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ElderCareCosts
Updated August 2026

Assisted Living in Salem, Virginia

Salem, VA has 4 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $6,646/mo. That's below the Virginia state median by about 4%.

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Median monthly price, Salem

$6,646/mo

● Salem $6,646 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Salem

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingSalemVirginiaNational
25th percentile—$6,630/mo$5,488/mo
Median$6,646/mo$6,945/mo$6,230/mo
75th percentile$8,058/mo$7,548/mo$7,083/mo

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A dash means the underlying source can't support that figure for this area. We leave the cell empty rather than estimate around it.

Staying home instead

Home care in Salem runs about $33 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,902
44 hrs/weekMost of every weekday$6,385
24/7 (168 hrs/week)Round-the-clock coverage~$24,379

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby: Roanoke 6,646 · Blacksburg 7,167 · Bedford 6,711

What can you afford?

Here is what different monthly budgets cover in Salem.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Salem runs about $1,675 a month. Income-restricted affordable senior housing is the other common choice, and Salem has 1 such property. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $6,385 a month. The local assisted living median is $6,646 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Salem assisted living median of $6,646 a month with room to spare. It also covers close to full-time home care, about $6,385 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Salem run about $9,808 a month at the median. Around-the-clock home care usually costs more.
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4 assisted living communities in Salem

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Free local help worth saving

Salem, in Salem city, has about 25,618 residents. About 5,016 of them (20%) are 65 or older. The median household income is $66,725.

Source: US Census Bureau

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Salem more expensive than the rest of Virginia?

Salem's median assisted living cost is about 4% lower than the Virginia state median.

Find Salem care options

Tell us what you need and your budget, and we will email you licensed options right away.

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Reading up first? Assisted Living across Virginia → · Assisted Living cost across Virginia → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Salem: 2026 Costs & Licensed Providers