In-Home Dementia and Alzheimer's Care in Great Falls, VA
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Great Falls for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Great Falls, VA: the local picture
Great Falls has about 204 residents aged 85 or older among 2,763 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.
22% of residents 65 and older report a disability (24% in Fairfax County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
14% of older Great Falls residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.
Great Falls compared with Fairfax County and Virginia
| Census figure | Great Falls | Fairfax County | Virginia |
|---|---|---|---|
| Residents 85 or older | 1.3% | 1.6% | 1.7% |
| Residents 65 or older | 18% | 15% | 17% |
| Residents 65+ with a disability | 22% | 24% | 31% |
| Residents 65+ in households who live alone | 14% | 22% | 27% |
| Residents 65+ below the poverty line (approx.) | 3.8% | 5.2% | 8.8% |
| Residents 5+ who speak a language other than English at home | 29% | 39% | 17% |
| Median income, households headed by someone 65+ | $230,560 | $119,967 | — |
Older residents in towns around Great Falls
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Sugarland Run, VA | 3.7 mi | 1,431 | 33 |
| Lowes Island, VA | 3.8 mi | 1,323 | 116 |
| Dranesville, VA | 3.8 mi | 1,858 | 140 |
| Travilah, MD | 4.3 mi | 2,674 | 380 |
| Reston, VA | 4.9 mi | 10,441 | 1,090 |
| Cascades, VA | 5.2 mi | 1,803 | 259 |
Nursing homes near Great Falls
| 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 |
| Ashby Ponds Inc | Ashburn, VA | 8.2 mi | 4 of 5 | 44 | (571) 291-6200 |
| Collingswood Rehabilitation And Healthcare Center | Rockville, MD | 8.4 mi | 2 of 5 | 160 | (301) 762-8900 |
Hospices serving Great Falls
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Caregivers Hospice | Vienna, VA | 6.2 mi | (571) 766-0922 |
| The Medical Team | Reston, VA | 6.2 mi | (703) 390-2300 |
| Promedica Hospice (Fairfax) | Farifax, VA | 10 mi | (703) 273-8693 |
| Phs Hospice Care | Fairfax, VA | 11 mi | (703) 352-1939 |
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 a dementia caregiver can help with
- Keeping a predictable daily routine
- Gentle help with bathing, dressing and toileting
- Meals, hydration and medication reminders
- Calming approaches for sundowning, agitation and repeated questions
What dementia care costs in Great Falls
At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 7% of the $19,213 monthly median income of Great Falls households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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.
What to know before hiring a dementia caregiver
An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.
Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Dementia Care in Great Falls: common questions
What nursing homes are near Great Falls?
The closest Medicare-certified nursing homes are Potomac Falls Health & Rehab Center in Sterling (4.7 mi, 3 of 5 overall); Johnson Cntr/Falcons Landing in Potomac Falls (4.7 mi, 5 of 5 overall); Montcare At Potomac in Potomac (5.6 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Great Falls?
At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 7% of the $19,213 monthly median income of Great Falls households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).
When does someone with dementia need care at home?
Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.
More senior care near Great Falls
Dementia Care in nearby cities
- Dementia Care in Sugarland Run, VA
- Dementia Care in Lowes Island, VA
- Dementia Care in Dranesville, VA
- Dementia Care in Travilah, MD
- Dementia Care in Reston, VA
- Dementia Care in Cascades, VA
- Dementia Care in Wolf Trap, VA
- Dementia Care in Darnestown, MD
- Dementia Care in Herndon, VA
- Dementia Care in Sterling, VA
- Dementia Care in Potomac, MD
- Dementia Care in Dulles Town Center, VA
- Dementia Care in Countryside, VA
- Dementia Care in Hutchison, VA
- Dementia Care in North Potomac, MD
- Dementia Care in McNair, VA
Other care in Great Falls
- Companion Care in Great Falls
- Respite Care in Great Falls
- Live-In Caregivers in Great Falls
- Post-Surgery Care in Great Falls
- Senior Transportation in Great Falls
- Home Health Aides in Great Falls
- Nursing Assistants in Great Falls
- Personal Care in Great Falls
- Overnight Caregivers in Great Falls
- 24-Hour Home Care in Great Falls
- Mobility Assistance in Great Falls
- Parkinson’s Care in Great Falls
- Stroke Recovery Support in Great Falls
- Disability Care for Adults in Great Falls
- Hospice Support in Great Falls
- Senior Meal Preparation in Great Falls
- Senior Housekeeping in Great Falls
- Medication Reminders in Great Falls
- Veterans’ Home Care in Great Falls
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.
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