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Best Nursing Homes in Roanoke, VA

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 13 homes in Roanoke, VA

Sources: CMS Centers for Medicare and Medicaid Services, and Virginia Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in Roanoke, Virginia.

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

Compare Nursing Homes around Roanoke (Metro Area)

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

8 facilities compared · CMS & VA Dept. of Health data

Click column headers to sort
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
53.5%
Facility 53.5%
VA AVG 85.7%
Rank #253 / 311
-38%
5.33
Facility 5.33
VA AVG 3.74
Rank #15 / 85
+28%+42%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 89
12
Facility 12
VA AVG 38.4
Rank #9 / 86
4.0
Facility 4.0
VA AVG 8.9
Rank #11 / 86
-
Facility -
VA AVG 1.3
23-
33
Facility 33
VA AVG 42
Rank #282 / 449
Heather Neff
$31.6M
Facility $31.6M
VA AVG $18.3M
Rank #30 / 85
$7.5M
Facility $7.5M
VA AVG $6.9M
Rank #58 / 85
23.6%
Facility 23.6%
VA AVG 39.7%
Rank #82 / 85
495373
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
87.4%
Facility 87.4%
VA AVG 85.7%
Rank #64 / 311
+2%
3.79
Facility 3.79
VA AVG 3.74
Rank #44 / 85
-42%+1%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 89
14
Facility 14
VA AVG 38.4
Rank #15 / 86
4.7
Facility 4.7
VA AVG 8.9
Rank #19 / 86
-
Facility -
VA AVG 1.3
111A+
68
Facility 68
VA AVG 42
Rank #74 / 449
David Rawlings
$17.2M
Facility $17.2M
VA AVG $18.3M
Rank #56 / 85
$8.2M
Facility $8.2M
VA AVG $6.9M
Rank #51 / 85
47.6%
Facility 47.6%
VA AVG 39.7%
Rank #35 / 85
495357
Virginia Veterans Care 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 (Shenandoah Avenue Northwest)
3
Facility 3
VA AVG 132
Rank #371 / 371
100.0%
Facility 100.0%
VA AVG 85.7%
Rank #1 / 311
+17%
4.28
Facility 4.28
VA AVG 3.74
Rank #33 / 85
+5%+14%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 89
16
Facility 16
VA AVG 38.4
Rank #23 / 86
5.3
Facility 5.3
VA AVG 8.9
Rank #24 / 86
-
Facility -
VA AVG 1.3
3-
19
Facility 19
VA AVG 42
Rank #362 / 449
Todd Barnes
$33.8M
Facility $33.8M
VA AVG $18.3M
Rank #23 / 85
$25.5M
Facility $25.5M
VA AVG $6.9M
Rank #5 / 85
75.4%
Facility 75.4%
VA AVG 39.7%
Rank #1 / 85
495274
South Roanoke Nursing Home
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 (Edgehill)
98
Facility 98
VA AVG 132
Rank #162 / 371
85.7%
Facility 85.7%
VA AVG 85.7%
Rank #74 / 311
0%
3.36
Facility 3.36
VA AVG 3.74
Rank #53 / 85
+6%-10%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 89
39
Facility 39
VA AVG 38.4
Rank #51 / 86
13.0
Facility 13.0
VA AVG 8.9
Rank #66 / 86
-
Facility -
VA AVG 1.3
85A+
45
Facility 45
VA AVG 42
Rank #208 / 449
American Healthcare LLC
$10.6M
Facility $10.6M
VA AVG $18.3M
Rank #80 / 85
$5.8M
Facility $5.8M
VA AVG $6.9M
Rank #74 / 85
54.4%
Facility 54.4%
VA AVG 39.7%
Rank #17 / 85
495002
Richfield Living – Roanoke Campus
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 (Arrington Court)
116
Facility 116
VA AVG 132
Rank #105 / 371
70.6%
Facility 70.6%
VA AVG 85.7%
Rank #171 / 311
-18%
3.24
Facility 3.24
VA AVG 3.74
Rank #67 / 85
-48%-14%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 89
16
Facility 16
VA AVG 38.4
Rank #23 / 86
8.0
Facility 8.0
VA AVG 8.9
Rank #45 / 86
-
Facility -
VA AVG 1.3
108-
32
Facility 32
VA AVG 42
Rank #289 / 449
-
$14.3M
Facility $14.3M
VA AVG $18.3M
Rank #64 / 85
$6.5M
Facility $6.5M
VA AVG $6.9M
Rank #68 / 85
45.7%
Facility 45.7%
VA AVG 39.7%
Rank #40 / 85
495427
Friendship Retirement 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.

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 (Hollins)
253
Facility 253
VA AVG 132
Rank #6 / 371
93.1%
Facility 93.1%
VA AVG 85.7%
Rank #26 / 311
+9%
4.46
Facility 4.46
VA AVG 3.74
Rank #31 / 85
+4%+19%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 89
18
Facility 18
VA AVG 38.4
Rank #29 / 86
4.5
Facility 4.5
VA AVG 8.9
Rank #18 / 86
-
Facility -
VA AVG 1.3
229A+
48
Facility 48
VA AVG 42
Rank #186 / 449
Friendship Foundation Inc
$37.0M
Facility $37.0M
VA AVG $18.3M
Rank #19 / 85
$15.3M
Facility $15.3M
VA AVG $6.9M
Rank #21 / 85
41.5%
Facility 41.5%
VA AVG 39.7%
Rank #52 / 85
495092
Pheasant Ridge Nursing and Rehab 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.

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 (Southern Hills)
101
Facility 101
VA AVG 132
Rank #144 / 371
89.3%
Facility 89.3%
VA AVG 85.7%
Rank #48 / 311
+4%
3.56
Facility 3.56
VA AVG 3.74
Rank #49 / 85
+4%-5%
$45.3k
Facility $45.3k
VA AVG $54.3k
Rank #84 / 89
25
Facility 25
VA AVG 38.4
Rank #40 / 86
6.3
Facility 6.3
VA AVG 8.9
Rank #32 / 86
1
Facility 1
VA AVG 1.3
89A+
15
Facility 15
VA AVG 42
Rank #385 / 449
Victor Bell
$14.5M
Facility $14.5M
VA AVG $18.3M
Rank #61 / 85
$5.1M
Facility $5.1M
VA AVG $6.9M
Rank #83 / 85
35.5%
Facility 35.5%
VA AVG 39.7%
Rank #68 / 85
495325
Old Southwest Rehabilitation and Nursing
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 (Old Southwest)
130
Facility 130
VA AVG 132
Rank #72 / 371
25.4%
Facility 25.4%
VA AVG 85.7%
Rank #305 / 311
-70%
3.82
Facility 3.82
VA AVG 3.74
Rank #44 / 85
-27%+2%
$153.3k
Facility $153.3k
VA AVG $54.3k
Rank #89 / 89
131
Facility 131
VA AVG 38.4
Rank #85 / 86
18.7
Facility 18.7
VA AVG 8.9
Rank #84 / 86
4
Facility 4
VA AVG 1.3
33A+
57
Facility 57
VA AVG 42
Rank #133 / 449
Andrew Shuler
$10.5M
Facility $10.5M
VA AVG $18.3M
Rank #81 / 85
$5.6M
Facility $5.6M
VA AVG $6.9M
Rank #75 / 85
53.1%
Facility 53.1%
VA AVG 39.7%
Rank #21 / 85
495156
Overview of Our Lady of the Valley

Nestled in the peaceful community of Roanoke, VA, Our Lady of the Valley is a distinguished senior living community that provides assisted living, memory care, rehabilitation, and nursing care services. Here, residents can choose from one-bedroom suites to an intensive personal care studios that accommodate unique needs and preferences. With its well-trained and compassionate team, residents can receive the utmost care and support they need throughout their stay.

The community hosts several exciting and entertaining events from piano concerts to wine tasting. Indulge in delightful and healthy chef-prepared meals that satisfy your cravings. Participate in diverse social activities and life-enrichment programs to boost engagement and wellness. With Our Lady of the Valley, seniors are assured of an empowering and glorious retirement.

What does this home offer?

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Housing Options: Studio / 1 Bed

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Building Type: Mid-rise

Contact Our Lady of the Valley

Overview of Brandon Oaks Nursing and Rehabilitation Center

Brandon Oaks Nursing and Rehabilitation Center is Roanoke’s trusted home healthcare provider. The nursing center has a professional staff committed to providing all seniors with a safe and comfortable environment. Seniors can expect a high level of quality nursing and rehabilitative services that help them live life to the fullest. At Brandon Oaks, friendships blossom, and goals are achieved.
The nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs/ Specializations, including therapy (speech, occupational, physical), neurological care, cardiac care, orthopedic care, skilled nursing care, and musculoskeletal care available.

Contact Brandon Oaks Nursing and Rehabilitation Center

Overview of The Harmony Collection at Roanoke – Assisted Living

A Harmony senior living community member, the assisted living home in Roanoke ensures a serene and harmonious environment. The name suggests that the residential lifestyle is supposed to be calming and balanced– a freeing lifestyle with the necessary support. The elegant community ensures its residents receive a strong sense of freedom with no shame of being able to receive additional assistance, mainly because, as a Harmony community, the assisted living place aims to elevate the lifestyle of its residents.

Placing comfort, convenience, and luxury at the heart of their world-class hospitality, seniors are guaranteed to live a stress-free and well-balanced lifestyle. Their amenities and services include laundry, transportation, healthy and savory chef-prepared meals, and fitness activities.

What does this home offer?

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Pets Allowed

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Room Sizes: 431 / 504 / 530 / 538 / 600 / 626 / 689 / 701 / 727 - 1,048 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact The Harmony Collection at Roanoke – Assisted Living

Overview of Virginia Veterans Care Center

Virginia Veterans Care Center prides itself on its excellent resident-centered approach to senior recovery. Specializing in long-term nursing care, short-term rehabilitation, and all-inclusive nursing services, the facility offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build mutual trust for the complete healing potential.
The nursing home for veterans provides comprehensive results-driven programs that specifically cater to the varying needs of its residents. Virginia Veterans Care Center offers 24-hour skilled nursing therapies, rehabilitative services, licensed nurses, and a podiatrist. Amenities include a chapel, a library, nature trails, a salon, and a billiards room are among the many accommodations provided.

Contact Virginia Veterans Care Center

TerraBella Pheasant Ridge

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

Conveniently located just off Route 220 in Roanoke, VA, Terrabella Pheasant Ridge is a trusted senior living community that offers assisted living for seniors who could use extra support with daily living activities and an evidence-based memory care program for seniors living with memory loss. With residents’ welfare in mind, the community offers cozy suites and one- and two-bedroom apartment homes, complemented with attentive services like laundry and linen, housekeeping, and maintenance to make everyday living a breeze.

Terrabella Pheasant Ridge elevates its residents’ standard of living with their holistic approach to health and wellness, a social calendar filled with fun and exciting activities, and a broad range of amenities. Here, residents enjoy the everyday pleasure of dining on chef-prepared meals, the convenience of on-site beauty services, and the comfort of knowing 24-hour care is available. Moreover, lush and beautiful green spaces and intimate seating areas provide opportunities for quiet relaxation or getting together with friends and neighbors. At TerraBella, senior living amenities don’t just look nice; they help promote the experiences that can define the residents’ lives.

What does this home offer?

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Pets Allowed

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Housing Options: Suite / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact TerraBella Pheasant Ridge

Overview of South Roanoke Nursing and Rehabilitation

Providing top-tier care since 1964, South Roanoke Nursing and Rehabilitation located in the serene community of Franklin Road, South West Roanoke, VA, focuses on rehabilitation, skilled care, long-term care, and respite. The community promises a comfortable and safe residence while receiving the utmost attention for their needs. Spend a relaxing time within the beautiful grounds with heartwarming individuals. South Roanoke Nursing and Rehabilitation is dedicated to giving seniors a warm and welcoming environment during their healing journey.

South Roanoke Nursing and Rehabilitation takes pride in a team of reliable and highly skilled professionals, who deliver exceptional care and support. With its stunning amenities and peaceful surroundings, seniors enjoy leisure while maintaining their well-being. The community is a safe place for seniors to thrive and reach their full potential.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Fitness and Recreation

Contact South Roanoke Nursing and Rehabilitation

Overview of Richfield Living – Roanoke Campus

Richfield Campus in Roanoke is an upcoming premier community where residents thrive with the support of quality services for long-term care and short-term rehabilitation. The nursing facility offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. The dedicated team of professionals ensures seniors can recover and relax in resort-style setting.
The nursing home services are resident-focused, ensuring residents receive holistic wellness in a home-like atmosphere. Residents live their best lives because of excellent benefits that help speed recovery. Essential services include housekeeping, restaurant-style dining, stimulating activities, and specialized programs.

Contact Richfield Living – Roanoke Campus

Overview of South Roanoke Nursing Home

South Roanoke Nursing Home is a short and long-term care facility where residents thrive with the support of quality services for residents seeking to relax and recover. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. The nursing home aims to enhance the quality of life for its residents by cultivating their holistic wellness.
South Roanoke residents receive a list of comprehensive amenities and services that help make the lives of its residents hassle-free. These include 24-hour licensed supervision, medication services, balanced meals provided, engaging activities scheduled, and specialized programs available.

Contact South Roanoke Nursing Home

Overview of Friendship Retirement Community

Friendship Retirement Community undoubtedly provides the highest quality of care for seniors of Roanoke; they are one of the city’s most trusted retirement communities because of the essential service offered: friendship. As its name suggests, management makes it a point that seniors are encouraged to find the opportunity to discover long-lasting companies that help make the aging experience a little less daunting.

Offering senior independent living, assisted living, memory care, and nursing care services, the staff is committed to delivering resort-style services with respect and dignity. Many will find an enhanced day-to-day living experience beneficial to health and wellness, recovery journey, and individual growth; life enrichment programs, social activities, specialized therapy programs, and ADLs support these.

What does this home offer?

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Pets Allowed

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Housing Options: 2 Bed

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Building Type: Mid-rise

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Transportation Services

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Fitness and Recreation

Contact Friendship Retirement Community

Overview of Pheasant Ridge Nursing and Rehab Center

Pheasant Ridge Nursing and Rehab Center, a remarkable senior living community in Roanoke, VA, invites seniors to enjoy its scenic environment while offering memory care and skilled nursing services. The community’s mission is to support residents in maintaining their independence while prioritizing their safety and comfort all the time. With thoughtfully designed resident agreements tailored to each individual, this community ensures peace of mind for all.

At Pheasant Ridge Nursing and Rehab Center, residents can explore new hobbies and rediscover past ones through a variety of exciting activities and events. There are ample opportunities to socialize with friends and stay active through the community’s wide range of amenities and services. The Center also offers multiple dining options regularly, catering to different dietary needs and preferences. Thus, seniors can enjoy a fulfilling retirement in this vibrant community.

What does this home offer?

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Total Residents: 101

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Building Type: 3-story

Contact Pheasant Ridge Nursing and Rehab Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Roanoke, VA

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 nursing home care?

Yes — Virginia Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 13 nursing homes in Roanoke, VA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Roanoke, VA?

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 Roanoke, VA, 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 nursing homes in Roanoke, VA?

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.