
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 51.5/100, with 21.5% high-performing (75+). Average monthly cost: $8,400-$13,500.
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.
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.
Hampton • 2220 EXECUTIVE DRIVE,
Portsmouth • ONE BON SECOURS WAY,
Woodbridge • 4358 PRINCE WILLIAM PARKWAY,
Reston • 2222 COLTS NECK ROAD,
Richmond • 801 AZALEA AVENUE,
Penn Laird • 180 TITUS DRIVE,
Mechanicsville • 7080 BROOKS FARM ROAD,
Williamsburg • 3800 TREYBURN DRIVE,
Oakton • 10137 PALMER DRIVE,
Martinsville • 400 BLUE RIDGE STREET,
Sandston • 1807 OLD WILLIAMSBURG ROAD,
Annandale • 3450 GALLOWS ROAD,
Virginia Beach • 937 DIAMOND SPRINGS ROAD,
Mechanicsville • 6291 SIMI COURT,
Richmond • 3212 CHAMBERLAYNE AVENUE,
Poquoson • 531 WYTHE CREEK ROAD,
Mc Lean • 829 DOLLEY MADISON BOULEVARD,
Lynchburg • 20212 LEESVILLE ROAD,
Roanoke • 1437 PETER'S CREEK ROAD, NW,
Marion • 221 WEST MAIN STREET,
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.
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.
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).
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
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