North Carolina vs Virginia: Senior Care Cost Comparison (2026)
Side-by-side comparison of nursing home, assisted living, and home care costs.
Which State is More Affordable for Senior Care?
North Carolina has lower nursing home costs by $609/month ($7,308/year). Over 5 years, that's a difference of $36,540.
Detailed Cost Comparison
| Care Type | North Carolina | Virginia | Difference |
|---|---|---|---|
| Nursing Home (Private) | $8,304/mo | $8,913/mo | $609 |
| Nursing Home (Semi-Private) | $7,452/mo | $8,000/mo | $548 |
| Assisted Living | $4,250/mo | $4,750/mo | $500 |
| Home Health Aide | $23.00/hr | $24.00/hr | $1.00 |
| Adult Day Care | $1,517/mo | $1,733/mo | $216 |
| Homemaker Services | $21.00/hr | $22.50/hr | $1.50 |
Annual Cost Comparison
North Carolina Annual Costs
Nursing Home (Private)$99,648/yr
Assisted Living$51,000/yr
Home Health Aide (8hr/day)$48,576/yr
Adult Day Care$18,204/yr
Virginia Annual Costs
Nursing Home (Private)$106,956/yr
Assisted Living$57,000/yr
Home Health Aide (8hr/day)$50,688/yr
Adult Day Care$20,796/yr
Senior Care Planning Resources
Long-Term Care Insurance Quotes
Protect your savings with affordable LTC insurance coverage.
Medicaid Planning Services
Navigate Medicaid eligibility and asset protection strategies.
Medicare Part A Coverage
Understand what Medicare covers for skilled nursing facility care.
Elder Law Attorneys
Get legal help with estate planning and Medicaid spend-down rules.
Frequently Asked Questions
Which state has cheaper nursing homes: North Carolina or Virginia?
North Carolina has lower nursing home costs. North Carolina averages $8,304/month while Virginia averages $8,913/month, a difference of $609/month.
How do assisted living costs compare between North Carolina and Virginia?
Assisted living in North Carolina costs $4,250/month compared to $4,750/month in Virginia.
What about home health aide costs?
Home health aides charge $23.00/hour in North Carolina and $24.00/hour in Virginia.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. North Carolina: North Carolina Medicaid covers nursing facility care. Community Alternatives Program waivers available.... Virginia: Virginia Medicaid covers nursing home care. Commonwealth Coordinated Care Plus for community services....
Was this data helpful?
Data verified March 2026 · Source: Genworth Cost of Care Survey