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Nursing Homes in Virginia
Total Facilities:1210
Avg Nursing Home Score:57.1
High-Performing NHs:11.1%
Quick Answer
Virginia has 289 nursing homes, 565 assisted living communities, and 245 home health agencies in our database. Its nursing homes average a SunsetWell Score of 6.1/10, with 11.1% scoring 75 or higher. Average monthly cost: $8,400-$13,500.
Finding Care in Virginia
Searching for nursing home care in Virginia—whether you're in Northern Virginia near DC, Richmond, Hampton Roads, or rural Southwest Virginia—is emotionally and logistically challenging. You're probably feeling guilty about considering facility care, worried about costs, and overwhelmed by options. Please know: you're not failing your loved one. When medical needs require 24/7 professional care, choosing a quality nursing home is responsible and loving.
Virginia has over 280 skilled nursing facilities, regulated by the Department of Health. Many facilities specialize in memory care, post-stroke rehabilitation, or complex wound care. Virginia nursing homes range from large corporate chains to smaller nonprofit and faith-based facilities, many with strong ties to local communities.
Costs in Virginia vary dramatically by region—Northern Virginia and urban areas are expensive (comparable to nearby DC and Maryland), while rural areas are significantly more affordable. Virginia Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid after a private-pay period. Virginia's ombudsman program provides strong advocacy for residents and families.
Virginia at a Glance
Facility Breakdown
Skilled Nursing Facilities:289
Assisted Living Communities:565
Home Health Agencies:245
Other provider types:111
The total includes every provider type in the database; the categories above explain the largest groups and show the remainder separately.
Quality Metrics
Avg Nursing Home Score:57.1
Median Nursing Home Score:57.7
Nursing Homes Scoring 75+:32 (11.1%)
Staffing Reliability Context
State averages can hide whether staffing is steady day to day. Our Weekend Effect report uses CMS daily payroll data to compare weekend staffing drops, volatility, and contract labor reliance at individual nursing homes.
Request help from SunsetWell
You can store a research request with SunsetWell. Individual review and a response are not guaranteed, so contact facilities directly for current details.
The sponsored advisor link uses affiliate measurement and is available only with optional marketing consent. You can use the SunsetWell request form without changing your privacy choice.
Compare Nursing Homes in Virginia
#1
HERITAGE HALL FRONT ROYAL
FRONT ROYAL • 400 WEST STRASBURG ROAD
Health: 5 stars
Staffing: 2 stars
Quality: 5 stars
94
Exceptional · 100th percentile in VA
#2
LAWRENCEVILLE HEALTH & REHABILITATION
LAWRENCEVILLE • 1722 LAWRENCEVILLE PLANK ROAD
Health: 2 stars
Staffing: 1 stars
Quality: 4 stars
91
Exceptional · 100th percentile in VA
#3
LANCASHIRE NURSING & REHABILITATION CENTER
KILMARNOCK • 287 SCHOOL STREET
Health: 3 stars
Staffing: 2 stars
Quality: 5 stars
90
Exceptional · 99th percentile in VA
#4
BEDFORD CO NURSING HOME
BEDFORD • 1229 COUNTY FARM ROAD
Health: 4 stars
Staffing: 1 stars
Quality: 3 stars
86
Excellent · 99th percentile in VA
#5
KEMPSVILLE HEALTH & REHAB CENTER
VIRGINIA BEACH • 5520 INDIAN RIVER ROAD
Health: 3 stars
Staffing: 2 stars
Quality: 4 stars
86
Excellent · 99th percentile in VA
#6
CHELSEA REHABILITATION AND HEALTHCARE CENTER
GOOCHLAND • 2715 DOGTOWN ROAD
Health: 2 stars
Staffing: 2 stars
Quality: 5 stars
84
Excellent · 98th percentile in VA
#7
SHORE HEALTH & REHAB CENTER
PARKSLEY • 26181 PARKSLEY ROAD
Health: 3 stars
Staffing: 2 stars
Quality: 5 stars
84
Excellent · 98th percentile in VA
#8
CARLIN SPRINGS HEALTH & REHABILITATION
ARLINGTON • 550 SOUTH CARLIN SPRINGS ROAD
Health: 1 stars
Staffing: 2 stars
Quality: 5 stars
84
Excellent · 98th percentile in VA
Browse by City
Richmond60 facilitiesRICHMOND25 facilitiesVIRGINIA BEACH24 facilitiesRoanoke22 facilitiesFAIRFAX21 facilitiesROANOKE18 facilitiesFREDERICKSBURG17 facilitiesMechanicsville16 facilitiesVirginia Beach15 facilitiesNEWPORT NEWS15 facilitiesWilliamsburg14 facilitiesMc Lean14 facilitiesCHESAPEAKE14 facilitiesFredericksburg14 facilitiesAlexandria14 facilities
Medicaid Coverage in Virginia
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Virginia.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); Virginia uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
$2,982 (2026); Virginia uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
Asset Limit:
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
Processing Time:
45-60 days for initial determination
45-60 days for initial determination
How to Apply
Apply through your local Department of Social Services or online at commonhelp.virginia.gov. You'll need financial documents, medical records, and proof of citizenship.
Important Tips for Virginia Families
- •Virginia's income limit is $2,982/month (2026). If your loved one exceeds this, you'll need a Qualified Income Trust (QIT)—an elder law attorney can set this up.
- •Many Virginia facilities require 30-90 days of private pay before accepting Medicaid. Confirm policies during tours.
- •Virginia has Medicaid estate recovery, but exemptions exist for surviving spouses, disabled children, and caretaker children.
- •Work with a Virginia elder law attorney to understand spousal impoverishment protections—these can help preserve assets for a community spouse.
- •Veterans in Virginia should apply for VA Aid & Attendance benefits, which provide up to $2,424/month.
Nursing Home Costs in Virginia
$280-$450/day average
Monthly Range: $8,400-$13,500
Virginia nursing home costs vary significantly by region. Northern Virginia (Arlington, Fairfax) is most expensive; rural areas are more affordable. Medicare covers skilled nursing for up to 100 days post-hospitalization. Medicaid covers long-term care for eligible Virginia residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
Virginia Resources & Advocacy
Oversight & Complaints
Virginia Long-Term Care Ombudsman Program
1-804-644-2923Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Virginia Department of Health - Office of Licensure and Certification
View inspection reports →Support & Guidance
Virginia Department for Aging and Rehabilitative Services
1-800-552-3402Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Virginia.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Virginia Department of Health - Office of Licensure and Certification, SunsetWell Analysis