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
124
Citations on file
Since September 2021
61
VDSS visits
3 routine inspections
5
Building-related
Physical plant · emergency

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.

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 facility124Virginia median18
Citations on file over 5 years, compared
MeasureCitations
This facility124
Median facility in Virginia18

Visit history

Citations at each VDSS visit
82022-0142022-0502022-07162023-0202023-0722023-0932024-0272024-0372024-0452024-0652024-0752024-0792024-10162024-1232025-0102025-0452025-0722025-0882025-0912025-1092025-1202026-0132026-0242026-0322026-0602026-08
Citations at each VDSS visit
VisitTypeCitations
January 6, 2022monitoring inspection8
May 10, 2022monitoring inspection4
May 10, 2022complaint investigation0
July 8, 2022monitoring inspection0
February 7, 2023renewal inspection16
July 11, 2023complaint investigation0
September 7, 2023complaint investigation2
February 6, 2024renewal inspection3
March 11, 2024complaint investigation3
March 11, 2024complaint investigation4
April 16, 2024complaint investigation0
April 16, 2024complaint investigation1
April 16, 2024complaint investigation4
April 16, 2024monitoring inspection2
June 11, 2024monitoring inspection2
June 11, 2024complaint investigation1
June 11, 2024monitoring inspection2
June 11, 2024monitoring inspection0
July 2, 2024complaint investigation2
July 2, 2024monitoring inspection3
July 23, 2024complaint investigation5
October 3, 2024complaint investigation0
October 3, 2024complaint investigation2
October 3, 2024monitoring inspection2
October 3, 2024complaint investigation4
October 3, 2024monitoring inspection0
October 3, 2024complaint investigation0
October 3, 2024complaint investigation1
December 3, 2024renewal inspection16
January 23, 2025monitoring inspection2
January 23, 2025monitoring inspection0
January 23, 2025monitoring inspection1
April 10, 2025monitoring inspection0
April 10, 2025monitoring inspection0
July 17, 2025complaint investigation0
July 17, 2025complaint investigation0
July 17, 2025complaint investigation0
July 17, 2025complaint investigation0
July 17, 2025complaint investigation5
July 17, 2025complaint investigation0
August 11, 2025monitoring inspection2
August 11, 2025complaint investigation0
September 10, 2025complaint investigation2
September 10, 2025monitoring inspection2
September 10, 2025complaint investigation0
September 10, 2025monitoring inspection4
September 10, 2025monitoring inspection0
September 10, 2025complaint investigation0
September 10, 2025monitoring inspection0
October 23, 2025complaint investigation1
October 23, 2025complaint investigation0
October 23, 2025complaint investigation0
October 23, 2025monitoring inspection0
December 16, 2025other visit9
January 8, 2026complaint investigation0
February 25, 2026complaint investigation0
February 25, 2026complaint investigation3
February 25, 2026complaint investigation0
March 23, 2026complaint investigation4
June 16, 2026complaint investigation2
August 31, 2026complaint investigation0

What the citations cover

Citations by category (TagProof's grouping)
  • Medication 52
  • Resident care 48
  • Staffing and training 14
  • Physical plant 5
  • Other 5
Citations by category
CategoryCitations
Medication52
Resident care48
Staffing and training14
Physical plant5
Records and administration5

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

Citations from the complaint investigation on June 16, 2026
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans

March 23, 2026 — complaint investigation, 4 citations

Citations from the complaint investigation on March 23, 2026
TagWhat VDSS checks
22VAC40-73-325Fall risk rating
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans

February 25, 2026 — complaint investigation, 3 citations

Citations from the complaint investigation on February 25, 2026
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-660Storage 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

Citations from the other visit on December 16, 2025
TagWhat VDSS checks
22VAC40-73-260First aid and CPR certification
22VAC40-73-450Individualized service plans
22VAC40-73-560Resident records
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-860General requirements
22VAC40-90-30Sworn statement or affirmation

October 23, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on October 23, 2025
TagWhat VDSS checks
22VAC40-73-680Administration 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

Citations from the complaint investigation on September 10, 2025
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans

September 10, 2025 — monitoring inspection, 4 citations

Citations from the monitoring inspection on September 10, 2025
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-680Administration of medications and related provisions

September 10, 2025 — monitoring inspection, 2 citations

Citations from the monitoring inspection on September 10, 2025
TagWhat VDSS checks
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration 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

Citations from the monitoring inspection on August 11, 2025
TagWhat VDSS checks
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions

August 11, 2025 — complaint investigation, nothing cited

July 17, 2025 — complaint investigation, 5 citations

Citations from the complaint investigation on July 17, 2025
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-660Storage of medications
22VAC40-73-870Maintenance 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

Citations from the monitoring inspection on January 23, 2025
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

January 23, 2025 — monitoring inspection, 1 citation

Citations from the monitoring inspection on January 23, 2025
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions

January 23, 2025 — monitoring inspection, nothing cited

December 3, 2024 — renewal inspection, 16 citations

Citations from the renewal inspection on December 3, 2024
TagWhat VDSS checks
22VAC40-73-120Staff orientation and initial training
22VAC40-73-210Direct care staff training
22VAC40-73-250Staff records and health requirements
22VAC40-73-325Fall risk rating
22VAC40-73-380Resident personal and social information
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-490Health care oversight
22VAC40-73-550Resident rights
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-660Storage of medications
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-690Medication review
22VAC40-73-720Do Not Resuscitate Orders
22VAC40-90-30Sworn statement or affirmation

October 3, 2024 — monitoring inspection, 2 citations

Citations from the monitoring inspection on October 3, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

October 3, 2024 — complaint investigation, 4 citations

Citations from the complaint investigation on October 3, 2024
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-480Restorative, habilitative, and rehabilitative services
22VAC40-73-660Storage of medications
22VAC40-73-860General requirements

October 3, 2024 — complaint investigation, 1 citation

Citations from the complaint investigation on October 3, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions

October 3, 2024 — complaint investigation, 2 citations

Citations from the complaint investigation on October 3, 2024
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-720Do 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

Citations from the complaint investigation on July 23, 2024
TagWhat VDSS checks
22VAC40-73-300Communication among staff
22VAC40-73-325Fall risk rating
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-680Administration of medications and related provisions

July 2, 2024 — complaint investigation, 2 citations

Citations from the complaint investigation on July 2, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

July 2, 2024 — monitoring inspection, 3 citations

Citations from the monitoring inspection on July 2, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

June 11, 2024 — complaint investigation, 1 citation

Citations from the complaint investigation on June 11, 2024
TagWhat VDSS checks
22VAC40-73-140Administrator qualifications

June 11, 2024 — monitoring inspection, 2 citations

Citations from the monitoring inspection on June 11, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

June 11, 2024 — monitoring inspection, 2 citations

Citations from the monitoring inspection on June 11, 2024
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

June 11, 2024 — monitoring inspection, nothing cited

April 16, 2024 — complaint investigation, 1 citation

Citations from the complaint investigation on April 16, 2024
TagWhat VDSS checks
22VAC40-73-640Medication management plan and reference materials

April 16, 2024 — complaint investigation, 4 citations

Citations from the complaint investigation on April 16, 2024
TagWhat VDSS checks
22VAC40-73-130Reports of abuse, neglect, or exploitation
22VAC40-73-450Individualized service plans
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions

April 16, 2024 — monitoring inspection, 2 citations

Citations from the monitoring inspection on April 16, 2024
TagWhat VDSS checks
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions

April 16, 2024 — complaint investigation, nothing cited

March 11, 2024 — complaint investigation, 4 citations

Citations from the complaint investigation on March 11, 2024
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-70Incident reports

March 11, 2024 — complaint investigation, 3 citations

Citations from the complaint investigation on March 11, 2024
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-70Incident reports

February 6, 2024 — renewal inspection, 3 citations

Citations from the renewal inspection on February 6, 2024
TagWhat VDSS checks
22VAC40-73-260First aid and CPR certification
22VAC40-73-450Individualized service plans
22VAC40-73-680Administration of medications and related provisions

September 7, 2023 — complaint investigation, 2 citations

Citations from the complaint investigation on September 7, 2023
TagWhat VDSS checks
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions

July 11, 2023 — complaint investigation, nothing cited

February 7, 2023 — renewal inspection, 16 citations

Citations from the renewal inspection on February 7, 2023
TagWhat VDSS checks
22VAC40-73-250Staff records and health requirements
22VAC40-73-260First aid and CPR certification
22VAC40-73-320Physical examination and report
22VAC40-73-320Physical examination and report
22VAC40-73-350Sex offender information
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-700Oxygen therapy
22VAC40-73-720Do Not Resuscitate Orders
22VAC40-73-860General requirements
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-90-40General requirements

July 8, 2022 — monitoring inspection, nothing cited

May 10, 2022 — monitoring inspection, 4 citations

Citations from the monitoring inspection on May 10, 2022
TagWhat VDSS checks
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-70Incident reports

May 10, 2022 — complaint investigation, nothing cited

January 6, 2022 — monitoring inspection, 8 citations

Citations from the monitoring inspection on January 6, 2022
TagWhat VDSS checks
22VAC40-73-1030Staff training
22VAC40-73-210Direct care staff training
22VAC40-73-350Sex offender information
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-50Disclosure

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.