State plate · VA

Assisted living in Virginia

Virginia licenses assisted living through VDSS, Div. of Licensing Programs, under the license types Assisted Living Facility (residential vs assisted living care); safe, secure environment / special care unit. Virginia does not publish a downloadable list with capacity. CDC's 2020 survey estimated 430 residential care communities with 31,800 beds. HUD's active-loan file shows 25 FHA-insured assisted living loans in Virginia with $266.6 million outstanding as of September 30, 2026.

Licensing

Licensing agency
VDSS, Div. of Licensing Programs
License types
Assisted Living Facility (residential vs assisted living care); safe, secure environment / special care unit
Official program page
dss.virginia.gov
Facility list
no download (search form only)

Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.

CDC survey profile (2020)

The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.

MeasureVirginiaUS
Communities43030,600
Beds31,8001,197,600
Average beds per community7439
For-profitn/a%81.9%
Chain affiliated60.8%61.4%
Medicaid certified20.8%43.6%
Dementia-only communitiesn/a10.5%
Dementia-only or with a dementia unit41.9%20.5%
Residents 85 and older55.0%49.9%
Residents with Alzheimer disease or other dementias37.2%42.1%

Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.

HUD Section 232 assisted living loans

Active FHA loans
25
Outstanding
$266.6 million
Median note rate
3.03%
Endorsed since FY2001
84

Since fiscal 2001 HUD has endorsed 84 FHA-insured assisted living loans in Virginia for $808.9 million of original principal, 38 of them for new construction or substantial rehabilitation, and 8 since fiscal 2021. 1 of today's active loans carry a note rate of 5% or more.

Property (HUD name)CityUnitsEndorsedRateBalanceMatures
The Wellington at Lake ManassasFHA 05143248Gainesville257Jun 20173.29%$24,104,130Nov 2059
Aspire at East Beach Phase 2FHA 05143257Norfolk0Dec 20212.69%$20,511,103Oct 2063
Ashleigh at LansdowneFHA 05143245Leesburg115May 20152.90%$20,033,856Oct 2056
Great Falls Assisted LivingFHA 05122152Herndon126Oct 20183.50%$19,279,146Nov 2053
Brandermill Assisted LivingFHA 05143253Midlothian196Mar 20183.90%$18,368,291Nov 2059
The Lodge at Old TrailFHA 05143258Crozet291Sep 20203.13%$17,094,601Mar 2057
HilltopFHA 05122209Winchester73Dec 20236.65%$15,619,521Jan 2059
Pearls of LifeFHA 05122187Lynchburg64Jun 20212.82%$14,439,410Jul 2056
Bentley Commons at LynchburgFHA 05122178Lynchburg117Apr 20212.75%$13,012,391May 2056
Runk and Pratt Adult Care of LynchburgFHA 05122185Lynchburg131Feb 20213.03%$11,902,245Mar 2056
Runk Pratt of ForestFHA 05122176Forest143Jun 20202.63%$11,667,576Jul 2055
Morningside House of LeesburgFHA 05122186Leesburg64May 20212.65%$11,031,735Jun 2056
Cathcart Assisted LivingFHA 05143225Harrisonburg90Sep 20144.24%$10,638,884Apr 2056
Beth Sholom ParksideFHA 05143217Richmond85May 20103.81%$10,505,938Sep 2051
Dunlop HouseFHA 05143243Colonial Heights134May 20133.15%$9,155,643Nov 2051
Beth Sholom TerraceFHA 05143227Virginia Beach78Jul 20122.49%$5,758,590Mar 2044
The Willows at Meadow BrFHA 05143241Winchester79Apr 20132.95%$4,813,191May 2048
Mennowood Retirement CommuntyFHA 05122061Newport News95Sep 20103.45%$4,654,125Oct 2048
Bay Lake Assisted LivingFHA 05143240Virginia Beach72Jan 20132.79%$4,625,715Jan 2039
Meadow Glen of LeesburgFHA 05122179Leesburg77Nov 20202.45%$4,511,764Dec 2055
Beth Sholom Assisted LvingFHA 05143223Richmond71May 20113.61%$4,422,212Dec 2040
Aarondale Assisted LivingFHA 05143239Springfield72Jan 20132.79%$4,294,708May 2038
Parson Residential CareFHA 05122135Chesapeake60Mar 20163.85%$2,876,505Apr 2051
Hickory Hill Retirement CommunityFHA 05122114Burkeville75Dec 20133.45%$2,005,350Jan 2049
Great Falls Assisted LivingFHA 05115005Herndon62Nov 20213.00%$1,304,695Nov 2053

Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.

Own or are buying an assisted living or memory care building in Virginia? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

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