Spotsylvania County · Service Area
Home care in Spotsylvania, VA
In-home senior care across Spotsylvania County
From Massaponax and the Courthouse area out to Lake Anna, Spotsylvania County families turn to One on One Care — a family-owned agency since 1998. We serve the whole county — established neighborhoods off Route 1 and Route 3, rural properties where a caregiver's reliability really matters, and everywhere between.
Spotsylvania is one of our largest service areas. For some families, the first call comes when a parent returns from a hospital stay and needs steady support settling back in at home; for others, it's the daily drive to check on Mom starting to wear thin. We match each client with a caregiver who fits their personality and routine.
We regularly serve Massaponax, Chancellor, Salem Fields, Courtland, Lake Wilderness, and the Lake Anna area.
Care in Spotsylvania is coordinated from our Fredericksburg Office.
904 Princess Anne St., Suite 308, Fredericksburg, VA 22401
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Care we provide in Spotsylvania
Companion Care
Friendly visits, meals, errands, and daily connection
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Personal Care
Bathing, dressing, mobility, and hygiene support
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Specialized Care
Alzheimer's, dementia, Parkinson's & support after a stroke
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Medicaid Services
Medicaid CCC Plus and DD waiver care from an experienced provider
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Family-owned, non-franchise since 1998
Nearby communities we serve
Client Stories
Trusted by families, loved by seniors
Real reviews from families we serve across Virginia
“I have been with One On One Care for about 6 years now. The people in the office really care about their clients' needs and they really go above and beyond to provide exceptional care. When they send out a caregiver, they want to send a perfect fit for you.”
Fannie Morris
Client for 6 years
“Kate and Stacie from One on One have been professional, compassionate and extremely flexible in the few months that we required in-home care for my father. I could not have asked for a better service while we navigated the chaos of a parent with dementia.”
Alison Bauer
Dementia care
“I have had a great experience with One on One Care for over 12 years. Christa, Kate and Stacie were always quick to respond to my calls. Christa always answered any question I had.”
Bonnie Mottola
Client for 12 years
Spotsylvania Questions
Questions families ask us
The questions Spotsylvania families ask us most. If you don't find what you need, call our Fredericksburg Office — a real person answers.
Call (540) 288-1300Yes. Care in Spotsylvania is coordinated from our Fredericksburg Office at 904 Princess Anne St., Suite 308, Fredericksburg, VA 22401. Call (540) 288-1300 and you'll reach people who know the area — not a call center.
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.
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.
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.