Assisted Living and Memory Care
Commonwealth Senior Living at Hillsville
100 Kyle Drive, Hillsville, VA 24343 · Map
State license activeCommonwealth Senior Living at Hillsville is a state-licensed assisted living, memory care community in Hillsville, Virginia. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Assisted Living | $4,590 /mo | Oct 12, 2026 |
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last inspection: Sep 14, 2026. See the record
License
Active
Assisted Living Facility, Special Care Unit 35614.
Nearest emergency room
12.4 miles
Twin County Regional Hospital, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Commonwealth Senior Living at Hillsville this community | Not listed | $4,590/mo | Active | 4 violations, 0 of 3 complaints supported | |
| Cana Adult Home | 15.3 mi | Not listed | Not published | Active | 0 violations, 0 of 0 complaints supported |
| Ridge Crest Retirement | 17.2 mi | 28 | Not published | Active | No record |
| Twelve Oaks | 17.2 mi | 112 | Not published | Active | No record |
| Colonial Long Term Care Facility | 19.9 mi | 54 | Not published | Active | No record |
State inspection record4 violations, 0 of 3 complaints supported
- License
- One-year license, expires November 17, 2026
- Last inspection
- September 14, 2026
- Inspections since October 5, 2022
- 20
- Violations cited
- 4 in 1 inspection (and 10 more inspections with violations; see the state’s site)
- Complaint inspections
- 3: 0 supported in whole or in part, 0 not supported, 3 with the outcome on the state’s site
Complaint inspections
- April 23, 2026: See the state’s report for the outcome.
- December 15, 2025: See the state’s report for the outcome.
- May 17, 2023: See the state’s report for the outcome.
Most recent violations, in the state’s words
- September 14, 2026 (renewal inspection): 4 violations
- Uniform assessment instrument (UAI): Based on record review and staff interview, the facility failed to ensure that the private pay uniform assessment instrument (UAI) is completed as required by 22VAC30-110. 22VAC40-73-(6)-440-D
- Administration of medications and related provisions: Based on observation and staff interview, the facility failed to ensure that over the counter (OTC) medication shall be labeled with the resident’s name. 22VAC40-73-(6)-680-G
- Medication management plan and reference materials: Based on observation, record review, and staff interview, the facility failed to implement portions of its medication management plan, specifically regarding its methods to prevent the use of outdated medications and its established operating procedures. 22VAC40-73-(6)-640-A
- Infection control program: Based on observation and staff interview, the facility failed to implement a portion of its infection control policy, specifically regarding blood glucose monitoring practices and the handling of medical waste in accordance with applicable regulations. 22VAC40-73-(2)-100-C-2
- 8 earlier inspections with violations on the state’s site
Read every inspection report on the state’s site →
What these terms mean
A violation is a standard that the inspector found the facility did not meet. VDSS: “The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance.” Plans of correction are written by the facility.
For a complaint inspection, VDSS states whether “the evidence gathered during the investigation” supported the allegations. Violations found during a complaint visit that are not related to the complaint are listed on the same notice. VDSS also investigates incidents that a facility reports about itself; those are listed separately and are not counted as complaints.
Virginia sets the length of a license by the facility's record (22VAC40-80-100): “A three-year license may be issued when a facility's activities, services, and management routinely substantially exceed the minimum standards. A two-year license may be issued when a facility's services and management routinely meet and maintain compliance with minimum standards ... An annual license may be issued when a facility's activities, services, and management indicate an inconsistent level of compliance but substantial compliance is reached.”
A provisional license (22VAC40-80-110) may be issued “when a regular license expires and the applicant is temporarily unable to comply with the requirements of the regulations,” for up to 12 months. A conditional license (22VAC40-80-80) is for a new facility to “demonstrate compliance with specified standards.”
Each violation is labeled with the title of the rule it falls under in the Standards for Licensed Assisted Living Facilities (22VAC40-73).
Source: Virginia Department of Social Services, Division of Licensing Programs, data as of October 15, 2026, covering inspections since December 29, 2020. Always visit in person and ask the community about anything listed here.
License and ownershipActive license
- License type
- Assisted Living Facility, Special Care Unit
- License number
- 35614
- License status
- Active
- County
- Carroll County
- Administrator
- Clive Dixon
Source: Virginia state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Virginia licensing record, as of Oct 12, 2026.
Staff pay and workplace safety1 federal wage case, no violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Aug 3, 2013.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby careNearest hospital 12.4 mi, nursing home 0.1 mi, pharmacy 0.9 mi
- Nearest hospital with an emergency room
- Twin County Regional Hospital, Galax. 12.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Hillsville Health & Rehab Center, Hillsville. 0.1 miles away, straight line.
- Nearest home health agency office
- Blue Ridge Home Health Care, Galax. 8.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24343 as rural (rural area).
- Dialysis within 15 miles
- Bma - Twin County, Galax, 9.8 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 24343.
Mountain Valley Hospice & Palliative Care, office in Galax, 8.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Medi Home Health And Hospice - Pulaski, office in Pulaski, 19.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Wythe Hospice Of Swva, office in Wytheville, 23.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Integrated Senior Care PC, Princeton. 47.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in September 2026. What was it, and how was it fixed?
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Virginia Department of Social Services, Division of Licensing Programs inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Commonwealth Senior Living at Hillsville provide?
Commonwealth Senior Living at Hillsville is licensed by the state of Virginia for assisted living, memory care in Hillsville, Virginia.
Does Lilisity rate Commonwealth Senior Living at Hillsville?
No. We publish state licensing details for Commonwealth Senior Living at Hillsville but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Commonwealth Senior Living at Hillsville cost?
Assisted Living in Virginia typically starts at $4,000 to $5,300 a month. Based on 103 communities that publish prices. These are area figures, not this community's price. The starting prices it publishes are in the Prices section on this page.
How do I contact Commonwealth Senior Living at Hillsville?
Use Commonwealth Senior Living at Hillsville's website, commonwealthsl.com/commonwealth-senior-living-at-hillsville, or visit at 100 Kyle Drive, Hillsville, VA 24343.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid