City of Winchester / Frederick County · Service Area
Home care in Winchester, VA
In-home senior care in Winchester and the Northern Shenandoah Valley
Winchester's historic streets and surrounding Frederick County countryside are home to one of Virginia's fastest-growing senior communities — and One on One Care is proud to bring more than 25 years of family-owned home care experience to the Northern Shenandoah Valley.
Our Winchester caregivers support seniors from Old Town and the medical center corridor out to Stephens City and the rural routes of Frederick County. Families often reach out after a stay at Winchester Medical Center, when recovering at home requires steady hands and a watchful eye, or when the distance between visits starts to feel too long. From a few companion visits a week to daily personal care and specialized dementia support, every care plan is tailored to the person — with an RN supervising and a caregiver matched for personality and consistency.
Serving Winchester, Stephens City, Kernstown, and communities throughout Frederick County.
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Care we provide in Winchester
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 & stroke recovery
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Medicaid Services
CCC+ and DD waiver care from an experienced provider
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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
“After my hip surgery I needed help getting back on my feet, and One on One Care was there every step of the way. My caregiver was patient, kind, and treated me like family. I am so grateful for the support during my recovery.”
Margaret Sullivan
Recovery care
“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
“We live three hours away from Mom, and One on One Care has given our whole family peace of mind. They keep us updated, they show up on time, and Mom genuinely looks forward to her caregiver's visits. Worth every penny.”
James Whitfield
Long-distance family
“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. Maureen, our visiting nurse, was always on time and always smiling.”
Bonnie Mottola
Client for 12 years
“When my husband was diagnosed with Alzheimer's, I did not know where to turn. The team was compassionate and knowledgeable, and matched us with a caregiver who truly understood his needs. They have been a blessing to our family.”
Carol Pemberton
Alzheimer's care
“The office staff walked us through the Medicaid waiver process and made everything so much easier than I expected. Our aide is dependable, respectful, and wonderful with my mother. I recommend them to anyone needing in-home care.”
Robert Ellison
Medicaid services
“I can't say enough good things about One on One Care. They took the time to learn my mother's routine and preferences, and having the same caregiver consistently has made all the difference.”
Diane Foster
Companion care
Common Questions
Questions? We have answers
Choosing in-home care for a loved one is a big decision. Here are the questions families ask us most — and if you don't find what you need, we're always happy to talk.
Call (540) 288-1300Common signs include difficulty managing daily tasks like cooking, bathing, or medication, 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 — our care consultants can help you assess the situation at no cost or commitment.
One on One Care proudly serves families throughout Fredericksburg, Stafford, Spotsylvania, Prince William, Fauquier, Culpeper, and surrounding Virginia communities. We are also expanding into additional areas throughout Central and Northern Virginia. If you're unsure whether we serve your location, simply give us a call — we're happy to discuss your needs and see how we can help.
At One on One Care, we know that great care starts with great people. Every caregiver is carefully screened through interviews, background and reference checks, and experience verification. We look for caregivers who are not only qualified, but also kind, dependable, and compassionate. Our goal is to match families with caregivers we would feel comfortable welcoming into our own homes.
The cost of care depends on the level of support needed and the number of hours requested. We offer transparent pricing and can help determine whether Medicaid, long-term care insurance, or other programs may help cover costs. Contact us for a personalized quote — we're happy to walk you through your options.
We want you to love your caregiver match. If something doesn't feel quite right, please tell us. We carefully match caregivers based on needs and personality, but if a change is needed, we'll work quickly to find a better fit. Your comfort, trust, and peace of mind are our priority.
Absolutely. We know care needs can arise suddenly, and we do our best to start services as quickly as possible. In many cases, we can move quickly through the assessment and caregiver matching process so families can get support without unnecessary delays.
Yes. Caring for someone with Alzheimer's or dementia requires patience, understanding, and consistency. Our caregivers are experienced in supporting individuals with memory-related conditions. We focus on creating familiar routines, encouraging independence when possible, and providing compassionate support that helps clients feel safe and comfortable at home.
Yes. We generally require a minimum of 4 hours per visit and 3 visits per week. These guidelines help us provide dependable staffing and maintain consistency for both clients and caregivers. If you have unique circumstances, we're always happy to talk through your needs.