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Other Senior care options in Roanoke:

Best Assisted Living in Roanoke, VA

Reviewed by Dr. Jordan Weiss
Updated May 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.

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

Watch this Video to see Roanoke'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 Roanoke (Metro Area)

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

Click column headers to sort
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 132
Rank #131 / 371
Yes
26
Facility 26
VA AVG 42
Rank #332 / 449
Studio / 1 Bed / 2 BedJenny Nicely 73.3% A+5154.9%1042.0
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 132
Rank #93 / 371
Yes
32
Facility 32
VA AVG 42
Rank #289 / 449
1 Bed / 2 BedMichael Davis 39.2% A+1392.3%413.2
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 132
Rank #72 / 371
Yes
28
Facility 28
VA AVG 42
Rank #320 / 449
Suite / 1 Bed / 2 BedJenifer Quilodran 56.9% A+4461.4%1132.6
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 132
Rank #36 / 371
Yes
57
Facility 57
VA AVG 42
Rank #133 / 449
-Dorothy Anna Gring 45.7% A+3577.1%932.7
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 132
Rank #337 / 371
Yes
72
Facility 72
VA AVG 42
Rank #61 / 449
-Sherone Cephas 61.8% -771.4%294.1
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)
-
Facility -
VA AVG 132
Yes
19
Facility 19
VA AVG 42
Rank #362 / 449
Studio / 1 Bed / 2 Bed-------
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 132
Rank #218 / 371
No
0
Facility 0
VA AVG 42
Rank #438 / 449
-Jessica White 89.5% -666.7%00.0
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 132
Rank #93 / 371
No
19
Facility 19
VA AVG 42
Rank #362 / 449
-Alex Parker--580%00.0
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 132
Rank #218 / 371
No
0
Facility 0
VA AVG 42
Rank #438 / 449
-Jessica White 46.3% -666.7%101.7
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 132
Rank #93 / 371
No
19
Facility 19
VA AVG 42
Rank #362 / 449
-Alex Parker 70.0% -580%163.2
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 132
Rank #72 / 371
No
0
Facility 0
VA AVG 42
Rank #438 / 449
-Kennedy Flynn 70.0% -4667.4%1463.2
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.

What does this home offer?

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Pets Allowed

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Room Sizes: 431 / 504 / 530 / 538 / 600 / 626 / 689 / 701 / 727 - 1,048 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact The Harmony Collection at Roanoke – Assisted Living

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.

What does this home offer?

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Pets Allowed

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Room Sizes: 950 / 1,023 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

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.

What does this home offer?

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Pets Allowed

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Housing Options: Suite / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

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.

What does this home offer?

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Minimum Age: 55

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Pets Allowed

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Building Type: Single story building

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.

What does this home offer?

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Pets Allowed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

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.

What does this home offer?

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Pets Allowed

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Room Sizes: 317 - 464 / 464 - 504 / 634 - 668 / 717 - 720 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Woodland Hills

Overview of Woodland Hills Independent Living, Assisted Living & Memory Care
Woodland Hills Independent Living, Assisted Living & Memory Care is a senior living community located in Roanoke, VA. It offers a variety of lifestyle options including independent living, assisted living, memory care, and respite care. Residents can enjoy amenities such as restaurant-style dining, a fitness center, and landscaped courtyards.

Contact Woodland Hills Independent Living, Assisted Living & Memory Care

Overview of Friendship Assisted Living, INC.
Friendship Assisted Living, Inc. is a senior living community located in Roanoke, Virginia. It offers independent living, assisted living, memory care, and rehabilitation services. The community focuses on wellness, social engagement, and access to healthcare to support residents' health and longevity.

Contact Friendship Assisted Living, Inc.

Brandon Oaks

3804 Brandon Avenue Sw, Roanoke, VA 24018
Overview of Brandon Oaks
Brandon Oaks is a non-profit Life Plan community in Roanoke, Virginia. It offers a range of services including independent living, assisted living, memory support, home health services, and rehabilitation. The community is committed to providing high-quality health services and a fulfilling lifestyle for its residents.

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.