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What to Pay a Home Health Registered Nurse in Richmond, VA (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$78,000
base, annual
Competitive Range
$68K–$90K
25th–75th percentile
YoY Movement
+4.4%
trailing 12 months
Days to Fill
~24
Richmond metro average
To hire a Home Health Registered Nurse in Richmond at market, plan on a base salary range of $68,000 to $90,000, with $78,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 24 days, expect to lead at $90K–$103K plus a sign-on bonus, common in skilled nursing settings. Virginia requires a pay range in job postings.

How to set your Home Health RN pay range in Richmond

Three pay positions, modeled against current Richmond market data. Pick the one that matches your comp philosophy and the role's strategic value.

Lag Market
Pay Below Median
$59K–$68K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Richmond average.
Match Market — recommended
Pay at Median
$74K–$82.8K
Default for most Richmond employers. Competitive enough to fill in ~24 days. A range width of ~30% (min $68,000 to max $90,000) keeps compa-ratio movement smooth across a Home Health RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$85.2K–$103K
Use for hard-to-fill specialties (wound care, IV therapy, bilingual), 24/7 SNF roles, or when speed-to-hire trumps budget. Reduces fill time by 35–45% on average.

Home Health RN salary percentile distribution in Richmond, VA

Where the Richmond market actually sits for Home Health RN base pay.

10th $59K
25th $68K
Median $78K
75th $90K
90th $103K

Most Richmond employers building a range for this role anchor the midpoint to the market median ($78,000) and set range width at 30–35% — a min of $68,000 and a max of $90,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Virginia pay transparency compliance for Home Health RN job postings

What you must post when hiring a Home Health RN in Virginia.

Required. Since July 1, 2026, Virginia has required employers of any size to include the wage, salary, or a good-faith wage or salary range in each public and internal posting for a job, promotion, transfer, or other employment opportunity, under HB 636 / SB 215. Benefits are not required in the posting. The Attorney General can seek civil penalties of up to $1,000 for a first violation and up to $5,000 for each later one. Applicants and employees can also sue within one year, but for a posting error the employer first gets 15 business days after written notice to fix it.
Requirement Applies When Penalty for Non-Compliance
Pay range in job postings The law has no minimum size, so it applies to employers of any size that do business or operate in Virginia. The Attorney General can seek civil penalties of up to $1,000 for a first violation and up to $5,000 for each later violation. Before an applicant or employee can sue over a posting, the employer must get written notice and 15 business days to correct it.

For a Home Health RN role in Richmond, a compliant good-faith range looks like $68,000 to $90,000. Job ads must include the wage, salary, or wage or salary range for the position, and any range must be set in good faith. Benefits are not required.

Top Home Health RN employers in Richmond — who you're competing against

Top healthcare employers hiring Home Health RNs in the Richmond metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
HCA Virginia Health system $73K–$92K Very common ($10K–$18K)
VCU Health Academic medical center $73K–$92K Very common ($10K–$18K)
Bon Secours Richmond Health system $73K–$92K Very common ($10K–$18K)
Children's Hospital of Richmond Pediatric specialty $73K–$92K Very common ($10K–$18K)
Sentara Healthcare Health system $73K–$92K Very common ($10K–$18K)

Home Health RN talent supply and hiring difficulty in Richmond

How hard is it to fill a Home Health RN role in Richmond.

~24
Avg Days to Fill
~1,716
Active Postings
~10,920
Richmond Home Health RN Workforce
Tight
Supply : Demand

Richmond home health RN market is one of the fastest-growing in nursing — aging population and hospital-at-home programs drive sustained demand. Per-visit and salaried pay structures both common.

Skill premiums Home Health RN candidates command in Richmond, VA

Skill / Credential Pay Premium Demand Signal
OASIS certification +4–7% Standard for home health
Wound care certification (WCC, CWS) +6–9% Very high
IV therapy / infusion (VA-BC) +5–8% High
Bilingual Spanish +3–6% High

Home Health RN total compensation in Richmond — what candidates expect beyond base

Total rewards mix for Home Health RNs in Richmond. "Prevalence" reflects share of Richmond disclosed-range postings including each element.

Component Typical Value Prevalence in Richmond Postings
Base salary $78,000 (median) 100%
Per-visit differential (some employers) $3–$4/visit ~42%
Sign-on bonus $6K–$14K ~72%
Mileage reimbursement IRS standard rate + smartphone allowance ~92%
OASIS certification pay +4–7% on base ~52%
Estimated total comp benchmark ~$92K–$108K —

Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.

Home Health RN pay by setting in Richmond — SNF, hospital, clinic, home health

Where the Home Health RN range splits by employer type in the Richmond metro.

Setting Median Competitive Range Hiring Difficulty
Traditional home health agency $73,000 $66K–$84K High
Hospital-at-home program $84,000 $75K–$95K Very high
Hospice + palliative $80,000 $70K–$90K High
Pediatric home health $81,000 $72K–$92K Very high
Case management / visit RN $83,000 $73K–$94K High

FAQ: hiring a Home Health Registered Nurse in Richmond, VA

Market median is $78,000 for base pay. To match market, set a range with the midpoint at $78,000 — typically $68,000 to $90,000. To lead the market, plan on $90K–$103K base plus a sign-on bonus.
Since July 1, 2026, Virginia has required employers of any size to include the wage, salary, or a good-faith wage or salary range in each public and internal posting for a job, promotion, transfer, or other employment opportunity, under HB 636 / SB 215. Benefits are not required in the posting. The Attorney General can seek civil penalties of up to $1,000 for a first violation and up to $5,000 for each later one. Applicants and employees can also sue within one year, but for a posting error the employer first gets 15 business days after written notice to fix it. For this role in Richmond, a good-faith range is $68,000–$90,000.
$70,000 falls below the Richmond market median of $78,000 — roughly at the 25th–50th percentile locally. Acceptable in SNF or physician office settings where the candidate pool is deeper; below-market for hospital or specialty roles.
Roughly 72% of Richmond home health RN postings include a sign-on bonus ($6K–$14K). Hospital-at-home programs and pediatric home health offer the highest premiums.
Average fill time is approximately 24 days in the Richmond metro. Roles paid above the 75th percentile ($90K+) fill in roughly 18–22 days. Roles below the 25th percentile ($68K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Richmond-metro posting volume: HCA Virginia, VCU Health, Bon Secours Richmond, Children's Hospital of Richmond, Sentara Healthcare lead the pack.
A 30–35% range width (min to max) is standard for Home Health RN in Richmond — for example, $68,000 to $90,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
Every public and internal posting for a job, promotion, transfer, or other opportunity is covered.

Related Home Health RN pay benchmarks — Virginia metros and nearby nursing roles

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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.