Browse communities by city and county.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| 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 | - | - | - | 61 | A |
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
Warwick Forest is a continuing care retirement community in Newport News, Virginia, that offers a range of independent living options, including cottages and apartments. Beyond its exceptional amenities, Warwick Forest is a unique family of individuals, each contributing a distinctive story to the community. Celebrating diversity and fostering deep connections among neighbors, Warwick Forest takes pride in its inclusive and united environment.
Recognized for its unwavering commitment to enhancing residents’ quality of life, Warwick Forest has earned accreditation from the Commission on the Accreditation of Rehabilitation Facilities (CARF), a testament to its dedication and tireless efforts. Nestled along the Newport News and York County border, this community provides seniors with the perfect blend of tranquility and convenience, serving as a gateway to the best of both worlds.
Mahova Your Masonic Community sits on a 90-acre gated campus in Richmond, Virginia, and traces back to 1890. It is home to 220 residents today. Membership is open to qualified Masons age 65 and up, their spouses, or widows over 62, and Virginia Masons sometimes need local lodge affiliation to join.
This is independent living, plain and simple; residents here live on their own, without help from staff for daily activities. The gated setting adds a layer of safety, and the campus itself gives Masons and their families a shared space built around connection.
Community life has real texture to it: live music performances bring people together, and an on-site workshop gives residents a place for woodworking and art projects. A community garden offers something to tend and grow, and movie nights turn into a regular social gathering on the calendar.
Getting around by foot only goes so far here. Walk Score lands at 33, somewhat walkable, so most errands and outings mean getting in a car. Hospitals, pharmacies, dining, shopping, and parks are all a drive away rather than a walk.
MAHOVA is a fit for Masons and their spouses or widows who want independence inside a historic, gated community. Ninety acres, a workshop, a garden, and a steady social calendar give residents room to build a life centered on fellowship and shared history.
Ruxton Health of Norfolk stands as a versatile facility, offering a range of services that encompass nursing home facilities, assisted living, independent living, memory care, and respite care. This comprehensive establishment is thoughtfully equipped with handicap-accessible features, ensuring accessibility for all residents. Notably, their unwavering commitment to housekeeping sets a high standard for cleanliness and comfort.
The home also extends its dedication to residents’ well-being with a range of medical services, including podiatry and medication support. Personal care assistance is readily available, contributing to a holistic approach to care. While this community accepts various insurance types, including Medicaid and Medicare, it proudly offers round-the-clock staffing and a total of 60 units, ensuring residents receive the care and attention they deserve.
Enjoy the highest quality of life at Faint Not: Your4EverHome, a distinguished community in Chesapeake, VA, offering long-term care. Residents receive top-notch care tailored to their unique needs with a caregiver assigned to every three of them 24/7. As a registered nurse-operated home and a faith-based foundation, the community strives to meet residents’ needs with services anchored to faith.
With its intimate setting, residents can freely interact with their surroundings and gain meaningful experiences. Wound care, diabetic management, and medication management, alongside a variety of skilled nursing services, are also provided to meet residents’ healthcare needs. The community’s wide range of care options and state-of-the-art amenities create the ideal setting for residents to live beyond their potential. Alongside its cozy accommodation, the community also manages four other homes in Virginia Beach, Norfolk, and the Western Branch of Portsmouth.
Lafayette Villa Nursing Home is in Norfolk, Virginia. The home may be a good fit for a resident who needs ongoing nursing support and assistance with daily care.
Harbor’s Edge stands as a distinguished senior living community in Norfolk, Virginia, offering meticulously appointed assisted living apartments, making it an ideal choice for those seeking assisted living places. The community provides a conducive environment for an active lifestyle, with a host of offerings that include regular fine dining excursions and cultural outings.
Residents at Harbor’s Edge also enjoy occasional themed holiday parties and special events, ensuring a vibrant community life. Families can rest assured, as this community prioritizes safety and security through features like a secured parking garage, an emergency call system, and video surveillance. Moreover, Harbor’s Edge boasts an impressive array of amenities, such as a library, a golf simulator, a jacuzzi hot tub, a fitness center, and a heated pool, among others.
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.
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
Stable operations and sound finances are leading indicators of consistent care over time.
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
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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.
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.
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.
This page features 89 nursing homes in Virginia. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
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.
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.
