Best Assisted Living in Roanoke, VA

Why trust this guide? Our editorial team analyzed 15 assisted living communities in Roanoke, VA using VA Depts. of Social Services & Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in VA
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Last updated
We analyzed These are the facilities in Roanoke, VA our team has analyzed — not a count of every assisted living provider in Roanoke, VA.
15 homes
Other senior care options in Roanoke:

Compare Assisted Living around Roanoke (Metro Area)

Info below is compiled from the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Regulatory visits tied to complaints or allegations in the state file—not the same as every routine survey.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Brandon Oaks Nursing and Rehabilitation Center
AL
HC
IL
MC
NH
SNF
Roanoke (Westland)
43
Facility 43
VA AVG 94
Rank #262 / 311
Yes
33
Facility 33
VA AVG 45
Rank #215 / 336
-Esteban Duran-Ballen
53.5%
Facility 53.5%
VA AVG 69.8%
Rank #203 / 249
-13
54%
Facility 54%
VA AVG 59.3%
Rank #119 / 303
33
Facility 33
VA AVG 32
Rank #164 / 248
2.5
Facility 2.5
VA AVG 2.3
Rank #141 / 248
Our Lady of the Valley
AL
MC
NH
RC
SNF
Roanoke (Gainsboro)
127
Facility 127
VA AVG 94
Rank #61 / 311
No
68
Facility 68
VA AVG 45
Rank #58 / 336
Studio / 1 BedMeagan Seale
87.4%
Facility 87.4%
VA AVG 69.8%
Rank #39 / 249
A+20
70%
Facility 70%
VA AVG 59.3%
Rank #191 / 303
58
Facility 58
VA AVG 32
Rank #211 / 248
2.9
Facility 2.9
VA AVG 2.3
Rank #164 / 248
Brandon Oaks
AL
HC
MC
NH
SNF
Sw Roanoke
80
Facility 80
VA AVG 94
Rank #180 / 311
Yes--Jessica White
46.3%
Facility 46.3%
VA AVG 69.8%
Rank #224 / 249
-6
67%
Facility 67%
VA AVG 59.3%
Rank #168 / 303
10
Facility 10
VA AVG 32
Rank #77 / 248
1.7
Facility 1.7
VA AVG 2.3
Rank #92 / 248
The Harmony Collection at Roanoke – Assisted Living
AL
Roanoke (Southern Hills)
105
Facility 105
VA AVG 94
Rank #100 / 311
Yes
26
Facility 26
VA AVG 45
Rank #256 / 336
Studio / 1 Bed / 2 BedJenny Nicely
73.3%
Facility 73.3%
VA AVG 69.8%
Rank #117 / 249
A+22
77%
Facility 77%
VA AVG 59.3%
Rank #221 / 303
104
Facility 104
VA AVG 32
Rank #235 / 248
4.7
Facility 4.7
VA AVG 2.3
Rank #219 / 248
TerraBella Pheasant Ridge
AL
MC
Roanoke (Southern Hills)
130
Facility 130
VA AVG 94
Rank #57 / 311
Yes
28
Facility 28
VA AVG 45
Rank #246 / 336
Suite / 1 Bed / 2 BedJenifer Quilodran
56.9%
Facility 56.9%
VA AVG 69.8%
Rank #189 / 249
A+27
74%
Facility 74%
VA AVG 59.3%
Rank #211 / 303
113
Facility 113
VA AVG 32
Rank #237 / 248
4.2
Facility 4.2
VA AVG 2.3
Rank #210 / 248
The Park Oak Grove
AL
Roanoke
164
Facility 164
VA AVG 94
Rank #26 / 311
Yes
57
Facility 57
VA AVG 45
Rank #104 / 336
-Dorothy Gring
45.7%
Facility 45.7%
VA AVG 69.8%
Rank #226 / 249
A+26
88%
Facility 88%
VA AVG 59.3%
Rank #264 / 303
93
Facility 93
VA AVG 32
Rank #232 / 248
3.6
Facility 3.6
VA AVG 2.3
Rank #190 / 248
Hermitage Roanoke
AL
CCRC
IL
Roanoke (Fairview)
120
Facility 120
VA AVG 94
Rank #72 / 311
Yes
32
Facility 32
VA AVG 45
Rank #220 / 336
1 Bed / 2 BedMichael Davis
39.2%
Facility 39.2%
VA AVG 69.8%
Rank #239 / 249
A+11
100%
Facility 100%
VA AVG 59.3%
Rank #287 / 303
41
Facility 41
VA AVG 32
Rank #185 / 248
3.7
Facility 3.7
VA AVG 2.3
Rank #194 / 248
Magnolia Ridge Assisted Living Facility
AL
Roanoke (Ghent)
34
Facility 34
VA AVG 94
Rank #277 / 311
Yes
72
Facility 72
VA AVG 45
Rank #48 / 336
-Sherone Cephas
61.8%
Facility 61.8%
VA AVG 69.8%
Rank #171 / 249
-7
71%
Facility 71%
VA AVG 59.3%
Rank #198 / 303
29
Facility 29
VA AVG 32
Rank #152 / 248
4.1
Facility 4.1
VA AVG 2.3
Rank #207 / 248
Woodland Hills Independent Living, Assisted Living & Memory Care
AL
IL
MC
RC
Roanoke
130
Facility 130
VA AVG 94
Rank #57 / 311
Yes--Kennedy Flynn
70.0%
Facility 70.0%
VA AVG 69.8%
Rank #135 / 249
-24
83%
Facility 83%
VA AVG 59.3%
Rank #243 / 303
146
Facility 146
VA AVG 32
Rank #243 / 248
6.1
Facility 6.1
VA AVG 2.3
Rank #235 / 248
Friendship Assisted Living, Inc.
AL
IL
MC
NH
RC
SNF
Roanoke
120
Facility 120
VA AVG 94
Rank #72 / 311
Yes
19
Facility 19
VA AVG 45
Rank #280 / 336
-Alex Parker
70.0%
Facility 70.0%
VA AVG 69.8%
Rank #135 / 249
-5
80%
Facility 80%
VA AVG 59.3%
Rank #232 / 303
16
Facility 16
VA AVG 32
Rank #108 / 248
3.2
Facility 3.2
VA AVG 2.3
Rank #178 / 248

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other VA assisted living community we track that reports that metric, not just the 15 analyzed for Roanoke. See how we rank facilities

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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

Hermitage Roanoke

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

Hermitage Roanoke offers assisted living, Continuing Care Retirement Community services, and independent living in Roanoke, VA. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as dressing, bathing, and medication while the resident keeps an apartment. The range of care options may suit a resident whose needs grow over time, since the community offers more than one care option without requiring a move to a different community.

Hermitage Roanoke is in the Fairview neighborhood, opened in 1964, and has 120 beds. Housing includes one bedroom and two bedroom layouts. A two bedroom layout can suit two people moving together, while a one bedroom layout provides space for one resident. Dining includes restaurant quality meals, varied menu options, and accommodations for special dietary needs. Rehabilitation services are also available for residents who need them. A Walk Score of 32 places the area in a car dependent band, so most errands require a car or a ride. Pets are allowed, and Michael Davis serves as the administrator.

Contact Hermitage Roanoke

Overview of The Harmony Collection at Roanoke – Assisted Living

Now in its ninth year of operation, The Harmony Collection at Roanoke is an assisted living community on Pheasant Ridge Road in Roanoke, Virginia. The community is administered by Jenny Nicely, with additional corporate oversight from Robin Banch. The 105-bed community offers studio, one-bedroom, and two-bedroom layouts in a three-story building.

The facility’s occupancy rate is 73%, with 77 of the 105 beds filled. The neighborhood is somewhat walkable, with a Walk Score of 26. A car is the more practical way to reach most nearby shops and services, but a few may be within walking distance.

Daily life at the community includes chef-prepared meals, laundry service, and on-site fitness and recreation programming. Transportation services are also available for residents with appointments or outings. Pets are welcome in the community, so residents keep companion animals.

State inspection records for the community are mixed but are improving over time. Reviewers have most often flagged issues with medication administration, including documentation accuracy. There were also gaps in keeping resident service plans and assessments up to date after a change in condition. Families considering the community should ask staff directly how medication administration and care-plan updates are handled daily.

Contact The Harmony Collection at Roanoke – Assisted Living

TerraBella Pheasant Ridge

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

Just off Route 220, TerraBella Pheasant Ridge is an assisted living and memory care community in the Southern Hills area of Roanoke, Virginia. The community offers cozy suites. There are one- and two-bedroom apartment homes, giving residents a range of housing options depending on their needs.

TerraBella is set in a 3-story building. It has operated in the area for 27 years and currently houses residents at 57% occupancy across its 130 beds. That mix of an established history and available capacity makes it a great option for families exploring care sooner rather than later.

Daily support includes 24-hour care. There are laundry and linen services, housekeeping, and maintenance, so residents and families don’t have to manage those tasks themselves. The community also has an evidence-based memory care program for residents living with memory loss, alongside its standard assisted living services. Jenifer Quilodran is the administrator.

Meals are chef-prepared, and residents have access to on-site beauty services, transportation services, and fitness and recreation programming. Green spaces and quiet seating areas around the property are great spots for relaxation or catching up with neighbors and visiting family. Pets are welcome in the community.

TerraBella is in a somewhat walkable part of Roanoke, with a Walk Score of 28. There’s a handful of nearby services reachable on foot, but most errands require driving. State inspections of the community have pointed to themes in medication management, personal care practices, and recordkeeping. These included how resident belongings are documented and how cleanliness standards are maintained, across several inspection cycles.

Contact TerraBella Pheasant Ridge

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

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

With 34 beds, Magnolia Ridge Assisted Living Facility is a single-story assisted living community on Amherst Street in Roanoke, Virginia, about 2 miles from the city center. It has the feel of a smaller, tightly-knit residence rather than a large campus. It’s staffed around the clock, every day of the week. Residents receive an all-inclusive mix of daily support, including scheduled housekeeping and home-cooked meals. There’s also a regular calendar of social events and activities to keep the day engaging.

Magnolia Ridge has specialized programs geared toward veterans, giving this population a tailored layer of support and standard offering. The community is administered by Sherone Cephas.

Getting around the neighborhood on foot is easy. Magnolia Ridge has a walk score of 72. Most errands can be handled without a car and many everyday essentials sit within a short walk. This may matter for visiting family members who want to stop by a nearby shop or grab a coffee during a longer visit.

State inspection reports for Magnolia Ridge have most often centered on medication management and documentation practices. It also touched on daily oversight of resident care plans. One complaint review on file found no evidence of non-compliance in how the facility handles administration or resident care.

Besides daily care, the community allows pets. It provides transportation services for residents who need to get to appointments or outings. Fitness and recreation programming keep residents active. Currently, the community has room to grow, with about 62% occupancy across its 34 beds.

Contact Magnolia Ridge Assisted Living Facility

Overview of Friendship Assisted Living

Friendship Assisted Living provides independent living, assisted living, memory care, respite care, nursing home care, and skilled nursing in Roanoke, VA. Independent living supports private living without daily care, assisted living helps with daily tasks, memory care provides a secured setting with supervision, respite care offers a short stay, and skilled nursing provides licensed nursing care on site around the clock. The range of care levels may suit a resident whose needs grow over time without requiring a move to another community.

The community has 120 beds, and Alex Parker serves as the administrator. Chef-prepared meals use fresh ingredients, balanced nutrition, and seasonal menus, giving residents a defined dining option within the community. Fitness opportunities, clubs and interest groups, cultural events, volunteer opportunities, games, and educational programs provide activities residents can take part in.

Friendship Assisted Living offers Rehab & Therapy, rehabilitation services, and short-term rehabilitation for residents who need temporary therapy-related care. Pets are allowed, so a resident may bring a pet when moving in.

Contact Friendship Assisted Living, Inc.

Brandon Oaks

3804 Brandon Avenue Sw, Roanoke, VA 24018
Overview of Brandon Oaks

Brandon Oaks offers assisted living, memory care, home care, nursing home care, and skilled nursing services in Roanoke, Virginia. Assisted living provides help with daily tasks while a resident keeps a personal living space, while memory care offers a supervised setting for someone who needs support related to dementia. Skilled nursing provides licensed nursing care.

Home care allows services to be delivered in a resident’s home, and nursing home care supports residents who need ongoing nursing services in a residential setting. Independent living, rehabilitation, inpatient therapies, and outpatient services are also available. The range of living and care options may suit a resident whose needs change over time, with access to different levels of support within the same community.

Brandon Oaks has 80 beds, and pets are allowed. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Specific programs include Living Independently, The Oaks Club, Home Health, Nursing and Rehabilitation, Inpatient Therapies, Outpatient Services, and The Rehab Process; Jessica White serves as the administrator.

Contact Brandon Oaks

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

Woodland Hills Independent Living, Assisted Living & Memory Care offers independent living, assisted living, memory care, and respite care in Roanoke, VA. Independent living provides private living with community services and no daily care, while assisted living supports daily tasks such as dressing, bathing, and medication. Memory care provides a secured setting with supervision for someone at risk of wandering, and respite care offers a short stay when a usual caregiver needs to travel or recover.

Because Woodland Hills offers several care levels, a resident whose needs grow may be able to move to a different level of care without leaving the community. The range of care and respite stays can suit a family seeking both an ongoing community and a short-term option during a caregiver’s absence. The community has 130 beds, and Kennedy Flynn serves as administrator.

Residents can use the full-service salon for on-site grooming, the modern fitness center for exercise, and the landscaped courtyards and other outdoor spaces for time outside. Restaurant-style dining with chef-crafted meals made with fresh ingredients provides meals in a restaurant setting, while rehabilitation services support residents who need therapy as part of recovery.

Pets are allowed, so a resident may be able to continue living with a pet. Programs include Inspiritás for memory care, Rehab Recovery, RUI University, LUXE Unlimited, RUI Concierge, Care Impact, Taste of RUI, RUI FIT, and Leash on Life.

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
No paid rankings Communities cannot pay to influence placement.
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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.

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.

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.

Assisted Living in Roanoke at a glance

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