How many assisted living facilities are licensed in Hanover County, Virginia?
VDSS lists 22 licensed assisted living facilities in Hanover County, licensed for 637 residents in total (from 5 to 120 each, median 8); 4 include a special care unit and 6 are licensed for residential living care only.
Mailing addresses on the roster: Mechanicsville (21), Ashland (1). The Town of Ashland and the Route 1 side of the county have very little licensed assisted living compared with Mechanicsville.
| Capacity | Licensed facility | Mailing city / ZIP | Memory care | VDSS inspections since Oct 2024 |
|---|---|---|---|---|
| 120 residents | Sancerre Atlee Station | Mechanicsville 23116 | Secure dementia unit | 4 inspections, 0 with violations |
| 113 residents | The Harmony Collection @ Hanover Assisted Living and Memory Care | Mechanicsville 23116 | Secure dementia unit | 15 inspections, 6 with violations |
| 96 residents | Heritage Green Assisted Living | Mechanicsville 23111 | Secure dementia unit | 8 inspections, 3 with violations |
| 80 residents | Hanover Manor | Ashland 23005 | — | 1 inspection, 1 with violations |
| 60 residents | Covenant Woods | Mechanicsville 23111 | Secure dementia unit | 4 inspections, 3 with violations |
| 52 residents | The Harmony Collection @ Hanover [IL/AL] | Mechanicsville 23116 | — | 2 inspections, 2 with violations |
| 8 residents | Cha Cha's Care Home, LLC | Mechanicsville 23111 | — | 3 inspections, 1 with violations |
| 8 residents | Covenant Columns | Mechanicsville 23116 | — | 4 inspections, 3 with violations |
| 8 residents | Covenant Columns at Cudlipp | Mechanicsville 23116 | — | 3 inspections, 3 with violations |
| 8 residents | Glow Cares Assisted Living Facility | Mechanicsville 23116 | — | 2 inspections, 2 with violations |
| 8 residents | Living Green Assisted Home Care, LLC | Mechanicsville 23111 | — | 0 inspections, 0 with violations |
| 8 residents | The Haven Assisted Living @ Eleanor | Mechanicsville 23111 | — | 2 inspections, 2 with violations |
| 8 residents | The Haven Assisted Living @ Studley | Mechanicsville 23116 | — | 2 inspections, 2 with violations |
| 8 residents | The Haven Assisted Living@Cold Harbor | Mechanicsville 23111 | — | 2 inspections, 1 with violations |
| 8 residents | YAMA Services, LLC | Mechanicsville 23116 | — | 3 inspections, 2 with violations |
| 8 residents | Yama Services #2 | Mechanicsville 23116 | — | 5 inspections, 3 with violations |
| 7 residents | One on One Family and Friends, LLC | Mechanicsville 23111 | — | 5 inspections, 2 with violations |
| 7 residents | The Haven Assisted Living @ Lakeway | Mechanicsville 23111 | — | 2 inspections, 2 with violations |
| 6 residents | Brookhaven Residential LLC | Mechanicsville 23111 | — | 2 inspections, 0 with violations |
| 6 residents | The Haven Assisted Living @ Dijon | Mechanicsville 23116 | — | 2 inspections, 1 with violations |
| 5 residents | Cha Cha's Care Home, LLC #2 | Mechanicsville 23111 | — | 2 inspections, 0 with violations |
| 5 residents | Luso Care Home LLC | Mechanicsville 23111 | — | 4 inspections, 1 with violations |
Why are almost all of Hanover County's assisted living facilities in Mechanicsville?
Mechanicsville is Hanover's most suburban area, close to Henrico and to Bon Secours Memorial Regional Medical Center on Atlee Road, and the Hanover roster is dominated by small licensed homes there, many with eight or fewer residents, alongside a handful of larger communities.
Small homes can be a good fit for someone who does better in a quiet household with the same few caregivers, but staffing depth is thinner. Visit during a shift change and in the evening, and ask how the home covers a caregiver's sick day.
Families in Ashland, Montpelier or the northern end of the county often find that the closest larger community is in Mechanicsville or in Glen Allen across the Henrico line.
How far do Hanover families usually look for memory care?
Because Hanover has only a few licensed special care units, many Hanover families compare secured memory care in Mechanicsville with the larger concentration in western Henrico, a drive of roughly twenty to thirty minutes depending on where in the county they live.
Before widening the search, check whether the dementia diagnosis and current behaviors actually call for a secured unit. Some people in early-stage dementia live safely in a regular assisted living setting for a time, which opens up more options closer to home.
Which nursing homes serve Hanover County and how does CMS rate them?
CMS Care Compare assigns 4 certified nursing homes with 541 certified beds to Hanover County; CMS's overall ratings there run from 1 to 4 stars.
| Nursing home | Certified beds | CMS overall rating | CMS health inspection | CMS staffing | Last standard survey | Health deficiencies (last cycle) | Fines (3 yrs) |
|---|---|---|---|---|---|---|---|
| Ashland Nursing and Rehabilitation 906 Thompson Street, Ashland | 190 | 1 of 5 | 1 of 5 | 3 of 5 | Feb 9, 2024 | 81 | $36,491 |
| Autumn Care of Mechanicsville 7600 Autumn Parkway, Mechanicsville | 169 | 3 of 5 | 2 of 5 | 3 of 5 | Feb 26, 2025 | 16 | $10,358 |
| Covenant Woods Nursing Home 7090 Covenant Woods Drive, Mechanicsville | 62 | 4 of 5 | 4 of 5 | 3 of 5 | Mar 13, 2024 | 5 | $0 |
| Hanover Health and Rehabilitation Center 8139 Lee Davis Road, Mechanicsville | 120 | 2 of 5 | 3 of 5 | 1 of 5 | Mar 6, 2026 | 5 | $14,901 |
Ratings are CMS's own; see the full list on our nursing home directory.
Which hospitals do Hanover County seniors use?
The Virginia Department of Health directory places these hospitals closest to Hanover County: Bon Secours Memorial Regional Medical Center at 8260 Atlee Road, Mechanicsville 23116; Bon Secours St. Mary's Hospital at 5801 Bremo Road, Richmond 23226; HCA Henrico Doctors' Hospital - Forest at 1602 Skipwith Road, Richmond 23229; HCA Henrico Doctors' Hospital - Parham at 7700 East Parham Road, Richmond 23229.
Memorial Regional in Mechanicsville is the county's main acute hospital; northern Hanover families also use Henrico's West End hospitals.
Where can Hanover County families get free help with aging and long-term care?
Hanover County is served by Senior Connections, The Capital Area Agency on Aging (804-343-3000, 1300 Semmes Avenue, Richmond, VA 23224), which also houses the long-term care ombudsman for the area; Adult Protective Services reports go to the Hanover County Department of Social Services or the statewide line at (888) 832-3858.
Hanover residents use Senior Connections - The Span Center for aging services and the Hanover County Department of Social Services for Medicaid, Auxiliary Grant and APS.
| Residential living care | Assisted living care | |
|---|---|---|
| Help needed | Dependency in no more than one daily activity | Dependency in two or more daily activities |
| Licensed facilities in Hanover County | 6 | 16 |
| Capacity in Hanover County | 39 | 598 |
| Not the same as | Independent living | Skilled nursing |
Last verified: October 2026
