Page 7 of Best Nursing Homes in Virginia

Why trust this guide? Our editorial team analyzed 89 nursing homes in VA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in VA
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We analyzed These are the facilities in Virginia our team has analyzed — not a count of every nursing home provider in Virginia.
89 homes
Other senior care options in Virginia:

Compare Nursing Homes around Virginia

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 Table AL (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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
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: 76.3% 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.
Cedarfield-
NH
AL
IL
Richmond
157
Facility 157
VA AVG 114
Rank #18 / 81
38.9%
Facility 38.9%
VA AVG 76.8%
Rank #60 / 70
-49%----+18%-
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
---61A
11
Facility 11
VA AVG 41
Rank #76 / 84
----495434

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 89 on this page. See how we rank facilities

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Brandon Oaks

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

Brandon Oaks offers assisted living, memory care, home care, nursing home care, and skilled nursing services in Roanoke, Virginia. Assisted living provides help with daily tasks while a resident keeps a personal living space, while memory care offers a supervised setting for someone who needs support related to dementia. Skilled nursing provides licensed nursing care.

Home care allows services to be delivered in a resident’s home, and nursing home care supports residents who need ongoing nursing services in a residential setting. Independent living, rehabilitation, inpatient therapies, and outpatient services are also available. The range of living and care options may suit a resident whose needs change over time, with access to different levels of support within the same community.

Brandon Oaks has 80 beds, and pets are allowed. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Specific programs include Living Independently, The Oaks Club, Home Health, Nursing and Rehabilitation, Inpatient Therapies, Outpatient Services, and The Rehab Process; Jessica White serves as the administrator.

Contact Brandon Oaks

Brandon Oaks

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

Brandon Oaks in Roanoke, Virginia, provides nursing home, skilled nursing, assisted living, memory care, and home care. Skilled nursing includes licensed nursing care on site around the clock, while assisted living helps residents with daily tasks. Memory care offers a secured setting with supervision for someone who may be at risk of wandering, and home care brings support to a person’s home.

Independent living is also available, with private living, community services, and no daily care. Having several care levels in one community may suit a resident whose needs grow over time, since different types of support are available through the same community. The 80 bed capacity gives families a clear measure of Brandon Oaks’s residential size.

Rehabilitation services include Nursing and Rehabilitation, Inpatient Therapies, Outpatient Services, and The Rehab Process, so therapy can be part of either inpatient or outpatient care. Named programs also include Living Independently, The Oaks Club, and Home Health, while pets are allowed. Payment options are Medicare, Medicaid, and private pay: Medicare applies to eligible short term skilled care, Medicaid may help cover a longer stay when savings are limited, and private pay means paying directly; Jessica White serves as the administrator.

Contact Brandon Oaks

Overview of Harbor’s Edge

Harbor’s Edge is a waterfront life plan community in Norfolk, Virginia, providing independent living, assisted living, memory support, and skilled nursing and rehabilitation services. Administered by Senece Midgett, this 83-bed community is currently operating at a 69% occupancy rate, with 57 beds occupied.

This community has achieved significant national acclaim, including Best Independent Living and Best Continuing Care Retirement Community for 2025 by U.S. News & World Report, and also received the title of Best Designed Life Plan Community in America in 2022, highlighting its dedication to high-quality architectural design and a wide range of services tailored to residents across various care stages.

Regarding regulatory oversight, the community has undergone 8 state inspections, with 87.5% resulting in violations and accumulating a total of 39 deficiencies, both higher than the Virginia average of 64.3% and 32, respectively. The latest review in September 2025 also cited concerns about staff first aid certifications, updates to fall risk assessments, and the retention of discharge statements. Additionally, previous reports indicated a need for improved documentation and staff training. However, there are no complaint investigations, fines, or license suspensions reported.

The extensive care continuum is a primary advantage, as beyond standard assisted living, specialized memory support, short-term rehabilitation, and skilled nursing are also provided. This structure is ideal for residents who want to maintain continuity in a single setting even as their needs progress over time. Additionally, the professional care team consists of nursing services, licensed nurses, certified nursing assistants, and skilled nursing experts.

Harbor’s Edge is an appealing choice for older adults seeking a resort-style waterfront experience while having access to the security of a full spectrum of on-site care. Its national reputation and diverse service levels also benefit families planning for flexible, long-term care.

Contact Harbor’s Edge

Overview of Vierra Falls Church

Vierra Falls Church is a senior living community located in the heart of Northern Virginia. With over 50 years of experience in senior care, their highly experienced team of professionals is committed to helping residents achieve the highest level of physical and mental well-being. Whether it’s a short stay or a long-term care, respite or hospice, they offer a range of options to suit each resident’s needs. Their rehabilitation team works one-on-one with seniors to develop personalized plans that help them reach their maximum potential.

Every room is fully furnished with a variety of amenities to ensure the comfort and convenience of their residents. With 24-hour medical oversight, dedicated physicians and physician specialists regularly visit the community. They also have a registered dietitian to provide nutrition and dietary support. In addition to providing exceptional care, residents don’t have to worry about household chores like maintenance, daily housekeeping, and personal laundry, so they can focus on enjoying their time in the community.

Contact Vierra Falls Church

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 The Boulevard Post Acute

The Boulevard Post Acute is a top-rated nursing home in Fairfax, VA, offering skilled nursing and rehabilitation. Here, older adults can feel at home, accompanied by its nurturing and welcoming environment. Residents also have a maintenance-free living, with 24-hour care, gourmet dining, and household services. Focusing on residents’ recovery and wellness, individualized care plans are provided for their unique needs and habits.

Seasonal events, day outings, and recreational activities help residents have fun and make friends. A lively lobby area, a coffee shop, and a bistro are also available for residents’ leisure. With its ideal location near Mantua Park and public transportation, along Arlington Boulevard, the community guarantees accessibility and convenience. Dedicated to older adults’ well-being, this nursing home is one of the leading options for senior living in Virginia.

Contact The Boulevard Post Acute

Shenandoah Senior Living

103 Lee Burke Rd, Front Royal, VA 22630
Overview of Shenandoah Senior Living

Located in peaceful Front Royal, Virginia, Shenandoah Senior Living offers exceptional assisted living and memory care services. Nestled in the heart of the Shenandoah Valley, this community provides a comfortable and enriching environment for seniors to age gracefully. The spacious apartments are designed with the needs of residents in mind, ensuring easy mobility and accessibility. Residents can enjoy delicious, chef-prepared meals three times a day, complemented by nutritious snacks throughout the day.

The personalized healthcare plans are tailored to each resident’s desired activity levels, promoting independence and well-being. For those living with Alzheimer’s or dementia, Shenandoah Senior Living offers the Aspen Memory Care program, which provides a nurturing and stimulating environment. The dedicated staff is committed to providing 24/7 assistance, giving residents and their families peace of mind. With its stunning views, personalized care, and commitment to enhancing the lives of seniors, Shenandoah Senior Living sets the standard for senior living in the region.

Contact Shenandoah Senior Living

Cedarfield

2300 Cedarfield Pkwy, Richmond, VA 23233
Overview of Cedarfield

Cedarfield offers nursing home, assisted living, and independent living in Richmond, VA. Nursing home care provides ongoing nursing support, while assisted living helps residents with daily tasks such as dressing, bathing, and medication while they maintain their own apartment. Independent living provides private living with community services and no daily care.

With several care levels on one campus, Cedarfield can suit a resident whose needs may grow over time and who may be able to move to a different level of care without leaving the community. The community has 157 beds and offers one-bed and two-bed housing options; a one-bed layout provides a single private living space, while a two-bed option can suit a couple or someone who wants a companion.

Cedarfield allows pets, so residents can bring a pet to live with them. Lauren Burnette serves as the administrator.

Contact Cedarfield

Overview of Shenandoah Valley Westminster-Canterbury

Shenandoah Valley Westminster-Canterbury offers independent living, assisted living, memory care, nursing home and skilled nursing care in Winchester, VA. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as dressing, bathing and medication. Memory care provides a secured setting with supervision for someone at risk of wandering, and nursing home and skilled nursing care provide licensed nursing care on site around the clock.

With these care levels in one community, Shenandoah Valley Westminster-Canterbury may be a good fit for a resident whose needs may grow over time, because changing care levels does not require leaving the community. The community has 66 beds, and rehabilitation services are available for residents who need restorative care.

A Walk Score of 92 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. Ms. Andrew J Heishman serves as the administrator.

Contact Shenandoah Valley Westminster-Canterbury

Overview of Kensington Reston Owner

Kensington Reston Owner offers nursing home, assisted living, memory care, and skilled nursing in Reston, VA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while allowing a resident to maintain a private apartment. Memory care provides a secured setting with supervision, while nursing home and skilled nursing provide licensed nursing care on site around the clock. The range of care levels can suit a resident whose needs grow over time because moving to another level does not require leaving the community.

Opened in 2021, the community has 105 beds. Llena Sta.Ana serves as the administrator. A salon and spa provide personal grooming services within the community, and pets are allowed, so residents may keep a pet with them.

Respite care supports a short stay when a usual caregiver needs to travel or recover, while short-term rehabilitation provides temporary care during recovery. The area has a Walk Score of 33, a car-dependent setting where most errands require a car or a ride, so a resident who no longer drives would generally need transportation for errands.

Contact Kensington Reston Owner LLC

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Nursing Homes in Virginia at a glance

Avg Overall CMS Rating: 3.0/ 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: 2.5/ 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.
National Average: 3.0/ 5
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Frequently Asked Questions about Nursing Homes in Virginia

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 89 nursing homes in Virginia. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Virginia?

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 Virginia, 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 Virginia?

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.