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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

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

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.