State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey
The Harmony Collection at Roanoke Memory Care
4414 Pheasant Ridge Road, Roanoke, VA 24014 · City of Roanoke · 64 licensed beds
VDSS licence ID 43810 · licence 1104642 · licensed for one year through January 17, 2027
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- One-year licence, expires January 17, 2027
- Licensed for
- assisted living care; non-ambulatory residents; special care unit for serious cognitive impairment
97
Citations on file
Since September 2021
43
VDSS visits
4 routine inspections
15
Building-related
Physical plant · emergency
Position within Virginia
97 citations — more than 95% 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 Memory Care
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Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 22VAC40-73-1180 Environmental precautionsAugust 24, 2025
- 22VAC40-73-780 Laundry and linensAugust 24, 2025
- 22VAC40-73-930 Provisions for signaling and call systemsAugust 24, 2025
- 22VAC40-73-1150 Doors and windowsJuly 23, 2025
- 22VAC40-73-930 Provisions for signaling and call systemsJuly 23, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 17, 2025
- 22VAC40-73-1180 Environmental precautionsJune 16, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJune 16, 2025
- 22VAC40-73-930 Provisions for signaling and call systemsAugust 30, 2023
- 22VAC40-73-860 General requirementsDecember 1, 2022
- 22VAC40-73-930 Provisions for signaling and call systemsDecember 1, 2022
- 22VAC40-73-860 General requirementsOctober 3, 2022
- 22VAC40-73-1070 Environmental precautionsSeptember 8, 2022
- 22VAC40-73-930 Provisions for signaling and call systemsSeptember 8, 2022
- 22VAC40-73-1070 Environmental precautionsMay 10, 2022
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 97 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 3, 2021 | monitoring inspection | 0 |
| February 10, 2022 | complaint investigation | 0 |
| February 10, 2022 | complaint investigation | 2 |
| February 10, 2022 | complaint investigation | 0 |
| May 10, 2022 | other visit | 13 |
| July 25, 2022 | monitoring inspection | 1 |
| September 8, 2022 | monitoring inspection | 5 |
| October 3, 2022 | complaint investigation | 2 |
| October 3, 2022 | complaint investigation | 0 |
| October 3, 2022 | complaint investigation | 2 |
| December 1, 2022 | renewal inspection | 16 |
| March 27, 2023 | monitoring inspection | 1 |
| July 11, 2023 | complaint investigation | 1 |
| July 11, 2023 | complaint investigation | 0 |
| August 30, 2023 | complaint investigation | 0 |
| August 30, 2023 | monitoring inspection | 2 |
| November 15, 2023 | renewal inspection | 3 |
| April 16, 2024 | monitoring inspection | 3 |
| May 15, 2024 | complaint investigation | 0 |
| June 11, 2024 | monitoring inspection | 0 |
| July 30, 2024 | monitoring inspection | 5 |
| August 16, 2024 | complaint investigation | 6 |
| November 7, 2024 | complaint investigation | 0 |
| November 7, 2024 | monitoring inspection | 3 |
| November 7, 2024 | monitoring inspection | 0 |
| November 7, 2024 | complaint investigation | 0 |
| November 7, 2024 | monitoring inspection | 0 |
| November 19, 2024 | renewal inspection | 8 |
| January 23, 2025 | monitoring inspection | 0 |
| January 23, 2025 | monitoring inspection | 0 |
| January 23, 2025 | monitoring inspection | 0 |
| June 16, 2025 | complaint investigation | 8 |
| July 17, 2025 | complaint investigation | 0 |
| July 17, 2025 | complaint investigation | 1 |
| July 23, 2025 | monitoring inspection | 3 |
| August 24, 2025 | complaint investigation | 6 |
| November 24, 2025 | renewal inspection | 1 |
| November 24, 2025 | complaint investigation | 0 |
| April 21, 2026 | complaint investigation | 4 |
| April 21, 2026 | monitoring inspection | 0 |
| June 16, 2026 | monitoring inspection | 1 |
| June 16, 2026 | monitoring inspection | 0 |
| June 16, 2026 | monitoring inspection | 0 |
What the citations cover
- Resident care 42
- Medication 21
- Staffing and training 15
- Physical plant 9
- Other 10
| Category | Citations |
|---|---|
| Resident care | 42 |
| Medication | 21 |
| Staffing and training | 15 |
| Physical plant | 9 |
| Life safety | 6 |
| Records and administration | 3 |
| Food service | 1 |
Every visit on file since September 2021
As published by VDSS, newest first, including visits that cited nothing. The wording is VDSS’s own.
June 16, 2026 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-110 | Staff general qualifications |
June 16, 2026 — monitoring inspection, nothing cited
June 16, 2026 — monitoring inspection, nothing cited
April 21, 2026 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-720 | Do Not Resuscitate Orders |
April 21, 2026 — monitoring inspection, nothing cited
November 24, 2025 — renewal inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
November 24, 2025 — complaint investigation, nothing cited
August 24, 2025 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1180 | Environmental precautions |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-300 | Communication among staff |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-780 | Laundry and linens |
| 22VAC40-73-930 | Provisions for signaling and call systems |
July 23, 2025 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1150 | Doors and windows |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-930 | Provisions for signaling and call systems |
July 17, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-870 | Maintenance of buildings and grounds |
July 17, 2025 — complaint investigation, nothing cited
June 16, 2025 — complaint investigation, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1180 | Environmental precautions |
| 22VAC40-73-220 | Private duty personnel |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
January 23, 2025 — monitoring inspection, nothing cited
January 23, 2025 — monitoring inspection, nothing cited
January 23, 2025 — monitoring inspection, nothing cited
November 19, 2024 — renewal inspection, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-410 | Orientation and related information for residents |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-90-40 | General requirements |
November 7, 2024 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
November 7, 2024 — complaint investigation, nothing cited
November 7, 2024 — complaint investigation, nothing cited
November 7, 2024 — monitoring inspection, nothing cited
November 7, 2024 — monitoring inspection, nothing cited
August 16, 2024 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1090 | Assessment |
| 22VAC40-73-1100 | Approval |
| 22VAC40-73-1110 | Appropriateness of placement and continued residence |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-320 | Physical examination and report |
July 30, 2024 — monitoring inspection, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
June 11, 2024 — monitoring inspection, nothing cited
May 15, 2024 — complaint investigation, nothing cited
April 16, 2024 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
November 15, 2023 — renewal inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
August 30, 2023 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-930 | Provisions for signaling and call systems |
August 30, 2023 — complaint investigation, nothing cited
July 11, 2023 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-70 | Incident reports |
July 11, 2023 — complaint investigation, nothing cited
March 27, 2023 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-460 | Personal care services and general supervision and care |
December 1, 2022 — renewal inspection, 16 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-470 | Health care services |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 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 |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-930 | Provisions for signaling and call systems |
| 22VAC40-90-40 | General requirements |
October 3, 2022 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-860 | General requirements |
October 3, 2022 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-470 | Health care services |
October 3, 2022 — complaint investigation, nothing cited
September 8, 2022 — monitoring inspection, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1070 | Environmental precautions |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-930 | Provisions for signaling and call systems |
July 25, 2022 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
May 10, 2022 — other visit, 13 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1070 | Environmental precautions |
| 22VAC40-73-1110 | Appropriateness of placement and continued residence |
| 22VAC40-73-1110 | Appropriateness of placement and continued residence |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-50 | Disclosure |
| 22VAC40-73-550 | Resident rights |
| 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 |
| 22VAC40-90-40 | General requirements |
February 10, 2022 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-70 | Incident reports |
February 10, 2022 — complaint investigation, nothing cited
February 10, 2022 — complaint investigation, nothing cited
November 3, 2021 — monitoring 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.