State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 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
27
Citations on file
Since September 2021
4
VDSS visits
2 routine inspections
7
Building-related
Physical plant · emergency

Position within Virginia

27 citations — more than 64% 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 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.

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 facility27Virginia median18
Citations on file over 5 years, compared
MeasureCitations
This facility27
Median facility in Virginia18

Visit history

Citations at each VDSS visit
02022-0742023-0732024-08202025-08
Citations at each VDSS visit
VisitTypeCitations
July 22, 2022renewal inspection0
July 18, 2023monitoring inspection4
August 2, 2024renewal inspection3
August 1, 2025monitoring inspection20

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 10
  • Staffing and training 5
  • Emergency management 5
  • Records and administration 3
  • Other 4
Citations by category
CategoryCitations
Resident care10
Staffing and training5
Emergency management5
Records and administration3
Physical plant2
Food service1
Medication1

Every visit on file since September 2021

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

August 1, 2025 — monitoring inspection, 20 citations

Citations from the monitoring inspection on August 1, 2025
TagWhat VDSS checks
22VAC40-73-120Staff orientation and initial training
22VAC40-73-210Direct care staff training
22VAC40-73-250Staff records and health requirements
22VAC40-73-310Admission and retention of residents
22VAC40-73-310Admission and retention of residents
22VAC40-73-320Physical examination and report
22VAC40-73-350Sex offender information
22VAC40-73-390Resident agreement with facility
22VAC40-73-410Orientation and related information for residents
22VAC40-73-450Individualized service plans
22VAC40-73-50Disclosure
22VAC40-73-50Disclosure
22VAC40-73-550Resident rights
22VAC40-73-580Food service and nutrition
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-860General requirements
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-950Emergency preparedness and response plan
22VAC40-73-980Emergency equipment and supplies
22VAC40-73-980Emergency equipment and supplies

August 2, 2024 — renewal inspection, 3 citations

Citations from the renewal inspection on August 2, 2024
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-950Emergency preparedness and response plan
22VAC40-73-980Emergency equipment and supplies

July 18, 2023 — monitoring inspection, 4 citations

Citations from the monitoring inspection on July 18, 2023
TagWhat VDSS checks
22VAC40-73-250Staff records and health requirements
22VAC40-73-350Sex offender information
22VAC40-73-450Individualized service plans
22VAC40-90-40General requirements

July 22, 2022 — renewal inspection, nothing cited

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.