State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey

Valley ALF Operator LLC

940 East Lee Hwy, Chilhowie, VA 24319 · Smyth County · 26 licensed beds

VDSS licence ID 46293 · licence 1104878 · licensed for one year through February 17, 2027

The licence

Licensed by VDSS · Assisted Living Facility

Licence details, as listed by VDSS
Licence term
One-year licence, expires February 17, 2027
Licensed for
assisted living care; non-ambulatory residents
40
Citations on file
Since September 2021
10
VDSS visits
4 routine inspections
13
Building-related
Physical plant · emergency

Position within Virginia

40 citations — more than 77% of the 575 licensed assisted living facilities in Virginia. Compared only within Virginia: a citation from VDSS means what it means in Virginia, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire and life safety inspection, severity, and enforcement. The fire inspection of a Virginia assisted living facility is the State Fire Marshal's or the local fire official's and is not published; what VDSS itself cites about the building — its buildings-and-grounds, fire safety and emergency preparedness standards — is here. VDSS assigns no severity to a violation, and the facility's plan of correction is not republished. Sanctions, civil penalties and licence actions are recorded separately and not republished. VDSS publishes no first-licence date; a facility appears on the newly licensed page by the date of its initial inspection where the record shows one. Adult day centers and children's facilities are other licence types and are not included.

Get an email about Valley ALF Operator LLC

One email when it happens, from the VDSS record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

How that compares

Citations on file over 5 years

Compared with the median licensed assisted living facility in Virginia. Within-state only.

This facility40Virginia median18
Citations on file over 5 years, compared
MeasureCitations
This facility40
Median facility in Virginia18

Visit history

Citations at each VDSS visit
62021-1232022-0262023-0202023-0432024-0112024-0702024-10142025-0172026-01
Citations at each VDSS visit
VisitTypeCitations
December 14, 2021renewal inspection6
February 28, 2022complaint investigation3
February 8, 2023monitoring inspection6
April 17, 2023monitoring inspection0
January 25, 2024renewal inspection3
July 12, 2024monitoring inspection1
October 31, 2024monitoring inspection0
October 31, 2024monitoring inspection0
January 15, 2025renewal inspection14
January 14, 2026renewal inspection7

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 13
  • Physical plant 10
  • Medication 5
  • Records and administration 5
  • Other 7
Citations by category
CategoryCitations
Resident care13
Physical plant10
Medication5
Records and administration5
Staffing and training4
Emergency management2
Life safety1

Every visit on file since September 2021

As published by VDSS, newest first, including visits that cited nothing. The wording is VDSS’s own.

January 14, 2026 — renewal inspection, 7 citations

Citations from the renewal inspection on January 14, 2026
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-710Restraints
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-980Emergency equipment and supplies

January 15, 2025 — renewal inspection, 14 citations

Citations from the renewal inspection on January 15, 2025
TagWhat VDSS checks
22VAC40-73-210Direct care staff training
22VAC40-73-250Staff records and health requirements
22VAC40-73-310Admission and retention of residents
22VAC40-73-350Sex offender information
22VAC40-73-390Resident agreement with facility
22VAC40-73-390Resident agreement with facility
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-520Activity and recreational requirements
22VAC40-73-550Resident rights
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-920Toilet, face/hand washing, and bathing facilities
22VAC40-73-940Fire safety: compliance with state regulations and local fire ordinances
22VAC40-73-960Fire and emergency evacuation plan

October 31, 2024 — monitoring inspection, nothing cited

October 31, 2024 — monitoring inspection, nothing cited

July 12, 2024 — monitoring inspection, 1 citation

Citations from the monitoring inspection on July 12, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions

January 25, 2024 — renewal inspection, 3 citations

Citations from the renewal inspection on January 25, 2024
TagWhat VDSS checks
22VAC40-73-250Staff records and health requirements
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-870Maintenance of buildings and grounds

April 17, 2023 — monitoring inspection, nothing cited

February 8, 2023 — monitoring inspection, 6 citations

Citations from the monitoring inspection on February 8, 2023
TagWhat VDSS checks
22VAC40-73-260First aid and CPR certification
22VAC40-73-50Disclosure
22VAC40-73-700Oxygen therapy
22VAC40-73-750Resident rooms
22VAC40-73-860General requirements
22VAC40-73-880Heating, ventilation, and cooling

February 28, 2022 — complaint investigation, 3 citations

Citations from the complaint investigation on February 28, 2022
TagWhat VDSS checks
22VAC40-73-860General requirements
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-870Maintenance of buildings and grounds

December 14, 2021 — renewal inspection, 6 citations

Citations from the renewal inspection on December 14, 2021
TagWhat VDSS checks
22VAC40-73-310Admission and retention of residents
22VAC40-73-350Sex offender information
22VAC40-73-380Resident personal and social information
22VAC40-73-390Resident agreement with facility
22VAC40-73-410Orientation and related information for residents
22VAC40-73-50Disclosure

Reflects the VDSS record as pulled September 22, 2026. A recent visit may not appear yet. This is the Virginia state licensing record; it is not the federal nursing home survey and the two are never combined.