Senior Living in Smyth County, Virginia
Assisted living, memory care & independent living in Smyth County
2 communities licensed by the state of Virginia. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| Gray Ridge Village | Marion | Assisted Living | — | — |
| Valley ALF Operator | Chilhowie | Assisted Living | — | — |
Costs: assisted living in Virginia costs a median of $6,945 a month (CareScout 2025). Nursing home costs in Virginia: CareScout medians and the private-pay rates nursing homes publish.
Nursing homes in Smyth County
3 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Sw VA M H Inst Geri Trt Center | Marion | ★★★★★ | 25 | Government - State |
| Francis Marion Manor Health & Rehabilitation | Marion | ★★★★☆ | 109 | Non profit - Corporation |
| Valley Rehabilitation and Nursing Center | Chilhowie | ★★★★☆ | 180 | For profit - Corporation |
What will senior living cost, and how will we pay?
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help.

Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.