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The 10 Best Assisted Living Facilities in Roanoke, VA for 2024

Roanoke is a city in the Blue Ridge Mountains that’s home to an estimated 99,143 people. According to the U.S. Census Bureau, 16.9% are aged 65 and over, which is above average, indicating the city holds more appeal for seniors than many. Roanoke’s attraction is partly explained by the outstanding scenery, in addition to the wealth of cultural activities. As part of The Crooked Road — which celebrates Virginia’s contributions to music — the city hosts several popular festivals. Additionally, seniors who like to admire the past can visit the Museum of Transportation and Center in the Square.

Assisted living is an ideal choice for seniors who struggle with daily chores, such as cleaning their homes. The facilities offer security and comfort, with staff taking on the daily tasks, allowing seniors to use their time as they please. The Genworth Cost of Care Survey for 2020 reveals the average monthly cost for assisted living in Roanoke is $4,492, which is slightly above the national average but significantly lower than the state average.

This guide covers senior living costs in more detail. It also discusses the advantages and disadvantages of living in Roanoke and lists some resources that can help seniors.

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Assisted Living Facilities in Roanoke, Virginia

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What to Consider About Assisted Living in Roanoke

The Virginia Department of Social Services is responsible for overseeing assisted living facilities in the state. This includes issuing and reissuing licenses to facilities that meet standards and revoking them from those that don’t. Although the Long-Term Care Ombudsman can monitor facilities, it has no direct authority over them. However, its reports on facilities can factor in licensing decisions.

Benefits and Drawbacks of Assisted Living in Roanoke

  • The cost of living in Roanoke compares very favorably with the national average of 100, according to Sperling’s Best Places, which scores the city at 84.1. Although health care costs are above average, other costs important to seniors in assisted living are below average. For example, transportation comes in at 77, which is significantly lower than the state and national averages. Entirely for financial reasons, CNN Money named Roanoke as one of the 25 best places to retire to in the country. 
  • Although Roanoke’s residents get to enjoy four seasons, the very mild winters, where temperatures range between 28 and 46 degrees Fahrenheit, ensure they aren’t regularly subjected to extreme cold. It’s also true that in the hottest months, where temperatures range between 66 and 87 degrees, they aren’t subjected to extreme heat either. 
  • Roanoke’s seniors are well served by six hospitals in the surrounding areas. These include the Carilion Roanoke Memorial Hospital, Carilion Roanoke Community Hospital and the VA Medical Center in nearby Salem. U.S. News & World Report ranks the memorial hospital #5 in Virginia.
  • According to Neighborhood Scout, the statistics for violent crime in Roanoke show the city to be below the national average but above the state average. The site also reports that Roanoke deals with property crime much more than average for the state and the country. Roanoke’s southern neighborhoods in particular are known for being safer areas. Additionally, the Bureau for Justice Statistics has stated that seniors are much less likely to be involved in crime than every other age group.
  • Seniors in Roanoke have several low-cost options for getting around the city and the country. RADAR is a nonprofit organization that provides a paratransit service with drivers trained to help the infirm. Fares are $3.50 per trip. The Valley Metro bus system offers discounted fares of $0.85 for adults aged 65 and older.

Paying for Assisted Living in Roanoke

The following figures published in the 2020 Genworth Cost of Care Survey reveal that Roanoke’s assisted living fees of $4,492 may be higher than the national average but are very competitive when compared to other cities in Virginia. The survey also reveals that the costs of different types of senior care can vary greatly. 

The Cost of Assisted Living in Nearby Cities

Although Roanoke’s costs are below the midpoint, there are more affordable cities. Richmond’s average costs are $3,645, while in Blacksburg, $4,000 is normal. However, costs jump significantly in Lynchburg, where families can expect fees of around $4,939. Charlotteville is even more expensive, with fees averaging at $5,893.





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The Cost of Other Types of Senior Care

Adult day care centers offer the most affordable services for seniors. Their average costs of $1,603 are much lower than those for homebound seniors, who typically pay $4,338 for home care and another $47 per month for limited medical support. Assisted living’s monthly costs of $4,492 are the most affordable option that includes accommodation, while nursing home care is significantly more expensive. Families should budget for around $7,513 for a semiprivate room, while those who want their loved ones to have a private room can expect to pay an additional $1,247 per month.

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Home health care


Adult day health care


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Nursing home (semiprivate room)


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Financial Assistance for Assisted Living in Roanoke

The state of Virginia has an Auxillary Grant to help offset the costs of assisted living. There is also an Alzheimer’s Assisted Living Waiver to Medicaid that will pay for assisted living facilities to those who are 55 years or older and are suffering from Alzheimer’s or a related form of dementia. 

Learn more about these programs, plus who’s eligible, on our Assisted Living in Virginia page.

Financial Assistance for Assisted Living in Roanoke

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Virginia page.

Free Assisted Living Resources in Roanoke

The following resources can help families make assisted living more affordable and give them somewhere to go if they’re concerned about the standard of care provided to their loved ones.

VA Aid and Attendance Benefits(800) 827-1000The VA Aid and Attendance benefit is a monthly payment added to the VA pension for U.S. military veterans currently residing in senior living facilities. The benefit is also available to spouses of vets. Many factors can affect the level of payment but the maximums are $1,881 for a single vet, $1,209 for a surviving spouse and $2,230 for a couple. Veterans unsure if they qualify can check by using the free online tool provided by 
VA Insurance Counseling & Assistance Program (VICAP)(800) 552-3402VICAP is a free program provided by the Office for Aging Services to seniors in Virginia who are Medicare beneficiaries or need help with enrolling. Counselors provide confidential face-to-face support, informing seniors of their current levels of coverage and advising them on how to plug any gaps in their insurance. This can include discussing private health care insurance. However, the counselors’ services are unbiased. They won’t try to sell insurance plans.
Long-Term Care Ombudsman(800) 552-5019The Long-Term Care Ombudsman is an advocate for seniors residing in assisted living communities. Ombudsmen make unannounced visits to facilities to talk to the residents, remind them of their rights and investigate any complaints they make about their standard of care. If the complaint suggests criminality, such as elder abuse, the ombudsman will refer it to the appropriate authority. Families and third parties can also register complaints. The ombudsman also holds reports about assisted living communities, which families can access for free to help them make more informed choices regarding the best facilities for their loved ones.
Salem Senior Center(540) 375-3054The Salem Senior Center is only a 15-minute journey from Roanoke. It’s a place where seniors can congregate and socialize with others, participate in activities designed to improve their fitness and take part in educational classes. The center also organizes regular day trips and some overnight trips. Some health support services are available, such as blood pressure checks conducted by the Salem Fire Department.

Assisted Living Laws and Regulations in Roanoke

Roanoke-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Virginia are required to follow. Visit our Assisted Living in Virginia page for more information about these laws.

Assisted Living Laws and Regulations in Roanoke

Frequently Asked Questions

Reviews of Communities Nearby

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I visited this facility

Review of TerraBella Pheasant Ridge

We toured TerraBella Pheasant Ridge. The facility was very clean. Everybody was very nice and helpful. One resident said she loved it there, and the other one was like, 'not so much.' Everyone that...

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Review of The Park - Oak Grove

The Park - Oak Grove was very good. They provide very good care. They did a lot of physical therapy with them, and they were really good about that. They had church services for them. They had...

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I am a friend or relative of a current/past resident

Review of The Park - Oak Grove

My brother-in-law has moved into The Park - Oak Grove. I like that there were different levels of care and that it was fluid in the sense that you could move from one level to another and then back...

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