About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2024 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2024 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2024 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Lexington, VA

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Assisted living costs in Lexington average about $4,213 per month. To find the best assisted living options for your needs and budget, browse through 63 communities in Lexington. Our detailed directory has 874 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Buena Vista, Clifton Forge and Greenville.

Lexington Assisted Living Facilities | 874 Reviews

Showing 53 communities
Last Updated: 1/24/25
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Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
2.0
Review score
6 reviews
2.0
Review score
6 reviews
5 star
17%
4 star
33%
3 star
0%
2 star
17%
1 star
33%
See all reviews
As a daughter of an aging mother, I believe that the medical and support staff at Brandon Oaks Nursing and Rehabilitation facility provided my mother with exceptional medical care, love and dignity during...
Provides: Assisted Living, Memory Care, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
5 star
17%
4 star
66%
3 star
0%
2 star
17%
1 star
0%
See all reviews
My Dad was first in Salem Terrace with Lewy Body dementia. My Mom was trying to keep the house but once she found out she had several TIAs she immediately decided that Salem Terrace was going to be new home....
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
With commanding stunning vistas of the vibrant City of Salem and the mountains beyond, Salem Terrace at Harrogate is designed in a tradition reminiscent of a grand hotel or resort.At Salem Terrace at Harrogate, we offer a choice of floor plans and four levels of personal assistance, depending...
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Cost of assisted living in Lexington, VA

The average cost of senior living in Lexington is $4,213 per month. Cheaper nearby regions include Iron Gate, VA with an average of $3,084 per month.

Average monthly cost of Assisted Living in Lexington, VA vs. nearby cities

Lexington, VA
$4,213/mo
$3,830/mo

Average monthly cost of Assisted Living in Lexington, VA vs. the state and national average

Lexington, VA
$4,213/mo
U.S. national average
$4,636/mo

Average monthly cost of Assisted Living in Lexington vs. other types of senior living

Assisted Living
$4,213/mo
$4,279/mo

Median monthly costs of Assisted Living in Lexington, VA by room type

Semi-Private
$4,358/mo
Studio
$5,178/mo
1 Bedroom
$5,200/mo
2 Bedroom
$5,665/mo

Average cost of Assisted Living in Lexington over time

Lexington, VAVA stateNational

Ways to pay for Assisted Living in Lexington, VA

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Lexington.

What families are saying about assisted living in Lexington

Recent reviews for assisted living in Lexington

The Harmony Collection at Roanoke - Memory Care

5.0
We chose The Harmony Collection because the space that it offered, the activities, the cleanliness, and just the overall feel of it. Everyone seemed like they were on top of their game. She has a bedroom with a shared bathroom, so it is a little on the smaller side but it does work for her ...
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Woodland Hills Community in Roanoke, VA

4.5
We really like the atmosphere of Woodland Hills Community as well as the cliental and all of the employees for the most part. Based on our experience so far we would recommend them to other families

Friendship Salem Terrace

4.1
My mom and dad needed separate living, as Dad is incontinent and has increasing dementia, and Mom was not physically able to see to his needs 24/7, as required. This was the best fit for them. The rent for a small apartment and a memory care room is very high, however, almost double the cost ...
Read more

Reviews mention these favorite features of communities

Staff turnover and communication. Several reviews mention the frequent staff turnover leading to vulnerability and difficulty in accessing care at various communities. At Runk and Pratt at Liberty Ridge, communication from staff was described as inconsistent, with families having to initiate conversations and push for informat ...
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Diversity of activities and resident engagement. Activities were a major factor in residents' satisfaction at different communities. At Spring Oak at Bedford, residents expressed enjoyment in the availability of a variety of activities, including music, entertainment, and social events. However, at Brookdale Salem, some families reported a ...
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Cleanliness and maintenance. The cleanliness of living spaces and common areas was a common topic in reviews. At Cardinal Senior Communities at Roanoke, the facility was described as feeling like home with its cleanliness and beautiful decor. Conversely, at Woodland Hills Community, some families reported issues with cl ...
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Meal quality and accommodation of dietary needs. Meals were highlighted as an important aspect of life at the communities. At The Harmony Collection at Roanoke - Assisted Living, the marketing lady was appreciated for her assistance in ensuring loved ones' dietary needs were met. However, at Royal Care at Birch Ridge, residents felt the fo ...
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Staff attentiveness and care. The care provided by staff was a point of praise in many reviews. At TerraBella Pheasant Ridge, the staff were described as caring and attentive to residents' needs. Conversely, at Runk and Pratt at Leesville Road, families reported concerns about response times and attention from staff duri ...
Read more
Community atmosphere and socialization opportunities. Many residents valued the social aspects of their community, with opportunities for engagement and interaction with other residents. At Runk and Pratt at Liberty Ridge, the friendly and hospitable staff contributed to a welcoming community atmosphere. At Brookdale Staunton, the emphasis on e ...
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AI generated from the text of family reviews

Lexington review score based on 188 family reviews

8.1
Review score53 facilities188 reviewsWrite a review
This proprietary review score is based on 188 reviews of 53 Lexington assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Lexington review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Lexington review score compared against nearby cities

8.1
Lexington, VA53 facilities
8.1
Buena Vista, VA62 facilities
8.5
Glasgow, VA17 facilities

Review subcategories for Lexington assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 188 reviews of 53 Lexington assisted living communities. This chart helps you compare Lexington resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Lexington, VA averageNational average
Cleanliness
4.4
4.5
Friendliness
4.5
4.6
Care services
4.0
4.2
Staff
4.3
4.5
Meals & dining
3.9
4.1
Activities
3.9
4.1
Value for cost*
3.9
4.1
0.01.02.03.04.05.0
*Learn more about cost details

Lexington assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Lexington assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Lexington, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Lexington assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Lexington that offer these care services compared to the percentage of partners that offer them nationally.
Lexington, VANational
Full medication management
Full medication management
67.9%
52.4%
Doctor on call
Doctor on call
50.9%
33.6%
24-Hour awake staff
24-Hour awake staff
94.3%
98.6%
Diabetic care
Diabetic care
100%
99.1%
*Visiting health care professionals
*Visiting health care professionals
67.9%
56.8%
Home care agency on-site
Home care agency on-site
37.7%
30%
Non-ambulatory care
Non-ambulatory care
100%
98.9%
Respite or short term stays
Respite or short term stays
66%
48%
Hospice available on-site
Hospice available on-site
64.2%
53.1%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Lexington assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Lexington Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Lexington, VANational
Dementia behaviors care
Dementia behaviors care
69.8%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
37.7%
32.3%
Secured community and/or wander guard
Secured community and/or wander guard
52.8%
41.1%
Memory care only community
Memory care only community
28.3%
13.6%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Lexington assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Lexington partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Lexington, VANational
Nutritionist / dietician
Nutritionist / dietician
58.5%
27%
Low / no sodium
Low / no sodium
64.2%
40.3%
No sugar
No sugar
58.5%
37.1%
Vegetarian
Vegetarian
41.5%
35.5%
Pureed meals
Pureed meals
18.9%
14.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Lexington assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Lexington communities that offer dining options to their discerning residents compared to our partners nationally.
Lexington, VANational
Professional chef
Professional chef
39.6%
31.1%
Restaurant style dining
Restaurant style dining
54.7%
42%
Room service
Room service
32.1%
36.1%
Anytime dining
Anytime dining
11.3%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Lexington assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Lexington offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Lexington, VANational
Activity director
Activity director
60.4%
46%
Pet-focused programs
Pet-focused programs
47.2%
30.9%
Community service programs
Community service programs
24.5%
30.1%
Devotional activities on-site
Devotional activities on-site
62.3%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
62.3%
48.9%
Outings / off-site activities
Outings / off-site activities
60.4%
52.3%
Piano or organ
Piano or organ
50.9%
41%
Arts and crafts center
Arts and crafts center
49.1%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
43.4%
37.5%
Clubs / games / karaoke
Clubs / games / karaoke
56.6%
46.4%
Live performances
Live performances
62.3%
46.7%
Dances
Dances
32.1%
29.7%
Fitness center
Fitness center
22.6%
24.3%
Fitness classes
Fitness classes
58.5%
45.6%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Lexington

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to ensure seniors reside in a safe environment. Learning about Virginia assisted living regulations will help you understand how assisted living communities in Lexington protect seniors.

Learn about Virginia Assisted Living regulations

Frequently Asked Questions

Runk and Pratt Pearls of Life at Liberty Ridge, Heritage Green Lynchburg and Brookdale Roanoke are the top-rated assisted living facilities near Lexington, Virginia. See full list of communities.

There are 63 assisted living facilities near Lexington, Virginia. See the full list.

The best assisted living facilities near you in Lexington, Virginia are Runk and Pratt Pearls of Life at Liberty Ridge, TerraBella Pheasant Ridge and Runk and Pratt at Leesville Road. These assisted living communities received the highest rankings based on verified family reviews.

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