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
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.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 22VAC40-73-750 Resident roomsFebruary 9, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsFebruary 9, 2026
- 22VAC40-73-880 Heating, ventilation, and coolingFebruary 9, 2026
- 22VAC40-73-950 Emergency preparedness and response planFebruary 9, 2026
- 22VAC40-73-860 General requirementsFebruary 9, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-1070 Environmental precautionsDecember 1, 2025
- 22VAC40-73-860 General requirementsDecember 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 1, 2025
- 22VAC40-73-900 Sleeping areasDecember 1, 2025
- 22VAC40-73-860 General requirementsJune 18, 2025
- 22VAC40-73-950 Emergency preparedness and response planJune 18, 2025
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseJune 18, 2025
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 116 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 5, 2021 | monitoring inspection | 2 |
| January 5, 2022 | complaint investigation | 0 |
| March 22, 2022 | complaint investigation | 3 |
| July 28, 2022 | complaint investigation | 2 |
| July 28, 2022 | renewal inspection | 7 |
| January 30, 2023 | renewal inspection | 0 |
| September 12, 2023 | complaint investigation | 0 |
| January 4, 2024 | renewal inspection | 2 |
| January 10, 2024 | complaint investigation | 2 |
| February 4, 2024 | complaint investigation | 0 |
| February 4, 2025 | complaint investigation | 1 |
| February 4, 2025 | monitoring inspection | 9 |
| February 4, 2025 | monitoring inspection | 6 |
| February 6, 2025 | complaint investigation | 6 |
| February 6, 2025 | monitoring inspection | 5 |
| February 6, 2025 | complaint investigation | 2 |
| February 6, 2025 | complaint investigation | 3 |
| February 6, 2025 | complaint investigation | 0 |
| June 18, 2025 | monitoring inspection | 8 |
| December 1, 2025 | complaint investigation | 4 |
| December 1, 2025 | monitoring inspection | 2 |
| December 1, 2025 | complaint investigation | 2 |
| December 1, 2025 | complaint investigation | 3 |
| December 1, 2025 | complaint investigation | 5 |
| December 2, 2025 | complaint investigation | 2 |
| December 2, 2025 | complaint investigation | 1 |
| December 2, 2025 | complaint investigation | 0 |
| December 3, 2025 | complaint investigation | 1 |
| December 3, 2025 | complaint investigation | 4 |
| December 3, 2025 | monitoring inspection | 3 |
| December 3, 2025 | monitoring inspection | 3 |
| December 3, 2025 | complaint investigation | 1 |
| February 9, 2026 | monitoring inspection | 3 |
| February 9, 2026 | renewal inspection | 11 |
| February 10, 2026 | complaint investigation | 6 |
| February 10, 2026 | complaint investigation | 5 |
| May 7, 2026 | complaint investigation | 2 |
What the citations cover
- Resident care 52
- Medication 20
- Physical plant 15
- Staffing and training 14
- Other 15
| Category | Citations |
|---|---|
| Resident care | 52 |
| Medication | 20 |
| Physical plant | 15 |
| Staffing and training | 14 |
| Records and administration | 9 |
| Emergency management | 3 |
| Food service | 3 |
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
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-800 | Incoming and outgoing mail |
| 63.2-1808 | Rights and responsibilities of residents of assisted living facilities; certification of licensure |
February 10, 2026 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-680 | Administration of medications and related provisions |
February 10, 2026 — complaint investigation, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-360 | Emergency placement |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
February 9, 2026 — renewal inspection, 11 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-200 | Direct care staff qualifications |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-490 | Health care oversight |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-620 | Oversight of special diets |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-90-40 | General requirements |
February 9, 2026 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-860 | General requirements |
December 3, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
December 3, 2025 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-280 | Staffing |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-450 | Individualized service plans |
December 3, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
December 3, 2025 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-200 | Direct care staff qualifications |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 63.2-1808 | Rights and responsibilities of residents of assisted living facilities; certification of licensure |
December 3, 2025 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-300 | Communication among staff |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
December 2, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-110 | Staff general qualifications |
December 2, 2025 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-560 | Resident records |
December 2, 2025 — complaint investigation, nothing cited
December 1, 2025 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-40 | Licensee |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 1, 2025 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1070 | Environmental precautions |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 1, 2025 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 1, 2025 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 1, 2025 — complaint investigation, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-530 | Freedom of movement |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-900 | Sleeping areas |
June 18, 2025 — monitoring inspection, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-50 | Disclosure |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-950 | Emergency preparedness and response plan |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
February 6, 2025 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
February 6, 2025 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-40 | Licensee |
| 22VAC40-73-460 | Personal care services and general supervision and care |
February 6, 2025 — monitoring inspection, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-660 | Storage of medications |
| 63.2-1808 | Rights and responsibilities of residents of assisted living facilities; certification of licensure |
February 6, 2025 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
February 6, 2025 — complaint investigation, nothing cited
February 4, 2025 — monitoring inspection, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-70 | Incident reports |
February 4, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-200 | Direct care staff qualifications |
February 4, 2025 — monitoring inspection, 9 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-560 | Resident records |
| 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 |
February 4, 2024 — complaint investigation, nothing cited
January 10, 2024 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
January 4, 2024 — renewal inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-350 | Sex offender information |
September 12, 2023 — complaint investigation, nothing cited
January 30, 2023 — renewal inspection, nothing cited
July 28, 2022 — renewal inspection, 7 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-120 | Staff orientation and initial training |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-490 | Health care oversight |
| 22VAC40-73-620 | Oversight of special diets |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-90-40 | General requirements |
July 28, 2022 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1030 | Staff training |
| 22VAC40-73-270 | Direct care staff training when aggressive or restrained residents are in care |
March 22, 2022 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-650 | Physician's or other prescriber's order |
January 5, 2022 — complaint investigation, nothing cited
October 5, 2021 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal 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.