Best Assisted Living in Roanoke, VA

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.

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.

Overview of Friendship Retirement Community

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

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

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.

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.

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.

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.

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.

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.

Located on Mecca Street in Roanoke, Virginia, Richfield Living – Roanoke Campus is a nursing home and assisted living community a few miles from the downtown area. Families can choose from Medicare, Medicaid, and private pay to cover care. The community offers both long-term nursing care and short-term rehabilitation. There’s a doctor on staff and 24-hour staffing to support residents around the clock.

With 116 beds, Richfield is one of the larger nursing homes in the Roanoke area. It has an occupancy rate of about 71%. The average stay is around 71 days, which is a mix of residents recovering from a hospital stay or surgery and those receiving ongoing care. Rehabilitation and respite care are part of the daily offering. Total nurse staffing averages roughly 3 hours and 14 minutes per resident each day. The care team is composed of a registered nurse, a licensed practical nurse, and nurse aide support.

Daily life includes restaurant-style dining, housekeeping, and organized activities. There’s also a gym, on-site transportation, and a wellness program. Nutrition plans are supervised by a registered dietitian, which reassures residents managing specific health or dietary needs. An Active Resident Council meets regularly so residents have a direct voice in the home’s policies and programming.

The surrounding neighborhood is somewhat walkable, so residents and visiting family will likely rely on a car for most errands and outings. Families touring the community should ask how the rehabilitation and respite programs are staffed daily.