Page 15 of Best Assisted Living in Virginia

Why trust this guide? Our editorial team analyzed 348 assisted living communities in VA using VA Depts. of Social Services & Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in VA
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Last updated
We analyzed These are the facilities in Virginia our team has analyzed — not a count of every assisted living provider in Virginia.
348 homes
Other senior care options in Virginia:

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Info below is compiled from the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Regulatory visits tied to complaints or allegations in the state file—not the same as every routine survey.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Lake Prince Woods
AL
CCRC
HC
HOS
IL
MC
NH
RC
SNF
Suffolk
54
Facility 54
VA AVG 94
Rank #249 / 311
No
6
Facility 6
VA AVG 45
Rank #327 / 336
1 Bed / 2 BedFelita Creekmore
85.2%
Facility 85.2%
VA AVG 69.8%
Rank #48 / 249
-8
100%
Facility 100%
VA AVG 59.3%
Rank #287 / 303
37
Facility 37
VA AVG 32
Rank #175 / 248
4.6
Facility 4.6
VA AVG 2.3
Rank #218 / 248
Lakewood Retirement
AL
CCRC
IL
MC
NH
SNF
Richmond (Henrico)
74
Facility 74
VA AVG 94
Rank #199 / 311
Yes
8
Facility 8
VA AVG 45
Rank #319 / 336
Studio / 1 Bed / 2 BedJennifer Koeniger
71.6%
Facility 71.6%
VA AVG 69.8%
Rank #127 / 249
-11
64%
Facility 64%
VA AVG 59.3%
Rank #165 / 303
34
Facility 34
VA AVG 32
Rank #168 / 248
3.1
Facility 3.1
VA AVG 2.3
Rank #171 / 248
The Fairfax
AL
CCRC
IL
MC
NH
SNF
Fort Belvoir
96
Facility 96
VA AVG 94
Rank #133 / 311
No
2
Facility 2
VA AVG 45
Rank #336 / 336
-Rochelle Hale
71.9%
Facility 71.9%
VA AVG 69.8%
Rank #126 / 249
-12
58%
Facility 58%
VA AVG 59.3%
Rank #135 / 303
26
Facility 26
VA AVG 32
Rank #141 / 248
2.2
Facility 2.2
VA AVG 2.3
Rank #127 / 248
Bentley Commons at Lynchburg
AL
IL
RC
Lynchburg
135
Facility 135
VA AVG 94
Rank #51 / 311
Yes
26
Facility 26
VA AVG 45
Rank #256 / 336
Studio / 1 Bed / 2 BedShannon Rudelis
49.6%
Facility 49.6%
VA AVG 69.8%
Rank #214 / 249
A+28
79%
Facility 79%
VA AVG 59.3%
Rank #229 / 303
127
Facility 127
VA AVG 32
Rank #239 / 248
4.5
Facility 4.5
VA AVG 2.3
Rank #216 / 248
The Harmony Collection at Roanoke – Assisted Living
AL
Roanoke (Southern Hills)
105
Facility 105
VA AVG 94
Rank #100 / 311
Yes
26
Facility 26
VA AVG 45
Rank #256 / 336
Studio / 1 Bed / 2 BedJenny Nicely
73.3%
Facility 73.3%
VA AVG 69.8%
Rank #117 / 249
A+22
77%
Facility 77%
VA AVG 59.3%
Rank #221 / 303
104
Facility 104
VA AVG 32
Rank #235 / 248
4.7
Facility 4.7
VA AVG 2.3
Rank #219 / 248
Shalom Gardens Senior Living
AL
MC
NH
SNF
Richmond
71
Facility 71
VA AVG 94
Rank #211 / 311
Yes
4
Facility 4
VA AVG 45
Rank #331 / 336
-Linda Underdown
43.7%
Facility 43.7%
VA AVG 69.8%
Rank #233 / 249
-4
0%
Facility 0%
VA AVG 59.3%
Rank #1 / 303
0
Facility 0
VA AVG 32
Rank #1 / 248
0.0
Facility 0.0
VA AVG 2.3
Rank #1 / 248
Spring Oak at Louisa
AL
RC
Louisa
31
Facility 31
VA AVG 94
Rank #284 / 311
Yes
10
Facility 10
VA AVG 45
Rank #317 / 336
-Terra Brown
58.1%
Facility 58.1%
VA AVG 69.8%
Rank #185 / 249
-8
38%
Facility 38%
VA AVG 59.3%
Rank #61 / 303
4
Facility 4
VA AVG 32
Rank #33 / 248
0.5
Facility 0.5
VA AVG 2.3
Rank #27 / 248
English Meadows Abingdon Campus
AL
MC
Abingdon
85
Facility 85
VA AVG 94
Rank #160 / 311
No
70
Facility 70
VA AVG 45
Rank #51 / 336
-Anna Laura Henderson
83.5%
Facility 83.5%
VA AVG 69.8%
Rank #56 / 249
-8
63%
Facility 63%
VA AVG 59.3%
Rank #157 / 303
15
Facility 15
VA AVG 32
Rank #103 / 248
1.9
Facility 1.9
VA AVG 2.3
Rank #108 / 248
Brown Stone Assisted Living
AL
Richmond (Highland Park Southern Tip)
15
Facility 15
VA AVG 94
Rank #292 / 311
No
22
Facility 22
VA AVG 45
Rank #267 / 336
-Sandra Brown
73.3%
Facility 73.3%
VA AVG 69.8%
Rank #117 / 249
-5
20%
Facility 20%
VA AVG 59.3%
Rank #22 / 303
2
Facility 2
VA AVG 32
Rank #19 / 248
0.4
Facility 0.4
VA AVG 2.3
Rank #23 / 248
Heritage Village Assisted Living and Memory Care
AL
MC
Gainesville
152
Facility 152
VA AVG 94
Rank #34 / 311
Yes
42
Facility 42
VA AVG 45
Rank #181 / 336
-George Winters
75.7%
Facility 75.7%
VA AVG 69.8%
Rank #102 / 249
-11
27%
Facility 27%
VA AVG 59.3%
Rank #38 / 303
5
Facility 5
VA AVG 32
Rank #42 / 248
0.5
Facility 0.5
VA AVG 2.3
Rank #27 / 248

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other VA assisted living community we track that reports that metric, not just the 348 on this page. See how we rank facilities

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Overview of Shalom Gardens Senior Living

Shalom Gardens Senior Living is a senior care community in Richmond, Virginia, offering assisted living, memory care, skilled nursing, and long-term care services. Opened in late 2023, the community is a newer option in the Richmond market and is administered by Brigitta Lewis. The community has 71 licensed beds and is currently operating at approximately 44% occupancy, suggesting open availability for interested families.

For a newly established community, the community’s inspection history is relatively strong, with four inspections, which concluded with zero violations. The most recent inspection on May 12, 2025, confirmed full compliance with all applicable standards. An earlier monitoring visit in March 2024 also reported no issues, and a complaint investigation in October 2024 did not substantiate any concerns. There have been no fines, enforcement actions, or licensing issues, reflecting a consistent record of compliance since operations began.

The community’s clinical model is centered on continuous access to care, with 24-hour on-site nursing serving as a key differentiator for those who require consistent medical oversight. Services also include nursing care, skilled nursing, 24-hour staffing, rehabilitation support, respite care, and emergency response systems, while amenities include medication management, salon and personal care services, and a range of wellness programs and activities. Operating 24/7, the community supports residents with higher acuity needs who may require care at any time.

Shalom Gardens Senior Living is a practical option for older adults in Richmond seeking a higher level of care, particularly those requiring skilled nursing or continuous medical oversight alongside memory care or long-term support, in a newer community with a clean and consistent regulatory record.

Contact Shalom Gardens Senior Living

Overview of English Meadows Abingdon Campus

English Meadows Abingdon Campus offers assisted living and memory care in Abingdon, VA. Assisted living provides help with daily tasks while allowing a resident to maintain a private living space, while memory care provides supervision in a secured setting for someone living with dementia. The two care levels may suit a resident whose needs grow over time and who may be able to remain within the same community as care needs change.

The community has 85 beds, and staffing is available 24 hours a day, including overnight hours. Starting prices range from $5,295 to $7,995 per month, so families should expect the monthly starting amount to fall within that range. Anna Laura Henderson serves as the administrator.

Residents have access to a salon and receive farm-fresh meals and snacks. A Walk Score of 70 means the area is very walkable, with most errands possible on foot, allowing a resident who no longer drives to reach nearby shops and services independently.

Contact English Meadows Abingdon Campus

Spring Oak at Louisa

440 W Main St, Louisa, VA 23093
Overview of Spring Oak at Louisa

Spring Oak at Louisa understands that individual needs can evolve over time. That’s why they offer assisted living with various assisted living services to meet individual needs. Residents can choose from spacious apartments designed for comfort and personalized living. Each apartment features convenient amenities like in-unit kitchens and emergency call systems, promoting a sense of normalcy and control over their environment.

A dedicated team works closely with each resident to assess their needs and create a personalized care plan. This plan can be adjusted as needs change, ensuring residents receive the exact level of support they require. Whether you require assistance with daily activities such as bathing, dressing, medication management, or transportation, Spring Oak Louisa can provide the necessary support.

Contact Spring Oak at Louisa

Overview of Brown Stone Assisted Living

Brown Stone Assisted Living strives to create a warm and inviting atmosphere for its residents, while also emphasizing the importance of building relationships with families, friends, and the wider community. They provide a range of personalized programs and activities to enhance the quality of life for their residents, with a focus on maximizing functional abilities and promoting independence. In addition, Brown Stone welcomes community groups to offer new experiences and opportunities for socialization.
Brown Stone Assisted Living provides an extensive array of services to guarantee that their residents are well-cared for. They have 24-hour staff and emergency assistance available to support the residents with daily tasks such as bathing, dressing, and eating. The facility also offers meal preparation, housekeeping, laundry, money management, ambulation assistance, transportation, and basic healthcare needs based on individualized service plans. In addition, basic cable television and local telephone services are available in common areas.

Contact Brown Stone Assisted Living

Overview of Heritage Village Assisted Living and Memory Care

Heritage Village Assisted Living and Memory Care offers assisted living and memory care in Gainesville, VA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space, while memory care provides a secured setting with supervision for someone at risk of wandering. The community may be a good fit for someone whose care needs could grow over time, since both care levels are available in one community.

Heritage Village Assisted Living and Memory Care has 152 beds, making it a larger setting with more residents and staff and usually more programming. Starting prices are $5,395 per month for assisted living and $9,999 per month for memory care; the difference reflects the smaller staff ratios and secured setting associated with memory care. George Winters serves as the administrator.

The community has pet-friendly apartments, allowing a resident to live with a pet. Health Care Navigation and Lifestyle & Activities are also available as specific programs, supporting health-related navigation and planned activities. A car-dependent Walk Score of 42 means most errands require a car or a ride, so residents who no longer drive would generally need transportation for those trips.

Contact Heritage Village Assisted Living and Memory Care

Lake Prince Woods

100 Anna Goode Wy, Suffolk, VA 23434
Overview of Lake Prince Woods

Conveniently located in Suffolk, VA, Lake Prince Woods is a dedicated senior living community that offers independent living, assisted living, memory care, and rehabilitation, ensuring residents get the care they require for their ever-changing needs. The community features apartments, villas, and cottages that are ideally located near nature, cultural events, shopping, and fine restaurants. Whether you require assistance with daily living activities, memory support services, or physical, occupational, and speech therapy, Lake Prince Woods can surely meet your needs.

Encouraging a healthy, active lifestyle for seniors with varying mobility levels, the community conducts a wide range of wellness & fitness activities, including Tai chi, mat yoga, and chair exercise using weights and bands. Plenty of amenities, such as a game room, salon, library, and a meditation garden, provides plenty of space for leisure, entertainment, and relaxation. A wide range of resident programs fosters lifelong learning, ensuring residents’ holistic wellbeing.

Contact Lake Prince Woods

Overview of Lakewood Retirement

Lakewood Retirement is an esteemed retirement community located in the lively West End of Richmond. Their priority is to ensure residents enjoy a top-quality lifestyle, with generously-sized and well-appointed living spaces such as apartments and cottages that provide ultimate comfort and relaxation. Residents in the community have easy access to popular destinations like Colonial Williamsburg, Virginia Beach, and Washington, D.C. Lakewood’s location is ideal for those seeking an active and diverse lifestyle.

Lakewood Retirement offers independent living residents access to amenities such as chef-prepared meals, housekeeping, transportation, and activities promoting physical and mental well-being. Healthcare services include on-site nursing staff 24/7, medication management, assistance with daily activities, and therapy. An on-site physician provides medical care, while staff work closely with residents and families to meet their personalized healthcare needs. It’s worth noting that their calendar is always buzzing with exciting activities that aim to enhance the lives of their residents and keep them in the loop. These activities consist of intriguing live entertainment, educational presentations, and lively seasonal celebrations, all aimed at adding value to the residents’ lives. By keeping them informed and engaged, these events provide a sense of community and connectedness.

Contact Lakewood Retirement

The Fairfax

9140 Belvoir Woods Pkwy, Fort Belvoir, VA 22060
Overview of The Fairfax

The Fairfax is a 96-bed nursing home in Fort Belvoir, Virginia, right off Belvoir Woods Pkwy. It runs at 72% occupancy, 69 beds filled out of 96, and the average resident sticks around for about 55 days. That tells you this isn’t a place built only for long-haul stays. A lot of people come through for shorter, recovery-focused care.

You can pay your way in through Medicare or private pay, both options on the table here. That combination usually points to the kind of place someone lands after a hospital stay rather than a permanent move.

RN time clocks in at 30 minutes a day, which is on the lighter side, but LPN time is heavy at 2 hours and 13 minutes, and nurse aides add another 2 hours and 31 minutes. Add it up and residents get 4 hours and 38 minutes of total nursing care daily. That’s a staffing model leaning hard on LPNs and aides for hands-on, day-to-day care.

State inspectors tend to circle back to the same four areas here: emergency preparedness, staffing and credentials, hazardous-materials safety, and how well care planning gets documented. Those are standard categories any nursing home gets evaluated on, nothing facility-specific, just where the regulatory attention typically lands.

One more thing worth knowing if you’re planning visits: this is a car-dependent stretch of Fort Belvoir, Walk Score of 2. You’re driving here, full stop, no walking errands on the side.

Taken together, The Fairfax reads as a facility built around shorter recovery stays, with a staffing structure that puts most of the daily hands-on care in the hands of LPNs and aides rather than RNs.

Contact The Fairfax

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.

Contact The Harmony Collection at Roanoke – Assisted Living

TerraBella Pheasant Ridge

4435 Pheasant Ridge Rd, Roanoke, VA 24014
Overview of TerraBella Pheasant Ridge

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.

Contact TerraBella Pheasant Ridge

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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Virginia at a glance

Avg Monthly Cost: $6,911The average monthly cost across facilities in Virginia. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 45/ 100The average Walk Score across facilities in Virginia. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 94The average licensed bed capacity across facilities in Virginia. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Virginia

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.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 348 assisted living facilities in Virginia. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Virginia?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Virginia, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Virginia?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.