Other senior care options in Roanoke:

Best Assisted Living in Roanoke, VA

Why trust this guide? Our editorial team analyzed 14 assisted living communities in Roanoke, VA using Virginia Department of Social Services (VDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in VA
Reviewed by
Last updated
Jun 2026
We analyzed
14 homes
Other senior care options in Roanoke:
Avg Monthly Cost: $6,479The average monthly cost across facilities in Roanoke, VA. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 38/ 100The average Walk Score across facilities in Roanoke, VA. 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: 116The average licensed bed capacity across facilities in Roanoke, VA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Roanoke (Metro Area)

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

Our Lady of the Valley
AL
MC
NC
NH
RC
Roanoke (Gainsboro)
127
Facility 127
VA AVG 95
Rank #78 / 371
No
68
Facility 68
VA AVG 44
Rank #74 / 449
Studio / 1 Bed Meagan Seale
87.4%
Facility 87.4%
VA AVG 70.8%
Rank #59 / 297
A+ 20
55%
Facility 55%
VA AVG 64.3%
Rank #161 / 332
58
Facility 58
VA AVG 32
Rank #291 / 332
2.9
Facility 2.9
VA AVG 2.3
Rank #259 / 332
Brandon Oaks Nursing and Rehabilitation Center
AL
HC
IL
MC
NC
NH
Roanoke (Westland)
43
Facility 43
VA AVG 95
Rank #319 / 371
No
33
Facility 33
VA AVG 44
Rank #282 / 449
- Adm Esteban Duran-Ballen
53.5%
Facility 53.5%
VA AVG 70.8%
Rank #241 / 297
- 10
40%
Facility 40%
VA AVG 64.3%
Rank #87 / 332
33
Facility 33
VA AVG 32
Rank #240 / 332
3.3
Facility 3.3
VA AVG 2.3
Rank #277 / 332
Hermitage Roanoke
AL
IL
Roanoke (Fairview)
120
Facility 120
VA AVG 95
Rank #89 / 371
Yes
32
Facility 32
VA AVG 44
Rank #289 / 449
1 Bed / 2 Bed Michael Davis
39.2%
Facility 39.2%
VA AVG 70.8%
Rank #283 / 297
A+ 13
92.3%
Facility 92.3%
VA AVG 64.3%
Rank #306 / 332
41
Facility 41
VA AVG 32
Rank #263 / 332
3.2
Facility 3.2
VA AVG 2.3
Rank #270 / 332
TerraBella Pheasant Ridge
AL
MC
Roanoke (Southern Hills)
130
Facility 130
VA AVG 95
Rank #69 / 371
Yes
28
Facility 28
VA AVG 44
Rank #320 / 449
Suite / 1 Bed / 2 Bed Jenifer Quilodran
56.9%
Facility 56.9%
VA AVG 70.8%
Rank #225 / 297
A+ 44
61.4%
Facility 61.4%
VA AVG 64.3%
Rank #200 / 332
113
Facility 113
VA AVG 32
Rank #321 / 332
2.6
Facility 2.6
VA AVG 2.3
Rank #246 / 332
The Park Oak Grove
AL
Roanoke
164
Facility 164
VA AVG 95
Rank #34 / 371
Yes
57
Facility 57
VA AVG 44
Rank #133 / 449
- Dorothy Anna Gring
45.7%
Facility 45.7%
VA AVG 70.8%
Rank #269 / 297
A+ 35
77.1%
Facility 77.1%
VA AVG 64.3%
Rank #265 / 332
93
Facility 93
VA AVG 32
Rank #314 / 332
2.7
Facility 2.7
VA AVG 2.3
Rank #251 / 332
Magnolia Ridge Assisted Living Facility
AL
Roanoke (Ghent)
34
Facility 34
VA AVG 95
Rank #336 / 371
Yes
72
Facility 72
VA AVG 44
Rank #61 / 449
- Sherone Cephas
61.8%
Facility 61.8%
VA AVG 70.8%
Rank #208 / 297
- 7
71.4%
Facility 71.4%
VA AVG 64.3%
Rank #248 / 332
29
Facility 29
VA AVG 32
Rank #226 / 332
4.1
Facility 4.1
VA AVG 2.3
Rank #294 / 332
Woodland Hills
AL
IL
MC
RC
Roanoke (Ogden Hills)
- Yes
19
Facility 19
VA AVG 44
Rank #362 / 449
Studio / 1 Bed / 2 Bed - - - ----
Friendship Retirement Community
AL
IL
MC
NH
RC
Roanoke (Hollins)
253
Facility 253
VA AVG 95
Rank #5 / 371
Yes
48
Facility 48
VA AVG 44
Rank #186 / 449
2 Bed -
93.1%
Facility 93.1%
VA AVG 70.8%
Rank #25 / 297
A+ ----
The Harmony Collection at Roanoke – Assisted Living
AL
Roanoke (Southern Hills)
105
Facility 105
VA AVG 95
Rank #128 / 371
Yes
26
Facility 26
VA AVG 44
Rank #332 / 449
Studio / 1 Bed / 2 Bed Jenny Nicely
73.3%
Facility 73.3%
VA AVG 70.8%
Rank #144 / 297
A+ 51
54.9%
Facility 54.9%
VA AVG 64.3%
Rank #160 / 332
104
Facility 104
VA AVG 32
Rank #318 / 332
2.0
Facility 2.0
VA AVG 2.3
Rank #204 / 332
Woodland Hills Independent Living, Assisted Living & Memory Care
AL
IL
MC
RC
Roanoke
130
Facility 130
VA AVG 95
Rank #69 / 371
No
0
Facility 0
VA AVG 44
Rank #438 / 449
- Kennedy Flynn
70.0%
Facility 70.0%
VA AVG 70.8%
Rank #166 / 297
- 46
67.4%
Facility 67.4%
VA AVG 64.3%
Rank #234 / 332
146
Facility 146
VA AVG 32
Rank #327 / 332
3.2
Facility 3.2
VA AVG 2.3
Rank #270 / 332
Friendship Assisted Living, Inc.
AL
IL
MC
NH
RC
Roanoke
120
Facility 120
VA AVG 95
Rank #89 / 371
No
19
Facility 19
VA AVG 44
Rank #362 / 449
- Alex Parker - - 5
80%
Facility 80%
VA AVG 64.3%
Rank #272 / 332
0
Facility 0
VA AVG 32
Rank #1 / 332
0.0
Facility 0.0
VA AVG 2.3
Rank #1 / 332
Friendship Assisted Living, Inc.
AL
IL
MC
NH
RC
Roanoke
120
Facility 120
VA AVG 95
Rank #89 / 371
No
19
Facility 19
VA AVG 44
Rank #362 / 449
- Alex Parker
70.0%
Facility 70.0%
VA AVG 70.8%
Rank #166 / 297
- 5
80%
Facility 80%
VA AVG 64.3%
Rank #272 / 332
16
Facility 16
VA AVG 32
Rank #173 / 332
3.2
Facility 3.2
VA AVG 2.3
Rank #270 / 332
Brandon Oaks
AL
HC
MC
NH
Roanoke
80
Facility 80
VA AVG 95
Rank #214 / 371
No
0
Facility 0
VA AVG 44
Rank #438 / 449
- Jessica White
89.5%
Facility 89.5%
VA AVG 70.8%
Rank #44 / 297
- 6
66.7%
Facility 66.7%
VA AVG 64.3%
Rank #219 / 332
0
Facility 0
VA AVG 32
Rank #1 / 332
0.0
Facility 0.0
VA AVG 2.3
Rank #1 / 332
Brandon Oaks
AL
HC
MC
NH
Roanoke
80
Facility 80
VA AVG 95
Rank #214 / 371
No
0
Facility 0
VA AVG 44
Rank #438 / 449
- Jessica White
46.3%
Facility 46.3%
VA AVG 70.8%
Rank #266 / 297
- 6
66.7%
Facility 66.7%
VA AVG 64.3%
Rank #219 / 332
10
Facility 10
VA AVG 32
Rank #142 / 332
1.7
Facility 1.7
VA AVG 2.3
Rank #179 / 332
Overview of Our Lady of the Valley

Nestled in the peaceful community of Roanoke, VA, Our Lady of the Valley is a distinguished senior living community that provides assisted living, memory care, rehabilitation, and nursing care services. Here, residents can choose from one-bedroom suites to an intensive personal care studios that accommodate unique needs and preferences. With its well-trained and compassionate team, residents can receive the utmost care and support they need throughout their stay.

The community hosts several exciting and entertaining events from piano concerts to wine tasting. Indulge in delightful and healthy chef-prepared meals that satisfy your cravings. Participate in diverse social activities and life-enrichment programs to boost engagement and wellness. With Our Lady of the Valley, seniors are assured of an empowering and glorious retirement.

Contact Our Lady of the Valley

Overview of Brandon Oaks Nursing and Rehabilitation Center

Brandon Oaks Nursing and Rehabilitation Center is Roanoke’s trusted home healthcare provider. The nursing center has a professional staff committed to providing all seniors with a safe and comfortable environment. Seniors can expect a high level of quality nursing and rehabilitative services that help them live life to the fullest. At Brandon Oaks, friendships blossom, and goals are achieved.
The nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs/ Specializations, including therapy (speech, occupational, physical), neurological care, cardiac care, orthopedic care, skilled nursing care, and musculoskeletal care available.

Contact Brandon Oaks Nursing and Rehabilitation Center

Hermitage Roanoke

1009 Old Country Club Rd Nw, Roanoke, VA 24017
Overview of Hermitage Roanoke

Hermitage Roanoke is one of the city’s most trusted independent living retirement communities with assisted living and nursing home services. The professional care staff is dedicated to delivering excellent and comprehensive accommodations for seniors in a nurturing environment. The senior living home maintains a high-quality standard of service provided with compassion for a more personal approach to residential care. The CCRC strives to enhance the quality of lifestyle for each individual.

The Hermitage Roanoke’s upscale residential lifestyle is built on essential and helpful services; these include 24-hour care, stimulating activities, engaging social activities and programs, rehabilitative therapy services, housekeeping, and medication management.

Contact Hermitage Roanoke

TerraBella Pheasant Ridge

4435 Pheasant Ridge Rd, Roanoke, VA 24014
Overview of Terrabella Pheasant Ridge

Conveniently located just off Route 220 in Roanoke, VA, Terrabella Pheasant Ridge is a trusted senior living community that offers assisted living for seniors who could use extra support with daily living activities and an evidence-based memory care program for seniors living with memory loss. With residents’ welfare in mind, the community offers cozy suites and one- and two-bedroom apartment homes, complemented with attentive services like laundry and linen, housekeeping, and maintenance to make everyday living a breeze.

Terrabella Pheasant Ridge elevates its residents’ standard of living with their holistic approach to health and wellness, a social calendar filled with fun and exciting activities, and a broad range of amenities. Here, residents enjoy the everyday pleasure of dining on chef-prepared meals, the convenience of on-site beauty services, and the comfort of knowing 24-hour care is available. Moreover, lush and beautiful green spaces and intimate seating areas provide opportunities for quiet relaxation or getting together with friends and neighbors. At TerraBella, senior living amenities don’t just look nice; they help promote the experiences that can define the residents’ lives.

Contact TerraBella Pheasant Ridge

The Park Oak Grove

4920 Woodmar Dr Sw, Roanoke, VA 24018
Overview of The Park Oak Grove

The Park Oak Grove is Roanoke, Virginia’s premier senior living community, located in the beautiful Blue Ridge mountain valley. The area, known as the “Star City”, offers a perfect blend of activity and peace, with plenty of downtown eateries, museums, and scenic views. The community’s park-like setting makes it the most sought-after option for senior living in the area. The Park Oak Grove provides award-winning Senior Assisted Living, allowing residents to maintain their independence while receiving assistance with daily tasks. The community offers a variety of apartment home floor plans, a recently renovated dining room, a robust activity program, and is conveniently located near the Lewis Gale Medical Center and downtown Roanoke.

The Park Oak Grove was recognized as a U.S. News & World Report Best Assisted Living Community in Virginia. Residents enjoy a meaningful way of life at The Park Oak Grove, with amenities that include full kitchens and kitchenettes, daily activities and events, crafts and game rooms, an on-site beauty salon and barber shop, and religious services. The community makes it convenient, practical, and easy for seniors to live every day to the fullest.

Contact The Park Oak Grove

Overview of Magnolia Ridge Assisted Living Facility

Magnolia Ridge Assisted Living Facility provides unique accommodations for residents in Roanoke. As a community that celebrates an individual, they discover a purposeful life that is well lived, thanks to the full support of the staff who promote an independent lifestyle based on their terms. Magnolia Ridge is a tightly-knit residential living space where seniors can feel more comfortable and have a sense of family-like surroundings.

Expect a range of all-inclusive services at Magnolia Ridge. Residents receive accommodations such as scheduled housekeeping, assisted living activities, home-cooked meals, social events, and stimulating activities. The facility also provides specialized assisted living programs and services for veterans.

Contact Magnolia Ridge Assisted Living Facility

Overview of Woodland Hills

Woodland Hills is an independent living, assisted living, and memory care home for seniors with an exquisite environment guaranteed to make each feel welcome in the nurturing atmosphere. The senior living community provides a life of amenities and services that create a comfortable and secure environment for residents. Woodland Hills is a community that celebrates an individual, thanks to the full support of the staff who help maintain an independent lifestyle to continue purposeful residential living.

The retirement home ensures a lifestyle built on comfort and stability, offering residents various accommodations, such as independent and assisted living apartments, outdoor walking paths, chef-prepared meals, life enrichment programs, and stimulating activities. Health services focus more on the assisted living levels of care and the memory care services tailored for specific individuals.

Contact Woodland Hills

Overview of Friendship Retirement Community

Friendship Retirement Community undoubtedly provides the highest quality of care for seniors of Roanoke; they are one of the city’s most trusted retirement communities because of the essential service offered: friendship. As its name suggests, management makes it a point that seniors are encouraged to find the opportunity to discover long-lasting companies that help make the aging experience a little less daunting.

Offering senior independent living, assisted living, memory care, and nursing care services, the staff is committed to delivering resort-style services with respect and dignity. Many will find an enhanced day-to-day living experience beneficial to health and wellness, recovery journey, and individual growth; life enrichment programs, social activities, specialized therapy programs, and ADLs support these.

Contact Friendship Retirement Community

Overview of The Harmony Collection at Roanoke – Assisted Living

A Harmony senior living community member, the assisted living home in Roanoke ensures a serene and harmonious environment. The name suggests that the residential lifestyle is supposed to be calming and balanced– a freeing lifestyle with the necessary support. The elegant community ensures its residents receive a strong sense of freedom with no shame of being able to receive additional assistance, mainly because, as a Harmony community, the assisted living place aims to elevate the lifestyle of its residents.

Placing comfort, convenience, and luxury at the heart of their world-class hospitality, seniors are guaranteed to live a stress-free and well-balanced lifestyle. Their amenities and services include laundry, transportation, healthy and savory chef-prepared meals, and fitness activities.

Contact The Harmony Collection at Roanoke – Assisted Living

Overview of Woodland Hills Independent Living, Assisted Living & Memory Care

Woodland Hills Independent Living, Assisted Living & Memory Care is a senior living community in Roanoke, Virginia, offering independent living, assisted living, memory care, and respite care. With 91 of 130 beds occupied, the community’s current occupancy is about 70%, which is below the state average of 85.7%, indicating open availability.

The community has completed 46 inspections, including 17 complaint-initiated, with a violation rate of 67.4%, slightly higher than Virginia’s average of 64.3%. A total of 146 deficiencies have also been recorded, notably above the state average of 32. During the most recent complaint investigation on October 14, 2025, findings included failure to report a major incident to the regional licensing office within the required 24-hour timeframe. Earlier reports have also cited recurring concerns related to medication management, service plan documentation, and incident reporting practices, including a confirmed case involving delayed reporting of a resident altercation that led to hospitalization. However, no fines or license suspensions are listed in available records.

Lifestyle offerings are a major highlight, which include landscaped courtyards, a full-service salon, a bar and bistro, spa amenities, a theater, a modern fitness center, and inviting indoor and outdoor gathering spaces. Signature programs also include Inspiritás memory care, RUI University, the LUXE Unlimited lifestyle program, RUI FIT wellness programming, Leash on Life pet therapy, and a Care Impact initiative. While dining features chef-prepared meals made with fresh ingredients in a restaurant-style environment.

Woodland Hills Independent Living, Assisted Living & Memory Care is well-suited for older adults who value a vibrant campus with extensive lifestyle services and multiple levels of care under one roof. Its scale and range of services also make it especially appealing for couples or families planning for changing care needs over time.

Contact Woodland Hills Independent Living, Assisted Living & Memory Care

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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Assisted Living in Roanoke, VA

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

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

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

Assisted living in Roanoke, 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 Roanoke, VA?

Assisted living facilities in Roanoke, 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 Roanoke, VA?

According to state licensing records, there are approximately ~15–20 licensed assisted living facilities in Roanoke, 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.