24-Hour Home Care in Great Falls, VA: Round-the-Clock Care

Local figures

24-Hour Home Care in Great Falls, VA: the local picture

2.8%

of residents 65+ have difficulty dressing or bathing (6.0% in Fairfax County)

204

residents 85 or older (1.3% of all residents)

22%

of residents 65+ report a disability (24% in Fairfax County)

$230,560

median yearly income of households headed by someone 65+

78 Great Falls residents 65 or older have difficulty dressing or bathing (2.8%; 6.0% in Fairfax County), and 328 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 204 residents are 85 or older (1.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Potomac Falls Health & Rehab Center in Sterling (4.7 mi) and Johnson Cntr/Falcons Landing in Potomac Falls (4.7 mi).

Great Falls compared with Fairfax County and Virginia

Census figure	Great Falls	Fairfax County	Virginia
Residents 65+ with difficulty dressing or bathing	2.8%	6.0%	6.7%
Residents 65+ with serious difficulty walking	12%	15%	19%
Residents 65+ with serious difficulty remembering	3.3%	5.9%	7.4%
Residents 85 or older	1.3%	1.6%	1.7%
Residents 65+ in households who live alone	14%	22%	27%
Residents 65+ below the poverty line (approx.)	3.8%	5.2%	8.8%
Median income, households headed by someone 65+	$230,560	$119,967	—

Older residents in towns around Great Falls

Town	Distance	Residents 65+	Self-care difficulty (65+)
Sugarland Run, VA	3.7 mi	1,431	4.4%
Lowes Island, VA	3.8 mi	1,323	1.7%
Dranesville, VA	3.8 mi	1,858	2.9%
Travilah, MD	4.3 mi	2,674	6.3%
Reston, VA	4.9 mi	10,441	6.5%
Cascades, VA	5.2 mi	1,803	5.6%

Home health agencies serving Great Falls

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Grace Home Healthcare LLC	Fairfax, VA	11 mi	5 of 5	nursing, physical therapy	(703) 865-7370
Five Star Home Health Care	Chantilly, VA	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 661-4555
Sunshine Home Healthcare, LLC	Alexandria, VA	16 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 266-0738
Pathwell Home Health & Hospice	Reston, VA	6.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 450-8680
National Home Health Care Inc	Herndon, VA	4.0 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 787-3060

Nursing homes near Great Falls (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Potomac Falls Health & Rehab Center	Sterling, VA	4.7 mi	3 of 5	150	(703) 834-5800
Johnson Cntr/Falcons Landing	Potomac Falls, VA	4.7 mi	5 of 5	60	(703) 404-5201
Montcare At Potomac	Potomac, MD	5.6 mi	5 of 5	168	(301) 299-2453
The Village At Rockville	Rockville, MD	7.2 mi	3 of 5	160	(301) 424-9560

Straight-line miles from the center of Great Falls. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Great Falls

24-hour care is 168 paid hours a week. At $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 55% of the $19,213 monthly median income of Great Falls households headed by someone 65+. Rates are agreed with each caregiver. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Great Falls: common questions

How much does 24-hour home care cost in Great Falls?

24-hour care is 168 paid hours a week. At $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 55% of the $19,213 monthly median income of Great Falls households headed by someone 65+. Rates are agreed with each caregiver. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Great Falls

More senior care near Great Falls

24-Hour Home Care in nearby cities

Other care in Great Falls

More for Great Falls families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Great Falls, VA