Nursing Home Checker Español Compare

Nursing homes in Virginia

Virginia has 289 Medicare- or Medicaid-certified nursing homes in 111 counties, with 32,648 certified beds in total. The state average CMS overall rating is 3.0 of 5 against a national average of 3.0, and homes report 3.76 nurse staffing hours per resident per day against 3.86 nationally.

Browse by cityBrowse by countyVirginia rules and contactsState averages

Virginia against the national average

MeasureVirginiaUnited States
Overall rating (1 to 5)3.03.0
Health inspection rating2.72.8
Staffing rating2.42.9
Nurse staffing hours per resident per day3.763.86
Registered nurse hours per resident per day0.690.69
Nursing staff turnover48.1%45.8%
Health deficiencies in the latest inspection14.39.2
Fines per home, past three years0.50.9

Averages are published by CMS. Health inspection ratings are set within each state, so compare them across states with care.

Browse by city

Cities with at least 3 homes, by the city in each home's CMS address. Every home is also listed by county below.

Browse by county

Nursing home rules and contacts in Virginia

Federal rules on residents' rights, discharge notices and Medicare coverage are the same in every state. These are the offices to call in Virginia, and the rules the state sets for itself.

Minimum staffing
As of October 2026, Virginia's nursing home licensing law and regulations set no minimum number of nursing hours per resident per day and no nurse-to-resident ratio. State licensing rules require a full-time director of nursing who is a registered nurse, and qualified nurses and certified nurse aides on all shifts, seven days a week, in sufficient number to meet residents' assessed nursing care needs. In homes with 60 or more beds the director of nursing may not also serve as a nursing supervisor. The Health Commissioner may grant variances to these licensing standards only if residents' safety and care are not adversely affected. Source: 12VAC5-371-200; 12VAC5-371-210; 12VAC5-371-80
Personal needs allowance (Medicaid)
Virginia Medicaid lets a nursing home resident keep a personal needs allowance of $40 per month; a couple's allowance in the state regulation is $60. Certain veterans and surviving spouses may keep $90 per month. The allowance is deducted from the resident's income before the rest is applied to the cost of care; Virginia Medicaid calls the resident's share 'patient pay'. Source: 12VAC30-40-20; DMAS Nursing Facility Manual supplement 'Protection of Resident's Funds' (updated May 8, 2025)
Holding a bed during a hospital stay or leave
Under Virginia's Medicaid regulation, Medicaid pays to reserve a nursing home bed during a resident's temporary absence for leaves of absence of up to 18 days per year for any reason other than an inpatient hospital admission. The regulation does not provide payment to hold a bed during a hospital stay. Source: 12VAC30-20-170
Visiting
Virginia's nursing home patients' rights law says residents may associate and communicate privately with persons of their choice unless a physician documents in the medical record that this is medically contraindicated, may voice grievances to staff and outside representatives of their choice without reprisal, and, if married, are assured privacy for visits by a spouse. During a COVID-19 public health emergency, state health regulations must require nursing homes to have a visitation protocol allowing each patient visits, in person or virtual, at least once every 10 calendar days; a patient or personal representative may waive or limit visits. During a declared public health emergency for a communicable disease, nursing homes must have a protocol allowing visits from clergy, which may restrict how often and how long visits last. Source: Va. Code 32.1-138 A 6, A 12, A 15; 32.1-127 B 28, B 30
Discharge notice
Virginia law allows a nursing home to transfer or discharge a resident only for documented medical needs, to protect the resident or others from physical or emotional injury, for nonpayment (except as federal Medicare/Medicaid law prohibits), or with the resident's informed voluntary consent. Except in an emergency, the home must first consult the resident, the resident's family or responsible party and the attending physician; for an involuntary move the physician or medical director must approve it in writing in the record. Except in an emergency involving the resident's health or well-being, Virginia's own statute requires written notice at least five days before an involuntary transfer or discharge (federal rules for certified homes generally require 30 days). Source: Va. Code 32.1-138 A 5; 32.1-138.1
Cameras in rooms
Virginia law lets nursing facility residents have a fixed-position video camera or audio recording device in their room. The request must be in writing and signed by the resident (or the legal representative if the resident has been legally deemed incompetent), with informed consent. Roommates must give written consent, and in a shared room only video monitoring is allowed. Family members may not activate monitoring over the resident's objection. The resident pays for the device and installation, except electricity; for facility-managed monitoring the home may charge up to $150 one-time, a deposit up to $250 and up to $10 a month. A notice must be posted at the room entrance. A home may not refuse admission or discharge or transfer a resident because of a monitoring request. Source: Va. Code 32.1-138.5:1 (2025 Acts c. 432, SB 821); 12VAC5-371-191
When private funds run out
Virginia law bars nursing home contracts that restrict a resident's ability to apply for and receive Medicaid or that require a set period of private-pay residency before applying; the home may require the resident to tell it when a Medicaid application is made. Contracts may not require a deposit or prepayment from Medicaid recipients or let the home refuse retroactive Medicaid benefits. Homes certified for Medicare or Medicaid may not require a third-party guarantee of payment as a condition of admission or continued stay. Source: Va. Code 32.1-138.2; 32.1-138.3

Checked against Virginia state sources on Oct 11, 2026. Rules and phone numbers change, so confirm with the office listed. For the rules that apply in every state, see residents' rights, how to file a complaint and how Medicaid pays for a nursing home.

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026.