Welcome to Commonwealth Senior Living at Hillsville

Set amid the rolling hills just outside the farming community of Hillsville, Virginia, Commonwealth Senior Living at Hillsville offers a peaceful, small-town atmosphere paired with compassionate care and a close-knit community feeling. Residents enjoy sweeping mountain views, familiar daily rhythms, and the warmth of a team that treats everyone like family. With the calming ambiance of rural living — plus modern comforts — this community provides a truly serene and welcoming place to call home.

Living Options & Care Tailored to You

Whether you’re looking for a supportive lifestyle now or anticipating the need for more care later, Commonwealth Senior Living at Hillsville offers several living options designed to adapt as needs change — helping residents age in place without moving to a new location.

Assisted Living

For seniors who benefit from help with everyday tasks but still value independence and connection, the Assisted Living program provides dignified, respectful support around the clock. Staff are on-site 24/7, delivering personalized care plans that might include help with bathing, dressing, toileting, or dining — all while preserving the resident’s sense of autonomy and dignity. Because chores like housekeeping and linen care are handled for residents, there’s more freedom to focus on hobbies, friendships, and meaningful activities.

Memory Care — Sweet Memories™ Neighborhood

When memory loss or dementia becomes part of the journey, the Sweet Memories™ neighborhood offers a secure, supportive, and thoughtfully designed environment. Caregivers here are specially trained in dementia care, including advanced dementia education and certified practices, to ensure each resident is honored for who they are. The focus is on continuity, comfort, and human connection — with familiar routines, consistent caregivers, and common spaces designed to feel homey rather than institutional.

Residents benefit from:

  • Secure entrances/exits and emergency-call systems for safety and peace of mind
  • Personalized care plans that evolve with changing needs
  • Signature programs designed to maintain engagement, spark memory, and foster belonging
  • A warm, calm environment with familiar faces and supportive staff who prioritize dignity and respect

Short-Term Stays & Respite Care

For seniors transitioning out of a hospital stay, or for families testing the waters of senior living for the first time, short-term stays or respite care give a chance to experience community living — complete with support, companionship, and all the comforts of home — without a long-term commitment. It’s a flexible option for those who need professional care temporarily, or want a trial period to see if the community fits their lifestyle.

Daily Life, Community, and Comfort

Life at Hillsville isn’t defined by checklists — it’s shaped by real rhythms, meaningful connection, and thoughtful details that help residents feel at home. Whether over a meal, during a class, or simply relaxing in a landscaped garden, every moment is an opportunity for community, comfort, and joy.

Some of the daily comforts and lifestyle features include:

  • Private or companion suites (all with private baths), allowing residents to bring their own furniture and personal touches to make their space their own
  • Farm-to-Table dining prepared by a professional chef — focusing on fresh, seasonal ingredients, with menu options tailored to individual dietary needs or preferences
  • Scheduled transportation for errands, appointments or outings, plus a calendar full of engaging programs and social events
  • Weekly housekeeping and linen service, so residents never need to worry about chores
  • Pet-friendly policy (for cats or dogs under 25 lbs), giving many a chance to bring along a beloved companion
  • Peaceful, landscaped outdoor spaces — gardens, patios, and walkways perfect for quiet reflection or friendly walks

A Community Recognized for Excellence

Commonwealth Senior Living at Hillsville isn’t just a welcoming place — it’s also been recognized by multiple independent authorities for quality and care. The community has earned “Best Assisted Living” honors from U.S. News & World Report in 2021, 2022, 2024, and 2025, and “Best Memory Care” recognition in 2024 and 2025. Most recently, in 2025, the Carroll News named it the top community in Hillsville for Alzheimer’s and Memory Care, Assisted Living, and overall senior living. These awards reflect a commitment to high standards, compassionate care, and consistent excellence over time.

Why Families and Residents Often Choose Hillsville

What often sets this community apart is the whole package — a blend of rural charm, secure and attentive care, and a lifestyle that feels like home rather than a facility. Families frequently comment on how caring and responsive the staff are; how residents seem happier, more engaged, and more at peace; and how easy transitions are when needs change. It’s a place where dignity, freedom, and support coexist — and where the view of the Blue Ridge Mountains becomes part of daily life.

If You’re Considering Commonwealth Senior Living at Hillsville

This community may be a strong fit if you value:

  • A friendly, close-knit environment where residents know one another and staff know your name
  • The flexibility to start with light support and move to more comprehensive care without having to change residences
  • Thoughtful programs that respect individual life stories, encourage social connection, and foster a sense of purpose
  • Comfortable living with modern conveniences, fresh meals, and maintenance taken care of — so you or your loved one can focus on enjoying life
  • The peace of mind that comes from award-winning care and a community that’s earned its reputation through years of dedicated service