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Other Senior care options in Virginia:

Best Assisted Living in Virginia

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 439 homes in Virginia

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 Virginia.

Watch this Video to see Virginia's Top-rated Senior Communities

Compare Assisted Living around Virginia

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

Click column headers to sort
Hickory Hill Retirement Community
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.

Burkeville
80
Facility 80
VA AVG 132
Rank #218 / 371
No
0
Facility 0
VA AVG 42
Rank #438 / 449
1 Bed / 2 BedMs. Laura D. Glasscock 91.3% A+1741.2%261.5
Silverado Alexandria Memory Care Community
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Alexandria (Rosemont)
88
Facility 88
VA AVG 132
Rank #195 / 371
Yes
21
Facility 21
VA AVG 42
Rank #353 / 449
Private RoomsMs Sabrina Pegross 75.0% -540%30.6
Harmony at Independence
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.

Virginia Beach
89
Facility 89
VA AVG 132
Rank #194 / 371
No
52
Facility 52
VA AVG 42
Rank #161 / 449
-Kristen Buman 88.8% -2360.9%652.8
Braddock Glen
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Fairfax (Lee Meadows)
79
Facility 79
VA AVG 132
Rank #227 / 371
Yes
44
Facility 44
VA AVG 42
Rank #214 / 449
Studio / 1 BedMs. Katherine Westerman 68.4% -1030%30.3
Shenandoah Senior Living
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Front Royal
78
Facility 78
VA AVG 132
Rank #228 / 371
No
0
Facility 0
VA AVG 42
Rank #438 / 449
-Jason Long 56.4% A+2657.7%522.0
Karolwood Gardens Norfolk
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.

Norfolk (Talbot Park)
97
Facility 97
VA AVG 132
Rank #166 / 371
No
32
Facility 32
VA AVG 42
Rank #289 / 449
-Linda Underdown--4374.4%00.0
Bickford of Suffolk Assisted Living & Memory Care
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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.

Suffolk (Harbour View)
74
Facility 74
VA AVG 132
Rank #237 / 371
Yes
25
Facility 25
VA AVG 42
Rank #337 / 449
Private RoomsSusan Vittori--1978.9%00.0
Brandon Oaks Nursing and Rehabilitation Center
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 (Westland)
43
Facility 43
VA AVG 132
Rank #320 / 371
No
33
Facility 33
VA AVG 42
Rank #282 / 449
-Adm Esteban Duran-Ballen 53.5% -1040%333.3
Our Lady of the Valley
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Roanoke (Gainsboro)
127
Facility 127
VA AVG 132
Rank #82 / 371
No
68
Facility 68
VA AVG 42
Rank #74 / 449
Studio / 1 BedMeagan Seale 87.4% A+2055%582.9
Commonwealth Senior Living at Georgian Manor
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Chesapeake (Greenbrier West)
80
Facility 80
VA AVG 132
Rank #218 / 371
Yes
1
Facility 1
VA AVG 42
Rank #435 / 449
SuiteCristy Hansen 97.5% -1283.3%302.5
Brightview Fair Oaks
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Fairfax (Fair Lakes)
92
Facility 92
VA AVG 132
Rank #181 / 371
Yes
12
Facility 12
VA AVG 42
Rank #398 / 449
Studio / 1 Bed / 2 BedFranc Cooper 91.3% -475%92.3
Commonwealth Senior Living at Churchland House
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Portsmouth (West Norfolk Road)
80
Facility 80
VA AVG 132
Rank #218 / 371
No
15
Facility 15
VA AVG 42
Rank #385 / 449
Private Rooms / Companion SuitesMr. Luke Peterson 87.5% -1492.9%382.7
AVIVA Baldwin Park
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.

Staunton
75
Facility 75
VA AVG 132
Rank #234 / 371
No
29
Facility 29
VA AVG 42
Rank #313 / 449
Studio / 1 Bed / 2 BedMs. Kristi Piller 69.3% -540%30.6
Bickford of Chesterfield
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Midlothian
74
Facility 74
VA AVG 132
Rank #237 / 371
Yes
54
Facility 54
VA AVG 42
Rank #157 / 449
Private RoomsEileen Kwak 75.7% -1457.1%402.9
Mennowood Retirement Community
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Newport News (North Newport News)
90
Facility 90
VA AVG 132
Rank #185 / 371
No
53
Facility 53
VA AVG 42
Rank #160 / 449
-Thelma Shaffer 73.3% A757.1%152.1
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Overview of Chesapeake Place
Chesapeake Place is a senior living community in Chesapeake, Virginia. It offers Assisted Living, Memory Care, and Respite options tailored to individual needs. The community provides a warm environment with a variety of activities and amenities to enhance residents' lifestyles.

Contact Chesapeake Place

Overview of Carriage Hill Retirement
Carriage Hill Retirement is a senior living community in Bedford, Virginia, offering assisted living and memory care services. The facility provides a range of amenities and programs designed to promote social connection and wellness. Residents enjoy restaurant-style dining, scheduled transportation, and a variety of activities.

Contact Carriage Hill Retirement

Overview of Ashleigh at Lansdowne Independent & Assisted Living Community
Ashleigh at Lansdowne is an award-winning senior living community in Leesburg, VA that combines comfort, connection, and personalized care. It offers independent living, assisted living, memory care, and respite care, along with a wealth of vibrant amenities for residents. The community is family-owned and has been providing engaging lifestyle programs for over 40 years.

Contact Ashleigh at Lansdowne Independent & Assisted Living Community

Overview of Woods Cove Assisted Living
Woods Cove Assisted Living provides an atmosphere that is friendly and pleasant to residents. The facility aims to ensure that residents feel at home and offers individualized, encouraging, and conscientious care. Daily activities are available to engage residents and promote friendships.

Contact Woods Cove Assisted Living

Overview of The Heritage Inn Assisted Living and Memory Care Facility
The Heritage Inn is an assisted living and memory care community located in Charlottesville, Virginia. It offers a warm, home-like environment with specialized care for residents with memory loss. The facility provides an all-inclusive pricing model that covers various services to ensure peace of mind for families.

Contact The Heritage Inn Assisted Living and Memory Care Facility

Overview of The Elms of Lynchburg LLC
The Elms of Lynchburg is an assisted living and memory care community located in Lynchburg, Virginia. It provides compassionate care for seniors, focusing on enhancing their quality of life through personalized assistance and emotional support. The facility offers specialized services for individuals with memory challenges, ensuring a safe and engaging environment.

Contact The Elms of Lynchburg LLC

Overview of St. Mary’s Woods
St. Mary's Woods is a nonprofit senior living community located in Richmond, Virginia. It provides exceptional living and services since 1988, offering independent senior living apartments and engaging programs. Residents enjoy a vibrant lifestyle with quality care and peace of mind.

Contact St. Mary’s Woods

Overview of Shenandoah Valley Westminster-canterbury
Shenandoah Valley Westminster-canterbury (SVWC) is a non-profit Life Plan Community located in Winchester, Virginia. It offers maintenance-free senior living with access to a full continuum of care, including independent living, assisted living, memory care, and skilled nursing. The community is set on 175 scenic acres, providing a beautiful environment for residents.

Contact Shenandoah Valley Westminster-Canterbury

Overview of Shalom Gardens Senior Living
Shalom Gardens Senior Living is a senior living community located in Richmond, VA. It offers a range of services including assisted living, memory care, skilled nursing, and long-term care. The facility provides 24/7 on-site nursing care and a variety of engaging programs and amenities.

Contact Shalom Gardens Senior Living

Overview of Saint Francis Home
Saint Francis Home is a senior living community located in Richmond, Virginia. It offers various accommodations, amenities, and activities for residents. The facility encourages community involvement through volunteer opportunities.

Contact Saint Francis Home

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 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 135 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.