Seniors in Virginia pay $5,000 per month for assisted living services, which is economical compared to most other senior care options. For example, seniors who need around-the-clock medical care and extensive personal care services pay double the assisted living rate in nursing home facilities, with rates averaging $11,602 for semi-private accommodations. For seniors who need basic personal care services in their homes, agencies charge $5,815 for in-home care, and those who need limited skilled nursing services pay $7,436 for home health care. Even so, adult day health care is more budget-friendly at $1,276. This option doesn’t include housing, but it offers daytime skilled nursing and personal care services, meals and recreational activities in a community environment.