Senior Living Communities in Greater Richmond
Exploring care options for a parent or yourself?
Choosing a community with the right level of care is one of the biggest decisions a family makes. This guide explains the levels of care and lists licensed communities across greater Richmond, so you can compare options side by side.
Use it as a starting point, and reach out anytime you'd like help narrowing the list.
Levels of care, in plain language
Independent living
A private apartment or cottage with meals, housekeeping, and activities. No daily personal care is included.
Assisted living
Help with daily routines like bathing, dressing, and medications, with staff on site around the clock. Licensed in Virginia by the Department of Social Services.
Memory care
A secured setting with specially trained staff for people living with Alzheimer's disease or another form of dementia.
Skilled nursing care
24-hour licensed nursing and medical care, including short-term rehab after a hospital stay and long-term care.
Continuing care (Life Plan)
One campus that offers several levels of care, so residents can stay as their needs change. Usually involves an entry fee.
Find a community by level of care
Choose a level of care, then narrow by area or payment type, or search by name. Details come from public sources, including Virginia licensing records and Medicare, gathered in November 2026.
Please confirm all information directly with each community. Levels of care, services, pricing, availability and licensing can change at any time, and this directory may not reflect the latest details.
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Questions to ask on every tour
- What changes in health or behavior would require a move to a higher level of care?
- How are care fees set, and how much have rates gone up in each of the last three years?
- Who is on site overnight and on weekends, and is there a nurse on staff?
- How are medications managed, and who handles them?
- Can a couple stay together if they need different levels of care?
- May we see the most recent state inspection report?
Ways families pay for care
Private pay: savings, income, or proceeds from selling a home.
Long-term care insurance: many policies cover assisted living and memory care.
Medicare: covers short-term skilled nursing and rehab after a qualifying hospital stay, not long-term care.
Medicaid: can cover long-term skilled nursing care for those who qualify.
Auxiliary Grant: a Virginia program that helps eligible residents pay for assisted living.
VA benefits: Aid and Attendance may help eligible veterans and surviving spouses.
Selling a home to pay for care? I can help you plan the timing.
Not sure where to start?
Every family's situation is different. Tell me what your loved one needs, and I'll help you narrow the options and plan the move, including what to do with the family home.
Book a Call or call (804) 600-4743Community details come from public sources, including the Virginia Department of Social Services, the Virginia State Corporation Commission, and Medicare Care Compare, gathered in November 2026. Services, rates, and availability change, so please confirm details directly with each community and review its most recent inspection reports. Medicare ratings are published by the Centers for Medicare & Medicaid Services. This directory is for information only and is not an endorsement or ranking of any community. Listings are not paid placements, and if Crystal ever receives compensation from a community, it will be disclosed to your family in writing. Crystal Tillman Real Estate | Maison Real Estate Boutique. Equal Housing Opportunity.