State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey
Meadow Hills Assisted Living Facility
5046 Williamson Road, Roanoke, VA 24012 · City of Roanoke · 30 licensed beds
VDSS licence ID 41656 · licence 1104538 · licensed for one year through August 14, 2026
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- One-year licence, expires August 14, 2026
- Licensed for
- assisted living care; non-ambulatory residents
169
Citations on file
Since September 2021
33
VDSS visits
5 routine inspections
31
Building-related
Physical plant · emergency
Position within Virginia
169 citations — more than 99% 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 Meadow Hills Assisted Living Facility
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.
- 22VAC40-73-750 Resident roomsJuly 30, 2026
- 22VAC40-73-860 General requirementsJuly 30, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 30, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 30, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 30, 2026
- 22VAC40-73-880 Heating, ventilation, and coolingJuly 30, 2026
- 22VAC40-73-925 Toilet, face/hand washing, and bathing suppliesJuly 30, 2026
- 22VAC40-73-950 Emergency preparedness and response planJuly 30, 2026
- 22VAC40-73-970 Fire and emergency evacuation drillsJuly 30, 2026
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseJuly 30, 2026
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseJuly 30, 2026
- 22VAC40-73-750 Resident roomsJuly 15, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 15, 2025
- 22VAC40-73-930 Provisions for signaling and call systemsJuly 15, 2025
- 22VAC40-73-970 Fire and emergency evacuation drillsJuly 15, 2025
- 22VAC40-73-970 Fire and emergency evacuation drillsSeptember 12, 2024
- 22VAC40-73-970 Fire and emergency evacuation drillsJuly 9, 2024
- 22VAC40-73-930 Provisions for signaling and call systemsOctober 12, 2023
- 22VAC40-73-750 Resident roomsJuly 18, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 18, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 18, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 18, 2023
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesJuly 18, 2023
- 22VAC40-73-880 Heating, ventilation, and coolingDecember 12, 2022
- 22VAC40-73-880 Heating, ventilation, and coolingDecember 12, 2022
- 22VAC40-73-750 Resident roomsAugust 1, 2022
- 22VAC40-73-860 General requirementsAugust 1, 2022
- 22VAC40-73-925 Toilet, face/hand washing, and bathing suppliesAugust 1, 2022
- 22VAC40-73-950 Emergency preparedness and response planJuly 27, 2022
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseJuly 27, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsMay 6, 2022
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 169 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 6, 2021 | complaint investigation | 0 |
| November 3, 2021 | monitoring inspection | 0 |
| May 6, 2022 | complaint investigation | 7 |
| June 24, 2022 | complaint investigation | 1 |
| July 27, 2022 | renewal inspection | 16 |
| August 1, 2022 | complaint investigation | 6 |
| October 3, 2022 | monitoring inspection | 2 |
| November 3, 2022 | complaint investigation | 1 |
| December 12, 2022 | complaint investigation | 12 |
| July 18, 2023 | complaint investigation | 0 |
| July 18, 2023 | renewal inspection | 22 |
| August 17, 2023 | complaint investigation | 3 |
| August 18, 2023 | complaint investigation | 1 |
| October 12, 2023 | complaint investigation | 1 |
| March 5, 2024 | complaint investigation | 0 |
| June 4, 2024 | complaint investigation | 1 |
| July 9, 2024 | complaint investigation | 6 |
| July 9, 2024 | complaint investigation | 1 |
| July 9, 2024 | renewal inspection | 12 |
| July 24, 2024 | complaint investigation | 0 |
| July 24, 2024 | complaint investigation | 3 |
| September 12, 2024 | monitoring inspection | 6 |
| October 1, 2024 | complaint investigation | 7 |
| October 1, 2024 | complaint investigation | 5 |
| December 6, 2024 | monitoring inspection | 1 |
| December 6, 2024 | monitoring inspection | 1 |
| December 6, 2024 | complaint investigation | 1 |
| April 10, 2025 | complaint investigation | 1 |
| June 2, 2025 | complaint investigation | 0 |
| July 15, 2025 | renewal inspection | 20 |
| February 24, 2026 | complaint investigation | 0 |
| July 2, 2026 | other visit | 0 |
| July 30, 2026 | renewal inspection | 32 |
What the citations cover
- Resident care 41
- Staffing and training 39
- Medication 29
- Records and administration 23
- Other 37
| Category | Citations |
|---|---|
| Resident care | 41 |
| Staffing and training | 39 |
| Medication | 29 |
| Records and administration | 23 |
| Physical plant | 20 |
| Emergency management | 9 |
| Food service | 6 |
| Life safety | 2 |
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 30, 2026 — renewal inspection, 32 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-50 | Disclosure |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-620 | Oversight of special diets |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-925 | Toilet, face/hand washing, and bathing supplies |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
| 22VAC40-90-40 | General requirements |
July 2, 2026 — other visit, nothing cited
February 24, 2026 — complaint investigation, nothing cited
July 15, 2025 — renewal inspection, 20 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-150 | Administrator provisions and responsibilities |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-520 | Activity and recreational requirements |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-930 | Provisions for signaling and call systems |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
| 22VAC40-80-120 | Terms of the license |
| 22VAC40-90-40 | General requirements |
June 2, 2025 — complaint investigation, nothing cited
April 10, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
December 6, 2024 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
December 6, 2024 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-250 | Staff records and health requirements |
December 6, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-40 | Licensee |
October 1, 2024 — complaint investigation, 7 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-50 | Disclosure |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
October 1, 2024 — complaint investigation, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-510 | Mental health services coordination and support |
| 22VAC40-73-680 | Administration of medications and related provisions |
September 12, 2024 — monitoring inspection, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-190 | Designated direct care staff person in charge |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-280 | Staffing |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-400 | Monthly statement of charges and payments |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
July 24, 2024 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
July 24, 2024 — complaint investigation, nothing cited
July 9, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-400 | Monthly statement of charges and payments |
July 9, 2024 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-130 | Reports of abuse, neglect, or exploitation |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-70 | Incident reports |
July 9, 2024 — renewal inspection, 12 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-190 | Designated direct care staff person in charge |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-280 | Staffing |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
June 4, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-400 | Monthly statement of charges and payments |
March 5, 2024 — complaint investigation, nothing cited
October 12, 2023 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-930 | Provisions for signaling and call systems |
August 18, 2023 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-560 | Resident records |
August 17, 2023 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-400 | Monthly statement of charges and payments |
| 22VAC40-73-80 | Management and control of resident funds |
| 22VAC40-73-90 | Safeguarding residents' funds |
July 18, 2023 — renewal inspection, 22 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-40 | Licensee |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-520 | Activity and recreational requirements |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-700 | Oxygen therapy |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
| 22VAC40-80-120 | Terms of the license |
July 18, 2023 — complaint investigation, nothing cited
December 12, 2022 — complaint investigation, 12 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-400 | Monthly statement of charges and payments |
| 22VAC40-73-520 | Activity and recreational requirements |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
November 3, 2022 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
October 3, 2022 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-680 | Administration of medications and related provisions |
August 1, 2022 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-190 | Designated direct care staff person in charge |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-925 | Toilet, face/hand washing, and bathing supplies |
July 27, 2022 — renewal inspection, 16 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-70 | Incident reports |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
| 22VAC40-90-40 | General requirements |
June 24, 2022 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-70 | Incident reports |
May 6, 2022 — complaint investigation, 7 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-580 | Food service and nutrition |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
November 3, 2021 — monitoring inspection, nothing cited
October 6, 2021 — complaint investigation, 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.