State assisted-living licensing record · Virginia VDSS · record as pulled November 3, 2026· Not the federal nursing home survey
Mission House
516 W. Spotswood Trail, Elkton, VA 22827 · Rockingham County · 22 licensed beds
VDSS licence ID 42231 · licence 1104580 · licensed for two years through July 31, 2026
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- Two-year licence, expires July 31, 2026
- Licensed for
- residential living care only; ambulatory residents only
Position within Virginia
52 citations — more than 84% of the 579 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 Mission House
One email when it happens, from the VDSS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 22VAC40-73-860 General requirementsAugust 5, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsAugust 5, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsAugust 5, 2026
- 22VAC40-73-950 Emergency preparedness and response planAugust 5, 2026
- 22VAC40-73-950 Emergency preparedness and response planAugust 5, 2026
- 22VAC40-73-970 Fire and emergency evacuation drillsAugust 5, 2026
- 22VAC40-73-980 Emergency equipment and suppliesAugust 5, 2026
- 22VAC40-73-980 Emergency equipment and suppliesAugust 5, 2026
- 22VAC40-73-980 Emergency equipment and suppliesAugust 5, 2026
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseAugust 5, 2026
- 22VAC40-73-860 General requirementsAugust 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsAugust 1, 2025
- 22VAC40-73-950 Emergency preparedness and response planAugust 1, 2025
- 22VAC40-73-980 Emergency equipment and suppliesAugust 1, 2025
- 22VAC40-73-980 Emergency equipment and suppliesAugust 1, 2025
- 22VAC40-73-950 Emergency preparedness and response planAugust 2, 2024
- 22VAC40-73-980 Emergency equipment and suppliesAugust 2, 2024
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 52 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| July 22, 2022 | renewal inspection | 0 |
| July 18, 2023 | monitoring inspection | 4 |
| August 2, 2024 | renewal inspection | 3 |
| August 1, 2025 | monitoring inspection | 20 |
| August 5, 2026 | renewal inspection | 25 |
What the citations cover
- Resident care 14
- Emergency management 12
- Staffing and training 9
- Medication 5
- Other 12
| Category | Citations |
|---|---|
| Resident care | 14 |
| Emergency management | 12 |
| Staffing and training | 9 |
| Medication | 5 |
| Physical plant | 5 |
| Records and administration | 5 |
| Food service | 1 |
| Uncatalogued tags | 1 |
Every visit on file since November 2021
As published by VDSS, newest first, including visits that cited nothing. The wording is VDSS’s own.
August 5, 2026 — renewal inspection, 25 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-200 | Direct care staff qualifications |
| 22VAC40-73-280 | Staffing |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-330 | Mental health screening |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-70 | Incident reports |
| 22VAC40-73-700 | Oxygen therapy |
| 22VAC40-73-720 | Do Not Resuscitate Orders |
| 22VAC40-73-740 | Personal possessions |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
| 22VAC40-73-980 | Emergency equipment and supplies |
| 22VAC40-73-980 | Emergency equipment and supplies |
| 22VAC40-73-980 | Emergency equipment and supplies |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
| 22VAC40-80-120 | Terms of the license |
| 63.2-1701 | 63.2-1701 |
August 1, 2025 — monitoring inspection, 20 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-120 | Staff orientation and initial training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-410 | Orientation and related information for residents |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-50 | Disclosure |
| 22VAC40-73-50 | Disclosure |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-580 | Food service and nutrition |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-980 | Emergency equipment and supplies |
| 22VAC40-73-980 | Emergency equipment and supplies |
August 2, 2024 — renewal inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-980 | Emergency equipment and supplies |
July 18, 2023 — monitoring inspection, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-90-40 | General requirements |
July 22, 2022 — renewal inspection, nothing cited
Reflects the VDSS record as pulled November 3, 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.