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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8 Best Assisted Living Facilities in Middletown, VA

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Assisted living costs in Middletown average about $4,855 per month. To find the best assisted living options for your needs and budget, browse through 8 communities in Middletown. Our detailed directory has 131 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 Front Royal, Winchester and Stephens City.

Middletown Assisted Living Facilities | 131 Reviews

Showing 9 communities
Last Updated: 11/21/25
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Photo of Spring Arbor of Winchester
1616 Photos available
77 Floor plans available
9.8
Review score
38 reviews
9.8
Review score
38 reviews
5 star
62%
4 star
32%
3 star
3%
2 star
0%
1 star
3%
See all reviews
What we like the most about the community is the staff and residents, they are joyful. Great variety of activities! Yes, we would absolutely recommend Spring Arbor of Winchester t other families based on the...
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.
Spring Arbor - Winchester is in the historic town Winchester, Virginia and is an assisted living residence. Spring Arbor boasts colonial style architecture and is located just south of the Northwest Pike aka highway 50, just west the intersection of highway 37. It is only a couple of blocks from...
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Photo of Cambridge Landings
2020 Photos available
9.0
Review score
25 reviews
9.0
Review score
25 reviews
5 star
68%
4 star
20%
3 star
4%
2 star
4%
1 star
4%
See all reviews
Lots of communication, understanding, compassion etc. Cambridge landing was so wonderful for us and to my father in law. I only have good things to say to be honest.
Provides: Memory Care
Care types provided by this community
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.
Cambridge Landing Memory Care is a premier residential community in Strasburg, Virginia, dedicated to meeting the unique needs of individuals facing memory-related challenges. Nestled in the Shenandoah Valley between Massanutten Mountain and the Blue Ridge Mountains, our neighborhood-style...
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Photo of Commonwealth Senior Living at Front Royal
1717 Photos available
66 Floor plans available
9.0
Review score
36 reviews
9.0
Review score
36 reviews
5 star
64%
4 star
22%
3 star
11%
2 star
0%
1 star
3%
See all reviews
I love the fact that they take them out for like museum trips, dinner or lunch just a country drive and the staff I find is very friendly. I would definitely recommend Commonwealth Senior Living.
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 Front Royal has served its Front Royal neighbors for 15 years. Ideally located in the heart of the Shenandoah Valley, This community offers both the beauty of the valley and the warmth of a loving family. Locally owned and operated, Commonwealth Senior Living offers...
Photo of The Maynard
1313 Photos available
8.9
Review score
18 reviews
8.9
Review score
18 reviews
5 star
78%
4 star
11%
3 star
0%
2 star
11%
1 star
0%
See all reviews
Staff are extremely helpful. They do lots of events for the residents. The food is good. They arrange transportation to all appointments. Very accommodating with family visits. They allow pets.
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.
Greenfield of Strasburg is an assisted living community located in the city of Strasburg, Virginia in Shenandoah county. Strasburg is a lovely, heavily forested town that is simply picture perfect in every way. Lush forest surround gentle fields and there is even fair sized lake nearby where...
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Photo of Shenandoah Senior Living
77 Photos available
8.4
Review score
20 reviews
8.4
Review score
20 reviews
5 star
50%
4 star
35%
3 star
10%
2 star
0%
1 star
5%
See all reviews
The staff were all very kind snd caring and loved my husband. They are just short staffed so some of them were working very long shifts.
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.
Shenandoah Senior Living is located on a 5 acre farm in the Shenandoah Valley at the foothills of the Blue Ridge Mountains. The community is conveniently located within minutes of the Warren Memorial Hospital. With breathtaking views and a serene setting, it's the perfect place to call home. We...
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Photo of English Meadows Stephens City Campus
99 Photos available
8.0
Review score
19 reviews
8.0
Review score
19 reviews
5 star
21%
4 star
21%
3 star
21%
2 star
21%
1 star
16%
See all reviews
Everyone is very professional and helpful. They go out of their way to make residents feel safe and comfortable. Yes would recommend
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.
At English Meadows Stephens City Campus we provide the services that allow you to enjoy life with peace of mind and ease of living. English Meadows Stephens City Campus is an assisted living residence that provides quality carefree living for today's seniors. With a strong commitment to...
Photo of Woods Cove Assisted Living
55 Photos available
8.0
Review score
1 review
8.0
Review score
1 review
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Very compassionate, very caring - my dad was only there three weeks before he passed away but during that time everyone at Woods Cove was great! I would definitely recommend them!
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.
Woods Cove Assisted Living has been working with families for over 15 years to offer quality care to patients who need additional support.We concentrate on working with our residents in need of this kind of support and delivering healthcare and other essential services in the solace of their new...
Photo of Lavender Hills Front Royal Campus
1010 Photos available
7.0
Review score
9 reviews
7.0
Review score
9 reviews
5 star
56%
4 star
44%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Yes definitely would recommend. We feel blessed that we found a facility that my mom is content in especially since she has such bad memory issues. Memory care is unique and the size of the facility is a...
Provides: Memory Care
Care types provided by this community
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.
At Lavender Hills Front Royal Campus we provide the services that allow you to enjoy life with peace of mind and ease of living.Lavender Hills Front Royal Campus is a residence that provides quality carefree living for today's seniors. With a strong commitment to maintaining an enhanced quality...
Photo of Woods Cove Assisted Living
5 star
33%
4 star
0%
3 star
33%
2 star
0%
1 star
34%
See all reviews
Wonderful, caring staff. The building is a bit dated, but the staff and administration know what they're doing for my father.
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.
Royal Haven Assisted Living of Front Royal is located at the foothills of the Blue Ridge Mountains.  It is a single level facility with four 'wings' that surround an outside flower-filled courtyard.  Residents are encouraged to enjoy the sunshine and participate in outdoor activities...
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Cost of assisted living in Middletown, VA

The average cost of senior living in Middletown is $4,855 per month. Cheaper nearby regions include New Market, VA with an average of $4,021 per month.

Assisted living costs in Middletown, VA, vs. nearby cities

Middletown, VA
$4,855/mo
$4,770/mo

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

Middletown, VA
$4,855/mo
U.S. national average
$4,707/mo

Assisted living costs in Middletown, VA, vs. other senior living options

Assisted Living
$4,855/mo
$4,855/mo

Assisted living costs in Middletown, VA, by floor plan type

Semi-Private
$4,325/mo
Studio
$5,427/mo
1 Bedroom
$5,425/mo

Senior living costs in Middletown 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: Middletown, VA
Column state: Virginia
Column national: U.S.
Community typeMiddletown, VAVirginiaU.S.
Assisted Living$4,855/mo$5,437/mo$4,707/mo
Memory Care$4,855/mo$5,448/mo$4,941/mo
Independent Living$4,761/mo$4,616/mo$4,156/mo
Assisted Living
Middletown, VA:$4,855/mo
Virginia:$5,437/mo
U.S.:$4,707/mo
Memory Care
Middletown, VA:$4,855/mo
Virginia:$5,448/mo
U.S.:$4,941/mo
Independent Living
Middletown, VA:$4,761/mo
Virginia:$4,616/mo
U.S.:$4,156/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 Middletown, VA, over time

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

Middletown, VAVA stateNational

Assisted living cost trends in Middletown, VA

The table below shows how monthly assisted living costs in Middletown 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
Middletown, VA$4,780/mo$4,576/mo+4.5%
Virginia$5,179/mo$4,835/mo+7.1%
National$5,062/mo$4,710/mo+7.5%
Middletown, VA
2024 average cost:$4,780/mo
2023 average cost:$4,576/mo
Percent change:+4.5%
Virginia
2024 average cost:$5,179/mo
2023 average cost:$4,835/mo
Percent change:+7.1%
National
2024 average cost:$5,062/mo
2023 average cost:$4,710/mo
Percent change:+7.5%
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 Middletown, 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 Middletown.

What families are saying about assisted living in Middletown

Recent reviews for assisted living in Middletown

Green Valley Commons in Winchester, VA

5.0
My mom was one of the first residents. Sadly she was only in Green Valley for less than a week. But, the care she was given during this time was nothing short of amazing. Everyone had a positive attitude the entire time, offer of encouragement, and calming demeanors. The staff gave mom her ...
Read more

Greenfield Reflections of Woodstock

5.0
The food is home cooked and tasty. My loved one enjoys eating and if he wants more of anything they give it to him, especially cookies. They affectionately call him the Cookie Monster. The facility is clean. The staff are wonderful and treat the residents with care, comforting smiles and are ...
Read more

The Willows At Meadow Branch in Winchester, VA

4.1
It is a nice facility. The people are nice and my father was well cared for. The only issue we had was a little confusion on who to go to for questions or general assistance. Also, he got COVID while he was there and the overall attitude was fairly shocking. Some of the nurses had "colds" ...
Read more

Middletown review score based on 25 family reviews

8.3
Review score8 facilities25 reviewsWrite a review
This proprietary review score is based on 25 reviews of 8 Middletown assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Middletown 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

Middletown review score compared against nearby cities

8.3
Middletown, VA8 facilities
8.6
Strasburg, VA6 facilities
8.7
Stephens City, VA11 facilities

Review subcategories for Middletown 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 25 reviews of 8 Middletown assisted living communities. This chart helps you compare Middletown 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.
Middletown, VA averageNational average
Cleanliness
3.8
4.1
Friendliness
4.0
4.2
Care services
4.0
3.8
Staff
4.0
4.1
Meals & dining
3.3
3.7
Activities
3.5
3.7
Value for cost*
3.8
3.8
0.01.02.03.04.05.0
*Learn more about cost details

Middletown assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Middletown assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Middletown, 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 Middletown 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 Middletown that offer these care services compared to the percentage of partners that offer them nationally.
Middletown, VANational
Full medication management
Full medication management
75%
52.4%
Doctor on call
Doctor on call
62.5%
33.7%
24-Hour awake staff
24-Hour awake staff
100%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
75%
56.7%
Home care agency on-site
Home care agency on-site
50%
30%
Non-ambulatory care
Non-ambulatory care
100%
96.7%
Respite or short term stays
Respite or short term stays
87.5%
47.6%
Hospice available on-site
Hospice available on-site
87.5%
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 Middletown 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 Middletown Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Middletown, VANational
Dementia behaviors care
Dementia behaviors care
87.5%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
50%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
75%
41%
Memory care only community
Memory care only community
25%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Middletown 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 Middletown partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Middletown, VANational
Nutritionist / dietician
Nutritionist / dietician
50%
27.2%
Low / no sodium
Low / no sodium
50%
40.9%
No sugar
No sugar
50%
37.5%
Vegetarian
Vegetarian
37.5%
36.1%
Pureed meals
Pureed meals
25%
17.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Middletown 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 Middletown communities that offer dining options to their discerning residents compared to our partners nationally.
Middletown, VANational
Professional chef
Professional chef
12.5%
31.4%
Restaurant style dining
Restaurant style dining
62.5%
42.3%
Room service
Room service
62.5%
36.7%
Anytime dining
Anytime dining
12.5%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Middletown 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 Middletown offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Middletown, VANational
Activity director
Activity director
75%
46.3%
Pet-focused programs
Pet-focused programs
37.5%
31%
Community service programs
Community service programs
12.5%
30.4%
Devotional activities on-site
Devotional activities on-site
75%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
75%
49.3%
Outings / off-site activities
Outings / off-site activities
75%
52.3%
Piano or organ
Piano or organ
50%
41.3%
Arts and crafts center
Arts and crafts center
62.5%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
37.5%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
50%
46.7%
Live performances
Live performances
75%
46.9%
Dances
Dances
25%
30.5%
Fitness classes
Fitness classes
50%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Middletown

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

Frequently Asked Questions

Spring Arbor of Winchester, Cambridge Landings and Commonwealth Senior Living at Front Royal are the top-rated assisted living facilities near Middletown, Virginia. See full list of communities.
There are 8 assisted living facilities near Middletown, Virginia. See the full list.
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