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Page 2 of Best Assisted Living in Gaithersburg, MD

Why trust this guide? Our editorial team analyzed 14 assisted living communities in Gaithersburg, MD using MD Dept. of Health (OHCQ) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MD
Reviewed by
Last updated
Jul 2026
We analyzed
14 homes
Other senior care options in Gaithersburg:
Avg Walk Score: 37/ 100The average Walk Score across facilities in Gaithersburg, MD. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 25The average licensed bed capacity across facilities in Gaithersburg, MD. Individual facilities can vary widely from this average.
National Average: 90
Overview of Brookeville House

Brookeville Boutique House is a close-knit assisted living community with memory care support that has had a tremendous impact on the lives of its residents. It is proud to be a home that has continued to deliver excellent services nurtured by compassion and kindness; many of its residents have praised the personal touch approach akin to a family-like treatment. With three communities branching out in Brookeville, seniors will discover a home built with flexibility, comfortability, and affordability in mind.

The lifestyle at any Brookeville House is simple: residents receive assistance with their day-to-day activities while continuing to live independently and purposefully. The boutique-style home’s featured accommodations include semi-private rooms, private rooms with private baths, specialized memory care training, respite stays, and long-term care.

Contact Brookeville House

Overview of Darling Haven Assisted Living

Darling Haven Assisted Living is a two-story building at 6 Alliston Hollow Ct in Gaithersburg, Maryland. It offers both independent living and assisted living. Rooms come in private and semi-private options, and an elevator means residents don’t have to take stairs to get between floors. The area has a Walk Score of 9, which puts it firmly in car-dependent territory. Most trips out, whether it’s a doctor’s visit or just a coffee run, will mean hopping in a car.

Life at Darling Haven follows a steady rhythm. Meals are served restaurant-style, and there’s a rotating lineup of activities to join: yoga one day, gardening or crafts another, group exercise on others. The pace favors routine and regular contact with other residents over unplanned free time.

Residents don’t need to leave the building for basic medical needs. Staff manage medication for those who need it, and geriatric specialists visit on a regular schedule, right on-site. That means residents can skip the hassle of arranging rides to outside appointments for this kind of care. On top of that, a monitoring system watches over building security day and night.

Put together, Darling Haven reads as a smaller community built around routine. Geriatric care comes to residents instead of the other way around, the activity calendar stays full, and getting around the neighborhood usually calls for a car.

Contact Darling Haven Assisted Living

Overview of AlfredHouse I

AlfredHouse I operates an assisted living and memory care home in Gaithersburg, Maryland. The single-story property limits its capacity to 16 residents, which allows the care team to maintain a 1-to-4 caregiver ratio. Clinical oversight includes 24-hour medical staffing with licensed nurses, certified nursing assistants, and a doctor on staff, alongside specialized behavioral and cognitive care pathways.

The immediate neighborhood carries a walkability score of 12 out of 100, showing that the rural location is car-dependent and requires a vehicle for travel outside the property grounds. Daily life inside the home includes meals reviewed by a dietitian, regular recreational events, and Spanish language accommodation.

Older adults or family representatives reviewing small-scale residential care options can arrange a weekday visit between 9:00 a.m. and 5:00 p.m., or contact the administrative director at AlfredHouse I directly to discuss current room openings.

Contact AlfredHouse I

Overview of Victoria Home

Memory care and assisted living in Gaithersburg, Maryland. That is the confirmed scope of Victoria Home. Walk Score is 46: the neighborhood has some walkable amenities, but a car is the practical expectation for most errands and outings. The facility does not accept pets.

The funding model is private pay. Victoria Home is not currently listed as a CMS-certified provider of Medicare or Medicaid, which is standard for Maryland-licensed assisted living and memory care communities operating under the state’s Department of Health rather than the federal certification framework. Families evaluating this address should plan around private funding from the start.

Memory care and assisted living in Gaithersburg, no pets, private pay, somewhat walkable suburban Montgomery County. For families whose priorities start with location, this is a Gaithersburg address with both memory care and assisted living capacity under one license.

Contact Victoria Home

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in Gaithersburg, MD

What is the average cost of assisted living in Gaithersburg, MD?

The average monthly cost of assisted living in Gaithersburg, MD is approximately $5,800. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Gaithersburg, MD?

Assisted living in Gaithersburg, MD typically ranges from $5,300–$7,900 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Gaithersburg, MD?

Assisted living facilities in Gaithersburg, MD typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

What's the difference between assisted living and memory care in Maryland?

Assisted living in Maryland supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Maryland?

Assisted living in Maryland is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Maryland Medicaid cover assisted living?

Maryland Medicaid does not directly pay room-and-board for assisted living, but most states (including Maryland) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.