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Senior Care in Roanoke, Virginia

Every licensed senior community in the Roanoke, VA area — evaluated with real federal inspection data, staffing records, and transparent pricing, then ranked by our objective Scout Score. A local advisor can help you compare and tour, free.

20
Communities evaluated
6
Cities covered
5
5-star rated
3.5
Avg CMS rating

Cost of senior care in Roanoke

Local Roanoke-area estimates: published state survey medians adjusted for Roanoke prices. Your advisor will find options that match your budget.

Assisted Living
$6,030/mo median
typical range $4,820–$7,540
Memory Care
$6,600/mo median
typical range $5,280–$8,250
Skilled Nursing
$8,570/mo median
typical range $7,630–$10,010
Continuing Care (CCRC / Life Plan)
$6,030/mo median
typical range $2,920–$7,260
Residential Care Home
$5,430/mo median
typical range $4,340–$6,790

2024–2026 published survey medians medians, adjusted to Roanoke using federal (BEA) regional price data. Methodology

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Roanoke.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

All 20 communities in Roanoke, ranked

Ranked by Haven Scout Score — our composite of CMS ratings, staffing, and safety.

Skilled Nursing
1

The Glebe

Scout 100

Daleville, VA · 32 beds

5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Fills quickly

One of Daleville's top-rated skilled nursing communities.

Est. $7,630$10,010/mo
View full evaluation →
Brandon Oaks Nursing and Rehabilitation Center in Roanoke
2

Roanoke, VA · 62 beds

5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Fills quickly

One of Roanoke's top-rated skilled nursing communities.

Est. $7,630$10,010/mo
View full evaluation →
Snyder Nursing Home in Salem
3

Salem, VA · 45 beds

5.0CMS rating
Skilled NursingFills quickly

One of Salem's top-rated skilled nursing communities.

Est. $7,630$10,010/mo
View full evaluation →
Davis and Mcdaniel Veterans Care Center in Roanoke
4

Roanoke, VA · 180 beds

5.0CMS rating
Skilled NursingVery limited availability

One of Roanoke's top-rated skilled nursing communities.

Est. $7,630$10,010/mo
View full evaluation →
Our Lady of the Valley in Roanoke
5

Roanoke, VA · 70 beds

5.0CMS rating
Skilled NursingFills quickly

One of Roanoke's top-rated skilled nursing communities.

Est. $7,630$10,010/mo
View full evaluation →
Friendship Health and Rehab Center in Roanoke
6

Roanoke, VA · 253 beds

4.0CMS rating
Skilled NursingFills quickly

A highly rated skilled nursing and rehab community in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
Brian Center of Fincastle in Fincastle
7

Fincastle, VA · 60 beds

4.0CMS rating
Skilled NursingModerate availability

A highly rated skilled nursing and rehab community in Fincastle.

Est. $7,630$10,010/mo
View full evaluation →
Franklin Health and Rehabilitation Center in Rocky Mount
8

Rocky Mount, VA · 120 beds

4.0CMS rating
Skilled NursingFills quickly

A highly rated skilled nursing and rehab community in Rocky Mount.

Est. $7,630$10,010/mo
View full evaluation →
Berkshire Health & Rehabilitation Center in Vinton
9

Vinton, VA · 180 beds

4.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Very limited availability

A highly rated skilled nursing and rehab community in Vinton.

Est. $7,630$10,010/mo
View full evaluation →
Friendship Health and Rehab Center - South in Roanoke
10

Roanoke, VA · 120 beds

3.0CMS rating
Skilled NursingVery limited availability

A solid, federally rated skilled nursing option in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
South Roanoke Nursing and Rehabilitation in Roanoke
11

Roanoke, VA · 98 beds

3.0CMS rating
Skilled NursingFills quickly

A solid, federally rated skilled nursing option in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
Richfield Health Center - Salem in Salem
12

Salem, VA · 112 beds

3.0CMS rating
Skilled NursingFills quickly

A solid, federally rated skilled nursing option in Salem.

Est. $7,630$10,010/mo
View full evaluation →
Pheasant Ridge Nursing and Rehabilitation in Roanoke
13

Roanoke, VA · 101 beds

3.0CMS rating
Skilled NursingFills quickly

A solid, federally rated skilled nursing option in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
Daleville Health and Rehabilitation in Daleville
14

Daleville, VA · 90 beds

3.0CMS rating
Skilled NursingFills quickly

A solid, federally rated skilled nursing option in Daleville.

Est. $7,630$10,010/mo
View full evaluation →
Salem Health & Rehabilitation in Salem
15

Salem, VA · 240 beds

3.0CMS rating
Skilled NursingModerate availability

A solid, federally rated skilled nursing option in Salem.

Est. $7,630$10,010/mo
View full evaluation →
Raleigh Court Health and Rehabilitation Center in Roanoke
16

Roanoke, VA · 120 beds

3.0CMS rating
Skilled NursingVery limited availability

A solid, federally rated skilled nursing option in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
Springtree Healthcare & Rehab Center in Roanoke
17

Roanoke, VA · 120 beds

3.0CMS rating
Skilled NursingVery limited availability

A solid, federally rated skilled nursing option in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
Rocky Mount Health & Rehab Center in Rocky Mount
18

Rocky Mount, VA · 180 beds

2.0CMS rating
Skilled NursingUsually has openings

A below-average federal rating — worth a careful look in Rocky Mount.

Est. $7,630$10,010/mo
View full evaluation →
Star City Rehabilitation and Nursing in Roanoke
19

Roanoke, VA · 116 beds

2.0CMS rating
Skilled NursingFills quickly

A below-average federal rating — worth a careful look in Roanoke.

Est. $7,630$10,010/mo
View full evaluation →
Old Southwest Health and Rehabilitation in Roanoke
20

Roanoke, VA · 130 beds

1.0CMS rating
Skilled NursingUsually has openings

A low federal rating — review the details closely.

Est. $7,630$10,010/mo
View full evaluation →

Frequently asked questions

How much does senior living cost in Roanoke, VA?

In the Roanoke, VA area, assisted living typically runs $4,820–$7,540/month (median $6,030), memory care $5,280–$8,250/month (median $6,600), and skilled nursing $7,630–$10,010/month (median $8,570) — local estimates built from published survey medians adjusted for area prices. A free Haven advisor can pinpoint exact pricing for communities that fit your budget.

What are the best senior living communities in Roanoke, VA?

Ranked purely by objective federal data (star ratings, staffing, inspections — rankings cannot be bought), the top-rated communities in Roanoke, VA right now are The Glebe, Brandon Oaks Nursing and Rehabilitation Center, Snyder Nursing Home. The full ranked list of 20 communities is on this page.

How are the 20 communities on this page rated?

Every skilled nursing community is scored with our Haven Scout Score, a composite built from official CMS Care Compare data — overall star rating, health inspections, staffing levels, and quality measures — plus safety signals like fines and citation history. We rank by objective data, not by who pays us.

Is Haven really free for families?

Yes. Haven is always free for families. When we help a family find and move into the right community, that community pays us a referral fee. You never pay anything, and we show every licensed community in the area — not just paying partners.

What's the difference between assisted living, memory care, and skilled nursing?

Assisted living helps with daily activities while preserving independence. Memory care is a secured setting with specially trained staff for dementia. Skilled nursing provides 24/7 licensed medical care and rehab. Not sure which fits? Take our free 2-minute care assessment.