Compare Nursing Homes around Roanoke (Metro Area)
The information below is reported by the Virginia Department of Social Services and Department of Health.
| 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 | - | 111 | A+ |
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 | - | 231 | A+ |
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 | - | 88 | A+ |
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 | 1 | 19 | A+ |
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 | 4 | 33 | A+ |
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 |
Brandon Oaks is a non-profit Life Plan community in Roanoke, Virginia. It offers a range of services including independent living, assisted living, memory support, home health services, and rehabilitation. The community is committed to providing high-quality health services and a fulfilling lifestyle for its residents.
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.
Friendship Assisted Living, Inc. is located in Roanoke, Virginia. It offers independent living, assisted living, memory care, and rehabilitation services. The community is designed to support residents' health and well-being through social engagement, fitness opportunities, and access to healthcare.
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.
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.
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