State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey

Hilltop, an Inspirit Senior Living Community

111 Denny Lane, Winchester, VA 22603 · Frederick County · 96 licensed beds

VDSS licence ID 42368 · licence 1104591 · licensed for two years through February 9, 2026

The licence

Licensed by VDSS · Assisted Living Facility

Licence details, as listed by VDSS
Licence term
Two-year licence, expires February 9, 2026
Licensed for
assisted living care; non-ambulatory residents
116
Citations on file
Since September 2021
37
VDSS visits
4 routine inspections
18
Building-related
Physical plant · emergency

Position within Virginia

116 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 Hilltop, an Inspirit Senior Living Community

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 facility116Virginia median18
Citations on file over 5 years, compared
MeasureCitations
This facility116
Median facility in Virginia18

Visit history

Citations at each VDSS visit
22021-1002022-0132022-0392022-0702023-0102023-0922024-0122024-0102024-02162025-02162025-0282025-06162025-1232025-12122025-12142026-02112026-0222026-05
Citations at each VDSS visit
VisitTypeCitations
October 5, 2021monitoring inspection2
January 5, 2022complaint investigation0
March 22, 2022complaint investigation3
July 28, 2022complaint investigation2
July 28, 2022renewal inspection7
January 30, 2023renewal inspection0
September 12, 2023complaint investigation0
January 4, 2024renewal inspection2
January 10, 2024complaint investigation2
February 4, 2024complaint investigation0
February 4, 2025complaint investigation1
February 4, 2025monitoring inspection9
February 4, 2025monitoring inspection6
February 6, 2025complaint investigation6
February 6, 2025monitoring inspection5
February 6, 2025complaint investigation2
February 6, 2025complaint investigation3
February 6, 2025complaint investigation0
June 18, 2025monitoring inspection8
December 1, 2025complaint investigation4
December 1, 2025monitoring inspection2
December 1, 2025complaint investigation2
December 1, 2025complaint investigation3
December 1, 2025complaint investigation5
December 2, 2025complaint investigation2
December 2, 2025complaint investigation1
December 2, 2025complaint investigation0
December 3, 2025complaint investigation1
December 3, 2025complaint investigation4
December 3, 2025monitoring inspection3
December 3, 2025monitoring inspection3
December 3, 2025complaint investigation1
February 9, 2026monitoring inspection3
February 9, 2026renewal inspection11
February 10, 2026complaint investigation6
February 10, 2026complaint investigation5
May 7, 2026complaint investigation2

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 52
  • Medication 20
  • Physical plant 15
  • Staffing and training 14
  • Other 15
Citations by category
CategoryCitations
Resident care52
Medication20
Physical plant15
Staffing and training14
Records and administration9
Emergency management3
Food service3

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 7, 2026 — complaint investigation, 2 citations

Citations from the complaint investigation on May 7, 2026
TagWhat VDSS checks
22VAC40-73-800Incoming and outgoing mail
63.2-1808Rights and responsibilities of residents of assisted living facilities; certification of licensure

February 10, 2026 — complaint investigation, 6 citations

Citations from the complaint investigation on February 10, 2026
TagWhat VDSS checks
22VAC40-73-325Fall risk rating
22VAC40-73-325Fall risk rating
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care
22VAC40-73-680Administration of medications and related provisions

February 10, 2026 — complaint investigation, 5 citations

Citations from the complaint investigation on February 10, 2026
TagWhat VDSS checks
22VAC40-73-325Fall risk rating
22VAC40-73-325Fall risk rating
22VAC40-73-360Emergency placement
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans

February 9, 2026 — renewal inspection, 11 citations

Citations from the renewal inspection on February 9, 2026
TagWhat VDSS checks
22VAC40-73-200Direct care staff qualifications
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-490Health care oversight
22VAC40-73-610Menus for meals and snacks
22VAC40-73-620Oversight of special diets
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-750Resident rooms
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-880Heating, ventilation, and cooling
22VAC40-73-950Emergency preparedness and response plan
22VAC40-90-40General requirements

February 9, 2026 — monitoring inspection, 3 citations

Citations from the monitoring inspection on February 9, 2026
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care
22VAC40-73-860General requirements

December 3, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on December 3, 2025
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)

December 3, 2025 — complaint investigation, 4 citations

Citations from the complaint investigation on December 3, 2025
TagWhat VDSS checks
22VAC40-73-280Staffing
22VAC40-73-310Admission and retention of residents
22VAC40-73-380Resident personal and social information
22VAC40-73-450Individualized service plans

December 3, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on December 3, 2025
TagWhat VDSS checks
22VAC40-73-450Individualized service plans

December 3, 2025 — monitoring inspection, 3 citations

Citations from the monitoring inspection on December 3, 2025
TagWhat VDSS checks
22VAC40-73-200Direct care staff qualifications
22VAC40-73-640Medication management plan and reference materials
63.2-1808Rights and responsibilities of residents of assisted living facilities; certification of licensure

December 3, 2025 — monitoring inspection, 3 citations

Citations from the monitoring inspection on December 3, 2025
TagWhat VDSS checks
22VAC40-73-300Communication among staff
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care

December 2, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on December 2, 2025
TagWhat VDSS checks
22VAC40-73-110Staff general qualifications

December 2, 2025 — complaint investigation, 2 citations

Citations from the complaint investigation on December 2, 2025
TagWhat VDSS checks
22VAC40-73-460Personal care services and general supervision and care
22VAC40-73-560Resident records

December 2, 2025 — complaint investigation, nothing cited

December 1, 2025 — monitoring inspection, 2 citations

Citations from the monitoring inspection on December 1, 2025
TagWhat VDSS checks
22VAC40-73-40Licensee
22VAC40-73-870Maintenance of buildings and grounds

December 1, 2025 — complaint investigation, 4 citations

Citations from the complaint investigation on December 1, 2025
TagWhat VDSS checks
22VAC40-73-1070Environmental precautions
22VAC40-73-660Storage of medications
22VAC40-73-860General requirements
22VAC40-73-870Maintenance of buildings and grounds

December 1, 2025 — complaint investigation, 3 citations

Citations from the complaint investigation on December 1, 2025
TagWhat VDSS checks
22VAC40-73-560Resident records
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-870Maintenance of buildings and grounds

December 1, 2025 — complaint investigation, 2 citations

Citations from the complaint investigation on December 1, 2025
TagWhat VDSS checks
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-870Maintenance of buildings and grounds

December 1, 2025 — complaint investigation, 5 citations

Citations from the complaint investigation on December 1, 2025
TagWhat VDSS checks
22VAC40-73-530Freedom of movement
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-870Maintenance of buildings and grounds
22VAC40-73-900Sleeping areas

June 18, 2025 — monitoring inspection, 8 citations

Citations from the monitoring inspection on June 18, 2025
TagWhat VDSS checks
22VAC40-73-260First aid and CPR certification
22VAC40-73-50Disclosure
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-860General requirements
22VAC40-73-950Emergency preparedness and response plan
22VAC40-73-990Plan for resident emergencies and practice exercise

February 6, 2025 — complaint investigation, 3 citations

Citations from the complaint investigation on February 6, 2025
TagWhat VDSS checks
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans

February 6, 2025 — complaint investigation, 2 citations

Citations from the complaint investigation on February 6, 2025
TagWhat VDSS checks
22VAC40-73-40Licensee
22VAC40-73-460Personal care services and general supervision and care

February 6, 2025 — monitoring inspection, 5 citations

Citations from the monitoring inspection on February 6, 2025
TagWhat VDSS checks
22VAC40-73-310Admission and retention of residents
22VAC40-73-460Personal care services and general supervision and care
22VAC40-73-560Resident records
22VAC40-73-660Storage of medications
63.2-1808Rights and responsibilities of residents of assisted living facilities; certification of licensure

February 6, 2025 — complaint investigation, 6 citations

Citations from the complaint investigation on February 6, 2025
TagWhat VDSS checks
22VAC40-73-325Fall risk rating
22VAC40-73-325Fall risk rating
22VAC40-73-325Fall risk rating
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care

February 6, 2025 — complaint investigation, nothing cited

February 4, 2025 — monitoring inspection, 6 citations

Citations from the monitoring inspection on February 4, 2025
TagWhat VDSS checks
22VAC40-73-560Resident records
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-650Physician's or other prescriber's order
22VAC40-73-660Storage of medications
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-70Incident reports

February 4, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on February 4, 2025
TagWhat VDSS checks
22VAC40-73-200Direct care staff qualifications

February 4, 2025 — monitoring inspection, 9 citations

Citations from the monitoring inspection on February 4, 2025
TagWhat VDSS checks
22VAC40-73-325Fall risk rating
22VAC40-73-325Fall risk rating
22VAC40-73-440Uniform assessment instrument (UAI)
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care
22VAC40-73-560Resident records
22VAC40-73-640Medication management plan and reference materials
22VAC40-73-680Administration of medications and related provisions
22VAC40-73-680Administration of medications and related provisions

February 4, 2024 — complaint investigation, nothing cited

January 10, 2024 — complaint investigation, 2 citations

Citations from the complaint investigation on January 10, 2024
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care

January 4, 2024 — renewal inspection, 2 citations

Citations from the renewal inspection on January 4, 2024
TagWhat VDSS checks
22VAC40-73-260First aid and CPR certification
22VAC40-73-350Sex offender information

September 12, 2023 — complaint investigation, nothing cited

January 30, 2023 — renewal inspection, nothing cited

July 28, 2022 — renewal inspection, 7 citations

Citations from the renewal inspection on July 28, 2022
TagWhat VDSS checks
22VAC40-73-120Staff orientation and initial training
22VAC40-73-260First aid and CPR certification
22VAC40-73-490Health care oversight
22VAC40-73-620Oversight of special diets
22VAC40-73-660Storage of medications
22VAC40-73-680Administration of medications and related provisions
22VAC40-90-40General requirements

July 28, 2022 — complaint investigation, 2 citations

Citations from the complaint investigation on July 28, 2022
TagWhat VDSS checks
22VAC40-73-1030Staff training
22VAC40-73-270Direct care staff training when aggressive or restrained residents are in care

March 22, 2022 — complaint investigation, 3 citations

Citations from the complaint investigation on March 22, 2022
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-450Individualized service plans
22VAC40-73-650Physician's or other prescriber's order

January 5, 2022 — complaint investigation, nothing cited

October 5, 2021 — monitoring inspection, 2 citations

Citations from the monitoring inspection on October 5, 2021
TagWhat VDSS checks
22VAC40-73-450Individualized service plans
22VAC40-73-460Personal care services and general supervision and care

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.