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 2026 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 2026 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 2026 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
Senior Living Awards
Caregiver ResourcesAdd Review
(866) 374-4058
Talk to a local advisor for FREE
Senior Living Home

10 Best Assisted Living Facilities in Old Mill, VA

Answer a few questions to get personalized results
Who are you searching for?

Assisted living costs in Old Mill average about $4,937 per month. To find the best assisted living options for your needs and budget, browse through 53 communities in Old Mill. Our detailed directory has 910 reviews, photos, and lists of available services, amenities, and activities. You may also consider nearby communities such as Lynchburg, Forest and Bedford.

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. 

Old Mill Assisted Living Facilities | 910 Reviews

Showing 41 communities
Last Updated: 7/22/26
Sort by
Filter by
Review Score
Distance
See communities with
Amenities
Providers
Photo of Bethel Ridge Assisted Living
55 Photos available
Provides: Assisted Living, Memory Care
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.
A VERY WARM AND INVITING PLACE TO LIVE"Our home will respect your past and assist you in your daily living with a community of professionals that you can rely on and trust.Our staff of certified aides and nurses is caring, compassionate and trained to assist residents with their daily needs just...
Photo of Cave Creek Residential Care
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.
Photo of Hollins Manor
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.
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
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.
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.
Photo of Candis Adult Care, Inc
Provides: Assisted Living, Residential Care Home
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.
Care Homes: Residential 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.
Photo of Magnolia Ridge Residential
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.
5 star
25%
4 star
37%
3 star
25%
2 star
13%
1 star
0%
See all reviews
I have no complaints about the experience my parents are having so far at this community. They have made a smooth transition with the help of all of the staff members and residents. I am impressed with the...
Provides: Assisted Living, 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.
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.
This beautiful 1916 Georgian mansion provides the entry point for the gracious amenities of Hermitage Roanoke. Opened in 1964 as a retirement home, the community has grown to include 22 two bedroom Independent Living apartments, 52 Assisted Living studio, one and two bedroom apartments, and a 14...
5 star
50%
4 star
25%
3 star
25%
2 star
0%
1 star
0%
See all reviews
I need a community that gave a country homestead feeling and this community provided me with what I needed. The community is beautiful looks like a southern type mansion big pillars outside the entrance and...
Provides: Assisted Living, Memory Care
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.
Havenwood is an assisted living community in the serene campus town of Lexington, Virginia. Our beautiful community is located close to the misty Blue Ridge Mountains and family farms of Lexington. It is a joy to live in an area full of natural beauty, such as the limestone wonder, the Natural...
Photo of Fork Mountain North
22 Photos available
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.
Fork Mountain North offers activities for residents which allow residents to maintain healthy lifestyles by encouraging movement and socializing with their peers. Staff is awake and available 24 hours a day so if any emergencies occur no matter the time, there will be someone ready to help.
See details
Inline cta image

Our free advisors can help

  • Compare local facilities
  • Determine care type
  • Schedule tours
  • Evaluate pricing
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...
5 star
67%
4 star
0%
3 star
0%
2 star
0%
1 star
33%
See all reviews
The staff is very professional and they are very good about updating us when any changes occur. I live in another area and I appreciate that their follow-up is so prompt. It's an excellent facility and I am...
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.
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.
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
On Most days, the residents are sitting, staring and sleeping between meals(BTW- too many sandwiches) The residents would benefit from best practices in mental, social, physical and spiritual activities....
Provides: Assisted Living, Memory Care
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.
Photo of Babcock Manor, Inc.
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.
Provides: Assisted Living, Residential Care Home
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.
Care Homes: Residential 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.

Cost of assisted living in Old Mill, VA

The average cost of senior living in Old Mill is $4,937 per month. Cheaper nearby regions include Bedford, VA with an average of $4,937 per month.

Assisted living costs in Old Mill, VA, vs. state and national averages

Old Mill, VA
$4,937/mo
U.S. national average
$5,830/mo

Assisted living costs in Old Mill, VA, vs. other senior living options

Assisted Living
$4,937/mo
$5,974/mo

Assisted living costs in Old Mill, VA, by floor plan type

Semi-Private
$3,625/mo
Studio
$4,780/mo
1 Bedroom
$6,184/mo
2 Bedroom
$7,042/mo

Senior living costs in Old Mill vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Old Mill, VA
Column state: Virginia
Column national: U.S.
Community typeOld Mill, VAVirginiaU.S.
Assisted Living$4,937/mo$6,344/mo$5,830/mo
Memory Care$5,974/mo$7,372/mo$6,999/mo
Independent Living$3,748/mo$4,048/mo$3,520/mo
Assisted Living
Old Mill, VA:$4,937/mo
Virginia:$6,344/mo
U.S.:$5,830/mo
Memory Care
Old Mill, VA:$5,974/mo
Virginia:$7,372/mo
U.S.:$6,999/mo
Independent Living
Old Mill, VA:$3,748/mo
Virginia:$4,048/mo
U.S.:$3,520/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Old Mill, VA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Old Mill and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Old Mill, VAVA stateNational

Assisted living cost trends in Old Mill, VA

The table below shows how monthly assisted living costs in Old Mill have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 average costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Old Mill, VA$5,136/mo$4,937/mo+4.0%
Virginia$5,853/mo$5,621/mo+4.1%
National$5,492/mo$5,285/mo+3.9%
Old Mill, VA
2024 average cost:$5,136/mo
2023 average cost:$4,937/mo
Percent change:+4.0%
Virginia
2024 average cost:$5,853/mo
2023 average cost:$5,621/mo
Percent change:+4.1%
National
2024 average cost:$5,492/mo
2023 average cost:$5,285/mo
Percent change:+3.9%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Old Mill, 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 Old Mill.

What families are saying about assisted living in Old Mill

Recent reviews for assisted living in Old Mill

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

Riverstone Senior Living at Roanoke in Cave Spring, VA

3.8
We have had major issues with regard to medications, getting them ordered and administered on schedule. Ultimately we have taken that responsibility back and administering them ourselves. The quality of the food as well as the portion sizes has been extremely disappointing. I will say that staff ...
Read more

Reviews mention these favorite features of communities

Staff turnover and communication concerns. Several reviews mention high staff turnover and communication issues at various communities, such as at The Harmony Collection at Roanoke - Assisted Living, where families report issues with staffing consistency and delayed responses from medical staff. At Runk and Pratt at Liberty Ridge, re ...
Read more
Varied activities and social opportunities. Residents of Runk and Pratt at Liberty Ridge and TerraBella Salem enjoy a range of activities, from BINGO to worship services, game rooms, and even wine socials. The activities director at TerraBella Pheasant Ridge plans engaging programs like balloon volleyball and concerts, while residen ...
Read more
Lovely outdoor spaces and cleanliness. Reviews for TerraBella Pheasant Ridge, Runk and Pratt at Liberty Ridge, and Riverstone Senior Living at Roanoke all highlight the importance of cleanliness and well-maintained outdoor spaces, such as gardens and walking trails. Residents and families feel reassured knowing that their loved ...
Read more
Dedicated and caring staff. Throughout the reviews, families express their appreciation for the kindness and compassion of the staff at their communities. At Woodland Hills Community, the marketing and activities directors receive praise for their friendly demeanor and attentiveness to residents' needs. At TerraBella Ph ...
Read more
Delicious and accommodating dining experiences. Residents at TerraBella Pheasant Ridge, The Harmony Collection at Roanoke - Assisted Living, and The Park Oak Grove all mention the quality of the food and the accommodating nature of the dining services. At TerraBella Pheasant Ridge, the chef caters to individual preferences and dietary ...
Read more
Personalized care and attention. Residents and their families emphasize the importance of individualized care and attention at their communities. At Runk and Pratt at Liberty Ridge, a new administrator has improved care delivery, while at Woodland Hills Community, staff members work closely with families to ensure their lov ...
Read more
AI generated from the text of family reviews

Old Mill review score based on 184 family reviews

7.8
Review score41 facilities184 reviewsWrite a review
This proprietary review score is based on 184 reviews of 41 Old Mill assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Old Mill 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

Old Mill review score compared against nearby cities

7.8
Old Mill, VA41 facilities
8.1
Cloverdale, VA0 facilities
7.5
Bedford, VA57 facilities

Review subcategories for Old Mill 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 184 reviews of 41 Old Mill assisted living communities. This chart helps you compare Old Mill 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.
Old Mill, VA averageNational average
Cleanliness
2.6
3.6
Friendliness
2.7
3.7
Care services
2.4
3.3
Staff
2.6
3.5
Meals & dining
2.3
3.2
Activities
2.4
3.2
Value for cost*
2.4
3.3
0.01.02.03.04.05.0
*Learn more about cost details

Old Mill assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Old Mill assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Old Mill, 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 Old Mill 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 Old Mill that offer these care services compared to the percentage of partners that offer them nationally.
Old Mill, VANational
Full medication management
Full medication management
68.3%
53.2%
Doctor on call
Doctor on call
56.1%
34.5%
24-Hour awake staff
24-Hour awake staff
85.4%
96.1%
Diabetic care
Diabetic care
92.7%
97.7%
*Visiting health care professionals
*Visiting health care professionals
68.3%
57.4%
Home care agency on-site
Home care agency on-site
36.6%
30.5%
Non-ambulatory care
Non-ambulatory care
92.7%
96.8%
Respite or short term stays
Respite or short term stays
65.9%
47.8%
Hospice available on-site
Hospice available on-site
56.1%
52.9%
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 Old Mill 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 Old Mill Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Old Mill, VANational
Dementia behaviors care
Dementia behaviors care
70.7%
51.9%
Specialized memory care training for staff
Specialized memory care training for staff
34.1%
33.2%
Secured community and/or wander guard
Secured community and/or wander guard
53.7%
41.5%
Memory care only community
Memory care only community
31.7%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Old Mill 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 Old Mill partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Old Mill, VANational
Nutritionist / dietician
Nutritionist / dietician
58.5%
27.9%
Low / no sodium
Low / no sodium
61%
41.8%
No sugar
No sugar
58.5%
38.2%
Vegetarian
Vegetarian
46.3%
37.1%
Pureed meals
Pureed meals
29.3%
18.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Old Mill 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 Old Mill communities that offer dining options to their discerning residents compared to our partners nationally.
Old Mill, VANational
Professional chef
Professional chef
41.5%
32.2%
Restaurant style dining
Restaurant style dining
56.1%
43.2%
Room service
Room service
34.1%
37.6%
Anytime dining
Anytime dining
7.3%
18.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Old Mill 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 Old Mill offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Old Mill, VANational
Activity director
Activity director
58.5%
47.2%
Pet-focused programs
Pet-focused programs
43.9%
31.6%
Community service programs
Community service programs
26.8%
31.1%
Devotional activities on-site
Devotional activities on-site
53.7%
50.1%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
65.9%
50.2%
Outings / off-site activities
Outings / off-site activities
68.3%
53%
Piano or organ
Piano or organ
48.8%
42.3%
Arts and crafts center
Arts and crafts center
48.8%
36.4%
Educational speakers / life long learning
Educational speakers / life long learning
46.3%
38.9%
Clubs / games / karaoke
Clubs / games / karaoke
56.1%
47.7%
Live performances
Live performances
63.4%
47.8%
Dances
Dances
43.9%
31.3%
Fitness center
Fitness center
19.5%
25.1%
Fitness classes
Fitness classes
56.1%
46.8%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Old Mill

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Virginia assisted living regulations will help you understand how assisted living communities in Old Mill protect seniors.
Learn about Virginia assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Carriage Hill Retirement, Brookdale Roanoke and Heritage Green Lynchburg are the top-rated assisted living facilities near Old Mill, Virginia. See full list of communities.
There are 53 assisted living facilities near Old Mill, Virginia. See the full list.
The best assisted living facility near you in Old Mill, Virginia is Heritage Green Lynchburg. This assisted living community received the highest ranking based on verified family reviews.
Photo cta image

More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
Back to top