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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NON -CHALLENGER h1 from CMS10 Best Assisted Living Facilities in Lexington, VA

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If you’re looking for assisted living in Lexington, our local senior living advisors can help you find a safe, welcoming community for you or your loved one. Whether you’re searching for luxury assisted living in Lexington or sticking to a budget, we’ll work with you to understand the cost of assisted living in Lexington.

From there, we’ll show you the best assisted living communities in Lexington for your family member’s budget, lifestyle, and personal care needs. With 72 assisted living facilities in the Lexington area, A Place for Mom makes it easier to find a secure and social community for this next stage of life.

We are also serving Assisted Living facilities in surrounding neighborhoods like Buena Vista, Fairfield and Clifton Forge.
You may also consider nearby communities such as Buena Vista, Fairfield and Clifton Forge.

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top3CommunitiesWithLinks: Heritage Green and Daybreak, Brookdale Roanoke and Brookdale Staunton
zipAveragecost: $4,152

Lexington Assisted Living Facilities | 970 Reviews

Showing 56 communities
Last Updated: 12/9/25
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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.
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
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 Babcock Manor, Inc.
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
25%
4 star
37%
3 star
25%
2 star
13%
1 star
0%
See all reviews
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.
5 star
17%
4 star
66%
3 star
0%
2 star
17%
1 star
0%
See all reviews
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...
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Cost of assisted living in Lexington, VA

The average cost of senior living in Lexington is $4,152 per month. Cheaper nearby regions include Iron Gate, VA with an average of $3,084 per month.

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

Lexington, VA
$4,152/mo
$3,602/mo

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

Lexington, VA
$4,152/mo
U.S. national average
$4,557/mo

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

Assisted Living
$4,152/mo
$4,214/mo

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

Semi-Private
$4,412/mo
Studio
$5,328/mo
1 Bedroom
$5,551/mo
2 Bedroom
$5,631/mo

Senior living costs in Lexington 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: Lexington, VA
Column state: Virginia
Column national: U.S.
Community typeLexington, VAVirginiaU.S.
Assisted Living$4,152/mo$5,211/mo$4,557/mo
Memory Care$4,214/mo$5,216/mo$4,794/mo
Independent Living$3,597/mo$4,385/mo$4,016/mo
Assisted Living
Lexington, VA:$4,152/mo
Virginia:$5,211/mo
U.S.:$4,557/mo
Memory Care
Lexington, VA:$4,214/mo
Virginia:$5,216/mo
U.S.:$4,794/mo
Independent Living
Lexington, VA:$3,597/mo
Virginia:$4,385/mo
U.S.:$4,016/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 Lexington, VA, over time

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

Lexington, VAVA stateNational

Assisted living cost trends in Lexington, VA

The table below shows how monthly assisted living costs in Lexington 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
Lexington, VA$4,611/mo$4,386/mo+5.1%
Virginia$5,742/mo$5,247/mo+9.4%
National$5,375/mo$5,129/mo+4.8%
Lexington, VA
2024 average cost:$4,611/mo
2023 average cost:$4,386/mo
Percent change:+5.1%
Virginia
2024 average cost:$5,742/mo
2023 average cost:$5,247/mo
Percent change:+9.4%
National
2024 average cost:$5,375/mo
2023 average cost:$5,129/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 Lexington, 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 Lexington.

What families are saying about assisted living in Lexington

Recent reviews for assisted living in Lexington

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

Birch Gardens in Staunton, VA

4.4
My loved ones moved here after living in a community that was not so great, and this has been a major improvement. They have been very happy with the activities and the food so far. There are many open community areas inside and outside, including a gazebo and gardens. The property is fenced in ...
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

Lexington review score based on 213 family reviews

8.2
Review score56 facilities213 reviewsWrite a review
This proprietary review score is based on 213 reviews of 56 Lexington assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Lexington 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

Lexington review score compared against nearby cities

8.2
Lexington, VA56 facilities
8.2
Buena Vista, VA71 facilities
8.3
Glasgow, VA24 facilities

Review subcategories for Lexington 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 213 reviews of 56 Lexington assisted living communities. This chart helps you compare Lexington 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.
Lexington, VA averageNational average
Cleanliness
3.5
4.1
Friendliness
3.6
4.2
Care services
3.2
3.8
Staff
3.5
4.0
Meals & dining
3.1
3.7
Activities
3.2
3.7
Value for cost*
3.2
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Lexington assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Lexington assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Lexington, 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 Lexington 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 Lexington that offer these care services compared to the percentage of partners that offer them nationally.
Lexington, VANational
Full medication management
Full medication management
62.5%
53.2%
Doctor on call
Doctor on call
44.6%
34.1%
24-Hour awake staff
24-Hour awake staff
94.6%
98.9%
Diabetic care
Diabetic care
100%
99.4%
*Visiting health care professionals
*Visiting health care professionals
64.3%
57.9%
Home care agency on-site
Home care agency on-site
33.9%
30.8%
Non-ambulatory care
Non-ambulatory care
100%
99.1%
Respite or short term stays
Respite or short term stays
64.3%
49.1%
Hospice available on-site
Hospice available on-site
62.5%
54.5%
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 Lexington 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 Lexington Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Lexington, VANational
Dementia behaviors care
Dementia behaviors care
67.9%
52%
Specialized memory care training for staff
Specialized memory care training for staff
35.7%
32.8%
Secured community and/or wander guard
Secured community and/or wander guard
50%
42.1%
Memory care only community
Memory care only community
25%
14%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Lexington 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 Lexington partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Lexington, VANational
Nutritionist / dietician
Nutritionist / dietician
53.6%
27.4%
Low / no sodium
Low / no sodium
58.9%
40.6%
No sugar
No sugar
53.6%
37.5%
Vegetarian
Vegetarian
37.5%
36%
Pureed meals
Pureed meals
12.5%
13.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Lexington 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 Lexington communities that offer dining options to their discerning residents compared to our partners nationally.
Lexington, VANational
Professional chef
Professional chef
35.7%
31.5%
Restaurant style dining
Restaurant style dining
46.4%
42.6%
Room service
Room service
28.6%
36.3%
Anytime dining
Anytime dining
10.7%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Lexington 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 Lexington offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Lexington, VANational
Activity director
Activity director
55.4%
46.8%
Pet-focused programs
Pet-focused programs
42.9%
31.5%
Community service programs
Community service programs
21.4%
30.4%
Devotional activities on-site
Devotional activities on-site
57.1%
50.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
57.1%
49.6%
Outings / off-site activities
Outings / off-site activities
55.4%
53.5%
Piano or organ
Piano or organ
48.2%
41.7%
Arts and crafts center
Arts and crafts center
42.9%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
39.3%
38%
Clubs / games / karaoke
Clubs / games / karaoke
53.6%
47.1%
Live performances
Live performances
58.9%
47.4%
Dances
Dances
28.6%
29.9%
Fitness center
Fitness center
21.4%
24.4%
Fitness classes
Fitness classes
55.4%
46.3%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Lexington

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

Frequently Asked Questions

Heritage Green and Daybreak, Brookdale Roanoke and Brookdale Staunton are the top-rated assisted living facilities near Lexington, Virginia. See full list of communities.
There are 72 assisted living facilities near Lexington, Virginia. See the full list.
The best assisted living facility near you in Lexington, Virginia is Heritage Green and Daybreak. 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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