

Stafford County, VA 5 communities

Warren County, VA 5 communities

Fauquier County, VA 4 communities

Culpeper County, VA 3 communities

Clarke County, VA 2 communities

Falls Church County, VA 2 communities

Manassas County, VA 2 communities

Fredericksburg County, VA 1 communities

Manassas Park County, VA 1 communities

Rappahannock County, VA 1 communities

How much does senior living cost in Washington?

Assisted living in the Washington area typically runs $4,500–$6,500 per month, with memory care $1,000–$1,500 above that and independent living below it; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent. Rates vary widely by apartment size and care level, so ask for the community’s current rate sheet.

Care typeTypical Washington rangeWhat it covers
Independent living$3,000 – $4,500Private apartment or cottage, meals and services optional
Assisted living$4,500 – $6,500Daily personal care, meals, medication management
Memory care$5,500 – $8,000Secured neighborhood, dementia-trained staff
Skilled nursingPayer-based24/7 medical care; Medicare/Medicaid/private pay

Ranges reflect operator-published market rates for the region, September 2026. District of Columbia’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.

What are the highest-rated nursing homes in Washington?

36 of the 130 Medicare-certified nursing homes in the Washington metro hold the highest possible 5-star overall rating from CMS — including Hebrew Home Of Greater Washington in Rockville. Every facility below links to its full inspection history, staffing hours, and deficiency record.

Facility ↕Location ↕CMS rating ↕Beds ↕Operator ↕
Hebrew Home Of Greater WashingtonRockville, MD★★★★★ 5/5558Independent
Woodbine Rehabilitation & Healthcare CenterAlexandria, VA★★★★★ 5/5307Marquis Health Services
Wilson Health Care CenterGaithersburg, MD★★★★★ 5/5285Asbury Communities
Birmingham GreenManassas, VA★★★★★ 5/5180Independent
Montcare At PotomacPotomac, MD★★★★★ 5/5168Independent
Dulles Health & Rehab CenterHerndon, VA★★★★★ 5/5166Commonwealth Care Of Roanoke
Heritage Hall-LeesburgLeesburg, VA★★★★★ 5/5164Heritage Hall
Autumn Lake Healthcare At Cherry LaneLaurel, MD★★★★★ 5/5155Autumn Lake Healthcare
Future Care Capital RegionLandover, MD★★★★★ 5/5150Future Care/Lifebridge Health
Montgomery Village Care CenterGaithersburg, MD★★★★★ 5/5147Independent
Homewood Living FrederickFrederick, MD★★★★★ 5/5120Homewood Retirement Centers
Larkin Chase CenterBowie, MD★★★★★ 5/5120Genesis Healthcare
Montcare At BethesdaBethesda, MD★★★★★ 5/5110Independent
Regency Care Of Silver Spring, LlcSilver Spring, MD★★★★★ 5/592Regency Care
Friends Nursing HomeSandy Spring, MD★★★★★ 5/582Independent

Source: CMS Care Compare, federal five-star quality rating system, retrieved September 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.

Which Washington areas have senior living?

Senior living in the Washington metro is spread across District of Columbia County in District of Columbia, plus Montgomery, Prince George's, Frederick, and Charles counties in Maryland, plus Fairfax, Prince William, Loudoun, Arlington, Stafford, Alexandria, Spotsylvania, Fauquier, Culpeper, Manassas, Warren, Fredericksburg, Fairfax, Manassas Park, Clarke, Falls Church, and Rappahannock counties in Virginia, plus Jefferson County in West Virginia. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.

District of Columbia

  • Washington (39)

Virginia

  • Alexandria (20)
  • Fairfax (20)
  • Fredericksburg (18)
  • Mc Lean (16)
  • Arlington (12)
  • Falls Church (11)
  • Manassas (10)
  • Woodbridge (9)
  • Annandale (8)

Maryland

  • Silver Spring (121)
  • Bowie (99)
  • Rockville (44)
  • Upper Marlboro (37)
  • Frederick (28)
  • Waldorf (27)
  • Bethesda (22)
  • Gaithersburg (20)
  • Hyattsville (20)

West Virginia

  • Charles Town (2)
  • Shepherdstown (1)

How these reviews were collected — and how we’re paid

  1. We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
  2. Every review is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Reviews are published as given — including critical ones. The only scores or rankings we publish are the Top Communities list and the Excellence Awards.

How Lilisity makes money: some communities pay us a referral fee when a family we’ve helped moves in. That fee never changes a review, a rating, or who appears on this page — CMS ratings come from the federal government, and reviews come from residents. Read the full methodology → · How we are paid →

Assisted living and memory care by city

Washington senior living questions, answered

Most states, including District of Columbia, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.

Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.

Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 36 Washington-area facilities currently hold a 5-star overall rating.

Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Calling an advisor who knows current availability is the fastest path: (833) 612-4732.

Lilisity publishes scores and rankings only for the Top Communities list and the Excellence Awards, both built from phone-verified interviews. The 821 communities listed by county come from state licensing records; CMS ratings apply only to Medicare-certified nursing homes.

Talk to a Washington senior living advisor — free

One call covers current availability, honest pricing, and which communities fit your parent’s care needs and budget. No obligation, and we never sell your information.

(833) 612-4732Fastest — answered 7 days a week

We call back the same day. Free because participating communities pay a referral fee if you move in — how we’re paid.

Explore more: All District of Columbia senior livingDistrict of Columbia CountyHow reviews are verifiedSenior living costs by state
Free Washington Advisor (833) 612-4732