Birch Gardens Assisted Living

    12 Royal Dr, Staunton, VA 24401
    • Assisted Living

    Warm attentive staff excellent care

    I live at Birch Gardens and am very pleased - the care has improved, staff are warm, attentive and professional (Miss Rachel and the aides stand out), and medical needs like diabetes and wound care are well managed around the clock. The place feels like home with roomy, bright rooms and lovely views, home-cooked meals in a sunny dining room, activities, garden space and a welcoming front porch. Clean, safe, reasonably priced and easy to move into - I feel well cared for and comfortable here.

    Current/former resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.13·(24)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.4
    • Meals

      5.0
    • Amenities

      4.6
    • Value

      2.5

    Pros

    • Compassionate, attentive caregiving
    • 24-hour personal care availability
    • On-site clinical services (wound care, diabetes monitoring)
    • Home-cooked meals in a large sunny dining room
    • Clean, well-maintained environment
    • Spacious, bright resident rooms and bathrooms
    • Accessible bedroom and bathroom design for mobility needs
    • Multiple comfortable common areas for conversation and sitting
    • Dedicated activity room for games, crafts, and services
    • Outdoor garden and raised beds for resident use
    • Family-like, home atmosphere
    • Friendly and helpful staff
    • Strong housekeeping and maintenance
    • Reasonably priced care options
    • Welcoming entrance and attractive building
    • Wheelchair assistance and mobility support
    • Rooms with good exterior views

    Cons

    • Inconsistent administrative presence and availability
    • Limited dementia-care capability
    • Variability in clinical staffing and oversight
    • Medication-management inconsistencies
    • Budget-constrained service levels
    • Disorganized move-in and admission processes
    • Limited transparency in activity programming rationale
    • Variable performance of temporary/agency clinical staff

    Summary of reviews

    Overall impression: Birch Gardens is described primarily as a small, home-like assisted living with a strong emphasis on compassionate, personal caregiving. Many families highlight warm staff interactions, a family atmosphere, and staff willingness to assist with daily activities. The facility offers 24-hour assistance and some on-site clinical services, which contributes to a sense of safety and continuous care for many residents.

    Care and clinical services: Reviewers commonly praised hands-on care such as help with bathing, dressing, grooming, wound management, and diabetes monitoring. A wound-care specialist and clinical monitoring for chronic conditions were noted as strengths. At the same time, a subset of comments raises concerns about variability in clinical staffing, the use of temporary/agency personnel, and inconsistencies in medication administration and clinical oversight. Prospective families should verify staffing models, medication protocols, and the facility’s approach to clinical supervision.

    Staff and management: Staff are frequently described as attentive, compassionate, and personable; several reviews single out individual aides for positive attention. However, there are recurring operational concerns about administrative presence—instances where leadership availability was limited—and variability in staff qualifications or training. These patterns translate into uneven experiences for some families, so asking about leadership coverage, staff credentials, and staff turnover during a tour is advisable.

    Dining and activities: Dining is consistently mentioned as a positive attribute: home-cooked meals served in a large, sunny dining room and pleasant social dining spaces. The facility also provides an activity room used for crafts, games, and religious services, plus outdoor spaces and raised beds that support gardening and social use. While activity facilities exist and are well equipped, some reviewers recommended checking the activity calendar and understanding the rationale behind programming to ensure it matches a prospective resident’s interests and cognitive needs.

    Facilities and environment: The building is described as an attractive, well-kept older residence with spacious, bright rooms and bathrooms designed to accommodate varying mobility levels. Common areas receive positive comments for sunlight and seating options, and the grounds and garden are seen as pleasant outdoor amenities. Housekeeping and general maintenance are repeatedly noted as strengths.

    Notable patterns and recommendations: The dominant pattern is positive—compassionate staff, homelike atmosphere, good food, and clean, accessible spaces. Counterbalancing this are systemic concerns about administrative consistency, suitability for residents with dementia or significant cognitive impairment, and variability in clinical staffing and medication handling. Prospective residents and families should (1) ask specifically about dementia-care policies and whether the facility accepts residents with progressive cognitive impairment, (2) review staffing schedules and clinical oversight (including use of agency staff), (3) inspect the activity calendar and programming rationale, and (4) clarify move-in logistics and administrative points of contact to reduce the chance of coordination problems. These steps will help determine whether the facility’s strengths align with an individual resident’s care needs and expectations.

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    Location

    Map showing location of Birch Gardens Assisted Living

    Birch Gardens Assisted Living is located at 12 Royal Dr, Staunton, VA, 24401.

    About Birch Gardens Assisted Living

    Birch Gardens Assisted Living sits in Staunton, VA, and stands as a senior living community that offers a range of services for people aged 55 and older, including independent living, nursing home options, assisted living, and specialized memory care for those with dementia or Alzheimer's, so folks who need extra help can count on round-the-clock care, with staff ready to help with medication, bathing, dressing, transfers, and things like meals, housekeeping, and transportation, and actually, they've got both private and companion rooms already furnished, but residents can bring their own belongings to make the space feel more at home. The place puts a real focus on dignity and independence with support tailored to each person, plus a call system and 24-hour supervision to make sure help's always close by. Meals come prepared and served in a restaurant-style dining room, with options for allergies or diabetes, and you can find snacks and coffee in the common areas when folks want to gather by the fireplace or sit around the coffee table with a good book or a puzzle - or walk right out onto the porch or the scenic walking paths, maybe resting in the gazebo or garden. There's a good bit to do, too, like movie nights, arts and crafts, community-sponsored and resident-run activities, and time in the arts and crafts studio, so folks can keep their hands and minds busy and tuck into games and events. They welcome pets, and residents have access to a barber and salon, an on-site library, and devotional services to support different needs or beliefs. Transportation's available for both appointments and outings, and move-in coordination helps make the transition smoother, while nearby medical facilities and an on-call physician help residents feel secure. The environment stays safe and home-like, with leather furniture, wood accents, green walls, and a "Wall of Honor" in the common space, plus sunlight and cozy seating, so people can visit comfortably with neighbors or family. Birch Gardens Assisted Living earns a 5.0-star rating for these offerings, but really, people seem to appreciate the combination of caring staff, engaging activities, and comfortable living, which together make for a supportive and lively place to call home.

    People often ask...

    Birch Gardens Assisted Living offers competitive pricing, with rates starting at a cost of $4,287 per month.

    Birch Gardens Assisted Living offers assisted living.

    There are 19 photos of Birch Gardens Assisted Living on Mirador.

    The full address for this community is 12 Royal Dr, Staunton, VA 24401.

    No, Birch Gardens Assisted Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Virginia, the Department of Social Services licenses assisted living facilities and publishes the results of its routine and complaint inspections.

    License number45360
    Facility typeAssisted Living Facility
    License class2yr
    Capacity39 residents
    Care servedAssisted Living, Non-ambulatory
    ExpiresFebruary 25th, 2026
    Special certificationAssisted Living, Non-Ambulatory
    View the official license record

    Inspection Reports

    24

    Reports

    79

    Citations

    0

    Complaints

    5

    Years

    25 Feb 2026Inspection
    Identified multiple deficiencies across care planning, admission screening, medication management, staff training, emergency preparedness, and building maintenance. The findings show noncompliance with several regulations.
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(5)-320-A
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(5)-350-B
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(9)-950-E
    • 22VAC40-73-(6)-680-G
    • 22VAC40-73-(9)-990-C
    06 Nov 2025Inspection
    Identified multiple deficiencies, including insect infestations, musty odors, and interior maintenance and furnishings problems.
    • 22VAC40-73-(8)-870-D
    • 22VAC40-73-(8)-870-B
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-870-E
    29 Aug 2025Inspection
    Investigated the self-reported allegation and found no deficiencies.
    25 Jun 2025Inspection
    Investigated a consumer complaint and found deficiencies in window screening, furnishings, and interior cleanliness/repair, with a violation notice issued.
    • 22VAC40-73-(8)-860-D
    • 22VAC40-73-(8)-870-E
    • 22VAC40-73-(8)-870-A
    02 Jun 2025Inspection
    Found multiple deficiencies across administration, safety, staffing, and resident care. Missing or incomplete records and unsafe practices were noted, including fire drill records, care planning, posting, emergency preparedness, and background checks.
    • 22VAC40-73-(9)-970-E
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(4)-290-B
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(5)-350-B
    • 22VAC40-73-(9)-990-C
    • 22VAC40-73-(4)-280-A
    • 22VAC40-73-(9)-950-E
    • 22VAC40-73-(6)-680-G
    • 22VAC40-73-(6)-710-D
    • 22VAC40-73-(6)-710-C
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-860-I
    • 63.2-(17)-1720-C-2
    14 May 2025Inspection
    Investigated the complaint and found no deficiencies related to resident care and related services.
    28 Feb 2025Inspection
    Investigated the self-reported concerns and found no deficiencies.
    12 Dec 2024Inspection
    Identified deficiencies in incident notification, care planning, and supervision related to resident safety. Failures to notify families/APS, include signaling device limitations in care plans, update plans over time, and provide adequate supervision were found.
    • 22VAC40-73-(6)-460-F
    • 22VAC40-73-(8)-930-D
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(6)-460-D
    21 Nov 2024Inspection
    Investigated a complaint and found several deficiencies in staff certifications, medication administration, record storage, and building safety, with a violation notice issued.
    • 22VAC40-73-(3)-260-C
    • 22VAC40-73-(6)-670-2
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(6)-560-E
    • 22VAC40-73-(8)-860-I
    15 Oct 2024Inspection
    Investigated a complaint of resident-on-resident abuse and found failures in mandated reporting, timely incident reporting, and cross-shift communication, resulting in violations.
    • 22VAC40-73-(3)-130-A
    • 22VAC40-73-(2)-70-A
    • 22VAC40-73-(4)-300-B
    01 Jul 2024Inspection
    Investigated a complaint and found deficiencies in medication documentation, MAR transcription, and incident reporting.
    • 22VAC40-73-(6)-680-H
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(2)-70-A
    31 May 2024Inspection
    Investigated a complaint about resident care and found no deficiencies.
    22 Apr 2024Inspection
    Identified violations for failing to report an incident, failing to update hospice status in the service plan, and failing to communicate significant events to staff across shifts.
    • 22VAC40-73-(3)-130-A
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(4)-300-B
    16 Feb 2024Inspection
    Found a deficiency in coordinating the ISP with Hospice care.
    • 22VAC40-73-(6)-450-D
    16 Mar 2023Inspection
    Found no deficiencies. The visit served as a follow-up monitoring of the prior renewal activity.
    24 Jan 2023Inspection
    Investigated a complaint and found no deficiencies in administration or buildings and grounds.
    23 Jan 2023Inspection
    Found deficiencies in housekeeping and activities scheduling, including weekly deep cleaning not performed and insufficient daily activities.
    • 22VAC40-73-(6)-450-H
    • 22VAC40-73-(6)-520-E
    23 Jan 2023Inspection
    Identified multiple deficiencies across nutrition, care planning, safety, and medication management, resulting in violations cited.
    • 22VAC40-73-(6)-610-C
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(6)-620-A
    • 22VAC40-73-(9)-970-E
    • 22VAC40-73-(6)-700-1
    • 22VAC40-73-(6)-680-E
    • 22VAC40-73-(5)-310-M
    • 22VAC40-73-(6)-680-I
    06 Oct 2022Inspection
    Identified deficiencies in medication management and storage of scheduled II medications, including an unaccounted morphine box and incomplete counts.
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-660-A-2
    06 Oct 2022Inspection
    Investigated the complaint and found no deficiencies.
    28 Jul 2022Inspection
    Found deficiencies in medication administration, ISP compliance, and MAR documentation.
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(6)-450-H
    • 22VAC40-73-(6)-680-I
    16 May 2022Inspection
    Found deficiencies in medication administration record documentation, including missing entries and incomplete insulin records across multiple residents.
    • 22VAC40-73-(6)-680-I
    23 Mar 2022Inspection
    Found multiple deficiencies in care planning, medication management, safety procedures, and staff documentation. Violations included ISPs missing assessed needs, infrequent medication reviews, incomplete fire drills, and improper labeling and administration of medications.
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(6)-690-B
    • 22VAC40-73-(9)-970-A
    • 22VAC40-73-(6)-650-B
    • 22VAC40-73-(6)-680-G
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(3)-260-C
    • 22VAC40-73-(4)-290-A
    • 22VAC40-73-(6)-680-D
    16 Nov 2021Inspection
    Investigated a complaint and found that family notification after a resident fall was incomplete, and several major incidents were not reported to licensing within 24 hours.
    • 22VAC40-73-(6)-460-F
    • 22VAC40-73-(2)-70-A

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    Mirador Living is not affiliated with the owner or operator(s) of Birch Gardens Assisted Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Birch Gardens Assisted Living directly. There is no cost for this service. We are compensated by the community you select.

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