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Why trust this guide?
Our editorial team analyzed 85 nursing homes in VA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in VA
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 TableAL (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.
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.
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 85 on this page. See how we rank facilities
Burke Health & Rehabilitation Center is a well-regarded nursing home in Burke, VA, offering long-term care and rehabilitation. Featuring spacious rooms in a nurturing and welcoming environment, the community ensures older adults can feel at home in retirement. Restaurant-style dining, therapy services, and recreational activities are also provided to improve residents’ quality of life. The community also strives to get to know residents’ needs and habits to provide the best possible care.
With an on-site activities coordinator, residents are encouraged to participate in social events and group activities to stay active and make friends. State-of-the-art gym equipment is also available for residents’ recovery. Situated along Burke Lake Road, near public transportation and green spaces, the community guarantees a convenient lifestyle. This nursing home ensures older adults live to their potential in retirement, making it one of the finest options for senior living in Virginia.
Overview of Brandermill Woods Healthcare Communities
A distinguished senior living community set in the serene Brandermill Parkway, Midlothian, VA, Brandermill Woods Healthcare Communities provides assisted living, independent living, memory care, and skilled nursing. Experience unrivaled comfort and safety with the purposely built and sophisticated residences of Brandermill Woods Healthcare Communities ranging from private and semi-private one-bedroom apartments to three-bedroom cottages. With its unwavering commitment to improving seniors’ quality of life, the community combines medical expertise and top-tier care from a competent and well-trained team.
Ease your worries and lead a meaningful life with the continuum of care provided in the community, ensuring residents’ ever-changing needs are well-cared for. With a wide array of cozy spaces and fun social events, residents pursue new hobbies and meet new friends. Brandermill Woods Healthcare Communities strives to provide accessible and quality senior living so that seniors can enjoy every moment of their retirement.
Overview of Windsormeade Williamsburg, Pinnacle Living
Windsormeade Williamsburg, Pinnacle Living offers independent living, assisted living, and skilled nursing in Williamsburg, Virginia. Independent living provides private living with community services and no daily care, while assisted living includes help with daily tasks such as bathing, dressing, and medication management. Skilled nursing provides licensed nursing care on site around the clock.
With 32 beds, Windsormeade Williamsburg is a smaller community where staff and residents can get to know one another. Care can remain in place as needs change. The combination of independent living, assisted living, and skilled nursing may suit a resident whose care needs grow over time without requiring a move to a different community. Respite care and short-term rehabilitation offer temporary stays for someone recovering or for a family caregiver who needs a break.
Rehabilitation services support residents who need rehabilitation without arranging services elsewhere. Total nurse staffing is 5 hours and 44 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Medicare and private pay are accepted.
An 80 Walk Score means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still reach nearby destinations independently. Pets are allowed, enabling a resident to bring a pet when moving into the community. Mr. Doug Fleegle serves as the administrator.
The Village at Orchard Ridge offers nursing home and skilled nursing care, assisted living, home care, independent living, memory care, and respite care in Winchester, VA. Nursing home and skilled nursing care provide licensed nursing on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living provides private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.
Home care provides support in a person’s own residence, while respite care offers a short stay for a family caregiver who needs to travel or recover. With several care levels, the community may be a good fit for a resident whose needs grow over time because moving to another level can happen without leaving the community. Melissa Sellers serves as the administrator.
The community has 47 beds, placing it in the smaller-community range where staff and residents get to know each other. Total nurse staffing is 5h 6m per resident per day, representing the daily nurse staffing time allocated per resident. Payment options are Medicare and private pay; Medicare covers short-term skilled care after a hospital stay rather than long-term residence, while private pay means paying directly.
A pool gives residents an on-site option for aquatic activity, and rehabilitation services are available for residents who need therapy as part of their care. Pets are allowed, so a resident can bring a pet when moving in. A Walk Score of 92 / 100 places the area in the walker’s paradise band, meaning daily errands do not require a car and a resident who no longer drives can still get out independently.
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.
Autumn Care of Norfolk is a nursing home in Norfolk, VA that offers hospice care, memory care, respite care, and skilled nursing. The community opened in 1995 and has 120 beds, with a 96% occupancy rate showing that nearly all beds are occupied.
Its 24 hour skilled nursing care program provides licensed nursing care on site around the clock. Memory care provides a secured setting with supervision for someone at risk of wandering, while hospice care focuses on comfort for a resident with a serious, life limiting illness; Respite care offers a short stay when a usual caregiver needs to travel or recover, and short term rehab gives a resident a temporary setting for rehabilitation during recovery.
Total nurse staffing is 2 hours and 58 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted: Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay means paying directly; a Walk Score of 56 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to manage some nearby errands independently.
The combination of memory care, hospice care, skilled nursing, and respite care may be a good fit for someone whose needs include supervised dementia care, comfort focused support, ongoing nursing care, or a temporary stay.
Conveniently located in Suffolk, VA, Lake Prince Woods is a dedicated senior living community that offers independent living, assisted living, memory care, and rehabilitation, ensuring residents get the care they require for their ever-changing needs. The community features apartments, villas, and cottages that are ideally located near nature, cultural events, shopping, and fine restaurants. Whether you require assistance with daily living activities, memory support services, or physical, occupational, and speech therapy, Lake Prince Woods can surely meet your needs.
Encouraging a healthy, active lifestyle for seniors with varying mobility levels, the community conducts a wide range of wellness & fitness activities, including Tai chi, mat yoga, and chair exercise using weights and bands. Plenty of amenities, such as a game room, salon, library, and a meditation garden, provides plenty of space for leisure, entertainment, and relaxation. A wide range of resident programs fosters lifelong learning, ensuring residents’ holistic wellbeing.
Overview of Arleigh Burke Pavilion at Vinson Hall Retirement Community
The Arleigh Burke Pavilion at Vinson Hall Retirement Community occupies a moderately walkable stretch of Kirby Road in McLean, Virginia, at 1739 Kirby Rd. Administrator Ms. Analisse Vasquez Soto oversees a 32-bed facility that covers a wide range of care levels: nursing home care, assisted living, memory care, home care, independent living, and respite stays, all on one campus. Floor plans run from studios to two-bedroom units.
With 19 of 32 beds currently filled, the occupancy rate sits at 59%. Residents stay an average of 73 days, which puts this squarely in short-stay rehabilitation territory for most. Nursing care totals 5 hours and 32 minutes per resident per day, with registered nurses providing 54 minutes of that time and nurse aides contributing 2 hours and 53 minutes. Staffing runs 24 hours. The facility accepts Medicare and private pay.
On the dining side, residents have three options: The Penthouse Dining Room, The Bistro, and the Café. State inspections have tended to center on medication management and care planning and documentation.
At 32 beds with a 73-day average stay and a care model that spans independent living through skilled nursing, Arleigh Burke Pavilion functions primarily as a short-stay rehabilitation setting embedded within a broader continuum of care in one of Northern Virginia’s more established retirement communities.
A nonprofit retirement community situated in scenic Daleville, VA, the Glebe is an exceptional senior living community offering a spectrum of living options. These include independent living, assisted living, memory care, skilled nursing, rehab therapy, and home care. Take in the picturesque sceneries of the Allegheny and Blue Ridge Mountains with a variety of floor plans including two-bedroom cottages, one-bedroom, and two-bedroom apartments. Experience retirement like no other within the community grounds.
The Glebe sits on 65 acres of beautifully landscaped grounds, ensuring that every need of its residents is available for utilization. Committed to helping and serving others, the community strives to provide an active lifestyle. With all the housework taken care of, residents enjoy their freedom and live a carefree retirement. Carefully planned meals are served in multiple restaurant-style dining venues to satisfy the seniors’ cravings and dietary needs. With its exclusive Glebe Scholar Program, the community provides chances to learn and interact through lectures and discourse. Moreover, Glebe encourages its residents to embrace rich cultural and educational opportunities to hone their interests and develop new ones. The Glebe includes a putting green, a library, a thrift store, a beauty salon and barbershop, a modern fitness center, a health clinic, community gardens with raised beds, serene walking paths, and many more practical and entertaining amenities.
Birmingham Green, an award-winning senior living community located in serene Manassas, VA., has been providing superb senior care for over 90 years, Recognized by Newsweek as one of Virginia’s Top 5 Nursing Homes for 2024, Birmingham Green offers a wide variety of living options including assisted living, skilled care, memory care, and long-term care.
Well-known for its ability to cater to a wide range of senior care needs, at Birmingham Green each resident is cared for based on a personalized care plan, ensuring tailored attention and individual support. The community takes pride in its in-house physical therapy and rehabilitation services which provide residents with convenient access to comprehensive healthcare right within their living environment.
Birmingham Green features two distinct assisted living communities, Willow Oaks and District Home, designed to offer a holistic approach to care. Residents benefit from a compassionate team dedicated to their well-being, ensuring that comfort, dignity, and quality of life are always prioritized.
The community boasts a vibrant atmosphere complete with an extensive list of engaging activities curated to promote physical, mental, and emotional well-being. From friendly contests and social gatherings to guest speakers, holiday celebrations, and community outings, Birmingham Green ensures there is always something enjoyable and stimulating for every resident.
Whether seeking assistance with daily activities, specialized memory care, or rehabilitation services, Birmingham Green remains committed to delivering exceptional care and creating a fulfilling senior living experience. Families trust Birmingham Green for its longstanding dedication to senior care excellence and its nurturing environment that promotes independence and happiness among residents.
Avg Overall CMS Rating:3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Virginia. 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:2.6/ 5The average Staffing Rating across all CMS-certified nursing homes in Virginia. 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:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Virginia. 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.
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