State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey
Birch Gardens
12 Royal Drive, Staunton, VA 24401 · Augusta County · 39 licensed beds
VDSS licence ID 45360 · licence 1104803 · provisional licence, issued while a facility returns to compliance through February 25, 2027
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- Provisional licence, expires February 25, 2027
- Licensed for
- assisted living care; non-ambulatory residents
85
Citations on file
Since September 2021
25
VDSS visits
3 routine inspections
22
Building-related
Physical plant · emergency
Position within Virginia
85 citations — more than 93% 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 Birch Gardens
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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.
- 22VAC40-73-870 Maintenance of buildings and groundsMay 13, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsFebruary 25, 2026
- 22VAC40-73-950 Emergency preparedness and response planFebruary 25, 2026
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseFebruary 25, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 6, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 6, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 6, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 6, 2025
- 22VAC40-73-860 General requirementsJune 25, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJune 25, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJune 25, 2025
- 22VAC40-73-860 General requirementsJune 2, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJune 2, 2025
- 22VAC40-73-950 Emergency preparedness and response planJune 2, 2025
- 22VAC40-73-970 Fire and emergency evacuation drillsJune 2, 2025
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseJune 2, 2025
- 22VAC40-73-930 Provisions for signaling and call systemsDecember 12, 2024
- 22VAC40-73-860 General requirementsNovember 21, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 21, 2024
- 22VAC40-73-970 Fire and emergency evacuation drillsJanuary 23, 2023
- 22VAC40-73-860 General requirementsMarch 23, 2022
- 22VAC40-73-970 Fire and emergency evacuation drillsMarch 23, 2022
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 85 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 16, 2021 | complaint investigation | 2 |
| March 23, 2022 | monitoring inspection | 9 |
| May 16, 2022 | monitoring inspection | 1 |
| July 28, 2022 | complaint investigation | 3 |
| October 6, 2022 | complaint investigation | 0 |
| October 6, 2022 | monitoring inspection | 2 |
| January 23, 2023 | complaint investigation | 2 |
| January 23, 2023 | renewal inspection | 8 |
| January 24, 2023 | complaint investigation | 0 |
| March 16, 2023 | monitoring inspection | 0 |
| February 16, 2024 | renewal inspection | 1 |
| April 22, 2024 | monitoring inspection | 3 |
| May 31, 2024 | complaint investigation | 0 |
| July 1, 2024 | complaint investigation | 3 |
| October 15, 2024 | complaint investigation | 3 |
| November 21, 2024 | complaint investigation | 7 |
| December 12, 2024 | complaint investigation | 4 |
| February 28, 2025 | monitoring inspection | 0 |
| May 14, 2025 | complaint investigation | 0 |
| June 2, 2025 | monitoring inspection | 14 |
| June 25, 2025 | complaint investigation | 3 |
| August 29, 2025 | monitoring inspection | 0 |
| November 6, 2025 | complaint investigation | 4 |
| February 25, 2026 | renewal inspection | 10 |
| May 13, 2026 | complaint investigation | 6 |
What the citations cover
- Resident care 22
- Medication 22
- Physical plant 14
- Staffing and training 11
- Other 16
| Category | Citations |
|---|---|
| Resident care | 22 |
| Medication | 22 |
| Physical plant | 14 |
| Staffing and training | 11 |
| Emergency management | 7 |
| Records and administration | 5 |
| Food service | 2 |
| Uncatalogued tags | 1 |
| Life safety | 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.
May 13, 2026 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-220 | Private duty personnel |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-70 | Incident reports |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
February 25, 2026 — renewal inspection, 10 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-450 | Individualized service plans |
| 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 |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
November 6, 2025 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
August 29, 2025 — monitoring inspection, nothing cited
June 25, 2025 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
June 2, 2025 — monitoring inspection, 14 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-280 | Staffing |
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-710 | Restraints |
| 22VAC40-73-710 | Restraints |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 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 |
| 63.2-1720 | 63.2-1720 |
May 14, 2025 — complaint investigation, nothing cited
February 28, 2025 — monitoring inspection, nothing cited
December 12, 2024 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-930 | Provisions for signaling and call systems |
November 21, 2024 — complaint investigation, 7 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-670 | Qualifications and supervision of staff administering medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
October 15, 2024 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-130 | Reports of abuse, neglect, or exploitation |
| 22VAC40-73-300 | Communication among staff |
| 22VAC40-73-70 | Incident reports |
July 1, 2024 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-70 | Incident reports |
May 31, 2024 — complaint investigation, nothing cited
April 22, 2024 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-130 | Reports of abuse, neglect, or exploitation |
| 22VAC40-73-300 | Communication among staff |
| 22VAC40-73-450 | Individualized service plans |
February 16, 2024 — renewal inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
March 16, 2023 — monitoring inspection, nothing cited
January 24, 2023 — complaint investigation, nothing cited
January 23, 2023 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-520 | Activity and recreational requirements |
January 23, 2023 — renewal inspection, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-620 | Oversight of special diets |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-700 | Oxygen therapy |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
October 6, 2022 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-660 | Storage of medications |
October 6, 2022 — complaint investigation, nothing cited
July 28, 2022 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
May 16, 2022 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
March 23, 2022 — monitoring inspection, 9 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-290 | Work schedule and posting |
| 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 |
| 22VAC40-73-690 | Medication review |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-970 | Fire and emergency evacuation drills |
November 16, 2021 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-70 | Incident reports |
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.