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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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View all Nearby Homes
Overview of Lakeside Alf Operations, LLC
Lakeside Alf Operations, LLC offers an advanced approach to short-term rehab, long-term care, and dementia care. The facility provides around-the-clock skilled nursing in a residential setting, featuring various amenities including an outdoor recreation area and a rehab gym. It is committed to supporting wellness and making stays enriching and comfortable.

Contact Lakeside ALF Operations, LLC

Overview of Journeys Crossing
Journeys Crossing is located in Elkton, Virginia, offering supportive services and personalized assistance in a comfortable and secure setting. It provides a range of activities and amenities to promote independence while ensuring that help is available when needed. Residents can enjoy delicious meals, daily activities, and a variety of social events.

Contact Journeys Crossing

Overview of Hermitage Three Chopt
Hermitage Three Chopt is a senior living community located in Richmond, Virginia, focusing on enhancing the lives of residents through Memory Support. The community features a unique design tailored for individuals with Alzheimer’s and other forms of dementia. It is part of Pinnacle Living, a not-for-profit organization dedicated to creating supportive environments for seniors.

Contact Hermitage Three Chopt

Hermitage Deep Run

9991 Ridgefield Parkway, Richmond, VA 23233
Overview of Hermitage Deep Run
Hermitage Deep Run is a senior living community located in Henrico, Virginia. It offers Assisted Living and Memory Support services, promoting independence and active living for residents. The community is designed to provide personalized support while fostering a sense of belonging.

Contact Hermitage Deep Run

Overview of Heritage Village Assisted Living and Memory Care
Heritage Village Assisted Living and Memory Care is located in Gainesville, Virginia. It offers a fresh, inspired take on assisted living and memory care with a focus on compassionate assistance and a healthy lifestyle. Residents can enjoy a well-designed, comfortable residence with various amenities and services.

Contact Heritage Village Assisted Living and Memory Care

Overview of Hawksbill Assisted Living
Hawksbill Assisted Living is located in the beautiful Shenandoah Valley in the charming town of Luray, just 90 minutes from Washington, D.C. and Charlottesville, VA. The facility provides a commitment to high standards, ensuring peace of mind for residents and their loved ones. It offers a variety of services including daily meals, housekeeping, and activities.

Contact Hawksbill Assisted Living

Hawkins Residential

3212 Chamberlayne Avenue, Richmond, VA 23227
Overview of Hawkins Residential
Hawkins Residential provides supportive, structured care for adults with mental health disabilities, fostering stability, independence, and community in Richmond, VA. The facility offers personalized care, professional support, and a homelike environment for up to 80 adults. Services include personal care, meals, housekeeping, activities, and 24-hour support.

Contact Hawkins Residential

HH Riverhouse

100 Caroline Street, Fredericksburg, VA 22401-6104
Overview of Hh Riverhouse
H. H. Riverhouse is Fredericksburg’s oldest and most trusted Assisted Living Facility. It is locally owned and operated by the Sullivan family for the past three generations. Riverhouse has served the families of the Fredericksburg area for nearly fifty years.

Contact HH Riverhouse

Overview of Friendship Assisted Living, INC.
Friendship Assisted Living, Inc. is a senior living community located in Roanoke, Virginia. It offers independent living, assisted living, memory care, and rehabilitation services. The community focuses on wellness, social engagement, and access to healthcare to support residents' health and longevity.

Contact Friendship Assisted Living, Inc.

Overview of Elizabeth House Assisted Living
Elizabeth House Assisted Living is an assisted living community located in Glen Allen, VA. It provides 24-hour personalized support and assistance, along with delicious meals and various therapeutic activities. The facility accommodates up to 60 residents and offers skilled nursing and rehabilitation services nearby.

Contact Elizabeth House Assisted Living

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.