Nursing Homes in Virginia: Staffing, Turnover, and Penalties
Virginia has 289 Medicare- or Medicaid-certified nursing homes in 146 cities. On CMS's August 2026 figures, nurse aides there log 2.07 hours per resident per day, 11% below the US average of 2.32, and 48.1% of nursing staff leave in a year (US 45.8%).
Virginia averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Richmond (19), Virginia Beach (14), Roanoke (11). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Abingdon (2)
- Alexandria (5)
- Altavista (1)
- Amelia (1)
- Amherst (1)
- Annandale (2)
- Appomattox (1)
- Arlington (4)
- Aroda (1)
- Ashburn (1)
- Ashland (1)
- Bassett (1)
- Bastian (1)
- Bedford (2)
- Berryville (1)
- Big Stone Gap (1)
- Blacksburg (2)
- Blackstone (1)
- Bluefield (1)
- Bon Air (1)
- Bowling Green (1)
- Bridgewater (1)
- Bristol (2)
- Brookneal (1)
- Buena Vista (1)
- Burke (1)
- Charlottesville (8)
- Chase City (1)
- Chatham (1)
- Chesapeake (4)
- Chester (1)
- Chesterfield (1)
- Chilhowie (1)
- Clarksville (1)
- Clifton Forge (2)
- Clintwood (1)
- Colonial Beach (1)
- Colonial Heights (1)
- Courtland (1)
- Culpeper (2)
- Daleville (2)
- Danville (4)
- Dillwyn (1)
- Dublin (1)
- Duffield (1)
- Dunn Loring (1)
- East Lexington (1)
- Emporia (2)
- Fairfax (3)
- Falls Church (2)
- Farmville (2)
- Fincastle (1)
- Fishersville (3)
- Floyd (1)
- Fork Union (1)
- Fort Belvoir (1)
- Franklin (1)
- Fredericksburg (5)
- Front Royal (2)
- Gainesville (2)
- Galax (2)
- Glen Allen (1)
- Gloucester (2)
- Goochland (1)
- Gretna (1)
- Grundy (1)
- Hampton (4)
- Harrisonburg (4)
- Herndon (1)
- Highland Springs (1)
- Hillsville (1)
- Hopewell (2)
- Hot Springs (1)
- Independence (1)
- Irvington (1)
- Keysville (1)
- Kilmarnock (1)
- King George (1)
- Lake Ridge (1)
- Laurel Fork (1)
- Lawrenceville (1)
- Lebanon (1)
- Leesburg (2)
- Lexington (1)
- Locust Hill (1)
- Louisa (1)
- Low Moor (1)
- Luray (1)
- Lynchburg (8)
- Madison (1)
- Manassas (2)
- Marion (2)
- Martinsville (3)
- Mathews (1)
- MC Lean (1)
- Mechanicsville (3)
- Midlothian (2)
- Nassawadox (1)
- New Market (1)
- Newport News (6)
- Norfolk (8)
- Norton (1)
- Orange (1)
- Parksley (1)
- Pennington Gap (1)
- Petersburg (4)
- Poquoson (1)
- Portsmouth (3)
- Potomac Falls (1)
- Pulaski (1)
- Radford (1)
- Rich Creek (1)
- Richlands (1)
- Richmond (19)
- Roanoke (11)
- Rocky Mount (2)
- Rural Retreat (1)
- Salem (3)
- Saluda (1)
- Smithfield (1)
- South Boston (2)
- South Hill (1)
- Springfield (1)
- Stanardsville (1)
- Staunton (2)
- Sterling (1)
- Stuart (1)
- Suffolk (4)
- Tappahannock (1)
- Tazewell (1)
- Vinton (1)
- Virginia Beach (14)
- Warrenton (2)
- Warsaw (1)
- Waverly (1)
- Waynesboro (2)
- Weber City (1)
- West Point (1)
- Williamsburg (5)
- Winchester (4)
- Windsor (1)
- Wise (1)
- Woodbridge (1)
- Woodstock (2)
- Wytheville (2)
- Yorktown (2)
Largest nursing home chains in Virginia
CMS links 193 of Virginia's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in VA | Homes nationwide |
|---|---|---|
| Lifeworks Rehab | 35 | 64 |
| Saber Healthcare Group | 33 | 126 |
| Hill Valley Healthcare | 24 | 43 |
| Eastern Healthcare Group | 18 | 18 |
| Heritage Hall | 15 | 15 |
| Commonwealth Care of Roanoke | 12 | 12 |
| Marquis Health Services | 12 | 87 |
| Avardis Health | 11 | 38 |
| Trio Healthcare | 9 | 9 |
| Riverside Health System | 6 | 6 |
| Communicare Health | 5 | 110 |
| Ciena Healthcare/Laurel Health Care | 4 | 81 |
| Yad Healthcare | 4 | 13 |
| Green Tree Health Management | 3 | 8 |
| Erickson Senior Living | 2 | 17 |
Chain as recorded in the CMS Provider Information file, August 2026 release