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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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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 located in Roanoke, Virginia. It offers independent living, assisted living, memory care, and rehabilitation services. The community is designed to support residents' health and well-being through social engagement, fitness opportunities, and access to healthcare.

Contact Friendship Assisted Living, Inc.

Overview of English Meadows Abingdon Campus

English Meadows Abingdon Campus is a senior living community located in Abingdon, VA. It offers personalized care and luxurious accommodations, including Assisted Living and Dementia Care. Residents enjoy a variety of services and amenities designed to enhance their quality of life.

Contact English Meadows Abingdon Campus

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

Contact Elizabeth House Assisted Living

Overview of Culpepper Garden Iii, INC
Culpepper Garden Iii, INC is a nonprofit retirement community located in Arlington, VA. It provides affordable independent living apartments for seniors aged 62 and older. The community offers various services and activities to promote wellness and engagement among residents.

Contact Culpepper Garden III, INC

Colonial Manor

8679 Pocahontas Trail, Williamsburg, VA 23185
Overview of Colonial Manor
Colonial Manor is a senior living facility located in Williamsburg, Virginia. It offers a family atmosphere with homemade meals, engaging activities, and comprehensive on-site medical care. The facility provides levels 1 through 4 care, ensuring residents maintain their independence while receiving necessary support.

Contact Colonial Manor

Chesterbrook Residences

2030 Westmoreland Street, Falls Church, VA 22043
Overview of Chesterbrook Residences
Chesterbrook Residences is a senior living community located in Falls Church, Virginia. It offers vibrant and caring residential and assisted living services in a warm, welcoming environment. Residents enjoy a variety of activities and events designed to enrich their lives.

Contact Chesterbrook Residences

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 atmosphere with a variety of activities and amenities to enhance residents' lifestyles.

Contact Chesapeake Place

Overview of Chantilly Heights
Chantilly Heights is a memory care facility located in Chantilly, VA. It specializes in Alzheimer’s and dementia care, providing personalized support in a secure environment. The community offers engaging activities and a warm atmosphere for residents.

Contact Chantilly Heights

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 and a variety of activities to enhance their quality of life.

Contact Carriage Hill Retirement

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.