Commonwealth Senior Living at Hillsville
Luxury senior living suites starting at $4,590.
Welcome to Commonwealth Senior Living at Hillsville
Tucked just outside the farming community of Hillsville and surrounded by rolling hills, Commonwealth Senior Living at Hillsville offers a peaceful retreat with deep local roots. Here, life unfolds at a thoughtful pace, with familiar routines, mountain views, and a team that treats every resident like their own family.
But don’t just take our word for it. We’re proud to have been recognized by U.S. News and World Report as Best Assisted Living in Hillsville, Virginia for 2021, 2022, 2024 and 2025, Best Memory Care in Hillsville, Virginia for 2024 and 2025, and the Carroll News as the best Alzheimer’s/Memory Care, Assisted Living Community, and Retirement Community in 2025!
Proudly Recognized As
Best Assisted Living by U.S. News & World Report for 2026, 2025, 2024, 2022, & 2021
Best Memory Care by U.S. News & World Report for 2024 and 2025
Best Alzheimer's/Memory Care, Assisted Living Community, and Retirement Community by the Carroll News for 2025
Levels of Living Provided at Hillsville

Assisted Living
Assisted Living provides the peace of mind that comes with dignified, personalized support delivered by our specially trained team members on site 24/7. Blended with enriching programs and chef-prepared dining, our residents are able to focus on what matters most to them - living their best lives.
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Memory Care
Our Sweet Memories™ program delivers the highest quality of care, consistency, and connection for seniors living with memory loss. Families gain peace of mind knowing their loved one is safe and supported — and residents experience meaningful moments every day.
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Short Term Stays
Whether recovering from a hospital visit or exploring senior living for the first time, our short-term stay options provide professional care, companionship, and all the luxuries of community living, without a long-term commitment.
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Helping Families See the Full Financial Picture
Life at Commonwealth Senior Living at Hillsville
- 9:00 am: Thai Chi with Tara
- 10:00 am: Mynd Immersive Virtual Reality Experience
- 11:00 am: SingFit
- 2:00 pm: Backyard Botanicals
- 3:00 pm: Wine and Design
- 4:00 pm: Life Story Reminisce

- 24-Hour Emergency Call System
- Assistance with Bathing
- Assistance with Dining
- Assistance with Dressing
- Assistance with Toileting
- Award-winning Sweet Memories™ Program
- Companion Living: variety of suites and floor plans
- Daily Activities, Trips, & Social Programs
- Daily Housekeeping and Weekly Linen Services
- Farm-to-Table Dining
- Individualized Care Plans
- Landscaped Garden & Patio
- Medication Management
- Pet Friendly (Cats and Dogs under 25 lbs)
- Private & Companion Suites Available
- Private: variety of suites and floor plans
- Several Levels of Care To Age in Place
- Short-Term Respite Stays
- Specially Trained Associates On Site 24/7
- Travel the World Program
- Weekly Housekeeping Linens

What our Families are Saying
FAQs
Our Community FAQs
What types of care are offered at Commonwealth Senior Living at Hillsville?
We offer Assisted Living, Memory Care through our Sweet Memories™ program, and Short-Term Stays for those needing transitional support.
How much does senior living cost at Commonwealth Senior Living at Hillsville?
Pricing varies based on the level of care and suite style, with our pricing starting at $4,590. Our team can provide a personalized quote during your visit or phone consultation.
Is Commonwealth Senior Living at Hillsville pet-friendly?
Yes, residents in select levels of care may bring a small pet with them. Please ask about size and breed restrictions. The resident should be able to care for the pet or arrange outside services to support.
What hospitals or medical services are nearby?
Our Hillsville community is located near Twin County Regional Hospital in Galax and Carilion New River Valley Medical Center, with several local clinics also close by.
What makes our community unique in the Hillsville area?
Perched in the scenic Blue Ridge Mountains, Commonwealth Senior Living at Hillsville offers residents a warm, small-town atmosphere paired with compassionate care. The beautiful mountain views and friendly community make this location truly special.
Can residents attend events in and around Hillsville?
Yes! Residents enjoy local festivals, scenic drives along the Blue Ridge Parkway, and trips into downtown Hillsville for shopping and dining. The natural beauty of the area makes outings especially memorable.
How is Memory Care provided at this location?
Our Sweet Memories™ program offers a secure, supportive environment tailored to individuals living with Alzheimer’s disease or other forms of dementia. Care plans are personalized and updated regularly.
Is there a waitlist for Commonwealth Senior Living at Hillsville?
Availability can change quickly based on demand and level of care. We encourage families to reach out early to explore options. Our team can guide you through the next steps and help you plan ahead with confidence.
How do I schedule a tour of Commonwealth Senior Living at Hillsville?
You can schedule a Day in the Life or contact our team at 276-266-9091 to arrange your visit.
Can I bring my pet to the community?
Yes! The number, size and type of pets allowed is determined by each community & requires a $500 deposit fee which is refundable under the terms of the deposit agreement. The resident should be able to care for the pet or arrange outside services to support.
What is the food like at Commonwealth Senior Living?
We are proud of many award-winning dining programs at Commonwealth Senior Living, including Farm to Table Dining that brings fresh, local produce to our resident’s plates, and Today from the Bay, that includes fresh, local seafood. We also use a Registered Dietician to help us create well-balanced menus with tons of variety for our communities. In addition to these, we encourage our residents to offer feedback and direction to our menu creation for each community, reflecting their preferences and regional flare.
Will I be able to access Wi-Fi at the community?
Yes, wi-fi is available to all residents.
What will my suite look like?
Since our suites are unfurnished, you have the freedom to bring along your own furniture and cherished belongings when you move in. This way, you can personalize and style your suite to your preferences.
What does aging in place mean?
Aging in place means that while your needs may change, your address doesn’t have to. Commonwealth Senior Living provides multiple levels of care from simple medication management to a full memory care neighborhood with 24-hour support.
Cost Calculator
Our pricing is simple and straightforward, giving you the clarity you need to make the best decision for your family.
Life at Commonwealth Senior Living at Hillsville
Commonwealth Senior Living at Hillsville is serenely nestled in a scenic rural setting where our residents can have peace of mind that goes along with...
Get in Touch
Our team is always here to help with any questions you may have. Use the form below to get in touch today. Please submit all job inquiries on our Careers page.
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