Nursing Homes in Virginia
Virginia is home to 254 nursing homes tracked by Clear Care Connect, part of 401 senior care providers statewide, making it a mid-sized senior care market with real choice in most metro areas. Families comparing nursing homes in Virginia weigh the same three questions: how safe is the building, how well is it staffed, and what will it really cost each month. Coverage is deepest around Richmond, Virginia Beach, Roanoke, while smaller towns among the state's 153 communities often have one or two options within a reasonable drive. Clear Care Connect answers those questions with official federal inspection data, CMS star ratings and real cost estimates instead of sponsored listings.
What nursing homes in Virginia provide
Nursing Homes in Virginia provide round-the-clock licensed nursing, medication management, rehabilitation therapy and help with every activity of daily living. We track 254 nursing homes statewide, alongside 147 other providers — nursing homes, assisted living, memory care, hospice and home health — that families often compare before deciding.
Every Medicare-certified nursing home in Virginia is surveyed by state inspectors on behalf of CMS roughly once a year, and those survey results feed the star ratings shown on each profile. That makes nursing homes the most transparent care type in Virginia: you can see deficiencies, staffing hours per resident per day and penalty history before you ever tour.
Typical pricing for nursing homes in Virginia runs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent. Expect the higher end of that range in Richmond and other high-cost metros, and the lower end in rural counties.
How to choose a nursing home in Virginia
With 254 nursing homes in Virginia, families need a repeatable way to narrow the list. These six steps work in any county.
1. Check the government inspection reports first
Every Clear Care Connect profile shows the real CMS inspection record — deficiencies cited, their scope and severity, and how fast they were corrected. Read that before any brochure.
2. Compare star ratings across a shortlist, not in isolation
A three-star facility reads differently next to the Virginia average of 3.01. Line up four or five nursing homes side by side instead of judging one alone.
3. Visit at least three facilities, including one unannounced
Tour options in Richmond plus one nearby community, then drop in once outside tour hours to see normal staffing and resident engagement.
4. Ask about staff-to-resident ratios and turnover
Ask for nursing hours per resident per day and annual turnover in writing. High turnover is the strongest predictor of inconsistent care in Virginia facilities.
5. Understand exactly what the monthly price includes
Get the base rate, care-level surcharges, medication fees and past annual increases. Two Virginia communities quoting the same headline number can differ by thousands once care tiers apply.
6. Read the most recent inspection findings, not just the score
One old citation matters far less than a repeated pattern. Clear Care Connect publishes the full history so you can compare Virginia providers on that record in one place.
Top cities for nursing homes in Virginia
Senior care in Virginia clusters around its largest population centers. These 8 cities hold the highest concentration of nursing homes statewide, and each links to a local directory with ratings and costs.
- Richmond — 33 facilities, 16 of them nursing homes, averaging 2.5 CMS stars.
- Virginia Beach — 24 facilities, 14 of them nursing homes, averaging 2.0 CMS stars.
- Roanoke — 17 facilities, 10 of them nursing homes, averaging 3.4 CMS stars.
- Newport News — 13 facilities, 4 of them nursing homes, averaging 2.3 CMS stars.
- Charlottesville — 11 facilities, 7 of them nursing homes, averaging 3.0 CMS stars.
- Lynchburg — 11 facilities, 7 of them nursing homes, averaging 2.9 CMS stars.
- Fredericksburg — 10 facilities, 5 of them nursing homes, averaging 2.4 CMS stars.
- Chesapeake — 10 facilities, 4 of them nursing homes, averaging 2.0 CMS stars.
Understanding CMS ratings for nursing homes in Virginia
The Centers for Medicare & Medicaid Services scores certified facilities from one to five stars using three inputs: on-site health inspections, payroll-reported staffing levels, and clinical quality measures. Five stars means much above average within that state's peer group; one star means much below.
In Virginia, 285 of the 401 providers we track carry a published CMS rating, and 118 — roughly 41% — hold four or five stars. The statewide average is 3.01 stars. That average is close to the national midpoint, so quality varies widely from one provider to the next and comparing individual facilities matters more than comparing states.
Weight the health inspection component most heavily: it is the only piece built from unannounced on-site visits by state surveyors. Staffing is the next best signal, and quality measures are partly self-reported. Clear Care Connect shows all three sub-scores, the inspection date and any penalties on every Virginia profile.
Nursing Homes costs in Virginia
Nursing Homes in Virginia typically runs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent. Pricing tracks local housing and wage costs closely, so expect Richmond to price above the Virginia median while rural counties come in below it.
For comparison, Virginia families budget $7,900–$11,200 a month for a nursing home, $4,500–$7,500 for assisted living, $6,000–$9,000 for memory care, and little to nothing for Medicare-covered home health or hospice. Clear Care Connect publishes an estimated monthly range on each facility page so you can sanity-check any quote.
Frequently asked questions
How many nursing homes are in Virginia?
Clear Care Connect tracks 254 nursing homes in Virginia, out of 401 senior care facilities statewide spanning nursing homes, assisted living, memory care, hospice and home health.
What is the average cost of nursing homes in Virginia?
Nursing Homes in Virginia typically costs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent.
How do I find the best nursing home in Virginia?
Use Clear Care Connect to compare Virginia providers on official government star ratings, inspection findings, staffing data and estimated monthly cost, then tour your top three in person. 118 rated Virginia facilities currently hold four or five stars.
Does Medicare cover nursing homes in Virginia?
Medicare covers up to 100 days of skilled nursing after a qualifying hospital stay in Virginia, not long-term custodial care. Longer stays are paid privately, through long-term care insurance, or by Virginia Medicaid once assets are spent down.
Ready to find the right nursing home in Virginia?
Clear Care Connect shows real government inspection data, CMS star ratings and cost information for all 254 nursing homes in Virginia. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.
Other care types in Virginia
- Assisted Living in Virginia
- Memory Care in Virginia
- Hospice Care in Virginia
- Home Health Care in Virginia
Browse every Virginia senior care facility profile · Virginia Medicaid eligibility estimator · Virginia senior care costs