Richmond, VA · Richmond City County
★★★★★CMS 5/547 bedsNon-profitMedicaid
- Nurse hours
- 9.41 /day
- Staff turnover
- 26%
- Serious cites
- 0
Nurse staffing here runs 9.41 hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 6% below weekday levels, so families visiting on a Saturday should still find adequate hands on deck. Annual turnover sits at 26.4%, well under the 45.8% national figure, which suggests a workforce that stays put rather than cycling through constantly. The current record shows five deficiencies, none involving harm or jeopardy and none abuse-related, with the most recent inspection dated November 2025. Nonprofit ownership and perfect marks across health inspection, quality measures, and staffing round out a picture of a facility performing at a high level on the measures that matter most.
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.
Norfolk, VA · Norfolk City County
★★★★★CMS 5/533 bedsNon-profit
- Nurse hours
- 5.87 /day
- Staff turnover
- 40%
- Serious cites
- 0
Harbor's Edge runs 5.87 nurse hours per resident per day, well above the national average of 3.86, and that staffing shows up in its five-star rating on that measure. Turnover sits at 40.4 percent, a bit better than the 45.8 percent national figure. The inspection record is where you'll want to ask questions: 13 deficiencies, none at the harm level, but one abuse-related citation is worth raising directly with the administrator. Staffing also dips about 19 percent on weekends, so ask how coverage works on Saturdays and Sundays. A recent February 2026 inspection means the record is current.
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.
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.
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.
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.
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.
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.
Potomac Falls, VA · Loudoun County
★★★★★CMS 5/560 bedsNon-profit
- Nurse hours
- 4.55 /day
- Staff turnover
- 39%
- Serious cites
- 0
Falcons Landing sits in Potomac Falls with 60 certified beds and a nonprofit owner, and the numbers behind its record are steady rather than flashy. Nurse staffing runs 4.55 hours per resident day, about 18% above the national average, and weekend coverage barely dips below weekday levels, a gap that trips up plenty of homes. Staff turnover is 39%, better than the 45.8% national figure, which matters for residents who value seeing the same faces. The health inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in May 2023. Four and five stars across inspections, quality measures, and staffing tell a consistent story.
Gloucester, VA · Gloucester County
★★★★★CMS 5/555 bedsNon-profit
- Nurse hours
- 4.59 /day
- Staff turnover
- 35%
- Serious cites
- 0
Riverside Lifelong Health & Rehabilitation Sanders runs on unusually deep nurse staffing, 4.59 hours per resident day, roughly 19% above the national average, which is the main reason it holds a 5-star staffing rating. Weekends dip about 12% below its own weekday coverage, so ask how that plays out on a Saturday. The 34.6% turnover is better than the 45.8% national figure but still means about a third of staff left in a year. Inspections in July 2023 turned up 23 deficiencies, including one at the harm level and one abuse-related, which sits oddly beside the 4-star inspection rating. Nonprofit ownership, 55 beds, quality measures middling at 3 stars.
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.
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.
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.
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.
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.
Richmond, VA · Goochland County
★★★☆☆CMS 3/596 bedsNon-profit
- Nurse hours
- 5.03 /day
- Staff turnover
- 46%
- Serious cites
- 0
Lakewood Manor runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and that shows up in the staffing and quality measure ratings. The trade-off is on the health inspection side: 22 deficiencies on record, one of them at the harm or jeopardy level and three tied to abuse, with the last inspection back in June 2023. Staff turnover sits at 46.4%, right about at the national norm, and weekend coverage dips about 9% below the weekday level, so evenings and Sundays are where the extra hours are least likely to reach the floor.
Ashburn, VA · Loudoun County
★★★★☆CMS 4/544 bedsNon-profit
- Nurse hours
- 4.82 /day
- Staff turnover
- 39%
- Serious cites
- 0
Ashby Ponds runs a nonprofit shop in Loudoun County with 44 certified beds and enough nurses to make most homes look thin, 4.82 hours per resident day against a national average of 3.86. Staff turnover sits at 39%, better than the 45.8% typical elsewhere, though weekends run about 11% lighter than weekdays. The inspection record shows 17 deficiencies, none involving harm or abuse, with four fines totaling $9,438 and a February 2024 survey. The 3/5 inspection rating is the weak spot; the 5/5 staffing and 4/5 quality measures carry the rest.
Suffolk, VA · Suffolk City County
★★★★★CMS 5/540 bedsFor-profit
- Nurse hours
- 4.83 /day
- Staff turnover
- 38%
- Serious cites
- 0
Lake Prince Woods runs a tight ship on the things that matter most. Nurse staffing sits at 4.83 hours per resident day, roughly a quarter above the national average, and the weekend dip is small enough that care doesn't fall off a cliff on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies, none causing harm or jeopardy, no abuse findings, and the most recent survey was just this past November. Staff turnover of 38.1% beats the national rate, though it still means more than a third of the workforce leaves each year. With only 40 beds under for-profit ownership, it's small enough that management's choices show up quickly in the numbers.
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.