Hermitage in Roanoke offers both Assisted Living and Independent Living, allowing residents to choose the level of day-to-day support that best fits their needs. Short-term respite stays are available, and staff are trained to assist with diabetes management and coordinate on-site doctor visits. An emergency call system is in place, and the property includes safety and handicap features as well as a wander-guard option for residents who may require it.

Around-the-clock nursing care, medication management, and personal care assistance form the core of medical support. Residents have access to occupational and physical therapists, speech therapy, podiatry services, ambulatory and incontinence care, and memory care. Hospice services are available when needed, and staff can accommodate complex medication regimens. A pet-focused program is also offered, and laundry and dry-cleaning services are handled by the community.

Apartment options range from studios to one-bedroom floor plans. Select residences include kitchenettes, wheelchair-accessible showers, and in-unit washers and dryers, though not every unit has all features. Indoor common areas, outdoor courtyards, and a covered patio give residents several places to relax, and parking is available for those who drive.

Meals are served restaurant-style in a communal dining room with menu choices that accommodate low-sodium, no-added-sugar, gluten-free, vegetarian, and other allergen-free diets. Healthy snacks are available throughout the day, and the culinary staff can adjust portions and textures to meet individual dietary requirements.

Residents can take advantage of an exercise room, swimming pool, and scheduled fitness programs. Additional amenities include an activity center, library and computer lounge, arts and crafts sessions, woodworking shop, live performances, and on-site social, educational, holiday, and birthday events, along with organized outings in the Roanoke area.