Virginia · RAL Market Report

Best places to open an assisted living home in Virginia

Name: Virginia assisted living market data
Creator: RAL Market Scout

The top markets for residential assisted living in Virginia, ranked by demand versus supply — plus the cities where the homes are.

Updated July 2026

The top markets for assisted living in Virginia right now are Chesterfield, Richmond city, Prince William counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 570 licensed assisted living homes serving 592,471 residents aged 75+, at a median cost of about $6,945/mo.

Licensed homes

570

state roster

Population 75+

592,471

ACS

Median AL cost

$6,945/mo

above the national median

Bed supply

44.6/1k

moderate supply

Top 10 markets for assisted living in Virginia

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

Chesterfield County — opportunity 7.9/10 (Strong); 23,146 seniors 75+, growing 30.9%, with 27 licensed homes.
Richmond city County — opportunity 7.8/10 (Strong); 11,647 seniors 75+, growing 0.0%, with 8 licensed homes.
Prince William County — opportunity 7.8/10 (Strong); 21,014 seniors 75+, growing 35.7%, with 16 licensed homes.
Stafford County — opportunity 7.7/10 (Strong); 6,846 seniors 75+, growing 30.8%, with 5 licensed homes.
Montgomery County — opportunity 7.7/10 (Strong); 5,513 seniors 75+, growing 10.5%, with 4 licensed homes.
Spotsylvania County — opportunity 7.6/10 (Strong); 8,560 seniors 75+, growing 24.8%, with 10 licensed homes.
Chesapeake city County — opportunity 7.6/10 (Strong); 13,776 seniors 75+, growing 15.1%, with 14 licensed homes.
Suffolk city County — opportunity 7.5/10 (Strong); 6,005 seniors 75+, growing 20.4%, with 5 licensed homes.
Hampton city County — opportunity 7.4/10 (Strong); 9,050 seniors 75+, growing 7.4%, with 5 licensed homes.
Norfolk city County — opportunity 7.4/10 (Strong); 11,262 seniors 75+, growing 5.1%, with 5 licensed homes.

All Virginia counties by market opportunity

County	Pop 75+	Demand	Homes	Market	Band
Chesterfield	23,146	7.3	27	7.9	Strong
Richmond city	11,647	3.6	8	7.8	Strong
Prince William	21,014	6.5	16	7.8	Strong
Stafford	6,846	5.8	5	7.7	Strong
Montgomery	5,513	4.7	4	7.7	Strong
Spotsylvania	8,560	6.2	10	7.6	Strong
Chesapeake city	13,776	5.9	14	7.6	Strong
Suffolk city	6,005	6.8	5	7.5	Strong
Hampton city	9,050	4.3	5	7.4	Strong
Norfolk city	11,262	4.3	5	7.4	Strong
Roanoke city	7,056	4.4	8	7.3	Strong
Bedford	7,565	6.1	5	7.3	Strong
Alexandria city	8,138	6.1	10	7.3	Strong
Hanover	8,847	6.6	25	7.3	Strong
Fairfax	71,068	6.8	87	7.2	Strong
Arlington	11,451	6.1	8	7.2	Strong
Loudoun	19,803	6.8	16	7.2	Strong
Portsmouth city	5,834	2.8	3	7.2	Strong
Roanoke	9,328	5.4	16	7.2	Strong
Franklin	5,406	5.0	3	7.2	Strong
Henrico	23,469	6.0	43	7.1	Strong
Virginia Beach city	29,290	6.1	22	7.1	Strong
Washington	5,698	5.6	8	7.1	Strong
Newport News city	10,433	5.5	10	7.1	Strong
James City	10,062	7.7	12	7.0	Strong
Pittsylvania	6,194	5.1	4	7.0	Strong
Frederick	7,564	6.0	6	7.0	Strong
Albemarle	10,176	6.6	15	7.0	Moderate
Tazewell	3,784	3.2	3	6.9	Moderate
Campbell	5,163	5.4	1	6.9	Moderate
Augusta	7,466	5.7	14	6.8	Moderate
Henry	5,697	4.8	3	6.8	Moderate
Powhatan	2,422	5.9	0	6.8	Moderate
Fauquier	5,325	5.9	5	6.8	Moderate
Wise	2,604	3.1	2	6.7	Moderate
Louisa	3,014	5.5	1	6.7	Moderate
Rockingham	7,408	4.6	11	6.7	Moderate
Isle of Wight	3,113	4.7	1	6.6	Moderate
Mecklenburg	3,492	4.9	4	6.6	Moderate
Lynchburg city	5,142	3.1	7	6.6	Moderate
York	5,551	6.5	3	6.5	Moderate
Greene	1,537	6.1	2	6.5	Moderate
Charlottesville city	2,209	3.5	0	6.4	Moderate
Shenandoah	4,339	4.6	8	6.4	Moderate
Caroline	2,081	3.3	0	6.4	Moderate
Goochland	2,666	7.0	7	6.4	Moderate
Danville city	3,743	2.3	0	6.4	Moderate
Warren	2,687	4.9	5	6.4	Moderate
Nottoway	1,244	3.1	2	6.4	Moderate
Lee	2,094	3.1	1	6.3	Moderate
Southampton	1,607	4.3	1	6.3	Moderate
Gloucester	3,229	4.9	2	6.3	Moderate
Botetourt	3,524	5.7	2	6.3	Moderate
Buckingham	1,464	3.9	0	6.3	Moderate
Madison	1,293	4.4	1	6.3	Moderate
New Kent	1,609	6.1	0	6.2	Moderate
Pulaski	3,146	2.8	2	6.1	Moderate
Carroll	3,223	4.3	2	6.1	Moderate
Halifax	3,793	4.3	3	6.1	Moderate
Culpeper	3,947	6.1	4	6.1	Moderate
Westmoreland	2,050	4.7	0	6.1	Moderate
Manassas city	1,661	4.6	5	6.0	Moderate
Accomack	3,385	5.3	1	6.0	Moderate
Giles	1,548	4.1	0	6.0	Moderate
Lunenburg	1,047	2.3	2	6.0	Moderate
Clarke	1,445	5.9	2	6.0	Moderate
Nelson	1,671	5.3	2	6.0	Moderate
Staunton city	2,267	4.4	0	5.9	Moderate
King William	1,100	1.7	0	5.9	Moderate
Amherst	2,946	4.1	0	5.9	Moderate
Fredericksburg city	1,311	5.0	2	5.9	Moderate
Orange	3,063	3.4	2	5.9	Moderate
King George	1,532	5.5	0	5.8	Moderate
Winchester city	2,065	3.7	2	5.8	Moderate
Rockbridge	2,720	4.0	4	5.7	Moderate
Floyd	1,622	4.7	0	5.7	Moderate
Fluvanna	2,468	4.9	0	5.7	Moderate
Grayson	1,656	3.1	1	5.7	Moderate
Petersburg city	2,210	2.6	0	5.7	Moderate
Patrick	2,114	3.6	1	5.6	Moderate
Dickenson	1,473	5.3	0	5.6	Moderate
Wythe	2,574	3.1	1	5.6	Moderate
Dinwiddie	2,168	4.9	8	5.6	Moderate
Prince Edward	1,567	2.8	0	5.6	Moderate
Fairfax city	1,464	3.6	0	5.6	Moderate
Appomattox	1,444	3.7	1	5.6	Moderate
Essex	1,014	3.8	1	5.6	Moderate
Smyth	2,875	2.7	2	5.5	Moderate
Salem city	2,185	4.3	0	5.5	Moderate
Hopewell city	1,582	4.3	0	5.5	Moderate
Russell	2,468	3.7	5	5.5	Moderate
Scott	2,438	4.9	1	5.4	Moderate
Northampton	1,456	5.4	0	5.4	Moderate
Northumberland	2,138	5.6	1	5.4	Moderate
Prince George	2,286	5.5	9	5.4	Moderate
Middlesex	1,626	5.1	0	5.4	Moderate
Brunswick	1,438	2.7	2	5.4	Moderate
Lancaster	1,959	5.8	1	5.3	Moderate
Poquoson city	1,156	4.1	1	5.3	Moderate
Harrisonburg city	2,244	3.6	0	5.3	Moderate
Waynesboro city	1,789	3.0	0	5.3	Moderate
Colonial Heights city	1,652	4.1	0	5.2	Moderate
Mathews	1,376	5.6	0	5.2	Moderate
Williamsburg city	1,262	5.5	0	5.1	Moderate
Buchanan	1,977	2.8	0	5.1	Moderate
Alleghany	1,778	5.4	1	5.1	Moderate
Cumberland	1,058	5.6	2	5.1	Moderate
Page	2,226	4.1	2	5.1	Moderate
Amelia	1,264	6.3	0	5.1	Moderate
Charlotte	1,098	2.8	0	4.9	Moderate
Bristol city	1,811	6.3	3	4.8	Moderate
Manassas Park city	757	4.2	0	—	—
Martinsville city	882	2.9	0	—	—
Highland	354	3.2	0	—	—
Greensville	671	2.7	1	—	—
Norton city	325	4.2	0	—	—
Craig	461	3.4	0	—	—
Radford city	658	2.9	0	—	—
Charles City	706	3.7	0	—	—
Bland	650	5.3	0	—	—
Bath	517	3.9	0	—	—
Buena Vista city	530	4.0	0	—	—
Covington city	460	2.1	0	—	—
Sussex	838	3.6	0	—	—
Emporia city	425	3.9	0	—	—
Surry	677	5.3	0	—	—
Falls Church city	916	6.6	4	—	—
Franklin city	696	5.3	0	—	—
Richmond	880	3.4	2	—	—
Galax city	661	4.4	0	—	—
Rappahannock	907	5.2	0	—	—
Lexington city	415	2.6	0	—	—
King and Queen	541	2.6	0	—	—

Top cities for assisted living in Virginia

Where the homes actually are. Each linked city has its own page with local supply and market context.

City	Homes	Beds	Avg size
Richmond	50	3,577	71.5
Mechanicsville	22	565	25.7
Roanoke	20	1,713	85.7
Alexandria	18	2,009	111.6
Virginia Beach	18	1,417	78.7
Fairfax	17	1,017	59.8
Mc Lean	16	389	24.3
Fredericksburg	15	1,210	80.7
Chesapeake	15	1,178	78.5
Charlottesville	13	1,145	88.1
Petersburg	13	315	24.2
Williamsburg	12	990	82.5
Newport News	10	766	76.6
Falls Church	9	849	94.3
Henrico	9	464	51.6
Midlothian	9	804	89.3
Lynchburg	9	916	101.8
Woodbridge	8	596	74.5
Manassas	8	577	72.1
Vienna	8	172	21.5

Frequently asked questions

What are the top markets for assisted living in Virginia?

The strongest Virginia markets on RAL Market Scout's opportunity scoring are Chesterfield, Richmond city, Prince William, Stafford, Montgomery counties — based on 75+ demand and projected senior growth versus current bed supply.

Which Virginia city has the most assisted living homes?

Richmond has the most, with 50 licensed assisted living homes (about 3,577 beds).

How much does assisted living cost in Virginia?

The median assisted living cost in Virginia is about $6,945 per month — above the national median.

How many assisted living homes are in Virginia?

Virginia has approximately 570 licensed assisted living homes serving 592,471 residents aged 75 and older.

See the full Virginia picture

RAL Market Scout scores every county and ZIP in Virginia on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

Run a Market Report Site Intelligence report

Sources: Licensed-home and city counts from Virginia state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.