Best Assisted Living in Virginia

Overview of Regency at Augusta

Regency at Augusta is an assisted living and memory care community in Fishersville, Virginia, providing personalized daily support for those 65+ in the Augusta County area. Administered by Jessica Covel, the community also focuses on accessible, affordable care, with housekeeping and laundry included as part of its services. With a 96-bed capacity, the community currently operates at approximately 75% occupancy, consistent with the Virginia statewide average.

Across 26 inspections, 14 resulted in violations, or 53.8%, which is below the Virginia average of 64.3%. However, the total number of deficiencies is 45, higher than the state average of 32. The most recent inspection on October 21, 2025, identified one deficiency related to a lapse in monitoring when a memory care resident was briefly unaccounted for. Earlier inspections also include substantiated complaints about resident care, physical abuse, staffing levels, and medication management. In line with this, corrective actions such as staff suspensions and terminations were taken following certain incidents. However, there have been no fines or license suspensions. Overall, the record indicates recurring challenges in resident supervision and medication management, along with documented efforts by management to address these issues.

Comprehensive care services are also provided, which include assisted living, memory care, personal assistance, medication management, 24-hour staffing, three daily meals, housekeeping, and laundry. Activities and social programming are also conducted with an overall approach that promotes health, wellness, dignity, and independence.

Regency at Augusta is a suitable option for older adults seeking assisted living or memory care in an affordable, all-inclusive community. Due to its regulatory history, families are encouraged to ask detailed questions about supervision practices in memory care and staff accountability measures.

Overview of Reflections-A Senior Living Community

Reflections A Senior Living Community is an assisted living community in Leesburg, Virginia, offering personalized care. Administered by Ms. Sheetal Patel, the community has a smaller, more intimate setting that provides 24-hour staffing and a home-style approach to daily living. This 42-bed community is currently operating at approximately 67% occupancy, offering immediate availability for interested families.

The community has undergone 10 total inspections, 4 of which resulted in violations, or 40%, which is notably below the Virginia average of 64.3%. In line with this, the total number of deficiencies is 8, which is also significantly lower than the statewide average of 32. The most recent inspection on April 3, 2025, was a complaint investigation that identified no deficiencies and did not substantiate concerns related to resident care or accommodations. However, a prior complaint investigation in December 2024 did result in substantiated findings involving care documentation and building conditions. Earlier citations also cited issues with medication storage, unsigned service plans, and maintenance concerns. There have been no fines, immediate jeopardy findings, or license actions, and more recent monitoring points to improving compliance.

Featuring a scratch kitchen model, the community provides three freshly prepared meals served each day along with snacks. Amenities also include medication management, routine housekeeping services provided daily and weekly, and structured life enrichment activities offered each day. A 24-hour emergency call system, along with nursing services and continuous staffing, are in place to support resident safety. Administrative operations run from Monday through Saturday.

Reflections A Senior Living Community is a strong option for older adults in the Leesburg area seeking a smaller, community-oriented assisted living environment in a walkable historic setting, with consistent staffing, fresh meal preparation, and a solid compliance track record.

Paramount Senior Living at Manassas is a senior care community in Manassas, Virginia, that offers independent living, assisted living, home health care, and hospice care. With a 125-bed capacity, the community currently operates at approximately 46% occupancy, providing immediate availability for interested families across the Northern Virginia and Washington, D.C. metro area.

Out of eight inspections, three resulted in violations, or 37.5%, which is below the Virginia average of 64.3%. The community has also recorded a total of seven deficiencies, significantly lower than the statewide average of 32. The most recent inspection on March 14, 2025, was a complaint-initiated investigation; however, details on specific findings were not available. So, families are encouraged to ask directly about the results and any corrective actions taken.

Notably, the community has comprehensive clinical and service offerings for the Northern Virginia assisted living market, which include skilled nursing, nursing support, licensed nurses and certified nursing assistants, and 24-hour staffing. Additional care options also include physical, occupational, and speech therapy, home health aide visits, physician services, durable medical equipment, social service support, and spiritual and bereavement counseling. Short-term respite care is also available, providing flexibility for post-hospital recovery and temporary care.

On-site amenities include private and companion suites, a café, a health and fitness center, an emergency call response system, an elegant dining room, a private dining space, media and living areas, a large porch, landscaped gardens, and a full-service beauty and barbershop. Three daily meals and programming are also offered seven days a week, with activities tailored to residents’ preferences and abilities. Published starting rates start at $2,000 per month for single occupancy, positioning the community competitively in the region.

With its full continuum of care, Paramount Senior Living at Manassas is a strong option for older adults and families in Northern Virginia seeking a community that can support complex and changing care needs, particularly those who may require home health, hospice, or skilled nursing services alongside assisted living.

Overview of Our Lady of Peace

Our Lady of Peace is a senior care community in Charlottesville, Virginia, offering assisted living, memory care, and nursing care in one setting. Operated under governmental authority and led by Ms. Rachel Lindberg, it has a 140-bed capacity. The community currently operates at a 99% occupancy rate, one of the highest rates in the Charlottesville market, reflecting strong demand and sustained confidence from residents and families. Since room availability is very limited, families are encouraged to inquire early for openings and discuss possible waitlist options.

The community has earned a 5 out of 5 overall CMS rating, a distinction achieved by only a small number of assisted living and nursing care providers in Virginia. This rating is driven by strong performance in staffing, rated 5 out of 5 compared to the state average of 3.6, and quality measures, also rated 5 out of 5 compared to a Virginia average of 4.0. Residents receive an average of 4 hours and 35 minutes of nursing care per day, which is slightly below the state average of 4 hours and 47 minutes but consistent with its high-quality outcomes. The health inspection rating stands at 3 out of 5, close to the Virginia average of 3.4, with some documentation-related findings cited during the October 2024 renewal inspection.

In line with this, across seven total inspections, only one resulted in a cited violation, or 14.3%, significantly lower than the Virginia average of 64.3%. The community has recorded eight total deficiencies, well below the state average of 32. The most recent renewal inspection in October 2024 identified procedural concerns about medication administration timing and risk assessments. Additionally, complaint investigations conducted in 2022 and early 2024 were unsubstantiated, and there have been no fines or enforcement actions. Overall, the compliance record shows steady and improving performance.

Nursing services, skilled nursing care, and support from licensed nurses and certified nursing assistants are among the clinical services provided, complemented by life enrichment activities, dining services, and structured daily programming.

Our Lady of Peace is well-suited for older adults who require reliable assisted living or nursing-level care. Its government-operated setting, along with strong staffing and quality performance, a long-standing reputation, and consistently high occupancy, are appealing features for those exploring care options in the Charlottesville area.

Overview of Masonic Home of Virginia

Masonic Home of Virginia is a Continuing Care Retirement Community in Henrico, Virginia, providing independent living, assisted living, and skilled nursing care on one campus in the greater Richmond metropolitan area. Managed by Ms. Kathy Bryant, the community is licensed with 158 beds. With a current occupancy rate of approximately 47.5%, the community provides immediate availability for interested families.

The regulatory history for this community is exceptionally strong and serves as a major point of distinction. Out of five total inspections, only one resulted in a violation, which is a 20% violation rate that is far lower than the Virginia state average of 64.3%. Additionally, the cumulative deficiency count of just one is significantly lower compared to the state average of 32, placing it among the top-performing communities in Virginia for compliance. The most recent inspection on June 12, 2025, also resulted in zero deficiencies. The only recorded deficiency occurred back in 2021, concerning medication administration. Additionally, there are no records of fines, enforcement actions, or complaint investigations, making this a highly credible option for families who value a clean regulatory record.

Care services include professional skilled nursing, along with resort-style amenities and a highly active social calendar. Since it operates under a continuing care model, the community offers residents and their families long-term stability and continuity of care, allowing their loved ones to stay under one roof even when their needs evolve. The supportive atmosphere is also designed to foster engagement, and interested families are encouraged to tour the grounds to see specific dining options and daily activity programming firsthand.

Masonic Home of Virginia is an ideal choice for older adults seeking a stable, long-term residence that can accommodate changing health needs over time. Its history of minimal deficiencies and well-maintained environment also makes it a standout option in the region. While its Masonic affiliation holds special significance for Freemasons and their families, the community warmly welcomes and serves the general public.

Marian Manor of Stafford is a licensed assisted living community specializing in dementia care in Stafford, Virginia. The community’s 39-bed capacity is currently fully occupied, which reflects steady demand. Due to its limited availability, interested families are encouraged to ask about current waitlist procedures.

The community has undergone 5 inspections, which is significantly fewer than the Virginia average of 14. Only 40% of these visits resulted in violations, which is below the statewide average of 64.3%. With a total of six deficiencies across all inspections, the community is well below the state average of 32. During the most recent inspection on May 20, 2025, one deficiency was cited regarding personal assistance with a resident’s bathing routine, though the related complaint was not substantiated. Previous reviews also mentioned occasional gaps in documentation, staff orientation, and training. However, no fines, enforcement actions, or findings of immediate jeopardy are present in the current records.

Providing a thorough dementia-focused care program, the community features 24-hour staffing, including licensed nurses and an on-staff physician. A staff-to-resident ratio of 1:8 also ensures a favorable level of personal attention for each resident. Additionally, a variety of specialty services such as physical, occupational, and speech therapy, along with behavioral management, psychological assessments, and podiatry, are also provided.

Fully furnished rooms, structured activities, religious services, and beauty and barber options are among the lifestyle amenities, along with three nutritious meals and three snacks served daily under the consultation of a registered dietitian. The community is also pet-friendly and includes laundry and housekeeping in its monthly fees, which start at $3,900. Notably, Medicare is not an accepted payment form.

Marian Manor of Stafford is highly suitable for older adults living with Alzheimer’s disease or other cognitive impairments who require a therapeutically focused environment. Its favorable resident-to-staff ratio and extensive range of on-site specialty support services make it a strong option for those seeking dedicated memory care in the Stafford area.

Overview of Living Waters Senior Care

Living Waters Senior Care is a locally owned and operated assisted living community managed by Melissa Green and has an active license in Timberville, Virginia, serving the greater Harrisonburg region. Serving 33 residents with a 40-bed capacity, the community has an occupancy rate of roughly 82.5%, which aligns with the Virginia state average and indicates stable demand for care within the rural Shenandoah Valley neighborhood.

Regarding its regulatory standing, the community has a detailed inspection history that families should evaluate with care. It has undergone a total of 11 inspections, five of which were prompted by complaints, and each of these visits resulted in at least one violation. This 100% violation rate is significantly higher than the Virginia average of 64.3%, and the cumulative deficiency count of 55 also exceeds the state average of 32. Additionally, frequent areas of concern identified in past reports include medication management, staff training records, emergency readiness, building upkeep, and adherence to individualized service plans. The most recent review on September 12, 2025, also cited a deficiency regarding the timelines for physician reviews of medication orders. While some complaint investigations were substantiated, such as one involving the availability of basic hygiene supplies, no formal fines or licensing enforcement actions are currently listed in the public record.

The community provides several core services, including 24-hour care, hospice coordination, and specialized nutritional and dietary support. Since it is locally owned and embedded in the neighborhood, the community appeals to those looking for a more personal connection with management and care providers. While specific data on lifestyle amenities is limited in current records, the community’s focus remains on providing consistent, around-the-clock support for its residents.

Living Waters Senior Care may serve as a practical choice for older adults in the Timberville and Harrisonburg area who need constant supervision and value a locally managed setting. However, families exploring this option are encouraged to request current staffing plans, medication protocols, and the most recent inspection summaries to ensure it meets their standards.

Overview of Journeys Crossing

Journeys Crossing is a licensed assisted living community in Elkton, Virginia, providing personalized care. Managed by Brian Phelps, the community provides a small, homelike environment in the Shenandoah Valley region, focusing on comfort, social connection, and individualized support for older adults who need help with daily activities. With 29 of 40 beds occupied, the community’s current occupancy is approximately 73%, indicating some availability for interested residents.

The community has completed 10 state inspections, 6 of which concluded with violations, or 60%, which is slightly below the Virginia average of 64.3%. A total of 15 deficiencies have been recorded across all inspections, lower than the state average of 32. Two inspections involved complaints, including the most recent inspection on July 17, 2025, which identified no deficiencies and did not substantiate the concerns raised. Earlier findings also pointed to recurring procedural issues related to medication management, staff documentation, and the security of resident and medication records, areas that appear to have been addressed over time. However, there are no records of fines, immediate jeopardy findings, or enforcement actions.

Three daily meals with snacks, along with housekeeping services and 24-hour support from nursing staff, are provided. Additional services also include home health care, social and recreational activities, access to a beauty salon, cable-ready rooms, private bathrooms, and emergency call systems in both bedrooms and bathrooms. Respite care is also available, which appeals to those exploring temporary stays. Administrative offices operate Monday through Friday from 8 a.m. to 4 p.m., and a schedule of activities and events is regularly posted in the shared great room.

Journeys Crossing is an ideal option for older adults in the Elkton and greater Shenandoah Valley area who prefer a smaller, more personal living environment instead of a large-scale setting. Its rural location and modest size foster a close-knit atmosphere where staff and residents know each other well, making it an appealing option for families seeking a more intimate and locally grounded community.

Hermitage Three Chopt is a licensed assisted living community specializing in memory support in Richmond, Virginia. Led by Shakerrie Allmond and operated by the not-for-profit organization Pinnacle Living, the community is intentionally designed for memory care with a tailored environment and resident-focused programming. Currently serving 25 residents with a 48-bed capacity, the community has an approximately 52% occupancy, which is ideal for those seeking immediate memory care placement.

The community is relatively new, with 3 state inspections on record following its initial licensing in August 2024. One inspection resulted in a violation or 33.3%, which is lower than the Virginia average of 64.3%. There have been 2 total deficiencies cited, significantly below the state average of 32. The most recent inspection on February 7, 2025, reported no deficiencies, while the only citation to date, from a December 2024 monitoring visit, involved gaps in staff CPR training requirements and the annual review process for resident rights. However, there were no complaints, fines, or enforcement actions reported.

As part of a not-for-profit organization, the community operates with an emphasis on dignity, service, and quality care, providing a structured memory support program, along with health and wellness services, and daily dining. The community also offers a consistent schedule of activities and opportunities for volunteer engagement, helping to foster routine and connection. Pet-friendly policies are also in place, aiming to enhance the quality of life of residents and their families.

Hermitage Three Chopt is designed specifically for those living with Alzheimer’s disease or other dementia-related conditions seeking a secure and structured setting. With its smaller size that allows for more personalized attention and stronger familiarity between staff and residents, this community appeals to families in the Richmond area, particularly those who appreciate not-for-profit oversight.

Hermitage Deep Run is a licensed assisted living community in the Henrico County area of Richmond, Virginia, offering assisted living and memory support services. Led by administrator Brittany Ingram-Adkins as part of the broader Hermitage senior living network, the community emphasizes individualized care, engaging programs, and a supportive environment for residents with memory-related needs. Serving 43 residents with a 90-bed capacity, the community is currently operating at approximately 48% occupancy, suggesting availability for interested families.

The community has completed 6 state inspections, with only 1 resulting in a violation, or 16.7%, which is significantly lower than the Virginia average of 64.3%. Additionally, it has recorded just 1 total deficiency across all inspections, compared to the state average of 32. The most recent inspection on November 13, 2025, also concluded with no deficiencies and did not substantiate any related complaints. The single substantiated issue on record was from a September 2025 complaint investigation involving an unauthorized recording during a resident and staff interaction, which was addressed through staff removal from the specialized unit and required retraining. However, there are no records of fines, immediate jeopardy findings, or license actions.

Three daily meals with snacks, along with support from licensed nurses and certified nursing assistants providing 24-hour care, are offered, along with respite care and structured memory support programming. The community also offers an ongoing calendar of activities, volunteer opportunities, and wellness events designed to promote engagement and quality of life. Its affiliation with the Hermitage network also reflects a mission-driven approach with established care standards.

Hermitage Deep Run is well-suited for older adults who need assisted living with integrated memory support in a more intimate setting within the Richmond area. This community is also a practical option for families seeking immediate availability and reassurance with quality, as it has a strong inspection record and open availability.