Assisted Living Facilities in Virginia
Locate 480 assisted living options
Welcome to the world of assisted living in Virginia, where compassionate care and support are tailored to meet the unique needs of seniors. Virginia's flexibility as a state, with its variable landscapes, mild weather, and diverse range of town sizes, makes it an ideal destination for seniors seeking various types of assisted living options. In this article, we will explore the different types of assisted living centers across Virginia, and their locations in larger cities like Virginia Beach, Norfolk, Chesapeake, and Richmond, as well as smaller communities. Additionally, we will delve into the various types of geographical regions in Virginia and how they cater to different senior living preferences. Let's discover the ALFs (Assisted Living Facilities) in Virginia that provide personal and health care services, 24/7 monitoring, and medication management, housed in Assisted Living Facilities, Residential Living Care Homes, or Assisted Living Care Homes.
Virginia's flexibility as a state is a key factor in accommodating the needs of seniors. With its variable landscapes, mild weather that boasts four distinct seasons, and a range of town sizes, Virginia offers a diverse array of options for senior living. Whether seniors prefer the bustling city life of larger cities like Virginia Beach, Norfolk, Chesapeake, and Richmond, or the intimacy and charm of smaller communities, there are excellent assisted living centers available throughout the state.
Virginia classifies assisted living complexes as ALFs (Assisted Living Facilities), which encompass different types of residential settings. These ALFs provide a range of personal and health care services, along with 24/7 monitoring and medication management. There are three primary types of residential settings within the ALF classification: Assisted Living Facilities, Residential Living Care Homes, and Assisted Living Care Homes.
Residential Living Care Homes offer a less intrusive level of assistance, providing minimal support for seniors who value their independence but require some help with daily tasks. Assisted Living Care Homes, on the other hand, provide a moderate level of assistance to seniors who may need more support with their daily activities. Finally, Assisted Living Facilities are the most hands-on in terms of care and assistance, catering to seniors who require comprehensive support and a higher level of medical attention.
In conclusion, Virginia's flexible nature, from its varied landscapes and mild weather to the range of town sizes, ensures that there is an ideal assisted living option for every senior. Whether seniors choose to reside in larger cities like Virginia Beach, Norfolk, Chesapeake, or Richmond, or opt for the charm of smaller communities, Virginia's assisted living centers cater to their unique needs. With a variety of residential settings, including Assisted Living Facilities, Residential Living Care Homes, and Assisted Living Care Homes, seniors can find the level of assistance and care that suits them best. Join us as we explore the diverse assisted living offerings across the different regions of Virginia, providing seniors with the support, care, and vibrant communities they deserve.
Virginia Assisted Living - Cost
Virginia is located in a part of the United States that is difficult to categorize. Some incorporate the state with the rest of the south, while others refer to it as “mid-Atlantic”, not actually in the northeast or southern U.S.
Regardless, Virginia has housing costs for assisted living that are either good or bad depending on the region you think it belongs to. For the South, it’s an expensive state. However, in relation to its prices to the rest of the northeast - it’s very affordable. So, it’s all based on perspective.
The average assisted living room in Virginia goes for a little under $4,000 per month, a few hundred more per month than the national number.
In terms of affordability, you would be hard-pressed to find cheaper cities for assisted living in Virginia than in Danville ($3,375 per month), Hillsville ($3,420 per month), South Boston ($3,425 per month), Bristol ($3,440 per month) and Stuart ($3,445 per month).
Great Falls ($5,810 per month), Oakton ($5,405 per month), Leesburg ($5,320 per month), Falls Church ($5,295 per month), and Burke ($5,235 per month) are considered the costliest.
Carroll County, Halifax County, and Patrick County are the top 3 for most affordable for assisted living, while Loudoun County, Fairfax County, and Arlington County are the most expensive.
Virginia lacks financial assistance for assisted living communities. It previously helped produce funds through the Alzheimer’s Assisted Living (AAL) Waiver, yet that became defunct in 2018.
Types of Assisted Living in Virginia
When it comes to assisted living in Virginia, there are various types of communities and care settings available to meet the diverse needs of seniors. Whether individuals prefer a more independent lifestyle with minimal assistance or require comprehensive support and specialized care, Virginia offers a range of options. In this article, we will explore the different types of assisted living settings found throughout the state, ensuring that seniors can find comfortable and suitable living arrangements.
- Assisted Living Facilities (ALFs): Assisted Living Facilities, commonly known as ALFs, are residential settings that provide a combination of housing, personal care, and healthcare services for seniors. These facilities offer assistance with daily activities such as bathing, dressing, medication management, and meal preparation. ALFs typically have a range of amenities, including communal dining areas, social and recreational activities, and 24/7 staff availability. They are well-suited for individuals who require a moderate level of support but still desire a level of independence.
- Residential Living Care Homes: Residential Living Care Homes are smaller, more intimate settings that accommodate a limited number of residents, usually between 2 to 10 individuals. These homes provide personalized care and support in a homelike environment. Residents receive assistance with daily tasks, including bathing, dressing, and medication management. The smaller size of Residential Living Care Homes allows for more individualized attention and a sense of community among residents and caregivers.
- Memory Care Facilities: Memory Care Facilities, also known as Alzheimer's or Dementia Care Facilities, are specialized communities designed to meet the unique needs of individuals with memory impairments. These facilities provide a secure and supportive environment with specially trained staff who understand the challenges associated with memory loss. Memory Care Facilities offer structured activities, cognitive stimulation programs, and enhanced safety features to ensure the well-being and quality of life of residents with Alzheimer's disease, dementia, or other memory-related conditions.
- Continuing Care Retirement Communities (CCRCs): Continuing Care Retirement Communities, or CCRCs, offer a continuum of care within a single community. These communities provide a range of housing options, including independent living, assisted living, and skilled nursing care, all within the same campus. Seniors can transition seamlessly between different levels of care as their needs change over time. CCRCs often offer a wide range of amenities and services, including fitness centers, dining options, and social activities, allowing residents to age in place and maintain an active and engaging lifestyle.
- Independent Living Communities with Assisted Living Services: Some independent living communities in Virginia also offer assisted living services on-site. These communities cater to active seniors who value their independence but may require occasional assistance with certain tasks. Residents can enjoy the benefits of independent living, including private apartments or cottages, social activities, and access to amenities while having the option to receive additional support as needed.
In conclusion, Virginia provides a variety of assisted living options to accommodate the diverse needs and preferences of seniors. Whether individuals require a higher level of care in Assisted Living Facilities, prefer a more intimate setting in Residential Living Care Homes, need specialized memory care, seek the continuum of care provided by CCRCs, or desire independent living with access to assisted living services, Virginia's assisted living communities offer choices for every stage of life. It is important for seniors and their families to explore these options and select the one that best suits their individual needs and preferences.
Licensing of Assisted Living Facilities in Virginia
In Virginia, the licensing and regulation of assisted living facilities (ALFs) are overseen by the Virginia Department of Social Services (VDSS) Division of Licensing Programs. This regulatory body ensures that ALFs meet specific standards of care and safety to provide a secure and supportive environment for residents. Understanding the licensing process and requirements is crucial for individuals and families seeking assisted living options in Virginia. In this article, we will explore the licensing process and key regulations that govern assisted living facilities in the state.
Licensing Process: ALFs in Virginia must obtain a license from the VDSS Division of Licensing Programs to operate legally. The licensing process involves several steps, including:
Application: ALFs submit an application to the Division of Licensing Programs, providing detailed information about the facility, its management, staff, services offered, and policies and procedures.
Inspection: VDSS conducts an inspection of the facility to ensure compliance with regulations. Inspections assess various aspects, including physical safety, cleanliness, staffing ratios, staff qualifications, medication management, resident rights, and emergency preparedness.
Background Checks: The facility's owners, operators, and staff members undergo background checks to ensure the safety and well-being of residents.
Licensing Decision: Once the application, inspection, and background checks are completed, the Division of Licensing Programs reviews the information and makes a licensing decision. If approved, the ALF receives a license to operate.
Key Regulations: ALFs in Virginia must adhere to specific regulations to maintain their licenses. These regulations cover various aspects, including:
Staffing: Assisted living facilities must have an adequate number of trained staff members available to meet the needs of residents. Staffing requirements include minimum staffing ratios, staff qualifications, and ongoing training.
Resident Care: ALFs are responsible for providing personal care services, medication management, assistance with activities of daily living (ADLs), and healthcare coordination as needed. The facility must develop and implement individualized care plans for each resident.
Safety and Physical Environment: Assisted living facilities must maintain a safe and comfortable physical environment for residents. This includes ensuring fire safety measures, appropriate building maintenance, accessible common areas, and appropriate security measures.
Resident Rights: Residents in ALFs have specific rights, including the right to privacy, dignity, and autonomy. Facilities must respect and promote these rights and establish procedures for addressing resident grievances and concerns.
Health and Sanitation: ALFs must comply with health and sanitation regulations to ensure cleanliness, proper sanitation practices, and infection control protocols.
Ongoing Compliance: Once licensed, ALFs are subject to ongoing monitoring and inspections by the Division of Licensing Programs to ensure continued compliance with regulations. Regular inspections are conducted to assess the facility's adherence to safety standards, staffing requirements, resident care protocols, and overall quality of services.
It is essential for individuals and families considering assisted living in Virginia to verify that a facility is properly licensed and meets regulatory requirements. This can be done by contacting the VDSS Division of Licensing Programs or accessing their online database of licensed ALFs.
In conclusion, licensing of assisted living facilities in Virginia is a crucial aspect of ensuring the safety, well-being, and quality of care for residents. The Virginia Department of Social Services Division of Licensing Programs plays a vital role in overseeing the licensing process and enforcing regulations. By understanding the licensing process and regulations governing ALFs, individuals, and families can make informed decisions when choosing a licensed facility that meets their needs and provides a supportive environment for their loved ones.
Financial Assistance for Assisted Living in Virginia
When it comes to affording assisted living in Virginia, financial assistance programs can provide support to eligible individuals and families. While Virginia has limited financial assistance specifically dedicated to assisted living, there are some options available that can help alleviate the financial burden. In this article, we will explore the key financial assistance programs in Virginia and how they can help individuals access the care they need.
- Auxiliary Grants (AG): Auxiliary Grants are cash assistance programs administered by the Virginia Department of Social Services (VDSS) Division of Aging and Rehabilitative Services. These grants provide monthly financial assistance to eligible individuals who reside in assisted living facilities that participate in the program. The amount of the grant varies based on individual circumstances and is intended to help cover the cost of room and board in the facility.
- Medicaid: Medicaid is a joint federal and state program that provides health coverage to low-income individuals, including seniors and people with disabilities. While Medicaid does not typically cover the cost of room and board in assisted living facilities, it may cover certain services and supports provided within the facility, such as personal care assistance and medication management. Medicaid eligibility and covered services vary, so it's important to contact the Virginia Department of Medical Assistance Services to determine if you qualify and what benefits are available.
- Long-Term Care Insurance: Long-term care insurance is private insurance that helps cover the costs of long-term care services, including assisted living. It can provide financial assistance for a range of services and supports, depending on the specific policy. Individuals who have long-term care insurance should review their policy to understand the coverage and any requirements for using the benefits.
- Veterans Aid and Attendance Pension Benefit: For veterans and their surviving spouses who require assistance with daily living activities, the Veterans Aid and Attendance Pension Benefit can provide financial support towards the cost of assisted living. This benefit is provided by the U.S. Department of Veterans Affairs and is available to eligible individuals who meet certain criteria, including military service and specific medical and financial requirements.
- Personal Resources and Savings: For individuals who do not qualify for financial assistance programs, personal resources, and savings can be used to pay for assisted living. It is important to carefully plan and budget for these expenses, considering the cost of the facility, additional services, and potential future needs.
It is recommended to consult with a financial advisor or eldercare specialist to explore all available options and determine the best course of action based on individual circumstances. They can provide guidance on eligibility criteria, application processes, and potential strategies for maximizing financial resources.
In conclusion, while financial assistance for assisted living in Virginia is limited, there are programs and resources available to help individuals and families afford the cost of care. Auxiliary Grants, Medicaid, long-term care insurance, Veterans Aid and Attendance Pension Benefits, and personal resources can all contribute to making assisted living more affordable. Understanding the eligibility criteria and application processes for these programs, as well as seeking professional advice, can help individuals navigate the financial aspects of accessing assisted living services in Virginia.
How to Choose an Assisted Living Facility in Virginia
Choosing an assisted living facility in Virginia is an important decision that requires careful consideration. With numerous options available, it's crucial to evaluate various factors to ensure the facility meets the specific needs and preferences of yourself or your loved one. In this article, we will discuss key factors to consider when choosing an assisted living facility in Virginia, to help you make an informed decision.
Location: Consider the location of the facility and its proximity to family, friends, and preferred healthcare providers. Determine whether being close to familiar surroundings or specific amenities is important. Additionally, assess the neighborhood's safety, accessibility to transportation, and the overall ambiance of the area.
Services and Care: Evaluate the services and level of care provided by the facility. Determine if they offer the specific assistance and support needed, such as help with daily activities, medication management, or specialized care for conditions like Alzheimer's or dementia. Inquire about the availability of healthcare professionals, access to therapies, and any additional services or programs that enhance the quality of life for residents.
Staff and Training: The staff at an assisted living facility plays a vital role in the well-being of residents. Inquire about the staff-to-resident ratio, staff qualifications, and ongoing training provided to ensure they have the necessary skills and expertise. Learn about their approach to care, their philosophy, and the overall culture of the facility. It's essential to choose a facility where compassionate and well-trained staff are dedicated to meeting residents' needs.
Amenities and Environment: Consider the amenities and environment offered by the facility. Common areas, outdoor spaces, dining options, and recreational activities contribute to the quality of life and social engagement of residents. Assess the cleanliness, maintenance, and overall ambiance of the facility to ensure a comfortable and welcoming environment.
Cost and Financial Considerations: Determine the cost of the facility and the services it provides. Understand the pricing structure, including any additional fees for specialized care or amenities. Evaluate the financial implications and consider options such as long-term care insurance, veterans' benefits, or available financial assistance programs. It's important to have a clear understanding of the financial commitments and the affordability of the facility.
Licensing and Accreditation: Verify that the facility is licensed and regulated by the Virginia Department of Social Services. This ensures that the facility meets specific standards of care and safety. Additionally, check if the facility has any accreditations or certifications from reputable organizations that signify high-quality care and service.
Reputation and Reviews: Research the facility's reputation and read online reviews from residents, families, and professionals. Consider visiting the facility in person, if possible, to observe the environment and interact with staff and residents. Seeking recommendations from healthcare professionals or trusted individuals can also provide valuable insights.
Personalized Assessment: Finally, arrange a personalized assessment with the facility. During this visit, discuss individual needs, preferences, and any specific concerns. Ask questions about the daily routine, care plans, and how the facility addresses emergencies or changes in health status. This assessment will help determine if the facility can adequately meet the unique needs of the individual.
By carefully considering these factors, you can make an informed decision when choosing an assisted living facility in Virginia. Take the time to research, visit, and ask questions to ensure the facility aligns with the specific needs, preferences, and overall well-being of yourself or your loved one. Remember that finding the right fit may take time, but it's crucial for a positive and fulfilling assisted living experience.
How to Protect Your Rights in Virginia Assisted Living
When residing in an assisted living facility in Virginia, it is important to understand and protect your rights as a resident. By being aware of your rights and taking proactive measures, you can ensure your safety, dignity, and overall well-being. In this article, we will discuss key steps to protect your rights in Virginia assisted living facilities.
Familiarize Yourself with Resident Rights: Start by familiarizing yourself with the rights afforded to residents in Virginia assisted living facilities. These rights include but are not limited to, the right to privacy, dignity, autonomy, and freedom from abuse or neglect. The Virginia Department of Social Services provides a comprehensive list of resident rights, which can be accessed through their website or by requesting a copy from the facility.
Review and Understand Facility Policies: Take the time to review the facility's policies and procedures. Carefully read the resident handbook or similar documentation provided by the facility. Pay attention to policies related to resident rights, complaint procedures, visitation policies, medication management, and any restrictions that may affect your daily life or independence. Understanding these policies will help you navigate the facility and ensure your rights are respected.
Maintain Effective Communication: Effective communication is key to protecting your rights. Establish open and ongoing communication with the facility's staff, administrators, and management. Clearly express your needs, concerns, and preferences. Ask questions when you need clarification and provide feedback when necessary. Effective communication helps to establish a respectful and collaborative relationship between you and the facility.
Keep Records and Documentation: Maintain your own records and documentation related to your care and interactions within the facility. This may include documenting any incidents, conversations, or concerns that arise. Keep a record of your medical appointments, medications, and any changes in your health status. Having accurate records can be valuable should you need to advocate for your rights or address any issues that arise.
Advocate for Yourself: Be an active advocate for your own rights and well-being. If you feel your rights are being violated or if you have concerns about the quality of care, voice your concerns to the appropriate individuals within the facility. Follow the facility's established complaint procedures and document the steps you take. If necessary, involve outside authorities or agencies, such as the Virginia Department of Social Services, to ensure your concerns are addressed.
Seek Support from Loved Ones or Advocacy Organizations: Involve trusted loved ones, family members, or friends in your advocacy efforts. They can provide emotional support, help navigate complex situations, and act as witnesses or advocates on your behalf. Additionally, consider reaching out to advocacy organizations or support groups that specialize in assisting residents of assisted living facilities. These organizations can provide guidance, resources, and additional support.
Stay Informed about Changes in Laws or Regulations: Keep yourself informed about any changes in laws, regulations, or policies that may affect your rights as a resident. Stay updated on developments in the field of assisted living and be aware of your rights under both federal and state laws. This knowledge will empower you to assert and protect your rights effectively.
Remember, protecting your rights in Virginia assisted living facilities requires active participation and awareness. By familiarizing yourself with your rights, maintaining effective communication, keeping records, advocating for yourself, and seeking support when needed, you can help ensure your rights are respected, and you can enjoy a safe and fulfilling experience in assisted living.
Free Resources for Seniors in Virginia
Seniors in Virginia have access to a variety of free resources aimed at promoting their well-being, health, and overall quality of life. These resources can provide valuable support and assistance in various areas. Here are some free resources available for seniors in Virginia:
- Virginia Department for Aging and Rehabilitative Services (DARS): DARS offers numerous programs and services for seniors, including counseling, advocacy, and assistance with accessing community resources. They provide information on healthcare, transportation, housing, legal aid, and employment opportunities. DARS can help seniors navigate available resources and connect them with the support they need.
- Virginia Area Agencies on Aging (AAA): The AAA network consists of local agencies that offer a range of services and programs for seniors. These agencies provide information and assistance on topics such as healthcare, nutrition, transportation, caregiver support, and long-term care options. They can help seniors access home-delivered meals, respite care, transportation services, and more.
- Senior Centers: Senior centers across Virginia provide a welcoming space for older adults to socialize, participate in activities, and access various resources. These centers offer educational programs, fitness classes, recreational activities, and support groups. They often organize events, trips, and volunteer opportunities, fostering social engagement and community involvement.
- Virginia Easy Access: Virginia Easy Access is an online resource directory that helps seniors and their families locate services and programs in their local communities. It provides information on healthcare, housing, transportation, legal aid, support groups, and more. The directory allows users to search for specific services based on their location and needs.
- Virginia Insurance Counseling and Assistance Program (VICAP): VICAP offers free counseling and assistance to seniors regarding Medicare, Medicaid, and other health insurance options. Trained counselors provide personalized guidance, helping seniors understand their coverage, compare plans, and navigate the complex healthcare system. VICAP counselors can also assist with claims, appeals, and resolving insurance-related issues.
- Virginia Senior Medicare Patrol (SMP): SMP is a program designed to empower seniors to detect and prevent healthcare fraud. They offer education and resources to help seniors protect themselves from fraudulent schemes, billing errors, and identity theft related to Medicare and other healthcare programs. SMP provides information on how to spot and report suspected fraud, protecting seniors' financial and personal well-being.
- Libraries and Community Centers: Local libraries and community centers often host free programs and events specifically for seniors. These may include educational workshops, fitness classes, book clubs, computer training, and cultural activities. These resources promote social interaction, lifelong learning, and personal development.
- Nonprofit Organizations: Numerous nonprofit organizations in Virginia focus on assisting seniors. These organizations offer services such as transportation assistance, meal delivery, home repairs, and companionship programs. Examples include Meals on Wheels, Rebuilding Together, and Senior Connections.
It's important for seniors and their families to explore these resources and connect with the relevant organizations to fully benefit from the support available in their local communities. Additionally, local government websites, senior centers, and healthcare providers can provide further information on free resources specific to their area.
Top 10 Assisted Living Facilities in Virginia
While looking for senior assisted living in Mclean, Virginia, you may find Vinson Hall, located at 6251 Old Dominion Dr. in the 22101 zip code area in Fairfax County. Vinson Hall provides assistance to 55+ adults living in Mclean who need help with showering, dressing, walking, feeding themselves, personal hygiene and going to the bathroom. Vinson Hall includes amenities like: parking, meals supervised by dietitian and massage therapy.
The Haven Assisted Living @ Studley
The Haven Assisted Living @ Studley is an affordable assisted living home located in Mechanicsville, Virginia. It has a total of 8 assisted living units. The Haven Assisted Living @ Studley can be found at 7436 Studley Road, in the 23116 zip code area. It assists retired adults living in Hanover County with ADLs such as taking a shower and assistance with dressing. Some amenities you can find at The Haven Assisted Living @ Studley include a library, regular health checkup and transportation.
Bell's Residential Adult Care Home
Situated at 3720 Deep Creek Boulevard, inside 23702 zip code area, Bell's Residential Adult Care Home provides senior assisted living in Portsmouth, VA to senior citizens who reside in Portsmouth City County. Bell's Residential Adult Care Home provides amenities that include wellness center, staff awake 24/7 and individualized dining assistance. It can provide board and care to up to 30 Portsmouth City County residents.
The Haven Assisted Living @ Eleanor
The Haven Assisted Living @ Eleanor is a pet friendly senior assisted living facility located at 7472 Eleanor Drive, 23111 zip code. Up to 8 elderly adults who need a personal care home in Hanover County can take advantage of assisted living services offered by The Haven Assisted Living @ Eleanor. This senior care home provides amenities like assistance with relocating to the community and incontinence assistance, three meals every day, and internet access.
Avalon House On Woodland Drive
Avalon House On Woodland Drive provides senior assisted living in Fairfax county, Virginia. It offers a total of 8 shared and private one bedrooms and studios for 55 and older adults. Avalon House On Woodland Drive includes features such as case management and education activities, and it can also provide assistance with bathing, dressing, moving from one place to another, self-feeding, personal hygiene and using the bathroom to any 55 and older adults living in Falls Church, VA and Fairfax County. Avalon House On Woodland Drive is situated at 6809 Woodland Drive, 22046.
For 55 and over adults who are looking for assisted living in Arlington, Virginia, The Jefferson is a great upscale residential care facility that includes parking for family members and recreational activities. It has a total capacity of 75 assisted living units and also provides transportation. The Jefferson offers assisted living services not just to Arlington older adults, but also to all Arlington County seniors.
Sunrise Of Fairfax
If your loved one needs help with daily living assistance, you should consider Sunrise Of Fairfax, an assisted living facility in Fairfax, Virginia located at 9207 Arlington Boulevard, 22031 zip code area. It includes services like monthly check-ups by a registered nurse, regular health assessment and bathroom reminders. Sunrise Of Fairfax provides assisted living in Fairfax County to up to 60 older adults.
The Haven Assisted Living@cold Harbor
The Haven Assisted Living@cold Harbor provides senior assisted living in Hanover County to up to 8 55 and older adults at a time. The Haven Assisted Living@cold Harbor is situated at 6367 Cold Harbor Road in the 23111 zip code area. As part of it personal care package, it provides services like fun arts & crafts, special dietary menus and personal laundry.
Hilltop, located at 111 Denny Lane, Winchester, Virginia, 22603 provides assisted living for seniors residing in Frederick County and nearby areas. Hilltop has a maximum capacity of 96 assisted living residences. A few of its features include housekeeping and a theater room.
Brookdale Roanoke is an assisted living facility in Roanoke, Virginia, providing care and housing to senior citizens who require help with bathing, dressing, functional mobility, self feeding and using the bathroom. Its maximum accommodation capacity is 56 assisted living apartments. Brookdale Roanoke offers amenities such as a movie theater, full activities program and dietary requirements accommodation.
All Cities and Counties in Virginia with Assisted Living Options
- Accomack County
- Albemarle County
- Alleghany County
- Arlington County
- Augusta County
- Bedford County
- Botetourt County
- CEDAR BLUFF
- Campbell County
- Chesterfield County
- Clarke County
- Culpeper County
- Dinwiddie County
- FALLS CHURCH
- FRONT ROYAL
- Fairfax County
- Fauquier County
- Franklin County
- Frederick County
- Gloucester County
- Grayson County
- Greene County
- HIGHLAND SPRINGS
- Halifax County
- Hanover County
- Henrico County
- Henry County
- James City County
- Lancaster County
- Loudoun County
- Madison County
- Mecklenburg County
- Montgomery County
- NEW MARKET
- NEWPORT NEWS
- Nottoway County
- Orange County
- Page County
- Patrick County
- Prince Edward County
- Prince William County
- Pulaski County
- ROCKY MOUNT
- Richmond County
- Roanoke County
- Rockbridge County
- Rockingham County
- Russell County
- SOUTH BOSTON
- SOUTH HILL
- Shenandoah County
- Smyth County
- Stafford County
- Tazewell County
- VIRGINIA BEACH
- Warren County
- Washington County
- Wise County
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