What We Offer
Care tailored to every person
Specialized Care
Expert support for seniors with unique or complex needs
Trained, consistent support for individuals living with Alzheimer's, dementia, Parkinson's, or other complex conditions. When someone's needs go beyond basic assistance, the right caregiver makes all the difference — our specialized care clients are matched with caregivers who have experience with their specific condition and are supervised by our RN throughout.
What's included
- ✓Alzheimer's and dementia care
- ✓Parkinson's and neurological condition support
- ✓Stroke recovery assistance
- ✓Chronic illness management support
- ✓Mobility, transfers, and fall prevention
- ✓Medication reminders and routine oversight
- ✓Behavior redirection and safety monitoring
- ✓Cognitive stimulation and structured daily routines
- ✓Meal prep, hydration, and nutritional support
- ✓Personal care tailored to physical limitations

Why it matters
Caring for a loved one with specialized needs comes with unique challenges — and families shouldn't have to navigate them alone. A caregiver who understands these challenges provides not only practical support, but comfort, consistency, and peace of mind for the entire family.
Carefully Screened
Licensed & background-checked caregivers
Custom Care Plans
Tailored to each person's unique needs
Family Owned
Not a national franchise – local since 1998
Ready To Get Started
Not sure which service is right for your family?
That's exactly what our care consultants are here for. A quick conversation is all it takes — no commitment, no pressure. We'll help you figure out the right level of care for your loved one.
No pressure. No commitment. Usually a response within one business day.
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