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
Jun 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.

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

Our Lady of the Valley
NH
AL
MC
NC
RC
Roanoke (Gainsboro)
127
Facility 127
VA AVG 95
Rank #78 / 371
87.4%
Facility 87.4%
VA AVG 85.7%
Rank #65 / 314
+2%
3.79
Facility 3.79
VA AVG 3.74
Rank #47 / 89
-42%+1%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 93
14
Facility 14
VA AVG 38.4
Rank #15 / 90
4.7
Facility 4.7
VA AVG 8.9
Rank #19 / 90
-111A+
68
Facility 68
VA AVG 44
Rank #74 / 449
David Rawlings
$14.8M
Facility $14.8M
VA AVG $18.3M
Rank #58 / 89
$8.2M
Facility $8.2M
VA AVG $6.9M
Rank #53 / 89
55.5%
Facility 55.5%
VA AVG 39.7%
Rank #37 / 89
495357
Brandon Oaks Nursing and Rehabilitation Center
NH
AL
HC
IL
MC
NC
Roanoke (Westland)
43
Facility 43
VA AVG 95
Rank #319 / 371
53.5%
Facility 53.5%
VA AVG 85.7%
Rank #255 / 314
-38%
5.33
Facility 5.33
VA AVG 3.74
Rank #16 / 89
+28%+42%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 93
12
Facility 12
VA AVG 38.4
Rank #9 / 90
4.0
Facility 4.0
VA AVG 8.9
Rank #11 / 90
-23-
33
Facility 33
VA AVG 44
Rank #282 / 449
Heather Neff
$7.2M
Facility $7.2M
VA AVG $18.3M
Rank #32 / 89
$7.0M
Facility $7.0M
VA AVG $6.9M
Rank #60 / 89
96.3%
Facility 96.3%
VA AVG 39.7%
Rank #86 / 89
495373
South Roanoke Nursing Home
NH
AL
Roanoke (Edgehill)
98
Facility 98
VA AVG 95
Rank #158 / 371
85.7%
Facility 85.7%
VA AVG 85.7%
Rank #75 / 314
0%
3.36
Facility 3.36
VA AVG 3.74
Rank #56 / 89
+6%-10%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 93
39
Facility 39
VA AVG 38.4
Rank #54 / 90
13.0
Facility 13.0
VA AVG 8.9
Rank #69 / 90
-88A+
45
Facility 45
VA AVG 44
Rank #208 / 449
American Healthcare LLC
$9.5M
Facility $9.5M
VA AVG $18.3M
Rank #83 / 89
$5.1M
Facility $5.1M
VA AVG $6.9M
Rank #77 / 89
53.6%
Facility 53.6%
VA AVG 39.7%
Rank #18 / 89
495002
Richfield Living – Roanoke Campus
NH
AL
Roanoke (Arrington Court)
116
Facility 116
VA AVG 95
Rank #101 / 371
70.6%
Facility 70.6%
VA AVG 85.7%
Rank #173 / 314
-18%
3.24
Facility 3.24
VA AVG 3.74
Rank #71 / 89
-48%-14%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 93
16
Facility 16
VA AVG 38.4
Rank #23 / 90
8.0
Facility 8.0
VA AVG 8.9
Rank #48 / 90
-104-
32
Facility 32
VA AVG 44
Rank #289 / 449
-
$11.0M
Facility $11.0M
VA AVG $18.3M
Rank #66 / 89
$5.9M
Facility $5.9M
VA AVG $6.9M
Rank #70 / 89
53.7%
Facility 53.7%
VA AVG 39.7%
Rank #43 / 89
495427
Friendship Retirement Community
NH
AL
IL
MC
RC
Roanoke (Hollins)
253
Facility 253
VA AVG 95
Rank #5 / 371
93.1%
Facility 93.1%
VA AVG 85.7%
Rank #27 / 314
+9%
4.46
Facility 4.46
VA AVG 3.74
Rank #33 / 89
+4%+19%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 93
18
Facility 18
VA AVG 38.4
Rank #29 / 90
4.5
Facility 4.5
VA AVG 8.9
Rank #18 / 90
-231A+
48
Facility 48
VA AVG 44
Rank #186 / 449
Friendship Foundation Inc
$29.8M
Facility $29.8M
VA AVG $18.3M
Rank #20 / 89
$15.3M
Facility $15.3M
VA AVG $6.9M
Rank #22 / 89
51.5%
Facility 51.5%
VA AVG 39.7%
Rank #55 / 89
495092
Pheasant Ridge Nursing and Rehab Center
NH
MC
Roanoke (Southern Hills)
101
Facility 101
VA AVG 95
Rank #140 / 371
--
3.56
Facility 3.56
VA AVG 3.74
Rank #52 / 89
+4%-5%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 93
25
Facility 25
VA AVG 38.4
Rank #43 / 90
6.3
Facility 6.3
VA AVG 8.9
Rank #33 / 90
119A+
15
Facility 15
VA AVG 44
Rank #385 / 449
Victor Bell
$10.9M
Facility $10.9M
VA AVG $18.3M
Rank #63 / 89
$5.1M
Facility $5.1M
VA AVG $6.9M
Rank #87 / 89
47.1%
Facility 47.1%
VA AVG 39.7%
Rank #71 / 89
495325
Old Southwest Rehabilitation and Nursing
NH
HC
MC
PC
RC
Roanoke (Old Southwest)
130
Facility 130
VA AVG 95
Rank #69 / 371
25.4%
Facility 25.4%
VA AVG 85.7%
Rank #307 / 314
-70%
3.82
Facility 3.82
VA AVG 3.74
Rank #47 / 89
-27%+2%
$143.8k
Facility $143.8k
VA AVG $54.3k
Rank #93 / 93
131
Facility 131
VA AVG 38.4
Rank #89 / 90
18.7
Facility 18.7
VA AVG 8.9
Rank #88 / 90
433A+
57
Facility 57
VA AVG 44
Rank #133 / 449
Andrew Shuler
$8.8M
Facility $8.8M
VA AVG $18.3M
Rank #85 / 89
$4.2M
Facility $4.2M
VA AVG $6.9M
Rank #79 / 89
47.8%
Facility 47.8%
VA AVG 39.7%
Rank #23 / 89
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 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 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 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

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.

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.

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

Overview of Friendship Assisted Living, INC.

Friendship Assisted Living, Inc. is a senior living community in Roanoke, Virginia, that provides independent living, assisted living, memory care, and rehabilitation services. As one of the more expansive options in the Roanoke Valley, the community offers a broad range of services that allow families to secure a long-term care solution under one roof, with its 120 licensed beds.

With 84 of the 120 beds currently occupied, the community is operating at 70% occupancy, which is below the Virginia state average of 85.7%. This indicates open availability for those seeking immediate placement.

The community has completed five inspections, with 80% resulting in a cumulative total of 16 deficiencies. The most recent inspection in March 2025 identified a violation related to medication management. The primary findings include medication management, specifically the dating of opened items like insulin pens. While earlier records cited themes around staff training, service plans, and building maintenance, the community has no history of fines, license enforcement actions, or findings of immediate jeopardy. The decreasing number of deficiencies in the latest cycle also suggests a stabilizing operational trend.

Comprehensive clinical support, including nursing services, licensed nurses and CNAs, and a full rehabilitation program featuring short-term and respite care, is provided. The lifestyle experience includes chef-prepared seasonal meals, fitness programs, and a wide array of social engagement opportunities. The community also offers a particularly diverse activities calendar that includes various clubs, cultural events, games, educational classes, and volunteer programs.

Friendship Assisted Living, Inc. is a strong fit for older adults in the Roanoke area seeking a full spectrum of care and active social opportunities in one place. The community’s large scale allows for varied programming and peer engagement, while the current availability offers flexibility for interested families.

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.

  • 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.