Compare Assisted Living around Roanoke (Metro Area)
The information below is reported by the Virginia Department of Social Services and Department of Health.
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| 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
|
7
Facility
7
VA AVG
7
Rank
#229 / 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
|
1
Facility
1
VA AVG
7
Rank
#67 / 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
|
1
Facility
1
VA AVG
7
Rank
#67 / 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
|
24
Facility
24
VA AVG
7
Rank
#324 / 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
|
17
Facility
17
VA AVG
7
Rank
#312 / 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
|
1
Facility
1
VA AVG
7
Rank
#67 / 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
|
27
Facility
27
VA AVG
7
Rank
#328 / 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
|
17
Facility
17
VA AVG
7
Rank
#312 / 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
7
Rank
#1 / 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
|
0
Facility
0
VA AVG
7
Rank
#1 / 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
7
Rank
#1 / 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
|
0
Facility
0
VA AVG
7
Rank
#1 / 332
|
10
Facility
10
VA AVG
32
Rank
#142 / 332
|
1.7
Facility
1.7
VA AVG
2.3
Rank
#179 / 332
|
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
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
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
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
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
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
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.