Elder Care Cost in Roanoke, VA (2026)
Assisted living in Roanoke, VA averages $4,700/month (4% above national avg). Nursing home private room: $9,200/month. In-home aide: $5,100/month.
Source: Genworth/CareScout Cost of Care Survey 2024–2025
Assisted Living
$4,700
per month
Nursing Home
$9,200
private room
In-Home Aide
$5,100
44 hrs/week
Memory Care
$6,500
per month
Adult Day Care
$1,600
per month
How Roanoke, VA compares
Care type
Assisted Living
Roanoke, VA
$4,700/mo
National avg
$4,500/mo
Nursing Home
private room
$9,200/mo
$9,733/mo
In-Home Aide
44 hrs/week
$5,100/mo
$5,339/mo
Memory Care
$6,500/mo
$6,200/mo
Annual costs in Roanoke, VA
Assisted living
$56,400/year
or $4,700/month
Nursing home (private room)
$110,400/year
or $9,200/month
Most families need 2–4 years of care on average. At Roanoke, VA assisted living rates, that's $112,800–$225,600 total before insurance or Medicaid.
Roanoke, VA vs Virginia statewide average
Assisted living
Roanoke, VA is 4% below the state average
Nursing home (private)
Understanding care types in Roanoke, VA
Assisted Living — $4,700/mo
Private apartment-style living with meals, housekeeping, medication management, and help with bathing or dressing. Good fit when someone needs regular support but not 24-hour nursing. No Medicare coverage. Most families pay privately.
Nursing Home — $9,200/mo
24-hour skilled nursing care. Required when someone needs ongoing medical attention — wound care, IV medications, physical therapy. Medicare covers the first 100 days after a qualifying hospital stay; Medicaid pays for long-term stays for those who qualify.
In-Home Aide — $5,100/mo
A home health aide comes to the house — typically 44 hours/week based on survey methodology. Covers personal care, light housekeeping, and companionship. Part-time (20 hrs/week) runs roughly $2,600/month in Roanoke, VA.
Memory Care — $6,500/mo
A secured unit within or attached to an assisted living facility, designed for residents with Alzheimer's or other dementias. Higher staff ratios and specialized programming push costs $1,800/month above standard assisted living in Roanoke, VA.
Nearby cities
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