This is the real 2026 picture for cost of a board and care home in McLean, Fairfax County, VA - real local numbers and how families here actually pay, not a national average.
The local picture in McLean
McLean is Northern Virginia's premium senior-living market, with newer, amenity-heavy communities near Tysons and a deep bench of high-end memory care.
McLean sits in Fairfax County, VA, part of Virginia. Nearby hospitals include Inova Fairfax Hospital, Virginia Hospital Center, which matters for discharge planning and staying close to a parent's physicians. Families here commonly focus on areas such as Tysons, Langley, Chesterbrook, Ballantrae. McLean prices at the top of the Northern Virginia range, on par with the District's Northwest quadrant.
Cost of a Board and Care Home: what actually drives the number
Small board-and-care homes usually price below large campuses for a comparable level of hands-on help, trading amenities for a higher caregiver-to-resident ratio.
What board & care homes actually includes
Board-and-care homes are small residential care settings - often a converted house with a handful of residents - offering a quieter, family-style alternative to a large campus.
In Virginia, this level of care is regulated under an Assisted Living Facility (ALF) license issued by VDSS under 22VAC40-73, overseen by the Virginia Department of Social Services (VDSS), Division of Licensing Programs. A typical monthly range is $4,500 to $7,000 a month.
Walk past the lobby and check these instead:
- the owner or operator's tenure and how hands-on they actually are
- the caregiver-to-resident ratio, which is the small home's real selling point
- what happens if a resident's care needs exceed what the home is licensed to provide
Sources McLean families combine
Most families layer several sources rather than leaning on one. Savings and Social Security usually lead the way, with a long-term-care policy - if there is one - behind them. Wartime veterans and surviving spouses should check VA Aid & Attendance. And Virginia Medicaid, administered by the Department of Medical Assistance Services (DMAS) and delivered through the Cardinal Care managed-care program (the former CCC Plus name lives on as a benefit within it) can fund care services - though not room and board - for seniors who meet the functional and financial tests, through Cardinal Care/CCC Plus home- and community-based waiver services, plus the Auxiliary Grant, which helps cover room and board in an assisted living facility or adult foster care home and is jointly administered with the Department for Aging and Rehabilitative Services (DARS). McLean prices at the top of the Northern Virginia range, on par with the District's Northwest quadrant.
A free advisor can sort out which of these your family actually qualifies for, and which McLean-area communities accept them.
Where to go from here
A free DC Senior Advisor advisor can shortlist options that fit your timeline and budget and line up tours across DC, Maryland, or Virginia. Reach us online - there's never a fee for families.
