Mountain View Nursing Home was the second largest nursing facility in Madison County in the first quarter of 2026, Centers for Medicare and Medicaid Services (CMS) data shows.
The center reported 40 available beds—26 fewer than the average for Madison County during the same period—and served an average of 38 residents throughout the quarter.
CMS awarded Mountain View Nursing Home an overall rating of 5 out of 5, surpassing the Virginia nursing home average of 3.
Autumn Care of Madison led as the county’s largest nursing home for the quarter, providing 92 beds.
Mountain View Nursing Home recorded no fines or penalties in the first quarter of 2026.
Madison County, Virginia, had one non-profit nursing home in total.
The U.S. Census Bureau estimates that the nation’s older adult population continues to climb as younger demographics shrink. From 2020 to 2024, Americans aged 65 and older grew by 13%, while the population under 18 decreased by 1.7%. The older adult population has expanded significantly over the last century, rising from 4.9 million in 1920 to over 61 million in 2024.
A 2021 study found that nearly half of this age group—around 28 million people—could need long-term services and support, with projections indicating more than one-third may ultimately require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Autumn Care of Madison | 3 |
| 2 | Mountain View Nursing Home | 5 |
Details for this report were gathered from the Centers for Medicare and Medicaid Services. Access the source data here.


