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

Paramount Senior Living at Fredericksburg

3500 Meekins Drive, Fredericksburg, VA 22407 · Spotsylvania County · 196 licensed beds

VDSS licence ID 44815 · licence 1104732 · licensed for one year through March 31, 2027

The licence

Licensed by VDSS · Assisted Living Facility

Licence details, as listed by VDSS
Licence term
One-year licence, expires March 31, 2027
Licensed for
special care unit for serious cognitive impairment; non-ambulatory residents; assisted living care
40
Citations on file
Since September 2021
17
VDSS visits
3 routine inspections
8
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 Paramount Senior Living at Fredericksburg

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
12022-0322023-0302024-0302024-1042024-1092025-0242025-0522026-0112026-0462026-04112026-0402026-07
Citations at each VDSS visit
VisitTypeCitations
March 14, 2022renewal inspection1
March 2, 2023monitoring inspection2
March 12, 2024renewal inspection0
October 16, 2024other visit0
October 24, 2024monitoring inspection4
February 13, 2025monitoring inspection9
May 23, 2025complaint investigation4
January 13, 2026monitoring inspection0
January 13, 2026complaint investigation1
January 13, 2026complaint investigation1
January 13, 2026complaint investigation0
April 6, 2026complaint investigation1
April 27, 2026monitoring inspection2
April 27, 2026monitoring inspection1
April 27, 2026monitoring inspection3
April 28, 2026renewal inspection11
July 14, 2026complaint investigation0

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 15
  • Medication 11
  • Records and administration 5
  • Physical plant 4
  • Other 5
Citations by category
CategoryCitations
Resident care15
Medication11
Records and administration5
Physical plant4
Emergency management3
Staffing and training1
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.

July 14, 2026 — complaint investigation, nothing cited

April 28, 2026 — renewal inspection, 11 citations

Citations from the renewal inspection on April 28, 2026
TagWhat VDSS checks
22VAC40-73-260First aid and CPR certification
22VAC40-73-325Fall risk rating
22VAC40-73-450Individualized service plans
22VAC40-73-50Disclosure
22VAC40-73-560Resident records
22VAC40-73-700Oxygen therapy
22VAC40-73-860General requirements
22VAC40-73-860General requirements
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-950Emergency preparedness and response plan
22VAC40-73-950Emergency preparedness and response plan

April 27, 2026 — monitoring inspection, 3 citations

Citations from the monitoring inspection on April 27, 2026
TagWhat VDSS checks
22VAC40-73-460Personal care services and general supervision and care
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions

April 27, 2026 — monitoring inspection, 2 citations

Citations from the monitoring inspection on April 27, 2026
TagWhat VDSS checks
22VAC40-73-310Admission and retention of residents
22VAC40-73-680Administration of medications and related provisions

April 27, 2026 — monitoring inspection, 1 citation

Citations from the monitoring inspection on April 27, 2026
TagWhat VDSS checks
22VAC40-73-450Individualized service plans

April 6, 2026 — complaint investigation, 1 citation

Citations from the complaint investigation on April 6, 2026
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions

January 13, 2026 — complaint investigation, 1 citation

Citations from the complaint investigation on January 13, 2026
TagWhat VDSS checks
22VAC40-73-325Fall risk rating

January 13, 2026 — complaint investigation, 1 citation

Citations from the complaint investigation on January 13, 2026
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions

January 13, 2026 — monitoring inspection, nothing cited

January 13, 2026 — complaint investigation, nothing cited

May 23, 2025 — complaint investigation, 4 citations

Citations from the complaint investigation on May 23, 2025
TagWhat VDSS checks
22VAC40-73-100Infection control program
22VAC40-73-40Licensee
22VAC40-73-450Individualized service plans
22VAC40-73-860General requirements

February 13, 2025 — monitoring inspection, 9 citations

Citations from the monitoring inspection on February 13, 2025
TagWhat VDSS checks
22VAC40-73-1120Activities
22VAC40-73-310Admission and retention of residents
22VAC40-73-350Sex offender information
22VAC40-73-45Minimum amount for liability insurance disclosure
22VAC40-73-50Disclosure
22VAC40-73-520Activity and recreational requirements
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-930Provisions for signaling and call systems
22VAC40-73-970Fire and emergency evacuation drills

October 24, 2024 — monitoring inspection, 4 citations

Citations from the monitoring inspection on October 24, 2024
TagWhat VDSS checks
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-670Qualifications and supervision of staff administering medications
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

October 16, 2024 — other visit, nothing cited

March 12, 2024 — renewal inspection, nothing cited

March 2, 2023 — monitoring inspection, 2 citations

Citations from the monitoring inspection on March 2, 2023
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans

March 14, 2022 — renewal inspection, 1 citation

Citations from the renewal inspection on March 14, 2022
TagWhat VDSS checks
22VAC40-73-450Individualized service plans

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.