Smith Mountain Lake Retirement Village

License

One-year license, expires September 28, 2027

Last inspection

September 8, 2026

Inspections since November 8, 2021

51

Violations cited

12 in 3 inspections (and 27 more inspections with violations; see the state’s site)

Complaint inspections

21: 0 supported in whole or in part, 1 not supported, 20 with the outcome on the state’s site

• No violations cited at the last inspection (September 2026)

Complaint inspections

• September 8, 2026: Allegations about resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments. The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law.
• May 15, 2026: See the state’s report for the outcome.
• January 22, 2026: See the state’s report for the outcome.
• January 22, 2026: See the state’s report for the outcome.
• September 2, 2025: See the state’s report for the outcome.

Investigations of incidents the facility reported to VDSS

• August 17, 2026: Allegations about personnel. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. 1 violation cited.
• August 17, 2026: Allegations about resident care and related services. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. 1 violation cited.

Most recent violations, in the state’s words

• August 17, 2026 (monitoring inspection): 1 violation
  • Staff general qualifications: Based on facility documentation and staff interviews, the facility failed to ensure all staff shall be considerate and respectful of the rights, dignity, and sensitivities of persons who are aged or infirm or what have disabilities. 22VAC40-73-(3)-110-1
• August 17, 2026 (renewal inspection): 10 violations
  • Personal care services and general supervision and care: Based on resident record review and staff interview, the facility failed to ensure that personal assistance and care are provided to each resident as necessary so that the needs of the resident are met, including assistance or care with bathing at least twice a week, but more often if needed or desired. 22VAC40-73-(6)-460-H
  • Medication management plan and reference materials: 22VAC40-73-(6)-640-A
  • Health care services: Based on resident record review and staff interview, the facility failed to ensure, either directly or indirectly, that the health care service needs of residents are met. 22VAC40-73-(6)-470-A
  • Administration of medications and related provisions: Based on resident record review and staff interview, the facility failed to ensure the medication administration record (MAR) shall include the specific indications for administering the drug or supplement. 22VAC40-73-(6)-680-I
  • Work schedule and posting: Based on observations of the facility, the facility failed to ensure to implement its procedure for posting the name of the current on-site person in charge, as provided for in this chapter, in a place in the facility that is conspicuous to the residents and the public. 22VAC40-73-(4)-290-B
  Show all 10

  • Uniform assessment instrument (UAI): Based on resident record review and staff interview, the facility failed to ensure the uniform assessment instrument (UAI) shall be completed prior to admission, at least annually, and whenever there is a significant change in the resident’s condition. 22VAC40-73-(6)-440-A
  • Physical examination and report: Based on resident record review and staff interview, the facility failed to ensure within the 30 days preceding admission, a person shall have a physical examination by an independent physician and the report of such examination shall be on file at the assisted living facility and shall contain the results of a risk assessment documenting the absence of tuberculosis (TB) in a communicable form as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. 22VAC40-73-(5)-320-A
  • Medication management plan and reference materials: 22VAC40-73-(6)-640-A
  • Individualized service plans: Based on resident record review and staff interview, the facility failed to ensure individualized service plans (ISPs) shall be reviewed and updated at least once every 12 months and as needed for a significant change of a resident’s condition. 22VAC40-73-(6)-450-F
  • Staffing: Based on staffing assignment sheet review and staff interview, the facility failed to ensure when residents are present, there shall be at least two direct care staff members awake and on duty at all times in each building who shall be responsible for the care and supervision of the residents. 22VAC40-73-(10)-1020-A
• August 17, 2026 (monitoring inspection): 1 violation
  • Administration of medications and related provisions: Based on resident record review and staff interview, the facility failed to ensure medications shall be removed from the pharmacy container, or the container shall be opened, by a staff person licensed, registered, or acting as a medication aide on a provisional basis as specified in 22VAC40-73-670 and administered to the resident by the same staff person. 22VAC40-73-(6)-680-B
• 27 earlier inspections with violations on the state’s site

Read every inspection report on the state’s site →

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.