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 2025 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 2025 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 2025 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 Botetourt County, VA

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Assisted living costs in Botetourt County average about $4,608 per month. To find the best assisted living options for your needs and budget, browse through 57 communities in Botetourt County. Our detailed directory has 891 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 Roanoke, Salem and Covington.

Botetourt County Assisted Living Facilities | 891 Reviews

Showing 45 communities
Last Updated: 11/24/25
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Photo of The Elms of Lynchburg
33 Photos available
5 star
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When we went to view the Elms we were extremely impressed with the cleanliness and friendliness of the facility. They treated use with kindness and understanding at a difficult time in our lives.They made...
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.
The Elms of Lynchburg is an established assisted living serving seniors in a quaint one level campus. If you are looking for a community that is more than a place to rent a room, this is where you want to be. At The Elms, we are not just a facility, we are a home. The passion and compassion that...
Photo of Seasons Place
77 Photos available
1.0
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5 reviews
1.0
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5 reviews
5 star
40%
4 star
20%
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The community found my loved one a dog to adopt, to help engage my loved one into the community. Seasons Place has been checking on my loved one due to an ailment currently every 30 minutes. 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.
Nestled in the heart of the Greenbrier Valley, Seasons Place, is an Inspirit Senior Living assisted and independent living community near the Allegheny Mountains. We are located near downtown Lewisburg, West Virginia, recently voted 'America's Coolest Small Town'. Our small town is well known for...
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Photo of English Meadows Blacksburg Campus
1010 Photos available
1.0
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4 reviews
1.0
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4 reviews
5 star
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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.
English Meadows Blacksburg Campus is an assisted living and memory care community located in Blacksburg, Montgomery County, Virginia. Home to Virginia Tech, Blacksburg has been named by Southern Living as one of the South's best college towns, largely due to its outstanding economy and high...
Photo of Commonwealth Senior Living at Christiansburg
1414 Photos available
55 Floor plans available
6.8
Review score
20 reviews
6.8
Review score
20 reviews
5 star
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40%
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Overall it was good. Cleanliness of the facility - always tidy in the common areas. Both parents rooms were often not very clean but that was more related to their illnesses and frequent GI issues than...
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.
Commonwealth Senior Living at Christiansburg is located at the foot of the scenic Blue Ridge Mountains in Christiansburg, Virginia. It is a modern, beautiful assisted living facility, with an award-winning memory care proram called Sweet Memories. Commonwealth Senior Living is known for providing...
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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.
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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.
5 star
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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.
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.
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5 star
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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...
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.
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.
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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...
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.
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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.
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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 The Fields of Heritage Green
5 star
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4 star
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I would tell others that the individual living spaces/units do not have the ability to control the room temperature. You have to be ok with it being either too hot or too cold. My loved one is also on a...
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 Valley View Retirement Cmnty
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.
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 Botetourt County, VA

The average cost of senior living in Botetourt County is $4,608 per month. Cheaper nearby regions include Iron Gate, VA with an average of $3,084 per month.

Assisted living costs in Botetourt County, VA, vs. nearby counties

Botetourt County, VA
$4,608/mo
$4,641/mo
$4,417/mo

Assisted living costs in Botetourt County, VA, vs. state and national averages

Botetourt County, VA
$4,608/mo
U.S. national average
$4,708/mo

Assisted living costs in Botetourt County, VA, vs. other senior living options

Assisted Living
$4,608/mo
$4,608/mo

Assisted living costs in Botetourt County, VA, by floor plan type

Semi-Private
$4,218/mo
Studio
$5,448/mo
1 Bedroom
$4,753/mo
2 Bedroom
$5,471/mo

Senior living costs in Botetourt County 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: Botetourt County, VA
Column state: Virginia
Column national: U.S.
Community typeBotetourt County, VAVirginiaU.S.
Assisted Living$4,608/mo$5,437/mo$4,708/mo
Memory Care$4,608/mo$5,448/mo$4,941/mo
Independent Living$3,934/mo$4,616/mo$4,157/mo
Assisted Living
Botetourt County, VA:$4,608/mo
Virginia:$5,437/mo
U.S.:$4,708/mo
Memory Care
Botetourt County, VA:$4,608/mo
Virginia:$5,448/mo
U.S.:$4,941/mo
Independent Living
Botetourt County, VA:$3,934/mo
Virginia:$4,616/mo
U.S.:$4,157/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 Botetourt County, VA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Botetourt County 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.

Botetourt County, VAVA stateNational

Assisted living cost trends in Botetourt County, VA

The table below shows how monthly assisted living costs in Botetourt County 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 median 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
Botetourt County, VA$4,489/mo$4,182/mo+7.3%
Virginia$5,741/mo$5,236/mo+9.7%
National$5,375/mo$5,128/mo+4.8%
Botetourt County, VA
2024 average cost:$4,489/mo
2023 average cost:$4,182/mo
Percent change:+7.3%
Virginia
2024 average cost:$5,741/mo
2023 average cost:$5,236/mo
Percent change:+9.7%
National
2024 average cost:$5,375/mo
2023 average cost:$5,128/mo
Percent change:+4.8%
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 Botetourt County, 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 Botetourt County.

What families are saying about assisted living in Botetourt County

Recent reviews for assisted living in Botetourt County

The Fields of Heritage Green in Lynchburg, VA

4.8
My Mom moved into Heritage Green Assisted Living in January, 2019 and has been very satisfied there. I have been very impressed with the staff and how they care for the residents. There is always some type of activity going on that Mom can participate in to keep herself occupied. The facility is ...
Read more

Spring Oak at Christiansburg

5.0
1. community has been remodeled and updated. which is a plus! 2. staff goes over and above when visiting and communicating by mail. 3. love seeing my mom loved and cared for by staff. 4. new administrator has made a great plus to the community. 5. staff is wonderful! [name removed] is a ...
Read more

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

Botetourt County review score based on 173 family reviews

7.3
Review score45 facilities173 reviewsWrite a review
This proprietary review score is based on 173 reviews of 45 Botetourt County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Botetourt County 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

Botetourt County review score compared against nearby cities

7.3
Botetourt County, VA45 facilities
7.4
Fincastle, VA59 facilities
7.8
Buchanan, VA10 facilities

Review subcategories for Botetourt County 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 173 reviews of 45 Botetourt County assisted living communities. This chart helps you compare Botetourt County 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.
Botetourt County, VA averageNational average
Cleanliness
3.5
4.1
Friendliness
3.7
4.2
Care services
3.2
3.8
Staff
3.6
4.1
Meals & dining
3.1
3.7
Activities
3.3
3.7
Value for cost*
3.2
3.8
0.01.02.03.04.05.0
*Learn more about cost details

Botetourt County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Botetourt County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Botetourt County, 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 Botetourt County 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 Botetourt County that offer these care services compared to the percentage of partners that offer them nationally.
Botetourt County, VANational
Full medication management
Full medication management
71.1%
52.4%
Doctor on call
Doctor on call
57.8%
33.7%
24-Hour awake staff
24-Hour awake staff
86.7%
96.1%
Diabetic care
Diabetic care
93.3%
97.6%
*Visiting health care professionals
*Visiting health care professionals
71.1%
56.7%
Home care agency on-site
Home care agency on-site
37.8%
30%
Non-ambulatory care
Non-ambulatory care
93.3%
96.7%
Respite or short term stays
Respite or short term stays
66.7%
47.6%
Hospice available on-site
Hospice available on-site
60%
52.4%
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 Botetourt County 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 Botetourt County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Botetourt County, VANational
Dementia behaviors care
Dementia behaviors care
73.3%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
33.3%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
57.8%
41%
Memory care only community
Memory care only community
31.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Botetourt County 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 Botetourt County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Botetourt County, VANational
Nutritionist / dietician
Nutritionist / dietician
60%
27.2%
Low / no sodium
Low / no sodium
60%
40.9%
No sugar
No sugar
55.6%
37.5%
Vegetarian
Vegetarian
46.7%
36.1%
Pureed meals
Pureed meals
28.9%
17.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Botetourt County 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 Botetourt County communities that offer dining options to their discerning residents compared to our partners nationally.
Botetourt County, VANational
Professional chef
Professional chef
40%
31.4%
Restaurant style dining
Restaurant style dining
55.6%
42.3%
Room service
Room service
37.8%
36.7%
Anytime dining
Anytime dining
6.7%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Botetourt County 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 Botetourt County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Botetourt County, VANational
Activity director
Activity director
62.2%
46.3%
Pet-focused programs
Pet-focused programs
44.4%
31%
Community service programs
Community service programs
28.9%
30.4%
Devotional activities on-site
Devotional activities on-site
57.8%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
68.9%
49.3%
Outings / off-site activities
Outings / off-site activities
71.1%
52.3%
Piano or organ
Piano or organ
51.1%
41.3%
Arts and crafts center
Arts and crafts center
48.9%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
46.7%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
57.8%
46.7%
Live performances
Live performances
66.7%
46.9%
Dances
Dances
46.7%
30.5%
Fitness center
Fitness center
20%
24.5%
Fitness classes
Fitness classes
60%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Botetourt County

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 Botetourt County protect seniors.
Learn about Virginia assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Heritage Green Lynchburg, Brookdale Roanoke and Cardinal Senior Communities at Roanoke are the top-rated assisted living facilities near Botetourt County, Virginia. See full list of communities.
There are 57 assisted living facilities near Botetourt County, Virginia. See the full list.
The best assisted living facility near you in Botetourt County, Virginia is Heritage Green Lynchburg. This assisted living community received the highest ranking based on verified family reviews.
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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.
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