The Elms of Lynchburg LLC
Families consistently rate this highly — reviewers highlight warm and attentive nursing staff. Schedule a visit to confirm the fit.
based on 55 Google reviews
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What this means for your family
This facility is highly regarded for its compassionate nursing staff and clean, beautiful environment. However, families should be aware of a specific complaint regarding the attitude of the kitchen staff and investigate the facility's current training protocols for dietary employees.
Google Reviews
Google Reviews
55 reviews on Google“Families can expect a warm, home-like environment with highly praised nursing care and a welcoming, family-oriented staff. While many reviewers highlight the cleanliness and beauty of the facility, there are specific concerns regarding the conduct of the kitchen staff and a lack of oversight in certain areas.”
Quality Themes
Tap a score for detailsStrengths
- Warm and attentive nursing staff
- Clean and beautiful facility
- Welcoming, family-like atmosphere
- Knowledgeable and helpful administration
Concerns
- Rude behavior from kitchen/cook staff
Rating Trends
Tap a year to see what changed
Distribution · 39 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard such wonderful things about the warm and attentive nursing staff here; how does the team ensure that level of personal care is maintained for every resident?
- 2Since you have a certified memory care program, what specific daily activities or sensory programs are in place to engage residents with cognitive decline?
- 3We noticed the administration is very involved in the community; how do you typically communicate important facility updates or changes to the families?
- 4With the facility being so beautifully maintained, what is your routine for ensuring the common areas and resident rooms stay clean and comfortable?
- 5How does the dining team manage specialized dietary needs, and how would you describe the overall atmosphere during meal times?
- 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“Staff interactions with residents are as if the residents are their enough family members and you can see that at all times!”
“He helped me with my Mother when she needed temporary long term care . He went above and beyond to help us with any questions we had.”
“The Elms is very home like and the food is good most days, but we all have foods we don't care for. Alternatives are offered. Staff really cares about the people who live here.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Mar 30, 2026ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 03/30/2026 9:25AM to 9:55AM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 03/23/2026 regarding allegations in the area(s) of: personnel, resident care and related services, & buildings and grounds Number of residents present at the facility at the beginning of the inspection: 27 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Feb 24, 2026Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/24/2026 7:50AM to 4:15PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 29 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 3 Observations by licensing inspector: breakfast, noon-time meal, medication administration, medication cart audit An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of these inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on staff record review and staff interview, the facility failed to ensure the criminal history record report shall be obtained on or prior to the 30th day of employment for each employee. EVIDENCE: Th criminal history record report for staff person 6, date of hire 01/11/2026, was not available during the on-site inspection on 02/24/2026. Interview with staff persons 1 and 2 confirmed that the facility has not yet obtained the criminal history record report for staff person 6.
Based on staff record review and staff interview, the facility failed to ensure each staff person on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents shall submit 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 and the risk assessment shall be no older than 30 days. EVIDENCE: The record for staff person 3 contained a Virginia TB Screening and Risk Assessment Tool document that contains staff person 3?s name and date of birth; however, there is no date on the document indicating when the TB screening and risk assessment was conducted. Staff person 2 confirmed this is accurate.
Based on resident record review and staff interview, the facility failed to ensure for private pay individuals that the uniform assessment instrument ( UAI
Based on resident record review and staff interview, the facility failed to ensure when hospice care is provided to a resident, the facility and the licensed hospice organization shall communicate and establish an agreed upon coordinated plan of care for the resident and the services provided by each shall be included on the individualized service plan ( ISP
Based on facility plan review, medication cart audit, resident record review and staff interview, the facility failed to have, keep current, and implement a written plan for medication management in regard to methods to prevent the use of outdated, damaged, or contaminated medications. EVIDENCE: 1. Manufacturer?s instructions for Latanoprost Ophthalmic Solution 0.005% eye drops state that once a bottle is opened for use, it may be stored at room temperature up to 25 degrees Celsius (77 degrees Fahrenheit) for 6 weeks. During on-site inspection on 02/24/2026, at approximately 10:28AM, the licensing inspector (LI) and staff persons 1 and 5 noted an opened bottle of Latanoprost Ophthalmic Solution 0.005% eye drops for resident 6 and an opened bottle of Latanoprost Ophthalmic Solution 0.005% eye drops for resident 7. Neither of the aforementioned bottles contained a date of when the eye drops were opened. Staff person 5 confirmed that these were the only bottles of Latanoprost Ophthalmic Solution 0.005% eye drops on the medication cart in use for residents 6 and 7 and that according to the February 2026 electronic medication administration records (EMARS) for residents 6 and 7, Latanoprost Ophthalmic Solution 0.005% eye drops have been administered daily in the evening to these residents. Interview with staff person 1 revealed that if a medication has an expiration date once it is opened and used, based on manufacturer?s instructions, medication administration staff should document on the medication the date it was opened; however, this method is not identified in the facility?s medication management plan (MMP). 2. During on-site inspection on 02/24/2026, at approximately 10:24AM, the LI and staff person 5 observed two medication cards of Ondansetron HCL 4MG ? take 1 tablet by mouth every 8 hours as needed for nausea/vomiting for 7 days for resident 2 and a container of Triple Antibiotic Ointment ? apply thin layer to scabbed area left nose twice a day for 7 days for resident 2. The record for resident 2 contained a physician?s order, dated 11/21/2025, for the Ondansetron HCL 4MG for 7 days and a physician?s order, dated 12/05/2025, for the triple antibiotic ointment for 7 days. Interview with staff person 1 revealed that since the two aforementioned medications for resident 2 were only prescribed for 7 days from the date of the physician?s order, medication administration staff should have taken these medications off the medication cart; however, this method is not identified in the facility?s MMP. 3. During on-site inspection on 02/24/2026, at approximately 10:09AM, the LI and staff person 5 observed a medication card of Hydroxyzine HCL 10MG ? take 2 tablets by mouth 4 times daily as needed for itching for resident 5 and a medication card of Lorazepam 0.5MG ? take half tablet (0.25MG) by mouth once daily as needed for anxiety for resident 5. The record for resident 5 contains a signed physician?s discontinuing Hydroxyzine, dated 10/29/2025, and a s
Based on resident record review and staff interview, the facility failed to ensure Do Not Resuscitate (DNR) Orders for withholding cardiopulmonary resuscitation from a resident in the event of cardiac or respiratory arrest may only be carried out in a licensed assisted living facility when the written order is included in the individualized service plan ( ISP
Feb 3, 2026ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/03/2026 9:30AM to 3:30PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 01/23/2026 regarding allegations in the area(s) of: resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments Number of residents present at the facility at the beginning of the inspection: 32 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at (540) 589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Feb 3, 2026Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/03/2026 9:30AM to 3:30PM and 3/12/2026 9:20AM to 10:45AM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 01/23/2026 regarding allegations in the area of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 29 Number of resident records reviewed: 19 Number of interviews conducted with staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of these inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem-solving conference. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review, the facility failed to ensure medications shall be administered in accordance with the physician?s or other prescriber?s instructions. EVIDENCE: 1. The record for resident 6 contains a signed physician?s order, dated 10/15/2025, to discontinue Farxiga 10MG oral daily (Dapagliflozin Propanediol 10MG); however, resident 6?s November 2025 medication administration record ( MAR
Based on resident record review and staff interview, the facility failed to ensure medical procedures or treatments ordered by a physician or other prescriber shall be provided according to his instructions and documented and the documentation shall be maintained in the resident?s record. EVIDENCE: 1. The November and December 2025 medication administration records ( MAR
Based on resident record review and staff interview, the facility failed to ensure that all required information shall be included on the medication administration record ( MAR
Nov 18, 2025Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/18/2025 8:30AM to 3:30PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 33 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on staff record review and staff interview, the facility failed to ensure that an employee has not been convicted of any of the barrier crimes when a criminal history record was requested. EVIDENCE: 1. The document, ?Barrier Crimes for Licensed Assisted Living Facilities and Adult Day Care Programs?, dated October 2023, states that an assisted living facility cannot hire anyone who has a conviction for an offense in clause (i) of the barrier crime definition in 19.2-392.02 of the Code of Virginia. 2. The record for staff person 1, date of hire 09/24/2025, contained a Virginia Criminal Record, that staff person 1 was found guilty of a felony barrier crime on 02/10/2016 that is contained in 19.2-392.02 of the Code of Virginia. Interview with staff person 2 confirmed this is accurate.
Nov 18, 2025RoutineCleanReport
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/18/2025 8:30AM to 11:30AM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 11/10/2025 regarding allegations in the area(s) of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 33 Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Nov 18, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/18/2025 8:30AM to 3:30PM & 01/09/2026 9:01AM to 10:15AM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 11/05/2025 regarding allegations in the area of: resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments Number of residents present at the facility at the beginning of the inspection: 33 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure supervision of resident schedules, care, and activities including attention to specialized needs, such as prevention of falls and wandering from the premises. EVIDENCE: 1. Resident 1 resides in the facility?s safe, secure unit. The record for resident 1 contains an assessment of serious cognitive impairment, dated 03/30/2023, that the resident has a serious cognitive impairment due to a primary psychiatric diagnosis of dementia and is unable to recognize danger or protect his own safety and welfare and a review of appropriateness of continued residence in special care unit, dated 01/09/2025, that the resident is still appropriate to reside in the safe, secure unit due to being unable to make decisions for well being and safety due to diagnosis of dementia and unable to self-preserve. 2. The uniform assessment instrument ( UAI
Nov 18, 2025Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/18/2025 8:30AM to 3:30PM & 01/09/2026 9:01AM to 10:15AM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10/29/2025 regarding allegations in the areas of: resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments Number of residents present at the facility at the beginning of the inspection: 33 Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. 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 and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure for private pay individuals that the uniform assessment instrument ( UAI
Based on resident record review and staff interview, the facility failed to ensure supervision of resident schedules, care, and activities including attention to specialized needs, such as prevention of falls and wandering from the premises. EVIDENCE: 1. Resident 1 has resided at the facility since 09/16/2025. The Report of Resident Physical Examination in the record for resident 1, dated 09/09/2025, contains documentation for significant medical history that the resident has had decreased orientation, increased confusion and steady increase in confusion over past few months due to his wife passing away in January. The Report of Resident Physical Examination also states on page 2 that the resident requires supervision due to confusion and occasional exit seeking. 2. The record for resident 1 contains a history and physical by a physician, dated 09/18/2025, that the resident admits to the facility from a skilled nursing facility following a hospitalization for mild dementia and the resident reports recent episode of memory loss and confusion, including an incident where he drove from Lynchburg to Alta Vista and did not know where he was or why he was going there and that the resident describes his memory as ?excellent? but notes that he ?just clicked out? during the incident. 3. A note written by staff person 1, dated 10/17/2025 at 11:30AM, states that the resident has a new order for Hydroxyzine 25MG every 8 hours as needed ( PRN
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