State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey
The Harmony Collection at Roanoke Assisted Living
4402 Pheasant Ridge Road, Roanoke, VA 24014 · City of Roanoke · 105 licensed beds
VDSS licence ID 45622 · licence 1104818 · licensed for one year through March 2, 2027
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- One-year licence, expires March 2, 2027
- Licensed for
- assisted living care; non-ambulatory residents
Position within Virginia
124 citations — more than 97% 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 The Harmony Collection at Roanoke Assisted Living
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 requirementsDecember 16, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 17, 2025
- 22VAC40-73-860 General requirementsOctober 3, 2024
- 22VAC40-73-860 General requirementsFebruary 7, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsFebruary 7, 2023
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 124 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| January 6, 2022 | monitoring inspection | 8 |
| May 10, 2022 | monitoring inspection | 4 |
| May 10, 2022 | complaint investigation | 0 |
| July 8, 2022 | monitoring inspection | 0 |
| February 7, 2023 | renewal inspection | 16 |
| July 11, 2023 | complaint investigation | 0 |
| September 7, 2023 | complaint investigation | 2 |
| February 6, 2024 | renewal inspection | 3 |
| March 11, 2024 | complaint investigation | 3 |
| March 11, 2024 | complaint investigation | 4 |
| April 16, 2024 | complaint investigation | 0 |
| April 16, 2024 | complaint investigation | 1 |
| April 16, 2024 | complaint investigation | 4 |
| April 16, 2024 | monitoring inspection | 2 |
| June 11, 2024 | monitoring inspection | 2 |
| June 11, 2024 | complaint investigation | 1 |
| June 11, 2024 | monitoring inspection | 2 |
| June 11, 2024 | monitoring inspection | 0 |
| July 2, 2024 | complaint investigation | 2 |
| July 2, 2024 | monitoring inspection | 3 |
| July 23, 2024 | complaint investigation | 5 |
| October 3, 2024 | complaint investigation | 0 |
| October 3, 2024 | complaint investigation | 2 |
| October 3, 2024 | monitoring inspection | 2 |
| October 3, 2024 | complaint investigation | 4 |
| October 3, 2024 | monitoring inspection | 0 |
| October 3, 2024 | complaint investigation | 0 |
| October 3, 2024 | complaint investigation | 1 |
| December 3, 2024 | renewal inspection | 16 |
| January 23, 2025 | monitoring inspection | 2 |
| January 23, 2025 | monitoring inspection | 0 |
| January 23, 2025 | monitoring inspection | 1 |
| April 10, 2025 | monitoring inspection | 0 |
| April 10, 2025 | monitoring inspection | 0 |
| July 17, 2025 | complaint investigation | 0 |
| July 17, 2025 | complaint investigation | 0 |
| July 17, 2025 | complaint investigation | 0 |
| July 17, 2025 | complaint investigation | 0 |
| July 17, 2025 | complaint investigation | 5 |
| July 17, 2025 | complaint investigation | 0 |
| August 11, 2025 | monitoring inspection | 2 |
| August 11, 2025 | complaint investigation | 0 |
| September 10, 2025 | complaint investigation | 2 |
| September 10, 2025 | monitoring inspection | 2 |
| September 10, 2025 | complaint investigation | 0 |
| September 10, 2025 | monitoring inspection | 4 |
| September 10, 2025 | monitoring inspection | 0 |
| September 10, 2025 | complaint investigation | 0 |
| September 10, 2025 | monitoring inspection | 0 |
| October 23, 2025 | complaint investigation | 1 |
| October 23, 2025 | complaint investigation | 0 |
| October 23, 2025 | complaint investigation | 0 |
| October 23, 2025 | monitoring inspection | 0 |
| December 16, 2025 | other visit | 9 |
| January 8, 2026 | complaint investigation | 0 |
| February 25, 2026 | complaint investigation | 0 |
| February 25, 2026 | complaint investigation | 3 |
| February 25, 2026 | complaint investigation | 0 |
| March 23, 2026 | complaint investigation | 4 |
| June 16, 2026 | complaint investigation | 2 |
| August 31, 2026 | complaint investigation | 0 |
What the citations cover
- Medication 52
- Resident care 48
- Staffing and training 14
- Physical plant 5
- Other 5
| Category | Citations |
|---|---|
| Medication | 52 |
| Resident care | 48 |
| Staffing and training | 14 |
| Physical plant | 5 |
| Records and administration | 5 |
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 31, 2026 — complaint investigation, nothing cited
June 16, 2026 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
March 23, 2026 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
February 25, 2026 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-660 | Storage of medications |
February 25, 2026 — complaint investigation, nothing cited
February 25, 2026 — complaint investigation, nothing cited
January 8, 2026 — complaint investigation, nothing cited
December 16, 2025 — other visit, 9 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-560 | Resident records |
| 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 |
| 22VAC40-73-860 | General requirements |
| 22VAC40-90-30 | Sworn statement or affirmation |
October 23, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
October 23, 2025 — complaint investigation, nothing cited
October 23, 2025 — complaint investigation, nothing cited
October 23, 2025 — monitoring inspection, nothing cited
September 10, 2025 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
September 10, 2025 — monitoring inspection, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
September 10, 2025 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
September 10, 2025 — monitoring inspection, nothing cited
September 10, 2025 — monitoring inspection, nothing cited
September 10, 2025 — complaint investigation, nothing cited
September 10, 2025 — complaint investigation, nothing cited
August 11, 2025 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
August 11, 2025 — complaint investigation, nothing cited
July 17, 2025 — 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 |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
July 17, 2025 — complaint investigation, nothing cited
July 17, 2025 — complaint investigation, nothing cited
July 17, 2025 — complaint investigation, nothing cited
July 17, 2025 — complaint investigation, nothing cited
July 17, 2025 — complaint investigation, nothing cited
April 10, 2025 — monitoring inspection, nothing cited
April 10, 2025 — monitoring inspection, nothing cited
January 23, 2025 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
January 23, 2025 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
January 23, 2025 — monitoring inspection, nothing cited
December 3, 2024 — renewal inspection, 16 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 |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-490 | Health care oversight |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-690 | Medication review |
| 22VAC40-73-720 | Do Not Resuscitate Orders |
| 22VAC40-90-30 | Sworn statement or affirmation |
October 3, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
October 3, 2024 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-480 | Restorative, habilitative, and rehabilitative services |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-860 | General requirements |
October 3, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
October 3, 2024 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-720 | Do Not Resuscitate Orders |
October 3, 2024 — complaint investigation, nothing cited
October 3, 2024 — complaint investigation, nothing cited
October 3, 2024 — monitoring inspection, nothing cited
July 23, 2024 — complaint investigation, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-300 | Communication among staff |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
July 2, 2024 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
July 2, 2024 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
June 11, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-140 | Administrator qualifications |
June 11, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
June 11, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
June 11, 2024 — monitoring inspection, nothing cited
April 16, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
April 16, 2024 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-130 | Reports of abuse, neglect, or exploitation |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
April 16, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
April 16, 2024 — complaint investigation, nothing cited
March 11, 2024 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 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 |
March 11, 2024 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-70 | Incident reports |
February 6, 2024 — renewal inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
September 7, 2023 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
July 11, 2023 — complaint investigation, nothing cited
February 7, 2023 — renewal inspection, 16 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-320 | Physical examination and report |
| 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 |
| 22VAC40-73-450 | Individualized service plans |
| 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 |
| 22VAC40-73-720 | Do Not Resuscitate Orders |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-90-40 | General requirements |
July 8, 2022 — monitoring inspection, nothing cited
May 10, 2022 — monitoring inspection, 4 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 |
| 22VAC40-73-70 | Incident reports |
May 10, 2022 — complaint investigation, nothing cited
January 6, 2022 — monitoring inspection, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1030 | Staff training |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-350 | Sex offender information |
| 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 |
| 22VAC40-73-50 | Disclosure |
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.