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Other senior care options in Roanoke:

Best Assisted Living in Roanoke, VA

Reviewed by
Last updated
Jun 2026
We analyzed
11 homes in Roanoke, VA

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

Other senior care options in Roanoke:
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 Roanoke (Metro Area)

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

Click column headers to sort
Hermitage Roanoke
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.

Roanoke (Fairview)
120
Facility 120
VA AVG 98
Rank #93 / 371
Yes
32
Facility 32
VA AVG 44
Rank #289 / 449
1 Bed / 2 BedMichael 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
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.

Roanoke (Southern Hills)
130
Facility 130
VA AVG 98
Rank #73 / 371
Yes
28
Facility 28
VA AVG 44
Rank #320 / 449
Suite / 1 Bed / 2 BedJenifer 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

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.

Roanoke
164
Facility 164
VA AVG 98
Rank #37 / 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

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.

Roanoke (Ghent)
34
Facility 34
VA AVG 98
Rank #337 / 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

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.

Roanoke (Ogden Hills)
-Yes
19
Facility 19
VA AVG 44
Rank #362 / 449
Studio / 1 Bed / 2 Bed-------
The Harmony Collection at Roanoke – Assisted Living
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.

Roanoke (Southern Hills)
105
Facility 105
VA AVG 98
Rank #131 / 371
Yes
26
Facility 26
VA AVG 44
Rank #332 / 449
Studio / 1 Bed / 2 BedJenny 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

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.

Roanoke
130
Facility 130
VA AVG 98
Rank #73 / 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

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.

Roanoke
120
Facility 120
VA AVG 98
Rank #93 / 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

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.

Roanoke
120
Facility 120
VA AVG 98
Rank #93 / 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
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.

Roanoke
80
Facility 80
VA AVG 98
Rank #218 / 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
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.

Roanoke
80
Facility 80
VA AVG 98
Rank #218 / 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

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 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

Overview of Friendship Assisted Living, INC.

Friendship Assisted Living, Inc. is a senior living community in Roanoke, Virginia, that provides independent living, assisted living, memory care, and rehabilitation services. As one of the more expansive options in the Roanoke Valley, the community offers a broad range of services that allow families to secure a long-term care solution under one roof, with its 120 licensed beds.

With 84 of the 120 beds currently occupied, the community is operating at 70% occupancy, which is below the Virginia state average of 85.7%. This indicates open availability for those seeking immediate placement.

The community has completed five inspections, with 80% resulting in a cumulative total of 16 deficiencies. The most recent inspection in March 2025 identified a violation related to medication management. The primary findings include medication management, specifically the dating of opened items like insulin pens. While earlier records cited themes around staff training, service plans, and building maintenance, the community has no history of fines, license enforcement actions, or findings of immediate jeopardy. The decreasing number of deficiencies in the latest cycle also suggests a stabilizing operational trend.

Comprehensive clinical support, including nursing services, licensed nurses and CNAs, and a full rehabilitation program featuring short-term and respite care, is provided. The lifestyle experience includes chef-prepared seasonal meals, fitness programs, and a wide array of social engagement opportunities. The community also offers a particularly diverse activities calendar that includes various clubs, cultural events, games, educational classes, and volunteer programs.

Friendship Assisted Living, Inc. is a strong fit for older adults in the Roanoke area seeking a full spectrum of care and active social opportunities in one place. The community’s large scale allows for varied programming and peer engagement, while the current availability offers flexibility for interested families.

Contact Friendship Assisted Living, Inc.

Brandon Oaks

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

Brandon Oaks is a nonprofit Life Plan community administered by Jessica White and owned by Heather Neff in Roanoke, Virginia, offering independent living, assisted living, memory support, home health services, and rehabilitation. This 80-bed community operates as a voluntary nonprofit, serving as an ideal choice for senior care in the Roanoke region.

The community has a perfect CMS overall rating of 5 out of 5 stars, which is significantly higher than the Virginia average of 3.8 stars, highlighting excellence in health inspections, staffing, and quality measures. Specifically, its health inspection and staffing ratings are 4/5, while quality measures earned a 5/5. On average, residents receive 5 hours and 20 minutes of nursing care per day, which exceeds the state average of 4 hours and 47 minutes by around 11%.

Financial data shows that 82% of new admissions are covered by Medicare, primarily for short-term rehabilitation stays averaging 25 days, while private pay residents make up 16% of admissions with an average stay of nearly ten months, and Medicaid accounts for 2%. With an annual revenue of approximately $31.6 million and a reported surplus of $875,900, the community demonstrates stable financial management for a nonprofit organization.

The community has undergone six inspections, with violations found in 66.7%, which is in line with the Virginia average. However, the total deficiency count is only 10, which is far below the statewide average of 32. The most recent inspection on May 5, 2025, resulted in zero deficiencies. While previous records cited minor issues with medication storage and documentation, these matters appear to be fully addressed.

Brandon Oaks is an ideal option for older adults requiring high-acuity care or post-acute rehabilitation in a highly-rated, mission-driven nonprofit environment. The community also appeals to families seeking Medicare-covered short-term rehabilitation, as well as long-term residents requiring assisted living or memory support.

Contact Brandon Oaks

Overview of Friendship Assisted Living, INC.
Friendship Assisted Living, Inc. is located in Roanoke, Virginia. It offers independent living, assisted living, memory care, and rehabilitation services. The community is designed to support residents' health and well-being through social engagement, fitness opportunities, and access to healthcare.

Contact Friendship Assisted Living, Inc.

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 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.