Best Nursing Homes in Roanoke, VA

Why trust this guide? Our editorial team analyzed 11 nursing homes in Roanoke, VA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in VA
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Last updated
We analyzed These are the facilities in Roanoke, VA our team has analyzed — not a count of every nursing home provider in Roanoke, VA.
11 homes
Other senior care options in Roanoke:

Compare Nursing Homes around Roanoke (Metro Area)

Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Virginia average is: 77.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Friendship Retirement Community ★ ★ ★ ★ ☆
NH
AL
CCRC
IL
MC
RC
SNF
Roanoke (Hollins)
253
Facility 253
VA AVG 115
Rank #3 / 79
A
91.0%
Facility 91.0%
VA AVG 79.4%
Rank #23 / 60
+15%
4.08
Facility 4.08
VA AVG 3.75
Rank #31 / 70
★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +4%+9%
$0
Facility $0
VA AVG $64.2k
Rank #1 / 72
17
Facility 17
VA AVG 38.9
Rank #23 / 67
5.7
Facility 5.7
VA AVG 9.1
Rank #25 / 67
-230A+
48
Facility 48
VA AVG 41
Rank #30 / 80
Friendship Foundation Inc
$29.8MFiscal year ending 06/2024
Facility $29.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #12 / 67
$15.3MFiscal year ending 06/2024
Facility $15.3MFiscal year ending 06/2024
VA AVG $11.3M
Rank #16 / 67
51.5%Fiscal year ending 06/2024
Facility 51.5%Fiscal year ending 06/2024
VA AVG 77.2%
Rank #27 / 67
495092
Virginia Veterans Care Center ★ ★ ★ ★ ★
NH
Roanoke (Shenandoah Avenue Northwest)
3
Facility 3
VA AVG 115
Rank #79 / 79
?--
4.94
Facility 4.94
VA AVG 3.75
Rank #23 / 70
★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +5%+32%
$0
Facility $0
VA AVG $64.2k
Rank #1 / 72
10
Facility 10
VA AVG 38.9
Rank #8 / 67
3.3
Facility 3.3
VA AVG 9.1
Rank #7 / 67
-183-
19
Facility 19
VA AVG 41
Rank #61 / 80
Todd Barnes
$26.4MFiscal year ending 06/2024
Facility $26.4MFiscal year ending 06/2024
VA AVG $19.9M
Rank #19 / 67
$24.7MFiscal year ending 06/2024
Facility $24.7MFiscal year ending 06/2024
VA AVG $11.3M
Rank #5 / 67
93.3%Fiscal year ending 06/2024
Facility 93.3%Fiscal year ending 06/2024
VA AVG 77.2%
Rank #9 / 67
495274
Brandon Oaks Nursing and Rehabilitation Center ★ ★ ★ ★ ★
NH
AL
HC
IL
MC
SNF
Roanoke (Westland)
43
Facility 43
VA AVG 115
Rank #72 / 79
?
55.8%
Facility 55.8%
VA AVG 79.4%
Rank #54 / 60
-30%
6.00
Facility 6.00
VA AVG 3.75
Rank #6 / 70
★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +28%+60%
$0
Facility $0
VA AVG $64.2k
Rank #1 / 72
12
Facility 12
VA AVG 38.9
Rank #11 / 67
4.0
Facility 4.0
VA AVG 9.1
Rank #11 / 67
-24-
33
Facility 33
VA AVG 41
Rank #43 / 80
Heather Neff
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
VA AVG $19.9M
Rank #63 / 67
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
VA AVG $11.3M
Rank #44 / 67
96.3%Fiscal year ending 12/2023
Facility 96.3%Fiscal year ending 12/2023
VA AVG 77.2%
Rank #6 / 67
495373
Our Lady of the Valley ★ ★ ★ ★ ☆
NH
AL
MC
RC
SNF
Roanoke (Gainsboro)
127
Facility 127
VA AVG 115
Rank #24 / 79
?
81.1%
Facility 81.1%
VA AVG 79.4%
Rank #36 / 60
+2%
4.13
Facility 4.13
VA AVG 3.75
Rank #31 / 70
★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -42%+10%
$0
Facility $0
VA AVG $64.2k
Rank #1 / 72
14
Facility 14
VA AVG 38.9
Rank #17 / 67
4.7
Facility 4.7
VA AVG 9.1
Rank #18 / 67
-103A+
68
Facility 68
VA AVG 41
Rank #12 / 80
David Rawlings
$14.8MFiscal year ending 06/2024
Facility $14.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #41 / 67
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
VA AVG $11.3M
Rank #38 / 67
55.5%Fiscal year ending 06/2024
Facility 55.5%Fiscal year ending 06/2024
VA AVG 77.2%
Rank #24 / 67
495357
Pheasant Ridge Nursing and Rehab Center ★ ★ ☆ ☆ ☆
NH
MC
SNF
Roanoke (Southern Hills)
101
Facility 101
VA AVG 115
Rank #41 / 79
C-
87.1%
Facility 87.1%
VA AVG 79.4%
Rank #30 / 60
+10%
3.45
Facility 3.45
VA AVG 3.75
Rank #49 / 70
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +4%-8%
$0
Facility $0
VA AVG $64.2k
Rank #1 / 72
32
Facility 32
VA AVG 38.9
Rank #37 / 67
6.4
Facility 6.4
VA AVG 9.1
Rank #28 / 67
588A+
15
Facility 15
VA AVG 41
Rank #67 / 80
Victor Bell
$10.9MFiscal year ending 12/2023
Facility $10.9MFiscal year ending 12/2023
VA AVG $19.9M
Rank #50 / 67
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
VA AVG $11.3M
Rank #59 / 67
47.1%Fiscal year ending 12/2023
Facility 47.1%Fiscal year ending 12/2023
VA AVG 77.2%
Rank #43 / 67
495325
Old Southwest Rehabilitation and Nursing ★ ☆ ☆ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Roanoke (Old Southwest)
130
Facility 130
VA AVG 115
Rank #21 / 79
F
58.8%
Facility 58.8%
VA AVG 79.4%
Rank #50 / 60
-26%
4.13
Facility 4.13
VA AVG 3.75
Rank #31 / 70
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -27%+10%
$135.6k
Facility $135.6k
VA AVG $64.2k
Rank #72 / 72
129
Facility 129
VA AVG 38.9
Rank #67 / 67
21.5
Facility 21.5
VA AVG 9.1
Rank #67 / 67
477A+
57
Facility 57
VA AVG 41
Rank #25 / 80
Andrew Shuler
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
VA AVG $19.9M
Rank #60 / 67
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
VA AVG $11.3M
Rank #65 / 67
47.8%Fiscal year ending 12/2023
Facility 47.8%Fiscal year ending 12/2023
VA AVG 77.2%
Rank #39 / 67
495156

Rank badges are statewide and care-type specific: each nursing home is ranked against every other VA nursing home we track that reports that metric, not just the 11 analyzed for Roanoke. See how we rank facilities

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.

Starting Price $1,709/Month

Contact Friendship Retirement Community

Overview of Virginia Veterans Care Center

Virginia Veterans Care Center is a nursing home in Roanoke, VA. Nursing home care provides nursing support and daily care within the residential setting. With 3 beds, the home has a smaller community where staff and residents can get to know each other, which may suit someone who prefers a more intimate setting.

Todd Barnes serves as the administrator. Payment may come through Medicare, Medicaid, or private pay, depending on the resident’s coverage and resources. Total nurse staffing is 4h 56m per resident per day, representing the daily hands-on nursing time allocated per resident.

Contact Virginia Veterans Care Center

Overview of Brandon Oaks Nursing and Rehabilitation Center

Brandon Oaks Nursing and Rehabilitation Center offers nursing home, assisted living, home care, independent living, memory care, and skilled nursing in Roanoke, Virginia. Assisted living provides help with daily tasks, while memory care offers a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care, and home care brings support to a resident’s home; Independent living provides private living with community services and no daily care, so the range may suit a resident whose needs change over time.

The community has 43 beds, making it a smaller setting where residents and staff can get to know one another. Total nurse staffing is 6h per resident per day, representing the daily hands-on nursing time allocated to each resident. A Walk Score of 33 places the area in a car-dependent setting, so most errands require a car or a ride, and a resident who no longer drives would need transportation for those trips.

Medicare, Medicaid, and private pay are accepted, giving families these payment routes for eligible care. Physical, occupational, and speech therapy programs support rehabilitation activities, while the chapel, beauty shop, interior courtyard, screened gazebo, and main, smaller, and private dining rooms provide specific spaces and services within the community. Pets are allowed, which means a resident with a pet can consider bringing that companion, and Esteban Duran-Ballen serves as the administrator.

Contact Brandon Oaks Nursing and Rehabilitation Center

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 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 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

Brandon Oaks

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

Brandon Oaks in Roanoke, VA, covers independent living and assisted living. Memory care, home care, and skilled nursing are part of the same range.

Independent living means community services with no daily care attached. Assisted living fits someone who needs dressing, bathing, and medication handled with help. When wandering has become a risk, memory care’s answer is supervision in a secured space. Home care takes services out to a person’s residence, and skilled nursing is licensed nursing care.

Needs that grow over time need not mean a move to a different community. Jessica White administers Brandon Oaks, which has 80 beds and allows residents to bring pets. The home bills Medicaid and Medicare, and also takes private pay.

Rehabilitation services cover two kinds of therapy. Inpatient therapies happen during a stay, while outpatient services let someone come in for scheduled visits instead.

Contact Brandon Oaks

Brandon Oaks

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

Set up for memory care, home care, skilled nursing, independent living, assisted living, and nursing home care, Brandon Oaks operates in Roanoke, VA. With a list that long, a family choosing today is also choosing where a later and more serious need would be met.

Independent living, through the Living Independently program, leaves the day to the resident. Assisted living handles the daily tasks, and memory care moves anyone whose wandering has become a concern into secured, supervised care. Skilled nursing and nursing home care provide licensed nursing, while home care goes out to people in their own homes.

Rehabilitation comes as Inpatient Therapies and Outpatient Services, so therapy can continue whether a person is staying on-site or living elsewhere. The Rehab Process is a named program alongside them, and so is The Oaks Club.

Residents may bring a pet, and payment can come from Medicare, Medicaid, or private pay. Jessica White leads the 80-bed community as its administrator.

Contact Brandon Oaks

Overview of Friendship Assisted Living

Friendship Assisted Living provides independent living, assisted living, memory care, respite care, nursing home care, and skilled nursing in Roanoke, VA. Independent living supports private living without daily care, assisted living helps with daily tasks, memory care provides a secured setting with supervision, respite care offers a short stay, and skilled nursing provides licensed nursing care on site around the clock. The range of care levels may suit a resident whose needs grow over time without requiring a move to another community.

The community has 120 beds, and Alex Parker serves as the administrator. Chef-prepared meals use fresh ingredients, balanced nutrition, and seasonal menus, giving residents a defined dining option within the community. Fitness opportunities, clubs and interest groups, cultural events, volunteer opportunities, games, and educational programs provide activities residents can take part in.

Friendship Assisted Living offers Rehab & Therapy, rehabilitation services, and short-term rehabilitation for residents who need temporary therapy-related care. Pets are allowed, so a resident may bring a pet when moving in.

Contact Friendship Assisted Living, Inc.

Overview of Friendship Assisted Living

You will find six care types at Friendship Assisted Living in Roanoke, VA. namely independent living, respite care, skilled nursing, memory care, the nursing home designation, and assisted living. Bathing, dressing, and medication belong to the assisted living level, and a resident keeps a private apartment. Independent living brings the community’s services and leaves daily care aside.

Memory care runs in a secure area under supervision for a resident who might otherwise wander. The two nursing designations are the ones licensed nursing care belongs to. Respite is a short-term stay taken while a usual caregiver travels or recovers, which gives the family a temporary arrangement.

Because so many levels are licensed here, a resident whose needs grow later does not go looking elsewhere. There are 120 beds, and Alex Parker has the administrator’s job.

Rehab & Therapy is the named program covering rehabilitation. Pets are allowed, so an animal stays with its owner when they move in.

Contact Friendship Assisted Living, Inc.

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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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Nursing Homes in Roanoke at a glance

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: 3.3/ 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
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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 11 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.