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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 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 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.

Contact Brandon Oaks

Brandon Oaks

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

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
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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.