Virginia is a great state in which to retire – especially for seniors who are on a fixed income. Social security income is exempt from state tax, and seniors 65 or older with other retirement income that’s less than $12,000 won’t have to pay state tax on it. Additionally, sales tax isn’t charged on prescription drugs and over-the-counter medication.
Directory of Assisted Living Facilities in Virginia
As you start your research for a quality assisted living facility in Virginia, knowing the types of services each facility provides and the financial help available to help pay for those care services, is important. The registry below can aid you in your research by providing details and information on more than 400 facilities in the state of Virginia.
Showing of Communities
Paying For Assisted Living in Virginia
The Cost of Assisted Living in Virginia
The monthly median cost of assisted living in Virginia is $4,451, which is higher than the national average of $4,000. According to Genworth’s 2018 Cost of Care Survey, assisted living in Virginia is less expensive than the median in all neighboring states except for Kentucky, North Carolina, Tennessee, and West Virginia.
While the cost of Assisted Living is fairly consistent throughout the state, Lynchburg is the one exception coming in at $756 below the state average. Richmond is the most expensive region in the state at $1,048 above the national average of $4,000.
While nursing home care is slightly higher in Virginia when compared to the rest of the nation, it’s still considerably more expensive than assisted living. Other than independent living, which doesn’t provide assistance with activities of daily living, assisted living communities are the cheapest solution for long-term care in the state.
Financial Assistance for Assisted Living in Virginia
Commonwealth Coordinated Care Plus Medicaid Waiver
Nursing home-eligible seniors in Virginia who prefer to live independently in an assisted living facility may be able to get financial help via the Commonwealth Coordinated Care Plus (CCC Plus) Medicaid waiver, which is a combination of the old Elderly or Disabled With Consumer Direction and Technology Assisted waivers. Currently, there is no waiting list for the CCC Plus waiver.
Who Is Eligible?
Residents interested in applying for the CCC Plus waiver need to meet the following qualifications:
- They must be age 65 or older.
- They must have a medical or nursing need.
- For single residents, monthly income not exceed $2,250 (in 2018), and countable assets must be worth $2,000 or less
- For married residents, monthly income must not exceed $3,375 (in 2018), and countable assets must be worth $3,000 or less.
A screening team consisting of a nurse from the Virginia Department of Health and a representative from the Department of Social Services will use the Uniform Assessment Instrument (UAI) tool to determine if an applicant meets certain eligibility requirements.
How to Enroll
To enroll in the CCC Plus Medicaid waiver, you must contact your local Department of Family or Social Services office to schedule a screening.
More Ways to Finance Assisted Living
Some additional ways to finance assisted living costs include:
- Veterans Benefits: Veterans can take advantage of several different pension programs to help cover the cost of assisted living. For more information, see the article on benefits.va.gov.
- Life Insurance Policies: Even if a spouse or loved one hasn’t died, certain types of life insurance policies can be used to pay for assisted living. More information is available at longtermcare.acl.gov
- Long-Term Care Insurance: Long-term care insurance is a type of insurance policy that pays for long-term care when it becomes necessary, including the cost of assisted living. For more information on the benefits and drawbacks of this financing method, visit longtermcare.acl.gov.
- Reverse Mortgages: Reverse mortgages allow seniors to access the equity from a home that they own, and these funds can be used to pay for assisted living. The U.S. Department of Housing and Urban Development offers a federally insured reverse mortgage program.
Free Assisted Living Resources in Virginia
Long-Term Care Ombudsman Program
Virginia’s Long-Term Care Ombudsman Program launched in 1978. The program, funded through charitable contributions, helps older adults who reside in nursing homes, assisted living facilities, or those who receive long-term care services in their home. Paid staff, as well as volunteers, work hard to ensure the elderly are treated with dignity and respect.
Some of Ombudsman’s services include:
- Assisting CCC Plus participants to resolve problems they may have with their coverage, benefits, and more
- Advocating for residents whose rights may have been violated
- Investigating and working to resolve complaints related to the quality of care a resident is receiving
Area Agencies on Aging
Area Agencies on Aging (AAA) offers information, education, training, and technical assistance to older adults and caregivers in their local areas.
|Area Agency On Aging||Address||Phone Number|
4401 Ford Avenue Suite 103
Alexandria, VA 22314
216 College Ridge Rd.
Cedar Bluff, VA 24609
2100 Washington Blvd
Arlington, VA 22204
(703) 228-1788 (TTY)
5306 Old Virginia Street
Urbanna, VA 23175
501 12th Street
Lynchburg, VA 24504
23 Seyler Dr.
Petersburg, VA 23805
4453 Lee Highway
Marion, VA 24354
5432 Bayside Road
Exmore, VA 23350
12011 Government Center Parkway, Suite 708
Fairfax, VA 22035
460 Lendall Ln.
Fredericksburg, VA 22405
674 Hillsdale Dr., Suite 9
Charlottesville, VA 22901
1105 West Danville St.
South Hill, VA 23970
4932 Frontage Road NW.
Roanoke, VA 24019
20145 Ashbrook Place, Suite 170
Ashburn, VA 20147
1501 Third Avenue East
Big Stone Gap, VA 24219
141 East Main Street, Suite 500
Pulaski, VA 24301
739 Thimble Shoals Blvd., Suite 1006
Newport News, VA. 23606
1413 South Main Street
Farmville, VA 23901
5 County Complex, Suite 240
Woodbridge, VA 22192
24 E Cary St.
Richmond, VA 23219
6350 Center Drive Building 5, Suite 101
Norfolk, VA 23502
207 Mosby Lane Front
Royal, VA 22630
204 Cleveland Ave.
Martinsville, VA 24112
325 Pine Avenue
Waynesboro, VA 22980
(800) 868-VPAS (8727)
Veterans and their spouses can get assistance from their local VA offices with various services, including help with VA benefits that can be used to finance assisted living. Visit or contact a center near you for guidance.
|Veterans Affairs Offices||Address||Phone Number|
6940 South Kings Highway #204
Alexandria, VA 22310
1711 Church Street, Suites A&B
Norfolk, VA 23504
4902 Fitzhugh Avenue
Richmond, VA 23230
350 Albemarle Ave., SW
Roanoke, VA 24016
324 Southport Circle, Suite 102
Virginia Beach, VA 23452
101 North 14th Street, 17th Floor
Richmond, VA 23219
Social Security Offices
By reaching out or visiting a Social Security office, you or your aging loved one can gain a better understanding of social security benefits as well as other types of assistance that can help with assisted living costs. Use the table below to find the office nearest you.
|Social Security Office||Address||Phone Number|
22581 Center Pkwy
Accomac, VA 23301
6295 Edsall Road
Alexandria, VA 22312
1401 Wilson Blvd
Arlington, VA 22209
2484 Lee Highway
Bristol, VA 24202
1470 Pantops Mtn Place
Charlottesville, VA 22911
1010 S Craig Avenue
Covington, VA 24426
1014 S Main St
Culpeper, VA 22701
3295 Us Hwy 29
Danville, VA 24540
11212 Waples Mill Rd
Fairfax, VA 22030
324 Commerce Road
Farmville, VA 23901
1521 Hardy Cash Dr
Hampton, VA 23666
351 N Mason St
Harrisonburg, VA 22802
7618 Timberlake Rd
Lynchburg, VA 24502
9500 Center Street
Manassas, VA 20110
320 W Commonwealth Blvd.
Martinsville, VA 24112
13551 Waterford Place,
Midlothian, VA 23112
11706 Jefferson Avenue
Newport News, VA 23606
5850 Lake Herbert Dr
Norfolk, VA 23502
100 Poplar Drive
Petersburg, VA 23805
3305 Airline Blvd
Portsmouth, VA 23701
1834 West Cary Street
Richmond, VA 23220
612 S Jefferson Street
Roanoke, VA 24011
2049 Hamilton Blvd
South Boston, VA 24592
1600 N Coalter St
Staunton, VA 24401
502 Hillpoint Blvd
Suffolk, VA 23434
2875 Sabre St
Virginia Beach, VA 23452
629 Cedar Creek Grade
Winchester, VA 22601
253 Ridgeview Road Sw
Wise, VA 24293
130 Withers Lane
Wytheville, VA 24382
245 East Williamsburg Rd
Sandston, VA 23150
9915 Jeff Davis Hwy
Fredericksburg, VA 22407
Assisted Living Laws and Regulations in Virginia
Assisted Living Admission Requirements
Before admission in an assisted living facility, the resident is required to have a physical examination by an independent physician. In order to determine the resident’s care needs, the Assisted Living Facility (ALF) must also complete a Uniform Assessment Instrument (UAI) on the resident.
The UAI must be completed on an annual basis or when there is a significant change in the resident’s condition, whichever comes first.
ALFs cannot admit or retain residents who:
- Require a level of care that the facility is unable or unlicensed to provide
- Are dependant on a ventilator
- Have stage 3 or 4 dermal ulcers, unless the stage 3 ulcers are determined by an independent physician to be healing
- Require intravenous therapy injections directly into their vein (some exceptions apply)
- Have an airborne infectious disease that requires the resident to be placed in isolation or the caretaker to follow special precautions
- Are an imminent physical threat or danger to self or others
- Requires continuous licensed nursing care
Assisted Living Scope of Care
Assisted living facilities in Virginia provide health care services, protection, guidance, and supervision based on what is specified in the resident’s service plan. They also offer assistance with medication, activities of daily living, instrumental activities of daily living, and walking.
Assisted Living Medicaid Policy
Virginia’s Medicaid doesn’t directly pay for assisted living, but the Commonwealth Coordinated Care Plus (CCC Plus) can provide financing. While the CCC Plus waiver is not an entitlement program (meaning not everyone who qualifies is guaranteed acceptance), there is currently no waiting list.
Assisted Living Requirements
ALFs in Virginia are required to meet a variety of specifications required by the Virginia Uniform Statewide Building Code. Some requirements include the following:
- A maximum of two residents are allowed to live in one bedroom.
- Bathtubs and showers must have handrails, non-skid surfaces or strips, and grab bars.
- All bedrooms with connecting bathrooms are required to have easily accessible signaling devices that will alert direct care staff when a resident needs assistance.
Medication Management Regulations
Licensed staff or medication aids may administer medicine as instructed in the resident’s written plan for medication management. Residents who are able can self-administer their own medications.
Two direct care staff members must be present and awake at all times. The direct care staff is responsible for the care and supervision of all residents in the building. Additionally, all assisted living facilities are required to have an acting administrator who will be responsible for the admission and management of the facility and overseeing the day-to-day operation.
Staff Training Requirements
Administrators must be:
- 21 or older
- Licensed as an assisted living facility or nursing home administrator by the Virginia Board of Long-Term Care Administrators
- High school graduates
- Experienced in caring for adults in a health or long-term care facility for at least one year
Administrators who supervise medication aides must first complete a Virginia board of nursing-approved training program for the registration of medication aides. The program is required to include at least 68 hours of student instruction and training.
Direct care staff must:
- Be at least 18 years old, unless they are certified in Virginia as a nurse aide
- Successfully complete the 40-hour direct care staff training taught by a registered nurse or licensed practical nurse
- Attend 18 hours of training each year
- Be trained in first aid and CPR
- Be trained on how to deal with aggressive residents and how to properly care for residents in restraints if employed in an ALF that has or accepts aggressive or restrained residents
Background Checks for Assisted Living
Assisted living facilities in Virginia cannot employ anyone convicted of a barrier crime as defined in 22 VAC 40-90-10.
Requirements for Reporting Abuse
Suspicion of any form of elder abuse or neglect should be reported to the Virginia Department of Social Services’ Adult Protective Services (APS). You can report the abuse by calling your local department of social services or the 24-hour APS hotline at (888) 832-3858.
If you suspect an assisted living facility is in violation of any rules and regulations, you can anonymously report the facility to the Virginia Ombudsman by calling (804) 565-1600 or filling out their online form.