72 of the 289 Medicare-certified nursing homes in Virginia (25%) are independently owned, and all are listed below. 35 of the 70 graded homes earn an A and 2 earn a D or F. They average 4.59 nursing hours per resident per day, 0.83 hours above the 3.76 for every home in Virginia. Goodwin House Alexandria in Alexandria grades highest at A (100 out of 100).
How independently owned homes in Virginia compare
This group set against every nursing home in Virginia, from the current CMS release.
Nursing hours per resident per day
4.59
All homes in Virginia: 3.76
Better than the local average
Nurse staff turnover
42%
All homes in Virginia: 48.1%
Better than the local average
Average ElderGrade score
81.9/100
All homes in Virginia: 72.1/100
Better than the local average
Grade spread
A
B
C
35 grade A, 22 grade B, 11 grade C, 2 grade D,
The best-graded independently owned home in Virginia is
Goodwin House Alexandria
in Alexandria, VA, grade A, 100/100.
Every independently owned nursing home in Virginia
Bedford County runs this 90-bed home itself, and it earns a 4-out-of-5 on health inspections with no abuse citations on record. The problem sits underneath that: staff turnover hit 97.7% last year, more than double the national rate, meaning roughly the entire nursing workforce turned over. Total nurse hours per resident (3.98) edge out the national average, but weekends run about 13% below weekdays, so coverage thins exactly when inspections rarely happen. One deficiency reached harm or jeopardy level, and the last full inspection was August 2023. Stable leadership and staffing matter more here than the inspection score suggests, ask who's actually on the floor on Saturdays.
Our Lady of Hope Health Center runs under a church-affiliated nonprofit, and its 4.19 nurse hours per resident day sit about 8% above the national average, real coverage on paper. But weekends drop roughly 9% below its own weekday level, and annual turnover of 67.3% is well above the 45.8% national figure, so the faces around a resident change often. The inspection history shows 33 deficiencies, including three tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2023. Federal quality and staffing stars both land at 2 out of 5, which tells you the day-to-day experience doesn't match the raw staffing number.
Carrington Place of Tappahannock runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday level. That thin coverage shows up in the staffing rating: one star out of five. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record carries 33 deficiencies, though none at the harm or jeopardy level and none abuse-related, and the last inspection was July 15, 2024. Quality measures score well at four stars, but with this few hands on deck, that gap is worth asking about directly.
The Kroontje Health Care Center runs a tight ship on inspections, a perfect 5 out of 5 on CMS's health inspection score, with 15 deficiencies on record but none rising to harm or jeopardy, and no abuse citations. Staffing sits at 4.13 hours per resident day, about 7% above the national average, though weekends dip roughly 11% below its own weekday levels. The number that should give you pause is turnover: 78.3% annually, well above the 45.8% national average. That kind of churn makes it harder to keep consistent caregivers at the bedside, which matters more than a star rating on a given day.
Nurse staffing at The Rehab Center At Bristol runs 3.94 hours per resident day, just above the national average, but weekends drop about 10% below its own weekday level, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger concerns sit elsewhere: 33 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus a 1-out-of-5 rating on CMS quality measures. Staff turnover is 48.1%, higher than the 45.8% national average, and this for-profit limited liability company carries a $10,358 fine. Its last inspection was October 1, 2025, so that record is recent.
The Virginia Home in Richmond is a nonprofit with 130 certified beds, and its staffing tells a mixed story. Nurses provide 4.67 hours per resident day, about 21 percent above the national average, and turnover sits at 16.5 percent against a national average near 46, a big deal, since stable staff usually means residents see familiar faces. Weekends run roughly 7 percent lighter than weekdays, so coverage does dip.
The trouble is inspections. The current record shows 14 deficiencies, including two at the harm or jeopardy level and one involving abuse, and the last full inspection was in July 2023. Quality measures score well, but quality data is self-reported. The staffing and outcomes look good on paper; the survey history is what pulls this one down.
Waterview runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against a 3.86 average, and weekends drop another 11% below its own weekday levels, which is when gaps tend to matter most. The bigger concern is turnover: 70.5% of staff leaving annually, well above the 45.8% national figure, meaning the people providing care keep changing. A 1/5 inspection rating with 54 deficiencies on record, including one at the harm level and three tied to abuse, points to problems that have persisted. The last full inspection was August 2023, so that record is growing dated, and one fine totaling $14,888 has been levied.
Heritage Hall Tazewell runs about 2.92 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Staffing thins out further on weekends, and with 180 beds to cover, that gap shows up where it matters. The inspection record carries 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $78,553 from a March 2024 visit. Turnover at 39.1% is actually better than the 45.8% national figure, so the problem isn't retention, it's how few staff each resident gets. For-profit LLC ownership rounds out the picture.
Wonder City Rehabilitation and Nursing Center is a 130-bed for-profit home in Hopewell, and the numbers behind its record deserve a hard look. Nurse staffing sits at 2.75 hours per resident per day, roughly 29% below the national average, and it dips about 12% further on weekends, while annual turnover runs 68.4% against a national 45.8%. Its inspection record carries 93 deficiencies, eight at the harm or jeopardy level and ten abuse-related, plus a $26,060 fine, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One inspection star and one staffing star out of five round out a record that hasn't been updated since July 2023.
Holston Health & Rehabilitation runs 137 beds in Wytheville under corporate ownership, and the staffing numbers are the first thing a family should sit with. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 78% against a national 45.8%, meaning most of the people caring for your relative are likely new. The inspection record backs that up: 68 deficiencies, two at harm or jeopardy level, and a $111,911 fine. No abuse citations. The most recent inspection was May 2025.
Jones & Cabacoy Veterans Care Center is state-run, and you can see it in the numbers. Nurse staffing runs about 4.59 hours per resident day, roughly 19 percent above the national average, and weekend coverage holds within about 13 percent of weekday levels, a dip, but not a freefall. Staff turnover sits at 29.3 percent against a national average near 46, which suggests people stay. The inspection record is clean: no deficiencies on file, none at the harm level, nothing abuse-related, and the most recent survey dates to January 2024. For a 128-bed home, that combination, solid hours per resident, manageable turnover, an unblemished survey, is uncommon. Worth a visit, with questions about weekend staffing specifically.
Cedarfield Pinnacle Living runs about 5.64 nurse hours per resident day, roughly 46% above the national average, which is a real cushion for a 20-bed nonprofit home in Henrico County. That staffing isn't perfectly even, though, weekends run about 13% leaner than weekdays, so coverage can thin out when families tend to visit. Turnover sits at 46.7%, essentially tracking the national rate, meaning the hands-on hours come from a workforce that changes over about as often as everyone else's. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, with the last inspection in May 2023.
Frequently asked questions
How many independently owned nursing homes are there in Virginia?
There are 72 independently owned Medicare-certified nursing homes in Virginia, 25% of the 289 nursing homes there.
Are independently owned nursing homes better staffed?
In Virginia they average 4.59 total nursing hours per resident per day, against 3.76 for all nursing homes in Virginia, a difference of +0.83 hours. Staff turnover averages 42% against 48.1%.
Which independently owned nursing home grades best in Virginia?