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Best Assisted Living in Portsmouth, VA

Reviewed by Dr. Jordan Weiss
Updated Dec 2025
We analyzed 5 homes in Portsmouth, VA

Sources: CMS Centers for Medicare and Medicaid Services, and Virginia Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Portsmouth, Virginia.

Watch this Video to see Portsmouth's Top-rated Senior Communities
Avg. Monthly cost: $5,000
National average: $5,600
Monthly cost range: $4,500–$7,100
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Portsmouth

The information below is reported by the Virginia Department of Social Services and Department of Health.

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Commonwealth Senior Living at Churchland House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Portsmouth (West Norfolk Road)
80
Facility 80
VA AVG 132
Rank #218 / 371
No
15
Facility 15
VA AVG 42
Rank #385 / 449
Private Rooms / Companion SuitesMr. Luke Peterson 87.5% 1492.9%382.7
Karolwood Gardens Portsmouth
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Portsmouth (Bon Secours Way)
75
Facility 75
VA AVG 132
Rank #234 / 371
Yes
69
Facility 69
VA AVG 42
Rank #73 / 449
Suite / 1 BedRachel Ford 56.0% 2479.2%1004.2
Mayfair House Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Portsmouth (Park View)
55
Facility 55
VA AVG 132
Rank #300 / 371
No
84
Facility 84
VA AVG 42
Rank #36 / 449
Private Rooms / Semi-Private RoomsTina Botdorf 47.3% 1291.7%524.3
Emily Green Shores Assisted
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Portsmouth (Midtown)
39
Facility 39
VA AVG 132
Rank #330 / 371
No
13
Facility 13
VA AVG 42
Rank #392 / 449
-Ms. Veronica Drewery 53.8% 1478.6%251.8
Autumn Care of Portsmouth
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Portsmouth (Midtown)
105
Facility 105
VA AVG 132
Rank #131 / 371
Yes
72
Facility 72
VA AVG 42
Rank #61 / 449
Private Rooms / Semi-Private Rooms- 90.5% ----
Overview of Commonwealth Senior Living at Churchland House

Community Senior Living at Churchland House is a vibrant community in Portsmouth that provides seniors with a fulfilling and engaging lifestyle, promotes good health and well-being, and offers a sense of safety and belonging. The resident-centered community aims to provide quality service for its assisted living and memory care seniors, leading to a purposeful life experience during their golden years.

Commonwealth Senior Living prides itself on its signature programs that enhance the quality of life for residents. These programs include Sweet Memories for residents with memory impairment, Farm to Table for locally sourced and healthy meals, Brain Health University for cognitive stimulation, Live Well for physical and emotional wellness, Artisans in Residence for local artist engagement, and Legacy Stories for preserving life stories. These programs showcase Commonwealth Senior Living’s dedication to providing enjoyable and valuable experiences for residents.

What does this home offer?

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Housing Options: Private Rooms / Companion Suites

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Commonwealth Senior Living at Churchland House

Overview of Karolwood Gardens Portsmouth

Ensuring comfort and worry-free living, Karolwood Gardens in Portsmouth ensures a fun-filled and nurturing lifestyle. The elegant home ensures that residents don’t have to worry about living alone by encouraging them to engage with others and enrich their knowledge and expand their vibrant social life. Karolwood Gardens allows its residents cultivate a habit where daily living is done with purpose, vitality, and connection.

Residents immerse in active senior engagement found in enriching activities, healthy and nutritious dining, social gatherings at spacious common areas, quiet time in lounge areas, maintaining a healthy lifestyle through fitness classes, and cozying up with a good book in the library. Surely, resident will discover endless opportunities to build a comfortable lifestyle that suit your interests.

What does this home offer?

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Pets Allowed

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Housing Options: Suite / 1 Bed

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact Karolwood Gardens Portsmouth

Overview of Emily Green Shores Assisted

Emily Green Shores Assisted Living Facility offers cozy, home-like residential living. Tranquility surrounds your environment with a family-like atmosphere, contributing to an inspiring and relaxing experience in the nurturing home. Emily Green boasts a home with delightful hospitality that encourages residents to live on their terms while receiving quality service from the dedicated care staff.

The assisted living home offers seniors a simple lifestyle, encouraging independence and individuality. Accommodations include daily home-cooked meals, recreational activities, medication management, ADLs, housekeeping, and transportation services.

What does this home offer?

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Minimum Age: 60 Years Old

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Emily Green Shores Assisted

Overview of Mayfair House Senior Living

Boasting a home-like ambiance creates a beautiful experience for residents to feel like they belong. They encourage independence in their residents, which is why they provide a lifestyle based on their terms. The home specializes in ambulatory, non-ambulatory care, and hospice services delivered with the assurance seniors maintain comfort and flexibility. Mayfair House is committed to creating a wonderful home for seniors to embrace a new life chapter.

Community accommodations include round-the-clock care, housekeeping, transportation, home-cooked meals, medication management, and ADLs. A team of professionals available consists of a dietician, a nursing staff, and medication aides.

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Mayfair House Senior Living

Overview of Autumn Care of Portsmouth

Autumn Care of Portsmouth is a skilled nursing and rehabilitation center that focuses on enhancing the quality of life of each senior resident. Specializing in short-term rehabilitation and long-term skilled nursing, assisted living, and memory care, the facility is cozy and comfortable for residents to make the best of their stay in a nurturing environment.

Autumn Care of Portsmouth is guaranteed to create connections and provide engaging experiences among community members while maintaining a balance of independence and extra comprehensive assistance.

What does this home offer?

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Pets Allowed

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Autumn Care of Portsmouth

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
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Frequently Asked Questions about Assisted Living in Portsmouth, VA

What is the average cost of assisted living in Portsmouth, VA?

The average monthly cost of assisted living in Portsmouth, VA is approximately $5,000. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Portsmouth, VA?

Assisted living in Portsmouth, VA typically ranges from $4,500–$7,100 per month, depending on the community, room type, and care needs.

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

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

How many licensed assisted living facilities are there in Portsmouth, VA?

According to state licensing records, there are approximately ~10–15 licensed assisted living facilities in Portsmouth, VA.

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

Assisted living in Virginia 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 Virginia?

Assisted living in Virginia 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 Virginia Medicaid cover assisted living?

Virginia Medicaid does not directly pay room-and-board for assisted living, but most states (including Virginia) 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.