100/100
Goodwin House Alexandria
Alexandria, VA · Alexandria City County
How care is paid for in Virginia: what Medicare covers, when Medicaid takes over, and which homes accept it.
Nursing homes
289
Accept Medicaid
276
Certified beds
32,648
Avg CMS stars
3.0/5
Medicare rules are federal, so they work the same in Virginia as everywhere else: a skilled nursing stay after a qualifying inpatient hospital stay, for a limited number of days, only while skilled care is needed. It does not pay for long-term custodial care anywhere in the United States.
276 of the 289 nursing homes in Virginia — 96% — are certified to accept Medicaid. That certification matters long before anyone needs it: if a resident spends down their savings in a home that does not take Medicaid, they may have to move at the worst possible moment.
Income limits, asset limits and spousal protections are set by Virginia within federal rules, and they change. Confirm the current figures with the state Medicaid agency or an elder law attorney licensed in Virginia before making any financial decision.
We do not publish an estimated daily rate for Virginia. The federal files behind this site do not contain private-pay pricing, and a guessed figure would be worse than none. Call three homes from the list below and ask for the semi-private daily rate, what it includes, and what is billed on top.
Homes that accept Medicaid, ranked by ElderGrade score.
100/100
Alexandria, VA · Alexandria City County
99/100
99/100
Irvington, VA · Lancaster County
97.5/100
Midlothian, VA · Chesterfield County
97/100
Lake Ridge, VA · Prince William County
96/100
96/100
Falls Church, VA · Fairfax County
96/100
Virginia Beach, VA · Virginia Beach City County
96/100
Lynchburg, VA · Lynchburg City County
95.5/100
Richmond, VA · Richmond City County