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40 Best Medicaid Nursing Homes in Virginia

40 of the 289 Medicare-certified nursing homes in Virginia (14%) are top-graded Medicaid-certified, and all are listed below. 40 of the 40 graded homes earn an A and 0 earn a D or F. They average 5.18 nursing hours per resident per day, 1.42 hours above the 3.76 for every home in Virginia. Goodwin House Alexandria in Alexandria grades highest at A (100 out of 100).

How top-graded Medicaid-certified homes in Virginia compare

This group set against every nursing home in Virginia, from the current CMS release.

Nursing hours per resident per day

5.18

All homes in Virginia: 3.76

Better than the local average

Nurse staff turnover

31.9%

All homes in Virginia: 48.1%

Better than the local average

Average ElderGrade score

91.7/100

All homes in Virginia: 72.1/100

Better than the local average

Grade spread

A

40 grade A,

The best-graded top-graded Medicaid-certified home in Virginia is Goodwin House Alexandria in Alexandria, VA, grade A, 100/100.

Every top-graded Medicaid-certified nursing home in Virginia

Showing 21 to 40 of 40, best-graded first.

A

91.5/100

Wythe Cnty Community Hosp Ecu

Wytheville, VA · Wythe County

CMS 5/58 bedsFor-profitMedicaid
Nurse hours
8.67 /day
Staff turnover
n/a
Serious cites
0

Wythe Cnty Community Hosp Ecu runs just eight certified beds, which puts it in a category most families never encounter, a hospital-based swing-bed operation rather than a traditional stand-alone nursing home. The staffing figure stands out: 8.67 nurse hours per resident day, more than double the national average of 3.86, though weekend coverage dips roughly 7% below its own weekday level. Six deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with a November 2025 inspection keeping things current. The for-profit corporate ownership is worth knowing about, but the inspection and quality measure ratings both come in strong, and the small bed count means care is concentrated.

A

91.5/100

The Culpeper

Culpeper, VA · Culpeper County

CMS 4/547 bedsNon-profitMedicaid
Nurse hours
5.69 /day
Staff turnover
20%
Serious cites
0

The Culpeper runs a nonprofit home of 47 beds, and its nurse staffing sits at 5.69 hours per resident day, roughly 47% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, so care thins out somewhat on Saturdays and Sundays. Staff turnover is 20%, well under the 45.8% national average, which suggests people stay. The current record carries 19 deficiencies, one at the harm level and none abuse-related, with the last inspection in October 2023. CMS gives it top marks for staffing and middling marks for inspections and quality measures. Strong hours and low turnover are doing the heavy lifting here.

A

91.5/100

Windsormeade Of Williamsburg

Williamsburg, VA · James City County

CMS 5/522 bedsNon-profitMedicaid
Nurse hours
5.54 /day
Staff turnover
36%
Serious cites
0

Windsormeade of Williamsburg runs on church-affiliated nonprofit ownership, and the numbers back up what that structure often buys you: time with residents. Nurse staffing sits at 5.54 hours per resident day, roughly 43 percent above the national average, and turnover comes in at 35.7 percent against a national 45.8, staff tend to stay. The tradeoff worth knowing is weekends, when coverage drops about 21 percent below the home's own weekday level. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2023. With only 22 certified beds, this is a small home, which cuts both ways on consistency.

A

91.5/100

The Glebe

Daleville, VA · Botetourt County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
49%
Serious cites
0

The Glebe runs about 5.42 nurse hours per resident day, roughly 40% more than the national average of 3.86, that's the kind of cushion that matters when a resident needs help at 2 a.m. Weekend staffing dips about 21% below its own weekday levels, worth asking about, though the floor starts high. Seven deficiencies sit on the current record, none at the harm level and none abuse-related. Staff turnover lands at 49%, a bit above the 45.8% national figure. CMS gives this nonprofit five stars each for inspections, quality measures, and staffing, with its last inspection in April 2024.

A

91/100

Bridgewater Home , Inc.

Bridgewater, VA · Rockingham County

CMS 4/5127 bedsNon-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
32%
Serious cites
0

Bridgewater Home runs a genuinely well-staffed floor: 4.63 nurse hours per resident day, roughly 20% above the national average, and the low 31.9% turnover means the aides and nurses you meet are more likely to still be there next year. Weekend coverage dips about 13% below weekday levels, so ask how that plays out on a Saturday. The 26 deficiencies on record are worth reading closely, but none rose to harm or jeopardy and none involved abuse. Inspectors were last in on January 22, 2026, so the picture is current. A nonprofit with steady hands and no crisis-level findings.

A

91/100

The Village At Orchard Ridge

Winchester, VA · Frederick County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
5.04 /day
Staff turnover
39%
Serious cites
0

The Village at Orchard Ridge runs about 5.04 nurse hours per resident day, roughly 31% above the national average of 3.86, and its CMS staffing rating comes in at 5 out of 5. Weekend coverage dips only about 5% below weekday levels, which is a small gap by industry standards. Staff turnover sits at 39.1%, better than the 45.8% national average, suggesting people tend to stay. The current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in March 2024. State survey and quality measure ratings both land at 4 out of 5. For a 20-bed nonprofit home, the numbers point to steady, well-staffed care.

A

91/100

Our Lady Of Peace Inc

Charlottesville, VA · Albemarle County

CMS 3/530 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
34%
Serious cites
0

Our Lady of Peace runs 30 beds as a nonprofit, and the staffing is the strongest part of the picture, 4.16 nurse hours per resident per day, about 8% above the national average, with turnover at 34.3% against a national 45.8%. Weekend coverage does dip roughly 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The trade-off shows up in inspections: 26 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and a two-star health inspection rating, though the last survey was in March 2026. No abuse citations appear in the data.

A

90/100

King's Grant Lacy Health Center

Martinsville, VA · Martinsville City County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
31%
Serious cites
0

King's Grant Lacy Health Center runs on a nonprofit model with 32 certified beds, and the staffing numbers stand out: 5.00 total nurse hours per resident day, roughly 30% above the national average of 3.86. That level of coverage matters most on weekends, and while weekend staffing does dip about 12% below its own weekday level, it stays well above what most homes provide. Staff turnover is 30.6%, noticeably lower than the 45.8% national average, experienced caregivers tend to know residents better. The inspection record is clean: two total deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2023. Quality measures rate a middle 3 out of 5, the one area with room to improve.

A

90/100

Our Lady Of Perpetual Help

Virginia Beach, VA · Virginia Beach City County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
32%
Serious cites
0

Our Lady of Perpetual Help is a 30-bed nonprofit home in Virginia Beach, and the staffing numbers are the story here. At 4.15 nurse hours per resident day, it runs about 7% above the national average, and its staff turnover of 32.1% sits well below the 45.8% national rate, that kind of retention matters in a building this small, where one departure is felt. Weekend staffing dips about 6% below its own weekday level, worth asking about if you're planning visits. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the most recent inspection was in June 2025. Worth reading those three closely before deciding.

A

89.5/100

Southampton Memorial Hosp

Franklin, VA · Franklin City County

CMS 5/5129 bedsNon-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
32%
Serious cites
0

Southampton Memorial Hosp runs on a church-affiliated nonprofit model, and the staffing numbers back up that mission. At 4.01 nurse hours per resident day, it sits about 4% above the national average, and its 31.6% turnover is well below the 45.8% typical elsewhere, that kind of retention usually means consistent caregivers who know the residents. The trade-off shows up on weekends, when staffing drops roughly 15% from weekday levels. On inspections, the home has a 4/5 health rating and 4/5 on quality measures, with 19 deficiencies on record, none at harm level, though two are abuse-related, which families should ask about directly.

A

89.5/100

Sunnyside Presbyterian Retirement Community

Harrisonburg, VA · Harrisonburg City County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
42%
Serious cites
0

Sunnyside Presbyterian runs on 4.65 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home. That's the number that drives most of what's good here. Weekend coverage dips about 17% below weekday levels, so ask how that plays out on a Saturday night. Staff turnover sits at 41.8%, a few points better than the national 45.8%, which suggests people stay longer than average. Five deficiencies on record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The last inspection was March 2026, and a 5/5 health inspection rating with 5/5 quality measures is hard to get and usually means the basics are handled.

A

88/100

The Springs Nursing & Rehab Center

Hot Springs, VA · Bath County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
47%
Serious cites
0

The Springs runs a tight ship on clinical measures, a 5/5 on CMS quality and 4/5 on health inspections, with 16 deficiencies on record, none rising to harm or jeopardy. Staffing sits at 3.91 nurse hours per resident day, barely above the national average, and weekends drop about 11% below the home's own weekday coverage, so the care you'd see on a Saturday looks thinner than a Tuesday. Turnover at 47.4% is slightly worse than the national figure. The three abuse-related deficiencies are the part worth asking about directly, even though they never reached the harm level.

A

85.5/100

Clinch Valley Medical Center

Richlands, VA · Tazewell County

CMS 5/524 bedsFor-profitMedicaid
Nurse hours
8.03 /day
Staff turnover
n/a
Serious cites
0

Clinch Valley Medical Center runs 24 certified beds in Richlands under corporate for-profit ownership, and its nurse staffing sits at 8.03 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 13% below its own weekday numbers, which is worth asking about if your family visits or calls on Saturdays and Sundays. The inspection record is clean where it counts: eight deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last inspection was in January 2023. That gap of more than two years means the current picture rests on an older survey. Quality measures come in midrange against strong staffing and inspection results.

A

85.5/100

Francis Marion Manor Health & Rehabilitation

Marion, VA · Smyth County

CMS 5/5109 bedsNon-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
48%
Serious cites
0

Francis Marion Manor runs on more nursing hours than most places, 5.03 per resident per day against a national average of 3.86, which is the kind of gap that shows up in call lights getting answered. Weekends thin out by about 15% from its own weekday staffing, so ask how that plays out on a Sunday. Nine deficiencies sit on the current record with none at the harm level, though one is abuse-related, and the last full inspection was in August 2024. Turnover is 47.9%, slightly worse than the 45.8% national figure, which matters more than the headcount on paper.

A

85/100

Woodhaven Hall At Williamsburg Landing

Williamsburg, VA · James City County

CMS 3/573 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
40%
Serious cites
0

Woodhaven Hall runs a genuinely strong staffing operation, 5.40 nurse hours per resident day against a national average near 3.86, and its 39.7% turnover beats the 45.8% national figure. That's the good news, and it's real. The problems sit on the inspection side: 32 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single $36,374 fine. Inspectors were last in on February 27, 2026. A nonprofit with this much direct care on the floor is doing something right, but the survey history is what a family should be asking about directly.

A

85/100

Wayland Nursing And Rehabilitation Center

Keysville, VA · Charlotte County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
30%
Serious cites
0

Wayland Nursing and Rehabilitation Center runs 90 certified beds in Keysville under corporate for-profit ownership, and its staffing sits at 3.16 nurse hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover is where it stands out: 29.7% against a national 45.8%, meaning far fewer aides and nurses cycling out than is typical. Inspections in April 2025 produced 38 deficiencies, including one at harm or jeopardy level and one abuse-related; the health inspection rating is 3 of 5 while quality measures score 5 of 5. Steady staff, lighter coverage, a mixed inspection record.

A

85/100

Heritage Hall-Leesburg

Leesburg, VA · Loudoun County

CMS 5/5164 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
30%
Serious cites
0

Heritage Hall-Leesburg runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, about 13 percent below its own weekday coverage. What offsets that is consistency in who shows up: turnover of 29.9 percent is well under the national 45.8 percent, meaning families see familiar faces even if there are fewer of them per shift. The inspection record is clean where it counts, with 11 deficiencies on file and none involving harm, jeopardy, or abuse, and a January 2025 survey keeps that picture current. Quality measures score at the top of CMS's scale, though the staffing rating sits mid-range, which is the tension running through this 164-bed for-profit home.

A

85/100

Greenspring Village

Springfield, VA · Fairfax County

CMS 1/562 bedsFor-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
33%
Serious cites
0

Greenspring Village sits in Springfield with 62 certified beds under for-profit LLC ownership, and its staffing numbers are genuinely strong, 5.23 nurse hours per resident day, roughly a third above the national average, with weekend coverage holding within about 3% of weekdays. Turnover runs 32.9%, well under the national 45.8%, which means the people caring for residents tend to stay. What pulls against that is the inspection record: 35 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus an $81,178 fine. The most recent inspection was March 2025. Strong staffing and weak inspection findings can coexist, and here they plainly do. Ask what the abuse deficiencies involved before deciding.

A

85/100

Abingdon Health & Rehab Center

Abingdon, VA · Washington County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
34%
Serious cites
0

Abingdon Health & Rehab runs 120 certified beds, and its inspection record is the strongest thing about it, a 5-star health inspection rating, ten deficiencies on file with none at the harm level and nothing abuse-related, and a last inspection in August 2024. Staffing is where it thins out: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends run roughly 12% below the home's own weekday levels, so your visit on a Saturday may look different from a Thursday. Turnover of 34% is better than the 45.8% national figure, which matters for whether your parent sees the same faces.

A

85/100

Sw Va M H Inst Geri Trt Ctr

Marion, VA · Smyth County

CMS 4/525 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
20%
Serious cites
0

Sw Va M H Inst Geri Trt Ctr runs on a state government license in Marion with just 25 certified beds, and the numbers suggest a well-run operation. Nurse staffing sits at 4.76 hours per resident day, roughly 23% above the national average of 3.86, and the weekend dip is only about 8% off its own weekday level, minor compared with what many homes see. Staff turnover is 19.6%, less than half the national rate of 45.8%, so the people caring for residents tend to stick around. Five deficiencies show on the current record with none at the harm or jeopardy level and none abuse-related, and the most recent inspection closed out in late December 2025.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in Virginia?
There are 40 top-graded Medicaid-certified Medicare-certified nursing homes in Virginia, 14% of the 289 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In Virginia they average 5.18 total nursing hours per resident per day, against 3.76 for all nursing homes in Virginia, a difference of +1.42 hours. Staff turnover averages 31.9% against 48.1%.
Which top-graded Medicaid-certified nursing home grades best in Virginia?
Goodwin House Alexandria in Alexandria, VA, grade A, 100 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 40 graded top-graded Medicaid-certified homes in Virginia, 40 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in Virginia accept Medicaid?
40 of the 40 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Virginia