One on One Care

Common Questions

Frequently Asked Questions

Here are the questions families ask us most about in-home care — how it starts, what it costs, and how our caregivers work. If you don't find your answer, call our Fredericksburg or Warrenton office and a real person will help.

Last updated: August 2026

Getting started

How do I know if my loved one needs in-home care?

Common signs include difficulty managing daily tasks like cooking, bathing, or keeping up with the house, increased falls or safety concerns, loneliness or social withdrawal, or a recent hospital stay. If you're asking the question, it's probably worth a conversation — we're happy to talk through your situation at no cost and no commitment.

How does care get started?

It starts with a phone call or our contact form. We talk through what's going on, answer your questions, and set up a free in-home consultation. From there we build a care plan around your loved one's routine and match a caregiver whose personality and experience fit. You decide the pace — there's never any pressure.

How quickly can care begin?

That depends on your schedule, the level of care needed, and caregiver availability in your area. Call the office closest to you — Fredericksburg at (540) 288-1300 or Warrenton at (571) 328-5603 — and we'll tell you honestly what's realistic for your situation.

Is there a minimum number of hours?

Yes. We generally ask for a minimum of 4 hours per visit and 3 visits per week. These guidelines help us provide dependable staffing and keep the same caregivers with the same clients. If your circumstances are different, call us — we're always willing to talk it through.

Our services

What is personal care?

Personal care is hands-on, non-medical help with the activities of daily living: bathing, dressing, grooming, toileting, and moving safely around the home. It's for adults and seniors who want to stay in their own homes but need a steady, respectful hand with daily routines. Caregivers can also help with meals and light housekeeping during visits.

What is companion care?

Companion care is support and company rather than hands-on care: conversation, meals, errands, light housekeeping, and a consistent friendly presence. It's a good fit for seniors who are mostly independent but spend too much time alone, and it gives out-of-town family peace of mind that someone dependable is checking in.

Do you offer specialized care for Alzheimer's or dementia?

Yes. Caring for someone with Alzheimer's or dementia takes patience, understanding, and consistency. Our caregivers are experienced in supporting people with memory-related conditions. We focus on familiar routines, encouraging independence where possible, and compassionate support that helps clients feel safe and comfortable at home.

What is respite care?

Respite care gives family caregivers a real break. If you're the one providing daily care for a parent or spouse, our caregivers can step in for a few hours a week, a full day, or longer stretches, so you can rest, work, travel, or simply catch your breath — knowing your loved one is in good hands.

Do you provide medical or nursing care?

No. One on One Care provides non-medical personal care — help with daily living, not clinical treatment. We don't administer medication, give injections, or provide skilled nursing. If your loved one needs medical care at home, we're glad to work alongside a home health or hospice provider.

Paying for care

Do you accept the Medicaid CCC Plus waiver?

Yes. One on One Care serves Medicaid CCC Plus waiver clients throughout our Virginia service area, and we've helped many families work through the process. If you're not sure whether your loved one qualifies, or you're partway through an application, call us — we'll explain how it works in plain terms.

How much does in-home care cost?

The cost depends on the level of support needed and the number of hours each week. As a family-owned agency without franchise fees, our private-pay pricing is competitive for the region. Call us for a personalized quote — we'll walk you through the options, including whether Medicaid or long-term care insurance may help.

Does long-term care insurance cover your services?

In most cases, yes — long-term care insurance policies commonly cover non-medical personal care like ours. We work with LTC insurance clients regularly and can help you understand what your policy requires, such as care notes and invoices for reimbursement. Bring us your policy details and we'll help you sort it out.

Do you accept private pay?

Yes. Many of our clients pay privately, and because we're family-owned rather than a franchise, our rates stay competitive. There are no long-term contracts — you pay for the care you schedule. We're happy to give you a straightforward quote over the phone once we understand what your family needs.

Our caregivers

How are your caregivers screened and selected?

Great care starts with great people. Every caregiver is screened through interviews, background and reference checks, and experience verification. We look for people who are not only qualified but kind, dependable, and compassionate — caregivers we'd feel comfortable welcoming into our own homes.

Will we have the same caregiver at every visit?

Consistency is one of the main reasons families choose us, and we work hard to keep the same caregiver (or small, familiar team) with each client. Schedules and life events sometimes require a substitute, but we'll always tell you ahead of time whenever we can, and we never send a stranger without introduction.

What if we're not happy with our caregiver?

Tell us — really. We match caregivers based on needs and personality, but if something doesn't feel right, we'll work quickly to find a better fit. You'll reach a real person in our office who knows your family, not a call center. Your comfort and trust come first.

Service areas & offices

What areas do you serve?

We serve families throughout Central and Northern Virginia — Fredericksburg, Stafford, Spotsylvania, Prince William, Fauquier, Culpeper, and surrounding communities. Our Fredericksburg office covers the Fredericksburg region, and our Warrenton office covers Fauquier, Culpeper, and western Prince William. Not sure if we reach you? Just call.

Where are your offices located?

We have two Virginia offices. Our Fredericksburg office is at 904 Princess Anne St., Suite 308, Fredericksburg, VA 22401 — (540) 288-1300. Our Warrenton office is at 32 Waterloo St., Suite 208, Warrenton, VA 20186 — (571) 328-5603. Families are welcome to call either office; we'll connect you with the right team.

Which office should I call?

If you're in Fredericksburg, Stafford, Spotsylvania, or nearby, call our Fredericksburg office at (540) 288-1300. If you're in Warrenton, Fauquier County, Culpeper, or western Prince William, call our Warrenton office at (571) 328-5603. Either way you'll reach people who know the area — and if you call the 'wrong' one, we'll simply hand you to the right team.

Still have a question? Just call.

You'll reach a real person in a local office — no phone tree, no pressure.

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