Other senior care options in Roanoke:

Best Nursing Homes in Roanoke, VA

Why trust this guide? Our editorial team analyzed 13 nursing homes in Roanoke, VA using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in VA
Reviewed by
Last updated
Jul 2026
We analyzed
13 homes
Other senior care options in Roanoke:
Avg Overall CMS Rating: 3.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Roanoke, VA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Roanoke, VA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 3.3/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Roanoke, VA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Roanoke (Metro Area)

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

CMS & VA Dept. of Health data

Our Lady of the Valley
NH
AL
MC
RC
SNF
Roanoke (Gainsboro)
127
Facility 127
VA AVG 96
Rank #76 / 365
87.4%
Facility 87.4%
VA AVG 70.5
Rank #63 / 297
+24%
3.79
Facility 3.79
VA AVG 3.74
Rank #42 / 78
-42%+1%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 82
14
Facility 14
VA AVG 38.4
Rank #14 / 77
4.7
Facility 4.7
VA AVG 8.9
Rank #18 / 77
-111A+
68
Facility 68
VA AVG 44
Rank #73 / 446
David Rawlings
$14.8MFiscal year ending 06/2024
Facility $14.8MFiscal year ending 06/2024
VA AVG $18.3M
Rank #51 / 78
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
VA AVG $6.9M
Rank #48 / 78
55.5%Fiscal year ending 06/2024
Facility 55.5%Fiscal year ending 06/2024
VA AVG 39.7%
Rank #31 / 78
495357
Brandon Oaks Nursing and Rehabilitation Center
NH
AL
HC
IL
MC
SNF
Roanoke (Westland)
43
Facility 43
VA AVG 96
Rank #313 / 365
53.5%
Facility 53.5%
VA AVG 70.5
Rank #240 / 297
-24%
5.33
Facility 5.33
VA AVG 3.74
Rank #14 / 78
+28%+42%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 82
12
Facility 12
VA AVG 38.4
Rank #8 / 77
4.0
Facility 4.0
VA AVG 8.9
Rank #10 / 77
-23-
33
Facility 33
VA AVG 44
Rank #281 / 446
Heather Neff
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
VA AVG $18.3M
Rank #29 / 78
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
VA AVG $6.9M
Rank #53 / 78
96.3%Fiscal year ending 12/2023
Facility 96.3%Fiscal year ending 12/2023
VA AVG 39.7%
Rank #75 / 78
495373
Friendship Retirement Community
NH
AL
IL
MC
RC
SNF
Roanoke (Hollins)
253
Facility 253
VA AVG 96
Rank #5 / 365
91.2%
Facility 91.2%
VA AVG 70.5
Rank #42 / 297
+29%
4.46
Facility 4.46
VA AVG 3.74
Rank #31 / 78
+4%+19%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 82
18
Facility 18
VA AVG 38.4
Rank #27 / 77
4.5
Facility 4.5
VA AVG 8.9
Rank #17 / 77
-231A+
48
Facility 48
VA AVG 44
Rank #185 / 446
Friendship Foundation Inc
$29.8MFiscal year ending 06/2024
Facility $29.8MFiscal year ending 06/2024
VA AVG $18.3M
Rank #19 / 78
$15.3MFiscal year ending 06/2024
Facility $15.3MFiscal year ending 06/2024
VA AVG $6.9M
Rank #19 / 78
51.5%Fiscal year ending 06/2024
Facility 51.5%Fiscal year ending 06/2024
VA AVG 39.7%
Rank #47 / 78
495092
South Roanoke Nursing Home
NH
HOS
MC
RC
SNF
Roanoke (Edgehill)
98
Facility 98
VA AVG 96
Rank #156 / 365
89.9%
Facility 89.9%
VA AVG 70.5
Rank #44 / 297
+28%
3.36
Facility 3.36
VA AVG 3.74
Rank #50 / 78
+6%-10%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 82
39
Facility 39
VA AVG 38.4
Rank #50 / 77
13.0
Facility 13.0
VA AVG 8.9
Rank #60 / 77
-88A+
45
Facility 45
VA AVG 44
Rank #207 / 446
American Healthcare LLC
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
VA AVG $18.3M
Rank #72 / 78
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
VA AVG $6.9M
Rank #69 / 78
53.6%Fiscal year ending 12/2023
Facility 53.6%Fiscal year ending 12/2023
VA AVG 39.7%
Rank #15 / 78
495002
Pheasant Ridge Nursing and Rehab Center
NH
MC
SNF
Roanoke (Southern Hills)
101
Facility 101
VA AVG 96
Rank #138 / 365
--
3.56
Facility 3.56
VA AVG 3.74
Rank #47 / 78
+4%-5%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 82
25
Facility 25
VA AVG 38.4
Rank #39 / 77
6.3
Facility 6.3
VA AVG 8.9
Rank #31 / 77
119A+
15
Facility 15
VA AVG 44
Rank #384 / 446
Victor Bell
$10.9MFiscal year ending 12/2023
Facility $10.9MFiscal year ending 12/2023
VA AVG $18.3M
Rank #56 / 78
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
VA AVG $6.9M
Rank #76 / 78
47.1%Fiscal year ending 12/2023
Facility 47.1%Fiscal year ending 12/2023
VA AVG 39.7%
Rank #62 / 78
495325
Richfield Living – Roanoke Campus
NH
AL
Roanoke (Arrington Court)
116
Facility 116
VA AVG 96
Rank #99 / 365
89.9%
Facility 89.9%
VA AVG 70.5
Rank #44 / 297
+28%
3.24
Facility 3.24
VA AVG 3.74
Rank #62 / 78
-48%-14%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 82
16
Facility 16
VA AVG 38.4
Rank #22 / 77
8.0
Facility 8.0
VA AVG 8.9
Rank #43 / 77
-104-
32
Facility 32
VA AVG 44
Rank #288 / 446
-
$11.0MFiscal year ending 09/2023
Facility $11.0MFiscal year ending 09/2023
VA AVG $18.3M
Rank #59 / 78
$5.9MFiscal year ending 09/2023
Facility $5.9MFiscal year ending 09/2023
VA AVG $6.9M
Rank #63 / 78
53.7%Fiscal year ending 09/2023
Facility 53.7%Fiscal year ending 09/2023
VA AVG 39.7%
Rank #37 / 78
495427
Old Southwest Rehabilitation and Nursing
NH
HOS
MC
PC
RC
SNF
Roanoke (Old Southwest)
130
Facility 130
VA AVG 96
Rank #68 / 365
25.4%
Facility 25.4%
VA AVG 70.5
Rank #290 / 297
-64%
3.82
Facility 3.82
VA AVG 3.74
Rank #42 / 78
-27%+2%
$143.8k
Facility $143.8k
VA AVG $54.3k
Rank #82 / 82
131
Facility 131
VA AVG 38.4
Rank #76 / 77
18.7
Facility 18.7
VA AVG 8.9
Rank #75 / 77
433A+
57
Facility 57
VA AVG 44
Rank #132 / 446
Andrew Shuler
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
VA AVG $18.3M
Rank #74 / 78
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
VA AVG $6.9M
Rank #71 / 78
47.8%Fiscal year ending 12/2023
Facility 47.8%Fiscal year ending 12/2023
VA AVG 39.7%
Rank #19 / 78
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.

Contact Our Lady of the Valley

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

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 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.

Contact Friendship Retirement Community

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 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.

Contact Pheasant Ridge Nursing and Rehab Center

Overview of Richfield Living – Roanoke Campus

Located on Mecca Street in Roanoke, Virginia, Richfield Living – Roanoke Campus is a nursing home and assisted living community a few miles from the downtown area. Families can choose from Medicare, Medicaid, and private pay to cover care. The community offers both long-term nursing care and short-term rehabilitation. There’s a doctor on staff and 24-hour staffing to support residents around the clock.

With 116 beds, Richfield is one of the larger nursing homes in the Roanoke area. It has an occupancy rate of about 71%. The average stay is around 71 days, which is a mix of residents recovering from a hospital stay or surgery and those receiving ongoing care. Rehabilitation and respite care are part of the daily offering. Total nurse staffing averages roughly 3 hours and 14 minutes per resident each day. The care team is composed of a registered nurse, a licensed practical nurse, and nurse aide support.

Daily life includes restaurant-style dining, housekeeping, and organized activities. There’s also a gym, on-site transportation, and a wellness program. Nutrition plans are supervised by a registered dietitian, which reassures residents managing specific health or dietary needs. An Active Resident Council meets regularly so residents have a direct voice in the home’s policies and programming.

The surrounding neighborhood is somewhat walkable, so residents and visiting family will likely rely on a car for most errands and outings. Families touring the community should ask how the rehabilitation and respite programs are staffed daily.

Contact Richfield Living – Roanoke Campus

Overview of Old Southwest Rehabilitation and Nursing

Old Southwest is the premier skilled nursing facility in Roanoke, offering its residents a sense of belonging. With an emphasis on skilled nursing, rehabilitation, and long-term care nursing service, the staff excels in practicing a personal approach to the meaningful service they are guaranteed to deliver to the seniors. The upscale skilled nursing home built its trusted reputation on excellent customer service and exceptional care that has earned the respect of being a reliable senior living community that one’s individual needs.
The short and long-term care nursing home strives to improve the lifestyle of its elderly through community, connection, and care. They offer a personalized care program to meet each individual’s unique needs. Amenities and services include an exceptional dining experience, innovative programs, and educational activities that all aim to ensure a wonderful experience during your golden years and provide additional support.

Contact Old Southwest Rehabilitation and Nursing

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.

Contact South Roanoke Nursing and Rehabilitation

Brandon Oaks

3804 Brandon Avenue Sw, Roanoke, VA 24018
Overview of Brandon Oaks

Brandon Oaks is a nonprofit Life Plan community administered by Jessica White and owned by Heather Neff in Roanoke, Virginia, offering independent living, assisted living, memory support, home health services, and rehabilitation. This 80-bed community operates as a voluntary nonprofit, serving as an ideal choice for senior care in the Roanoke region.

The community has a perfect CMS overall rating of 5 out of 5 stars, which is significantly higher than the Virginia average of 3.8 stars, highlighting excellence in health inspections, staffing, and quality measures. Specifically, its health inspection and staffing ratings are 4/5, while quality measures earned a 5/5. On average, residents receive 5 hours and 20 minutes of nursing care per day, which exceeds the state average of 4 hours and 47 minutes by around 11%.

Financial data shows that 82% of new admissions are covered by Medicare, primarily for short-term rehabilitation stays averaging 25 days, while private pay residents make up 16% of admissions with an average stay of nearly ten months, and Medicaid accounts for 2%. With an annual revenue of approximately $31.6 million and a reported surplus of $875,900, the community demonstrates stable financial management for a nonprofit organization.

The community has undergone six inspections, with violations found in 66.7%, which is in line with the Virginia average. However, the total deficiency count is only 10, which is far below the statewide average of 32. The most recent inspection on May 5, 2025, resulted in zero deficiencies. While previous records cited minor issues with medication storage and documentation, these matters appear to be fully addressed.

Brandon Oaks is an ideal option for older adults requiring high-acuity care or post-acute rehabilitation in a highly-rated, mission-driven nonprofit environment. The community also appeals to families seeking Medicare-covered short-term rehabilitation, as well as long-term residents requiring assisted living or memory support.

Contact Brandon Oaks

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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.