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

Senior living in Washington, District of Columbia spans 831 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: 831 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 testimonials have phone-verified resident and family interviews on file.

Also listed from public records: 18 independent living, life plan or 55+ communities and 137 income-restricted senior apartment buildings. Independent living is not licensed by the state, so they are listed apart on each county page.

District of Columbia County, DC 22 communities

The District County, DC 1 communities

Prince George's County, MD 300 communities

Montgomery County, MD 270 communities

Fairfax County, VA 82 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

Alexandria City County, VA 3 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, November 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 Frederick (Skilled Nursing and Continuing Care)Frederick, MD★★★★★ 5/5120Homewood Retirement Centers
Larkin Chase CenterBowie, MD★★★★★ 5/5120Genesis Healthcare
Montcare at BethesdaBethesda, MD★★★★★ 5/5110Independent
Regency Care of Silver SpringSilver Spring, MD★★★★★ 5/592Regency Care
Friends Nursing HomeSandy Spring, MD★★★★★ 5/582Independent

Source: CMS Care Compare, federal five-star quality rating system, retrieved November 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 (40)

Virginia

  • Alexandria (23)
  • Fairfax (20)
  • Fredericksburg (18)
  • Mc Lean (16)
  • Falls Church (12)
  • Arlington (12)
  • Manassas (10)
  • Woodbridge (9)
  • Annandale (8)

Maryland

  • Silver Spring (122)
  • Bowie (99)
  • Rockville (45)
  • Upper Marlboro (37)
  • Frederick (28)
  • Waldorf (27)
  • Bethesda (23)
  • Gaithersburg (20)
  • Hyattsville (20)

West Virginia

  • Charles Town (2)
  • Shepherdstown (1)

How these testimonials 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 testimonial is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Testimonials 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 is paid: Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. CMS ratings come from the federal government, and testimonials 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. Ask each community about openings when you call.

Lilisity publishes scores and rankings only for the Top Communities list and the Excellence Awards, both built from phone-verified interviews. The 831 communities listed by county come from state licensing records; CMS ratings apply only to Medicare-certified nursing homes.

Free help with senior living in Washington

Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help. We don’t share your information with any community.

Cover of the Lilisity guide Paying for Senior Living

Free guide · 16 pages

Paying for Senior Living

Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.

Cover of the Lilisity guide Paying for Senior Living

Free guide · 16 pages

Paying for Senior Living

Add your name and email, and the download link appears right here.

Free for families. No community pays Lilisity per inquiry, per referral or per move-in. How we are paid.