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Compare Nursing Homes around Roanoke (Metro Area)
The information below is reported by the Virginia Department of Social Services and Department of Health.
Click column headers to sort
| 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
98
Rank
#82 / 371 |
87.4%
Facility
87.4%
VA AVG
85.7%
Rank
#63 / 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 | - | 111 | A+ |
68
Facility
68
VA AVG
44
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 | ||||
| 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
98
Rank
#320 / 371 |
53.5%
Facility
53.5%
VA AVG
85.7%
Rank
#252 / 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 | - | 23 | - |
33
Facility
33
VA AVG
44
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 | ||||
| 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
98
Rank
#162 / 371 |
85.7%
Facility
85.7%
VA AVG
85.7%
Rank
#73 / 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 | - | 85 | A+ |
45
Facility
45
VA AVG
44
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
98
Rank
#105 / 371 |
70.6%
Facility
70.6%
VA AVG
85.7%
Rank
#170 / 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 | - | 108 | - |
32
Facility
32
VA AVG
44
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
98
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 | - | 229 | A+ |
48
Facility
48
VA AVG
44
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
98
Rank
#144 / 371 | - | - | 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 | 19 | A+ |
15
Facility
15
VA AVG
44
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
98
Rank
#73 / 371 |
25.4%
Facility
25.4%
VA AVG
85.7%
Rank
#304 / 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 | 33 | A+ |
57
Facility
57
VA AVG
44
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 The Harmony Collection at Roanoke – Assisted Living
A Harmony senior living community member, the assisted living home in Roanoke ensures a serene and harmonious environment. The name suggests that the residential lifestyle is supposed to be calming and balanced– a freeing lifestyle with the necessary support. The elegant community ensures its residents receive a strong sense of freedom with no shame of being able to receive additional assistance, mainly because, as a Harmony community, the assisted living place aims to elevate the lifestyle of its residents.
Placing comfort, convenience, and luxury at the heart of their world-class hospitality, seniors are guaranteed to live a stress-free and well-balanced lifestyle. Their amenities and services include laundry, transportation, healthy and savory chef-prepared meals, and fitness activities.
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.
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.
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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